View Application for a 2015 CIP Project

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AppID5174
I. Administrative Section 
1. Project Name: Carpet Replacement
2. Project Description (One Sentence): The carpet in building 605 and 606 is showing signs of extreme wear and should be scheduled for replacement.
3a. Project Location: County: Washoe
3b. Project Location: City: Sparks
4. Department (department requesting project): DHHS
5. Division (division requesting project): Aging Services
6. Agency (agency requesting project): N/A
7. Agency contact person: Robert Forderhase
8. Contact phone: 775 688-1930 ext. 2123
9. Contact email: rforderhase@src.state.nv.us
The Department ranking of this project:
10. The Department will rank their projects 1 through the lowest ranked project (i.e., If 5 projects were submitted by the Department a ranking of 1 would be assigned to the most important or most needed project and a ranking of 5 would be the least needed project).
11. Has this project been previously requested in a prior CIP? No
12. SPWD 4 digit Building No. (for existing buildings) 0517, 0518
13. Facility Condition Analysis Project No. (if recommended) 0517INT3, 0518INT1
14. Is the property State Owned? Yes
15. If the facility is existing, is it State owned? Yes
II. Narrative Section 
1. Project Description: This project would replace the carpet in buildings 605 and 606. This carpet has reached the end of its useful life.
2. Project Justification: The carpet in buildings 605 and 606 is between 15 - 18 years old. It has reached the end of its useful life.
3. Project Background Information: This project was recommended in the Facility Condition Analysis report, survey date of 06/21/12.
4. Mechanical and/or Electrical Equipment Replacement Projects:
a. Type of equipment to be replaced: NA
b. Year existing equipment was installed: NA
c. Manufacturer of existing equipment: NA
d. Model of existing equipment: NA
e. Are there any known hazardous material abatement? Unknown
5. Ramifications if the Project is not Approved (short essay): If this project is not approved, the carpet will continue to deteriorate. It quite possibly could become a safety issue for staff and visitors who might trip and fall on lifting seams and bare spots.
Health, Life Safety, and/or Legal Issues
6. Please describe any health, life safety, and/or legal issues that will be resolved by completing this project (Short Essay): Staff and visitors could be at risk of falling due to the deteriorating condition of the carpet.
7. Proposed Project Schedule Impacts/Issues
a. Will this project require relocating personnel or vacating the building for any period of time?
Explain: Replacing the carpet will require the temporary relocation of staff while the new carpet is installed.
b. Has any design work been completed on the proposed project? No
c. What is the latest date this project could be completed without disrupting your program? 06/30/2017
d. What is the driving proposed completion date? NA
III. Preliminary Construction and Funding Sources Section 
Preliminary Construction Cost Estimate and Funding Sources (The SPWD will prepare all final cost estimates. This schedule is for preliminary purposes only.)
1. Land (if land must be purchased):
2. Off-site construction:
3. On-site Development:
4. Utility connection fees:
5. Water rights deeded:
6. Furniture, Fixture and Equipment:
7. Specialty equipment:
8. Data and network equipment:
9. Telephone equipment costs:
10. Moving:
11. Renovation of vacated space:
12. Correction of known deficiencies:
(describe deficiencies)
13. Any known commitments:
(describe commitments)
14. Known hazardous material abatement:
(describe hazardous materials)
15. Total project costs:
NOTE: COSTS FOR EXTENDED LEASE AGREEMENTS MUST BE INCLUDED IN YOUR OPERATING BUDGET
16. Proposed funding of total project cost:
a. Agency:
b. Federal
c. Other/Donor
d. State 77000
(describe source of 'Other/ Donor' funding):
Total: 77000
17. Agency point of contact for outisde funding if 16a, 16b, or 16c funding sources are providing funds.
a. Name
b. Phone Number
c. Email Address
IV. Site Analysis Section 
Site Analysis (New construction only)
1. Estimated land area to be acquired (acres)
2. Will this project require new parking spaces? No
3. Are utilities available to site? Yes
4. Will project require relocation of existing utilities? No
5. Are there any required off-site improvements (or right-of-way dedications)? No
6. Is the site in a flood plain? No
7. Is the site in an airport impact zone? No
8. Does the site contain any underground storage tanks? No
9. Does the site contain any adverse soil conditions? No
10. Will the site require an environmental assessment? No
11. Will rezoning or a special use permit be required? No
12. Will any Utility connection fees need to be paid? No
13. Will any water rights need to be deeded? No
14. Will construction traffic degrade existing access or facilities? No
15. Will the site require any hazardous material abatement? No
16. Other site considerations affecting cost? (describe): No
Describe Site Considerations:
V. Programming Section 
Programming (New construction, building remodels, and building additions only)
1. Has any architectural programming occurred?
(Programming is an architectural definition of the needs/problems that must be addressed by the project)
2. Has any advanced planning occurred in previous CIPs? No
3. Usable Square footage required (including storage space)
a. New Construction SF:
b. Remodel/Renovation SF:
c. Addition SF
d.Total project SF:
4. Occupancy type (Assembly, business, educational, factory/industrial, high hazard, institutional, mercantile, residential, storage, utility/miscellaneous) :
5. Approximate number of staff to occupy facility: 70
6. Approximate number of visitors per day: 50
7. Will this project require funding for any furnishings, fixtures and equipment? No
8. For existing facilities, are there any known hazardous materials? (i.e., Asbestos, lead paint or underground storage tanks): Unknown
9. How many years of future growth will this project accommodate?
10. List of required facilites (laboratory space, classroom space, office space, conference rooms, cafeterias, maintenance shops, garages) and any unusual related equipment required for your project:

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NOTE:  AFTER SUBMITTING THE COMPLETED APPLICATION, A PROJECT MANAGER FROM THE PUBLIC WORKS DIVISION WILL CONTACT YOU TO REVIEW THIS APPLICATION.