530 W. 6th Street, Los Angeles, CA
Tenant Project Request Form
Today’s Date: 01/21/2019
Tenant Representative Contact Information:
Telephone Number: 213-614-9371 x200
Tenant Name: QuadraNet
E-Mail Address: Andrew.moore@quadranet.com
Tenant Representative Name: Andrew Moore
Other:
Type Of Request
☐ Electrical ☐ Mechanical ☐ Fire ☐ Life Safety ☐ Security ☐ Plumbing ☐ Voice ☐ Data ☐ X-Ray ☐ Radar ☐ Coring
☐ Servers ☒ Cabinets
☐ Other _______________________________________________________________________________________________________
Nature of Request
☐ Add ☐ Remove ☐ Relocate ☐ Upgrade ☐ Repair ☐ Maintenance ☐ Installation
☒ Other _Replace 7x existing cabinets for 7x new generation secured cabinet(s).
Contractor Information
Does the contractor employ union labor?
Contractor Name: _____None Required___________________ ☐ Yes ☐ No
Contractor Address: ______________________________________
Does the contractor hathe Office of the Buildingve a current insurance certificate on file ? with
______________________________________
_____________________________________ ☐ Yes ☐ No (If no, please have contractor submit)
Is the contractor an approved vendor of the Building?
Attachments
☐ Yes ☐ No If no, please attach references and contact
information for review and approval by the Office of
the Building.
☐ Drawings ☐ Specifications ☐ Permits ☐ MOP
☐ Other: _______________________________________________
Note: Landlord has the right to require such plans and specifications
as may be reasonably required for Landlord to determine the impact
of the proposed work on the Building and Building Systems.
Work Schedule
Anticipated Start Date of Project? _____01/21/2019______________ Anticipated End Date of Project? ____01/31/2019____
The equipment noted is replacement equipment and will not require any additional power other than that which is currently at use in the
space over the previous 12 months. ☒ Yes ☐ No
If this request requires additional power, please specify.
Scope of Work
(Attach detailed description and customer agreement if area is not large enough to document request)
For Office of the Building use only
Office of the Building Review
Date that request was received by the Office of the Building: ____________________________________Time: ______________________
Reviewed By: ___________________________________ Signature: ___________________________ Date: _______________________
Approved By: ___________________________________ Signature: ___________________________ Date: _______________________
Denied By:
___________________________________ Signature: ___________________________ Date: _______________________
Reason for denial:
__________________________________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Building Engineer’s Review
Date that request was received by Building Engineering: ____________________________________
Time: ________________________
Reviewed By: ___________________________________ Signature: ___________________________ Date: _______________________
Approved By: ___________________________________ Signature: ___________________________ Date: _______________________
Denied By:
___________________________________ Signature: ___________________________ Date: _______________________
Reason for denial:
__________________________________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Offsite Engineer’s Review
Date that request was received by Offsite Engineering: ____________________________________
Time: _________________________
Tour of Space: ☐ Yes ☐ No
Pictures of Requested Work/Tenant Space: ☐ Yes ☐ No
Reviewed By: ___________________________________ Signature: __________________________ Date: _______________________
Approved By: ___________________________________ Signature: __________________________ Date: _______________________
Denied By:
___________________________________ Signature: __________________________ Date: _______________________
Reason for denial:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Notice of Non-Responsibility
☐
Is notice required
Yes ☐ No
If yes, what date was the notice posted: _________________________________________________
What date was the notice recorded: _____________________________
Comments:
Notice To Tenant Approving / Disapproving Requested Work
Notice Sent to Tenant Approving / Disapproving Requested Work
☐ Approved as submitted ☐ Approved with changes ☐ Denied with more information needed ☐ Denied
☐ Other _________________________________________________________________________________________________________
Date that notice was sent to Tenant: ____________________________________.
Method of Delivery of Notice
☐
Messenger
□ Same Day Express
☐
Next Day Air
☐
Two-Day Express
☐
US Cert. Mail
☐
Hand Carried
□ Pick-Up
☐
Over-Night Express
☐
Other: _________________________________________________________________________________________________
Tenant’s Acceptance of Review & Approval
Tenant’s Approval
Note: Only sign below if project has been approved by the Office of the Building.
Approved By: ___________________________________ Signature: ___________________________ Date: _______________________
Comments: