PURPOSE: To summarize and request approval for annual plan of Career Technical Skills Training (CTST) projects for Job Corps Centers. All data related to all PY 2024 CTST projects shall be housed within this spreadsheet, including project requests, descriptions, costs, and expenditures.
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FORM: In its entirety, the form is comprised of 26 tabs. Centers shall complete only the tabs highlighted in GREEN. The tabs highlighted in RED are for National Office of Job Corps use only. Please complete a number of tabs (24.01-24.20) equal to the number of individual projects being requested. For example, if a center is requesting 6 projects, tabs 24.01-24.06 will be completed in addition to the "Signatures" tab. All fields in the "Summary" tab will automatically populate. |
Desription of tabs: |
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INSTRUCTIONS |
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SUMMARY: List of all project and total costs for the applicable Program Year. Please do not attempt to manipulate any cell or enter any data on the Summary tab. THIS TAB AUTO POPULATES from all other TABS |
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SIGNATURES: Each center must affix signatures of all responsible parties. Please note that signatures represent the request approval of center leadership of all projects and associated costs listed throughout this form. If personnel titles do not match those on center, please customize and/or use the "Other" line items. Please follow the instructions at the top of the Signatures tab regarding where to paste the completed form. Note that the form has been modified to allow posting of the .pdf at the top of the Signatures tab. |
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Narrative Examples: Provides examples of individual project descriptions from Appendix 303b of the Job Corps Policy and Requirements Handbook. Users of this form should refer to the examples provided when completing tabs 24.01-24.20. Project descriptions that are not written to be satisfactorily consise and/or do not provide a sufficient description of the proposed project will be returned to the requesting center to be re-written. |
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24.01 - 24.20: Each tab represents an individual CTST project for which the applicable center is requesting funding. If a center is requesting approval for more than 20 projects, please contact the National Office of Job Corps as soon as possible. Please do not delete unused tabs; or add new tabs; as doing so will negate formulas throughout the workbook. |
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RECONCILIATION: Centers will enter the amount of funds spent for each project as of December 31, 2024 and June 30, 2025. Please use the "Comments" section of the Reconciliation tab to reflect any issues with the obligation and/or spending of CTST funds. Please do not remove the RECONCILIATION tab from this spreadsheet and post elsewhere. |
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NOJC Review: Office of Job Corps use only. Please do not attempt to manipulate any cell or enter any data on the NOJC Review tab. NOTE: You can review the 10 CTST standards to ensure you have completed the form properly. THIS IS A READ ONLY TAB. |
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The Project Description and Training Description should address the “who, what, where and how” of what the projects is and the training the students will perform. The narrative descriptions are to be inserted in the box labeled "Project Description and Training Narrative" on each CTST project tab. These are presented as examples only. |
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Female Dorm Light Fixture Replacement |
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PROJECT DESCRIPTION: The Electrician students propose to repair and/or replace fluorescent lighting fixtures throughout the female dorm (BLD #7), and remove and replace non-working fluorescent lamp ballasts, and replace lamps with energy-efficient T5 bulbs. Students will remove and replace broken light switches; and will install new receptacles, lights, and switches as required. Drawings/Pictures have been provided in attachment section of the individual project tab. |
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TRAINING DESCRIPTION: The Electrician students will receive Occupational Safety and Health Administration (OSHA) 10 safety training, and will learn and demonstrate all jobsite safety. They will receive training in proper installation of light fixtures, receptacles and switches following all applicable local and National Electrical Codes (NEC). They will receive training in construction math, and demonstrate the proper use of hand and power tools and personal protective equipment (PPE). When completed with project, they will learn how to test circuits for proper operation, and will be able to explain lockout/tag out procedures. The students will learn and practice the Career Success Skills, as well as the employability skills needed to become successful in their personal and professional lives. |
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Cement Mason Miscellaneous |
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PROJECT DESCRIPTION: The Cement Mason trade proposes to do a variety of concrete projects throughout the campus. This project will address problem areas where concrete walks, curbs and walls may need repair or replacement. These are projects of a small nature that do not require their own heading, but support the Academy's effort to maintain its facility, as well as support the community to include Construction Rehab projects, handicap access and parking, smoking areas; and support to the city/town/agency of XXXXX and Habitat for Humanity. Drawings/Pictures have been included in the attachment section of the individual project tab. |
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TRAINING DESCRIPTION: The Cement Mason students will receive training in concrete patching and repair, placement, screening and finishing, layout and sub-grade prep, form work, tool and job safety; and a variety of challenges from planning and excavation, to forming and pouring. All projects will provide excellent training for the students. They will receive training in construction math, and demonstrate the proper use of hand and power tools, and PPE. The students will learn and practice the Career Success Skills, as well as the employability skills needed to become successful in their personal and professional lives. |
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Outdoor Pavilion |
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PROJECT DESCRIPTION: The Carpentry students propose to construct a 24’X 48’pavilion. The location will be approximately 100 feet to the right of our gym (See footprint drawing attached). This will be a pressure treated wood structure with prefabricated engineered roof trusses, designed to code to handle the North East snow loads. Student will set concrete forms and pour a 24’ X 48’ X 6” concrete slab with reinforcement rod set to code. Students will screed and provide expansion joints as required. The Carpentry students will set 6 X 6 pressure-treated post every 8 feet with 2 X 10 double carrier’s for the rafters to set on. After rafters are set students will install purlins and metal roofing sheets. The Electrical students will install outdoor lighting using low energy LED lights throughout the ceiling area and will install solar lighting at ground level around perimeter of the pavilion (Engineered Blueprints of the pavilion are attached in the attachment section of the individual project tab). |
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TRAINING DESCRIPTION: The Carpentry students will receive OSHA 10 safety training, and will learn and demonstrate all jobsite safety. They will receive training in proper installation of concrete forms, setting of post and installation of roof rafters following all local, state and federal building codes. Electrician students will receive training on installation of light fixtures, receptacles and switches following all applicable local and NEC codes. They will receive training in construction math, and demonstrate the proper use of hand and power tools, and PPE. When completed with project, they will learn how to test circuits for proper operation, and will be able to explain lockout/tag out procedures. The students will learn and practice the Career Success Skills, as well as the employability skills needed to become successful in their personal and professional lives. |
REGION |
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CENTER |
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START DATE |
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PROJECT ID |
24.01 |
PROJECT TITLE |
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ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
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Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
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CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box:
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Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
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Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
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JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
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AGENCY TECHNICAL SERVICES Estimate |
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MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
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SAFETY HAZARD ANALYSIS |
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ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
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ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
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STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
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DFAM REVIEWER |
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CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
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1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
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1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
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2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
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3 |
Does the proposed project affect the space utilization allowances in the LRP? |
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COMPLIANCE WITH APPLICABLE CODES |
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Space/Use Re-configuration |
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4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
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5 |
Are number of emergency egress points per current code requirements? |
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6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
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6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
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7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
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8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
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9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
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9A |
If NO to #9, is the proposed revised layout in compliance with code? |
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10 |
Does the reconfigured space comply with ADA requirements where applicable? |
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11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
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HVAC Equipment Upgrades |
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12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
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13 |
What type of refrigerant does the proposed equipment use? |
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14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
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15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
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16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
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Lighting/Power Upgrades |
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17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
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18 |
Does the project entail any re-wiring? |
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19 |
Does the project entail any additional electrical loads with respect to existing? |
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19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
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20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
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21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
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STRUCTURAL INTEGRITY |
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22 |
Does the proposed project comprise a habitable structure? |
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23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
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24 |
Has the project’s structure been designed and documented by a licensed engineer? |
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24A |
If YES to #24, has the Center presented engineer-stamped documents? |
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25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
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25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
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26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
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If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
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27 |
Has the Center submitted pre-engineered truss drawings? |
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28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
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29 |
Are the roof loads adequately distributed to the footings? |
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30 |
Has the Center provided adequate footings and foundation drawings? |
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SUSTAINABILITY |
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Does the proposed project include: |
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31 |
Environmentally-preferred products? |
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32 |
Bio-based products? |
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33 |
Recycled-content products? |
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34 |
Low-emitting materials? |
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35 |
High-efficiency water fixtures? |
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DFAM Reviewer Notes |
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DFAM Approval Provision(s) |
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DFAM Decline Recommendation(s) |
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DFAM Reviewer Recommendation |
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REGION |
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CENTER |
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START DATE |
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PROJECT ID |
24.02 |
PROJECT TITLE |
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ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
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Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
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CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
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Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
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EQUIPMENT RENTAL Estimate |
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CONTRACTED SERVICES Estimate |
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AGENCY TECHNICAL SERVICES Estimate |
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MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
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SAFETY HAZARD ANALYSIS |
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ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
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ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
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STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
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DFAM REVIEWER |
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CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
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1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
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1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
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2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
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3 |
Does the proposed project affect the space utilization allowances in the LRP? |
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COMPLIANCE WITH APPLICABLE CODES |
