Submitted Application from prior CIP Planning Cycle

AppID7442
I. Administrative Section 
1. Project Name: Rawson Neal Hospital - Patient Restroom Renovations
2. Project Description (One Sentence): Renovate patient restrooms to include replacement of finishes, water closets, cabinets, showers, and exhaust fans.
3a. Project Location: County: Clark
3b. Project Location: City: Las Vegas
4. Department (department requesting project): DHHS
5. Division (division requesting project): Public & Behavioral Health
6. Agency (agency requesting project): SNAMHS
7. Agency contact person: Brett Phillips
8. Contact phone: 702-486-5135
9. Contact email: brettphillips@health.nv.gov
The Department ranking of this project:
10. The Department will rank their projects 1 through the lowest ranked project (e.g., 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). 70
11. Has this project been previously requested in a prior CIP? No
12. SPWD 4 digit Building No. (for existing buildings) 2508, 2510
13. Facility Condition Analysis Project No. (if recommended) 2508INT2, 2510INT2
14. Is the property State Owned?
15. If the facility is existing, is it State owned?
II. Narrative Section 
16. Project Description: Renovate patient restrooms and showers to include replacement of finishes, water closets, cabinets, and exhaust fans. The finishes and equipment affected are in overall poor condition.
17. Project Justification: The finishes are no longer durable as they have deteriorated. The water closets are ceramic and are a safety hazard and need to be replaced with durable stainless steel units. The cabinets are worn and show signs of waterlogging of wood fibers. Showerheads and control valves shown signs of wear. Restroom exhaust fans should be replaced before they fail.
18. Project Background Information: Original building finishes and equipment (2006).
19. Mechanical and/or Electrical Equipment Replacement Projects:
19a. Type of equipment to be replaced:
19b. Year existing equipment was installed:
19c. Manufacturer of existing equipment:
19d. Model of existing equipment:
19e. Are there any known hazardous materials?
Environmental Considerations
20a. Hazardous Materials (Asbestos, Lead Paint, etc.):
20b. Will the site require any hazardous material abatement? No
21. Ramifications if the Project is not Approved (short essay): If not approved, patients may file grievances for deteriorated restrooms and showers. If ceramic toilets are not replaced with stainless steel units, the possibility of the toilet cracking or being cracked is increased. Healthcare surveyors/inspectors may find deficiency with current condition of restrooms.
Health, Life Safety, and/or Legal Issues
22. Please describe any health, life safety, and/or legal issues that will be resolved by completing this project (Short Essay):
23. Proposed Project Schedule Impacts/Issues
23a. Will this project require relocating personnel or vacating the building for any period of time? No
23b. Explain: Patients may have to use other restroom facilities while work is in progress.
23c. Has any design work been completed on the proposed project?
23d. What is the latest date this project could be completed without disrupting your program? 6/30/2016
23e. What is the driving proposed completion date? Impending health care facility surveyor visits for 2016.
III. Preliminary Construction Cost Estimate 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.)
24. Land (if land must be purchased):
25. Offsite construction:
26. On-site Development:
27. Utility connection fees:
28. Water rights deeded:
29. Furniture, Fixtures and Equipment:
30. Specialty equipment:
31. Data and network equipment:
32. Telephone equipment costs:
33. Moving:
34. Renovation of vacated space:
35a. Correction of known deficiencies:
35b. (describe deficiencies)
36a. Any known commitments:
36b. (describe commitments)
37a. Known hazardous material abatement:
37b. (describe hazardous materials)
38. Total project costs: 580,420
NOTE: COSTS FOR EXTENDED LEASE AGREEMENTS MUST BE INCLUDED IN YOUR OPERATING BUDGET
39. Proposed funding of total project cost:
39a. Agency:
39b. Federal
39c. State
39d. Other/Donor
39e. (describe source of 'Other/ Donor' funding):
39f. Total:
40. Agency point of contact for outisde funding if 39a, 39b, or 39c funding sources are providing funds.
40a. Name
40b. Phone Number
40c. Email Address
IV. Site Analysis Section 
Site Analysis (New construction only)
41. Estimated land area to be acquired (acres)
42. Will this project require new parking spaces?
43. Are utilities available to site?
44. Will project require relocation of existing utilities?
45. Are there any required offsite improvements (or right-of-way dedications)?
46. Is the site in a flood plain?
47. Is the site in an airport impact zone?
48. Does the site contain any underground storage tanks?
49. Does the site contain any adverse soil conditions?
50. Will the site require an environmental assessment?
51. Will rezoning or a special use permit be required?
52. Will any Utility connection fees need to be paid?
53. Will any water rights need to be deeded?
54. Will construction traffic degrade existing access or facilities?
55. Will the site require any hazardous material abatement?
56a. Other site considerations affecting cost? (describe):
56b. Describe Site Considerations:
V. Programming Section 
Programming (New construction, building remodels, and building additions only)
57. Has any architectural programming occurred?
(Programming is an architectural definition of the needs/problems that must be addressed by the project)
58. Has any advanced planning occurred in previous CIPs?
59. Usable Square footage required (including storage space)
59a. New Construction SF:
59b. Remodel/Renovation SF:
59c. Addition SF
59d.Total project SF:
60. Occupancy type (Assembly, business, educational, factory/industrial, high hazard, institutional, mercantile, residential, storage, utility/miscellaneous) :
61. Approximate number of staff to occupy facility:
62. Approximate number of visitors per day:
63. Will this project require funding for any furnishings, fixtures and equipment?
64. For existing facilities, are there any known hazardous materials? (e.g., Asbestos, lead paint or underground storage tanks):
65. How many years of future growth will this project accommodate?
66. 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.