Plans Review Request to BCA – Space Impact or PECO # Project Name: Current use of space: Building: Room #: Proposed use of space: Description: A CONTACT INFORMATION: Name Email a Applicant's Name: b State Agency Contact: c Architect of Record: d Engineer of Record - Fire Alarm System: e Engineer of Record - Fire Sprinkler System: B CONSTRUCTION BUDGET: Total Construction Budget BCO Construction Budget* *For BCO Fee calculations: Do not include the cost of land, site improvement, civil $ $ work or furniture and equipment. Confirm with BCA. C TYPE OF SUBMITTAL: a f 100% CD for Permit Fast-Tracked Permit b g SFM submittal c h Foundation d i Structure e j Other: D BUILDING INFORMATION: a d g State Owned* Building Name: Building Street Address: b e h State-Leased,** lease #: Building #: City/State/Zip: c f i Design or State Project No. Project GSF County: j For BCA Use: NFPA Occupancy Type: all that apply) Ambulatory Health Care Apartments Detention & Correctional Day-Care One and Two Family Mercantile Hotels and Dormitories Health Care Lodging or Rooming Houses Business Residential Board and Care Industrial Storage Assembly k Is this a change in occupancy? Yes No l FBC Construction Type: Height: (highest floor) n Number of Stories: o Life Safety Systems: all that apply) Fire Alarm Fire Sprinkler Standpipe File: BCA-Form 02 Plans Review-Request to BCA.docx
Plans Review – Request to BCA Project Name: Space Impact or PECO # Building: Current use of space: Room #: Proposed use of space: Description: A CONTACT INFORMATION: Name Email a Applicant's Name: b State Agency Contact: c Architect of Record: d Engineer of Record - Fire Alarm System: e Engineer of Record - Fire Sprinkler System: B CONSTRUCTION BUDGET: Total Construction Budget BCO Construction Budget* *For BCO Fee calculations: Do not include the cost of land, site improvement, civil work or furniture and equipment. Confirm with BCA. $ $ C TYPE OF SUBMITTAL: a 100% CD for Permit f Fast-Tracked Permit b SFM submittal g c h Foundation d i Structure e Other: j D BUILDING INFORMATION: a State Owned* d Building Name: g Building Street Address: b State-Leased,** lease #: e Building #: h City/State/Zip: c Design or State Project No. f Project GSF i County: j NFPA Occupancy Type: all that apply) For BCA Use: Ambulatory Health Care Apartments Detention & Correctional Day-Care One and Two Family Mercantile Hotels and Dormitories Health Care Lodging or Rooming Houses Business Residential Board and Care Industrial Storage Assembly k Is this a change in occupancy? Yes No l FBC Construction Type: Height: (highest floor) n Number of Stories: o Life Safety Systems: all that apply) Fire Alarm Fire Sprinkler Standpipe File: BCA-Form 02 Plans Review-Request to BCA.docx
bca-form-02.docx