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Space/Use Re-configuration |
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4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
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5 |
Are number of emergency egress points per current code requirements? |
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6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
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6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
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7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
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8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
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9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
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9A |
If NO to #9, is the proposed revised layout in compliance with code? |
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10 |
Does the reconfigured space comply with ADA requirements where applicable? |
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11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
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HVAC Equipment Upgrades |
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12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
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13 |
What type of refrigerant does the proposed equipment use? |
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14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
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15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
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16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
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Lighting/Power Upgrades |
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|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.03 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
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|
|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box:
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
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Unit Cost |
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$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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|
$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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|
$0 |
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|
$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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|
$0 |
|
|
|
$0 |
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|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
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|
|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
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|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.04 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
|
|
|
|
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|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
# of Units |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
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|
$0 |
|
|
|
$0 |
|
|
|
$0 |
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|
$0 |
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|
$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.05 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
# of Units |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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|
$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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|
$0 |
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|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
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|
$0 |
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$0 |
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|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PRPOSED CONTROL/ABATEMENT |
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|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
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|
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|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
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|
|
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|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
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|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.06 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
|
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|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
# of Units |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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|
$0 |
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|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
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|
$0 |
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|
$0 |
|
|
|
$0 |
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|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.07 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
# of Units |
Unit Cost |
Line Cost |
|
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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|
$0 |
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|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
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$0 |
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|
$0 |
|
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|
$0 |
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|
$0 |
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|
$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
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STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
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DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
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COMPLIANCE WITH APPLICABLE CODES |
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Space/Use Re-configuration |
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4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
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5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
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8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
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9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
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9A |
If NO to #9, is the proposed revised layout in compliance with code? |
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10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
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HVAC Equipment Upgrades |
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12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
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13 |
What type of refrigerant does the proposed equipment use? |
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14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
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15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
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Lighting/Power Upgrades |
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17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
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18 |
Does the project entail any re-wiring? |
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19 |
Does the project entail any additional electrical loads with respect to existing? |
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19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
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20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
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STRUCTURAL INTEGRITY |
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22 |
Does the proposed project comprise a habitable structure? |
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23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
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24 |
Has the project’s structure been designed and documented by a licensed engineer? |
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24A |
If YES to #24, has the Center presented engineer-stamped documents? |
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25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
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25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
