Project Request Form

Request Information: complete this section and return to Office of Facilities Planning and Construction, 157 Studio West 
 
Date: __________
 
Location, Building, Room(s): ________________________________________
 
Department: _____________________ Department Authorization: ____________________
    
Contact Person: ______________________________
  
Phone #: _____________________ Email: _____________________
 
Funding Source/Account Code: ____________________ Budget: __________
 
Project description (please attach any documentation or additional information ):
 
 
 Facilities Planning & Construction use only:
 
Date received: __________  Date assigned: __________  Priority or Ranking #: __________
 
Space verification with Facility Database:  No change ___  Need approval __
 
Project Type:  New __  Renovation __  Space Planning __   Study __  
Interior design __ Systems alteration/utilities __  Code issue __  Signage __  Other __
 
Purpose Code (use SUCF):  __________ 
 
Funding Type: LS __  SUCF __   DIFR __  Other _______________________________
 
FP&C: Consultant & Bid __  In-house Design __   Physical Plant __
  
Contains asbestos: Yes __ No __ Need testing __
 
Preliminary cost estimate: Design $ ______ Construction $ ______ Equipment $ ______
   
Estimated Schedule: Start: _____________ Completion: __________  
  Design: __________ Bid: __________ Construction: __________
 
User notification required:  Yes __  No __