Attachment_18_-_Building_Construction_1354_Checklist__with_header.xls
XLS spreadsheet 84 KB Posted
- Attached to
- CANNON AFB, NM SABER Federal contract opportunity
- Solicitation number
- FA4855-13-R-0009
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Attachment 18
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Instruction Page
| CONSTRUCTION CHECKLIST INSTRUCTIONS | ||||
| 1. Complete the checklist as thoroughly as possible. | ||||
| 2. Provide the following information with the checklist. | ||||
| a. COMPLETED BUILDING CHECKLIST | ||||
| b. REMARKS OR SCOPE OF WORK SHEET - | (explain the work actually performed, please be precise): | |||
| EXAMPLE: | ||||
| This project provides for the addition of a 6,880 SF facility to the existing Blood Processing Laboratory | ||||
| Building 1705. This facility is designed to house 50 chest type freezer units and is constructed of steel | ||||
| framing covered with composite metal paneling. | ||||
| The new building is equipped with an emergency back-up generator and automatic transfer/by pass- | ||||
| isolation switchgear as required to maintain continuous power to the proposed freezer high temperature | ||||
| alarm system, winter exhaust fan ventilation on system, summer air conditioning system and a fire alarm | ||||
| system. The building also has three overhead doors for the movement of large items in and out of the | ||||
| facility. Heat is not needed in this addition. | ||||
| The 275 gallon aboveground day fuel tank (diesel), located in the mechanical room, is used to service | ||||
| the 275 KW emergency generator. The 2500 gallon underground fueled oil tank (diesel) is used to replenish | ||||
| the 275 gallon aboveground day fuel tank. | ||||
| Demolition cost is $3,000.00 for partial removal of roof section and part of wall where the new addition | ||||
| was attached to the existing building. | ||||
| NOTE: | Existing building doors not have a fire protection system. | |||
| CONTRACTOR'S NAME: | ||||
| ADDRESS: | ||||
| TELEPHONE NUMBER: | ||||
| c. FINAL SABER INSPECTION CHECKLIST (Include date of final inspection and list of attendees). | ||||
| d. DRAWING OF THE STRUCTURE WITH LENGTH AND WIDTH DIMENSIONS (Attach drawing | ||||
| of new building with exterior dimensions, if an addition, provide drawing with the existing structure and new | ||||
| addition with exterior dimensions). | ||||
| e. COMPLETE "STATEMENT OF CONDITION" (must be completed by Engineering Flight Chief) | ||||
| f. INSTALLATION/OPERATING MANUALS | ||||
| g. ACCEPTANCE AND COMPLETION LETTER | ||||
| 3. Return completed checklist to your Construction Contract Inspector. |
&RPage &P &C&A&RPage &P
1354ckls
| Revised: 07 Feb 2010 | |||||||||||
| "TAB" to each field | |||||||||||
| BUILDING CHECKLIST | |||||||||||
| (Required For Each Building) | |||||||||||
| FACILITY #: | CAT CODE: | WORK ORDER #: | |||||||||
| PROJECT #: | CONTRACT #: | ||||||||||
| DESCRIPTION: | TOTAL PROJ COST: | ||||||||||
| DEMOLITION COSTS: | DATE CONSTRUCTION COMPLETED: | ||||||||||
| DESIGN/SIOH COST: | DESIGN WORK ORDER # | ||||||||||
| TYPE WORK (C/M/R): | APPROPRIATION FUND CODE: | ||||||||||
| TYPE FUNDS (MCP, MC, O&M): | PROJECT EEIC: | ||||||||||
| 1. GENERAL DATA REQUIRED FOR FACILITIES | NEW | EXISTING | |||||||||
| a. | EXTERIOR DIMENSIONS (if an addition to existing building, only show data for the addition): | ||||||||||
| Length | Width | Total | Area Loc ID | ||||||||
| (1) | Main Bldg | x | = | 0 | sf | ||||||
| x | 0 | sf | |||||||||
| x | = | 0 | sf | ||||||||
| (2) | Wing | x | = | 0 | sf | ||||||
| Wing | x | = | 0 | sf | |||||||
| (3) | Offset | x | = | 0 | sf | ||||||
| Offset | x | = | 0 | sf | |||||||
| (4) | Basement | x | = | 0 | sf | ||||||
| TOTAL: | = | 0 | SF | ||||||||
| NUMBER OF FLOORS: | BUILDING NET FLOOR AREA SF: | ||||||||||