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If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
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28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
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29 |
Are the roof loads adequately distributed to the footings? |
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30 |
Has the Center provided adequate footings and foundation drawings? |
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SUSTAINABILITY |
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Does the proposed project include: |
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31 |
Environmentally-preferred products? |
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32 |
Bio-based products? |
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33 |
Recycled-content products? |
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34 |
Low-emitting materials? |
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35 |
High-efficiency water fixtures? |
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DFAM Reviewer Notes |
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DFAM Approval Provision(s) |
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DFAM Decline Recommendation(s) |
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DFAM Reviewer Recommendation |
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REGION |
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CENTER |
|
START DATE |
|
PROJECT ID |
24.08 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
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Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
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CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
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Unit Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
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ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
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ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
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|
|
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|
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|
|
|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.09 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
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Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
# of Units |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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|
$0 |
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|
$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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|
$0 |
|
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|
$0 |
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|
$0 |
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|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
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|
|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.10 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
|
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|
|
|
|
|
|
|
|
|
|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
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TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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|
$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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|
$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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|
$0 |
|
|
|
$0 |
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|
|
$0 |
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|
|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
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|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.11 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
# of Units |
Unit Cost |
Line Cost |
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|
|
$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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|
$0 |
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|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
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|
$0 |
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|
$0 |
|
|
|
$0 |
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|
$0 |
|
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|
$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.12 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
# of Units |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
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|
$0 |
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$0 |
|
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$0 |
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$0 |
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$0 |
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$0 |
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|
$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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|
$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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|
$0 |
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|
|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
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|
|
$0 |
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|
$0 |
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|
$0 |
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|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
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|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
|
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|
|
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|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
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|
|
|
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|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
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|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.13 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
|
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|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
# of Units |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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|
$0 |
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|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
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|
$0 |
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|
$0 |
|
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|
$0 |
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|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.14 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
# of Units |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
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$0 |
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$0 |
|
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|
$0 |
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|
$0 |
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|
$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.15 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
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Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
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TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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|
$0 |
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|
$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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|
$0 |
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$0 |
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$0 |
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|
$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
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|
|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
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|
|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
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|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
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|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.16 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
|
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|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
# of Units |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
|
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|
$0 |
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|
$0 |
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|
$0 |
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$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
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|
$0 |
|
|
|
$0 |
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|
$0 |
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$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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|
$0 |
|
|
|
$0 |
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|
$0 |
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|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
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|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.17 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
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|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
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TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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|
$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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|
$0 |
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|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
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|
|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
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|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.18 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
# of Units |
Unit Cost |
Line Cost |
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|
|
$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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|
$0 |
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|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
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|
$0 |
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|
$0 |
|
|
|
$0 |
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|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
|
ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|
REGION |
|
CENTER |
|
START DATE |
|
PROJECT ID |
24.19 |
PROJECT TITLE |
|
ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
|
CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
|
Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
# of Units |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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|
$0 |
|
|
|
$0 |
TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
|
|
|
$0 |
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|
$0 |
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$0 |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
|
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$0 |
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$0 |
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$0 |
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TOTAL COST |
$0 |
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CONTRACTED SERVICES Estimate |
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AGENCY TECHNICAL SERVICES Estimate |
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MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
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TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
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ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
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ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
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STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
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DFAM REVIEWER |
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CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
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1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
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1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
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2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
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3 |
Does the proposed project affect the space utilization allowances in the LRP? |
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COMPLIANCE WITH APPLICABLE CODES |
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Space/Use Re-configuration |
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4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
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5 |
Are number of emergency egress points per current code requirements? |
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6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
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6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
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7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
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8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
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9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
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9A |
If NO to #9, is the proposed revised layout in compliance with code? |
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10 |
Does the reconfigured space comply with ADA requirements where applicable? |
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11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
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HVAC Equipment Upgrades |
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12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
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13 |
What type of refrigerant does the proposed equipment use? |
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14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
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15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
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16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
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Lighting/Power Upgrades |
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17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
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18 |
Does the project entail any re-wiring? |
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19 |
Does the project entail any additional electrical loads with respect to existing? |
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19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
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20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
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21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
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STRUCTURAL INTEGRITY |
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22 |
Does the proposed project comprise a habitable structure? |
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23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
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24 |
Has the project’s structure been designed and documented by a licensed engineer? |
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24A |
If YES to #24, has the Center presented engineer-stamped documents? |
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25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
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25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
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26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
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If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
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27 |
Has the Center submitted pre-engineered truss drawings? |
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28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
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29 |
Are the roof loads adequately distributed to the footings? |
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30 |
Has the Center provided adequate footings and foundation drawings? |
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SUSTAINABILITY |
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Does the proposed project include: |
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31 |
Environmentally-preferred products? |
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32 |
Bio-based products? |
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33 |
Recycled-content products? |
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34 |
