FURNITURE REVIEW FORM (REQUESTOR TO FILL OUT ALL FIELDS IN RED) SEND COMPLETED FORM TO BEVERLY BELL AT BEVERLY.BELL@UCF.EDU REQUESTOR NAME: NAME, EMAIL, PHONE DATE SUBMITTED: DATE BUILDING NUMBER, NAME: NUMBER, NAME ROOM NUMBER(S): ROOM NUMBER(S) REQUIRED DOCUMENTS TO SUBMIT FOR REVIEW: PLAN ILLUSTRATING CURRENT CONFIGURATION AND OCCUPANCY OF ROOM(S). INDICATE LOCATIONS OF ALL EGRESS LIGHTS, WALL POWER (DUPLEX OR QUAD), WALL DATA, FLOOR POWER, FLOOR DATA, AND WALL/CEILING FIRE STROBES. PLAN ILLUSTRATING NEW CONFIGURATION AND OCCUPANCY OF ROOM(S). INDICATE LOCATIONS OF ALL EGRESS LIGHTS, WALL POWER (DUPLEX OR QUAD), WALL DATA, FLOOR POWER, FLOOR DATA, AND WALL/CEILING FIRE STROBES. CLEARLY NOTE WHERE ADDITIONS/DELETIONS/CHANGES TO THESE ITEMS OCCUR FROM THE CURRENT USE. IF NO CHANGES, CLEARLY NOTE THIS ON THE PLANS. QUESTIONS (if NO, no further explanation is required; if YES, provide explanation): Does the furniture project change (increase or decrease) the occupancy of the room? If YES, Indicate current and proposed occupancy. Does the furniture project change the use of the room? If YES, indicate current and proposed use. Is the furniture layout ADA compliant (door clearances, door access, ADA seating, etc.)? If YES, indicate required clearances on furniture plans. Does the furniture interfere with views to exit lights or emergency lights? If YES, indicate locations of existing exit/emergency lights. Does the furniture encroach upon the code required egress pathways? If YES, indicate egress pathways and their widths. Does the furniture change access requirements to the room such as door swings or door hardware? If YES, indicate entries/exits to/from room. Does the furniture interfere with views to fire alarm strobes/horns? If YES, indicate locations of fire alarm strobes/horns on plans. Does the furniture interfere with sprinkler systems (is it tall enough to be within 18” of sprinklers)? If YES, indicate locations of affected sprinklers on plans. Does the furniture project add computers or equipment that would increase heat loads and trigger HVAC modification? If YES, indicate all added equipment. Does the furniture project add computers or equipment that would trigger additional electrical requirements? Note that ALL furniture that has built-in power (such as power boxes in the middle of conference tables) MUST be hardwired into the project – plug and play power within furniture is not acceptable. If YES, indicate any power that is built into the furniture. Does the furniture project include any plumbing (sinks, drains, etc)? If YES, indicate all plumbing that is built into the furniture. Are there any existing conditions that are code violations that you are aware of that will need to be addressed in this project? If YES, indicate all known code violations. BCO OFFICE: The responses listed above indicate that no permit is necessary for the installation of this furniture. Therefore, the BCO office takes no exception to the purchase and installation of this furniture. Initials The responses listed above indicate that a permit is necessary for the installation of this furniture. Requestor is to submit plans for BCO and SFM approval using a Minor Project request through Facilities Planning and Construction. The requestor is advised to proceed at their own risk with the purchase of this furniture, as changes to the furniture Initials required from permit review will be at the sole expense of the requesting department. Page 1 of 2 The documents as submitted are incomplete or indicate a layout that violates ADA or building codes. Plans are Rejected and must be resubmitted. Initials Should existing conditions be found which are not listed on this application and cause permit modifications (electrical, sprinkler, fire strobe, ADA, exit signs, etc.), BCO reserves the right to withhold occupancy of the room until code compliant corrections are implemented. Such corrections will be at the sole expense of the requesting department. Page 2 of 2