FAX TO (913) 764 – 8198 -or- EMAIL TO

Builder Name / Job Address
Contact Name / Lot #
Contact’s Mobile # / Subdivision
Schedule Job Date / Job City
Permit # / PO # (Attach PO)
Cities where pre-backfill inspections are required will be called in by Gordon’s unless otherwise instructed.
Basement Type
Walk-Out Basement / Forced Walk-Out/Walk-Up Basement
(recommend 2 pits) / Full In Ground or Daylight Basement
Requested Services (check all that apply
Damproofing plus break & patch wall ties – Vapor barrier only
(no warranty)
Impax 40 mil w/ 1200% elasticity spray membrane only
(10 year warranty)
Tuf-N-Dri/Warm-N-Dri 40 mil w/ 2000% elasticity spray membrane plus ¾” drainage board
(30 year warranty)
3” Perf. Drain tile installed with builder’s gravel - “on footing”
4” Sock Drain tile installed with builder’s gravel – “on footing”
“Inside Tile” – 3” drain tile installed below footing, not graveled
3" Perf Draintile in overdig with gravel. Connect to meter pit or daylight.
Metal Egress Well Please Specify Height and Type -
Decorative Egress Well Please Specify Height and Type - ROCKWELLQuarry WellOther
Other
Sump Pit Installed?
No Pit installed on this house (walkout draining to daylight)
Install standard sump pit with lid, installed & connected to sleeve & exterior draintile
Install meter pit in over dig. (Requires culvert to extend pit & inside tile in over dig only covered with gravel.)
Sump Pit Location? / (if you are looking at front of the house)
Front Left / Back Left / Other - specify
Front Right / Back Right
Behind Garage / Front Corner Opposite of Garage
OK to dig under footing if no sleeve is provided to connect exterior draintile to sump pit.
Who Will Order The Gravel?
Gravel will already be there or Builder will order it.
Gordon Energy & Drainage will order the gravel.
# of loads - from quarry (on builders account)
*note: Olathe jobs require 2 loads of gravel.
Special Instructions and/or sketch (if complicated) for Spray & Draintile Order.
If walkout, how would you like us to daylight the tile?