Low-emitting materials? |
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35 |
High-efficiency water fixtures? |
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DFAM Reviewer Notes |
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DFAM Approval Provision(s) |
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DFAM Decline Recommendation(s) |
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DFAM Reviewer Recommendation |
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REGION |
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CENTER |
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START DATE |
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PROJECT ID |
24.20 |
PROJECT TITLE |
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ESTIMATED # DAYS TO COMPLETE |
0 |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
TRADE |
# SLOTS |
WORK DAYS |
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Total CTST Slots |
0 |
Estimated VALUE of Project |
$0.00 |
Cost/Slot |
$0.00 |
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CATEGORY |
Subtotal |
MATERIALS AND SUPPLIES |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT |
$0 |
EQUIPMENT RENTAL |
$0 |
CONTRACTED SERVICES |
$0 |
AGENCY TECHNICAL SERVICES |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE |
$0 |
TOTAL |
$0 |
Project Description and Training Narrative. Use ALT-ENTER to insert paragraph breaks. Refer to "Narrative Examples" tab to the left for examples of acceptable project narratives. |
Supporting documents (drawings/blueprints/pictures) are recommended to be included in the "Attachment" section below if size limitations allow. Files that cause this form to exceed the 15MB size limit are to be sent to the NOJC via [email protected]. If files have been sent seperately, indicate by checking this box: |
Provide a brief and concise narrative describing: 1) the deficiency identified to justify the project and 2) the final product as a whole and its design characteristics and phases of construction. If applicable, identify multi-year project status here and accommodation plans devised to provide for normal center operations during construction.
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Scroll down to populate MATERIALS AND SUPPLIES Estimate |
MATERIALS AND SUPPLIES Estimate |
MATERIAL OR SUPPLY Description (Qty./Unit) |
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TOTAL COST |
$0 |
JOB-SITE POWER TOOLS AND EQUIPMENT Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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TOTAL COST |
$0 |
EQUIPMENT RENTAL Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
Scroll down to populate CONTRACTED SERVICES Estimate |
CONTRACTED SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
AGENCY TECHNICAL SERVICES Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
MOTOR VEHICLE OPERATIONS/MAINTENANCE Estimate |
Quantity |
Unit Cost |
Line Cost |
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$0 |
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$0 |
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$0 |
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$0 |
TOTAL COST |
$0 |
SAFETY HAZARD ANALYSIS |
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ACTION/HAZARD DESCRIPTION |
PROPOSED CONTROL/ABATEMENT |
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ATTACHMENTS |
Required attachments include site/structure drawings (including basic project dimensions and important structural measurements) and, if major systems alteration/addition is included in the project, systems detail drawing(s). Acceptable file types for attachments include those with extensions: .avi, .bmp, .csv, .doc, .docx, .dwf, .dwg, .gif, .htm, .html, .jpg, .jpeg, .mpg, .mpp, .mp4, .pdf, .png, .pub, .rtf, .tif, .tiff, .txt, .wmf, .wmv, .xls, .xlsx, .xps |
Instructions to insert an attachment in Excel: (1) Click the cell in which you would like the attachment to show. (2) On the "Insert" tab above (tools ribbon), select "Object" (in the "Text" grouping). (3) In the "Object" dialogue box, select "Create from file." (4) Select "Browse" and find the file you want to insert from your desktop. (5) Select "Display as icon" box in "Object" dialogue box. (6) Select "OK." An icon should represent the attachment. Provide a succinct summary of the attachment in the "Description" column immediately to the right of each attachment. |
Attachment |
Description |
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|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STOP HERE. DO NOT FILL IN ANY SECTIONS BELOW THIS POINT. All FURTHER SECTIONS FOR NOJC USE ONLY. |
DFAM ENTRY DATE |
|
DFAM REVIEWER |
|
CTST ENGINEERING REVIEW -- NOJC USE ONLY |
CONSISTENCY WITH THE CENTER’S LONG RANGE PLAN (LRP): |
|
1 |
Is the proposed project located where future buildings, structures or extensions are proposed in the LRP? |
|
1A |
If NO to #1, is the proposed project in close proximity to future LRP structures such that the functioning of both may be adversely affected? |
|
2 |
Has the Center submitted a campus Site Plan clearly showing the proposed location of the project? |
|
3 |
Does the proposed project affect the space utilization allowances in the LRP? |
|
COMPLIANCE WITH APPLICABLE CODES |
|
Space/Use Re-configuration |
|
|
|
|
|
|
|
|
4 |
Are the reconfigured spaces’ exit routes in compliance with fire egress requirements? |
|
5 |
Are number of emergency egress points per current code requirements? |
|
6 |
Are current fire alarm devices adequate per code to satisfy the new use of the space? |
|
6A |
If NO to #6, does the project allow for a fire alarm upgrade to comply with code? |
|
7 |
Are the existing lighting levels consistent with code requirements for the new use(s)? |
|
8 |
Can the new electrical and mechanical loads be accommodated within existing circuits in compliance with code? |
|
9 |
Does the existing lighting and power outlet layout serve the new use adequately? |
|
9A |
If NO to #9, is the proposed revised layout in compliance with code? |
|
10 |
Does the reconfigured space comply with ADA requirements where applicable? |
|
11 |
Has the Center submitted drawings addressing the above issues clearly? (Architectural plan, electrical layouts, reflected ceiling plans, fire alarm system layouts, etc.) |
|
HVAC Equipment Upgrades |
|
|
|
|
|
|
|
|
12 |
Is the proposed HVAC equipment an Energy Star high-efficiency model? |
|
13 |
What type of refrigerant does the proposed equipment use? |
|
14 |
Has the Center submitted manufacturer’s trade literature showing equipment specs, including SIR ratings and refrigerant type? |
|
15 |
Has the Center submitted a mechanical drawing showing location of equipment and ductwork? |
|
16 |
If students are to install the new equipment, has the Center made arrangements to have manufacturer-approved installer supervision so as to protect the warranty? |
|
Lighting/Power Upgrades |
|
|
|
|
|
|
|
|
17 |
Does the project entail lighting fixture replacement, lamp/ballast replacement or both? |
|
18 |
Does the project entail any re-wiring? |
|
19 |
Does the project entail any additional electrical loads with respect to existing? |
|
19A |
If YES to #19, does the project provide adequate documentation to demonstrate code compliance? |
|
20 |
Has the Center submitted manufacturer’s trade literature showing fixture/lamp specs? |
|
21 |
Has the Center submitted a proposed lighting layout drawing showing proposed new lighting fixture and power outlet layout? |
|
STRUCTURAL INTEGRITY |
|
22 |
Does the proposed project comprise a habitable structure? |
|
23 |
If not habitable, does the structural stability of the project impinge on the life/safety of students and staff? |
|
|
|
|
|
|
|
24 |
Has the project’s structure been designed and documented by a licensed engineer? |
|
24A |
If YES to #24, has the Center presented engineer-stamped documents? |
|
25 |
If not designed/stamped by a licensed engineer, does the project comply with prescriptive design parameters per IBC code? |
|
25A |
If NO to #25, has the Center submitted clear and complete documentation demonstrating prescriptive design code compliance? |
|
26 |
For roof structures based on truss designs, does the project propose off-the-shelf pre-engineered truss solutions? |
|
If 'Yes' to #26, respond to #27-29; if 'No' skip to #30 |
|
27 |
Has the Center submitted pre-engineered truss drawings? |
|
28 |
Has the Center submitted clear details of pre-engineered truss fastenings? |
|
29 |
Are the roof loads adequately distributed to the footings? |
|
30 |
Has the Center provided adequate footings and foundation drawings? |
|
SUSTAINABILITY |
|
Does the proposed project include: |
|
|
|
|
|
|
|
|
31 |
Environmentally-preferred products? |
|
32 |
Bio-based products? |
|
33 |
Recycled-content products? |
|
34 |
Low-emitting materials? |
|
35 |
High-efficiency water fixtures? |
|
DFAM Reviewer Notes |
|
DFAM Approval Provision(s) |
|
DFAM Decline Recommendation(s) |
|
DFAM Reviewer Recommendation |
|