BUILDING PERMIT APPLICATION
ARIZONA STATE UNIVERSITY
FACILITIES DEVELOPMENT AND M ANAGEMENT
CPMG - CONSTRUCTION SUPPORT SERVICES
Permit Type:
PERMIT #:
New Construction/Remodel(BP)
Demolition(DP)
ADDENDUM #:
Electrical(EP)
Hot Work(HW)
*Polytechnic Building Demos require URED Approval
Drywell(DW)
Emergency Repair(ER)
Temp Power(TP)
Insurance Claim(IC)
Recordkeeping Review(RK)
Other(OP)
Email Permit Application to: DL.WG.CPMG.BCSS and place construction documents in T:\Shared\Projects\Open Projects (in Permit Inspection
Folder). ASU’s Permit & Inspection Requirements are available at: http://cfo.asu.edu/fdm-bldg-permit-requirements.
Project Information
Request Date:
Bldg Name/Area:
Bldg #:
Work Order#:
ASU Project#:
Project Start Date:
Room(s):
Completion Date:
Use of Remodeled Area:
If remodeled area is a lab, provide lab details.
Current Use of Area:
Project Scope:
Building Code:
Occupancy Type:
Occupancy to be Changed?
Yes
Sprinklered:
Yes
Partial
Construction Type:
Air Quality: Does project include installation or replacement of any fuel burning equipment (ex: furnaces & generators)? Yes
specifications to EH&S.
Demolition: Will demolition project consist of wrecking any load-supporting structural member? Yes
Deliver
Deliver NESHAP Notification to CSS.
Dust Control: Is project a dust generating activity that disturbs surface area of 1/10 acre or more? Yes
Deliver Dust Control Permit to CSS.
Stormwater: Will construction activities (clearing, grading, excavating, stockpiling) result in land disturbance equal to or greater than one or more
acres of land or will construction activities disturb less than one acre of land that is part of a larger common plan of development and will ultimately
disturb one or more acres? Yes
Deliver Stormwater documents to CSS.
Project Manager:
Cell Phone:
Design Professional Name & Email:
Contractor:
ROC#:
Phone:
Superintendent Name:
Email:
Cell Phone:
Reviewed by
Signature
Date
CPMG-Asbestos Services
CPMG–Plan Review-ADA
CPMG–Plan Review-Bldg Code
EH&S–Air Quality
EH&S–Biosafety
EH&S–Fire Safety
EH&S–Lab Safety
Health Services
Plan Review Notification Comments
ASU Police
Office of the University Architect
Blue Stake/Drainage
University Business Services
Facman
University Facilities Records Mgmt
Parking & Transit
UTO-Ops Design/OPS Network Com
1/27/16
Comments