| BUILDING / FACILITY HEIGHT: | |||||||||||
| CONSTRUCTION: | |||||||||||
| (1) Foundations (such as concrete) | TYPE: | ||||||||||
| (2) Floors (such as wood, concrete) | TYPE: | ||||||||||
| (3) Walls (such as wood siding) | TYPE: | ||||||||||
| (4) Roof (such as built-up, shingle) | TYPE: | ||||||||||
| (5) Building Primary Construction Material | TYPE: | METAL | |||||||||
| OTHER BUILDING DATA: | Feet | Code | |||||||||
| (1) Ceiling Height Main Bldg | (5) FIRE RATING CODE | ||||||||||
| (2) Ceiling Height Basement | |||||||||||
| (3) Largest Door Opening Height | |||||||||||
| (4) Largest Door Opening Width | |||||||||||
| MISC DATA: | |||||||||||
| b. | UTILITY CONNECTIONS | ||||||||||
| Utility Connections | Number of pipes | Diameter | |||||||||
| of each pipe | Capacity of all | ||||||||||
| inlet pipes | Available or Connected (Yes/No) | ||||||||||
| Water | |||||||||||
| Gas | |||||||||||
| Sewer Pipe | |||||||||||
| Storm Sewer Pipe | |||||||||||
| Steam | |||||||||||
| Condensate | |||||||||||
| Communications | |||||||||||
| System | Energy Type | Source Location | Fuel Description | Air Circulation | |||||||
| Heating | |||||||||||
| Air Conditioning | |||||||||||
| Hot Water | |||||||||||
| Steam | |||||||||||
| Electrical | |||||||||||
| Electric | Phase | Voltage | Wire | ||||||||
| Size | Connected Load | ||||||||||
| - AMPS | Connected Load - KVA | ||||||||||
| c. | SYSTEMS IN BUILDING: | ||||||||||
| (1) | FIRE PROTECTION: | ||||||||||
| CATEGORY | UNIT | ||||||||||
| CODE | NOMENCLATURE | UM | AMOUNT | TOTAL COST | |||||||
| 880-211 | CLSD HD A / SPRINK | SF | |||||||||
| HD | |||||||||||
| 880-212 | OPEN HEAD DELUGE SYS | SF | |||||||||
| HD | |||||||||||
| 880-217 | AFFF PA SPRINK SY | SF | |||||||||
| HD | |||||||||||
| 880-221 | AUTO FIRE DETECTION SYS | SF | |||||||||
| EA | |||||||||||
| 880-222 | MAN FR ALARM/INT SYS | EA | |||||||||
| 880-223 | MAN FR ALARM/EXT SYS | EA | |||||||||
| 880-231 | C02 FIRE SYSTEM | EA | |||||||||
| 880-232 | FOAM FR SYS | EA | |||||||||
| 880-233 | OTHER FIRE SYSTEM | EA | |||||||||
| 880-234 | HALON 1301 FIRE SYSTEM | EA | |||||||||
| (2) | SECURITY: | ||||||||||
| CATEGORY | UNIT | ||||||||||
| CODE | NOMENCLATURE | UM | AMOUNT | TOTAL COST | |||||||
| 872-841 | SECURITY ALARM SYSTEM | EA | |||||||||
| d. | PLANTS IN BUILDING: | ||||||||||
| CATEGORY | UNIT | ||||||||||
| CODE | NOMENCLATURE | UM | AMOUNT | TOTAL COST | |||||||
| 890-124 | A/C FROM CEN PLT | SF | |||||||||
| 890-125 | A/C PLT LESS THAN 5 TN | SF | |||||||||
| TN | |||||||||||
| 890-121 | A/C PLT 5 TO 25 TN | TN | |||||||||
| 826-122 | A/C PLT 25 TO 100 TN | TN | |||||||||
| 826-123 | A/C PLT OVER 100 TN | TN | |||||||||
| 821-112 | HTG FUEL OIL STORAGE | GA | |||||||||
| 821-113 | HTG FR CEN PLT | SF | |||||||||
| 821-115 | HTG PLT | MB | |||||||||
| 811-147 | ELEC E/PWR GEN PLT | KW | |||||||||
| 890-134 | COMPRESSOR AIR PLT | HP | |||||||||
| e. | RELATED FACILITIES: | ||||||||||
| CATEGORY | UNIT | ||||||||||
| CODE | NOMENCLATURE | UM | AMOUNT | TOTAL COST | |||||||
| 812-223 | 5140 | PRIM DISTR LINE OH | LF | ||||||||
| TRANSFORMERS | KVA | ||||||||||
| POWER POLES | EA | ||||||||||
| 812-224 | 5142 | SEC DISTR LINE OH | LF | ||||||||
| 812-225 | 5141 | PRIM DISTR LINE UG | LF | ||||||||
| TRANSFORMERS | KVA | ||||||||||
| POWER POLES | EA | ||||||||||
| 812-226 | 5143 | SEC DISTR LINE UG | LF | ||||||||
| 135-583 | 5165 | TEL DUCT FACILITY | LF | ||||||||
| 890-144 | COMPRESSED AIR DIST | LF | |||||||||
| 812-926 | 5160 | EXTERIOR AREA LIGHTING | EA | ||||||||
| 824-464 | 5045 | GAS MAINS | LF | ||||||||
| 832-266 | 4043 | SANITARY SEWAGE MAIN | LF | ||||||||
| 832-255 | 5167 | INDUSTRIAL WASTE MAIN | LF | ||||||||
| 842-245 | 4055 | WATER DISTR MAINS | LF | ||||||||
| 843-315 | 4025 | FIRE HYDRANTS | EA | ||||||||
| 851-143 | 5117 | CURBS & GUTTERS | LF | ||||||||
| 851-145 | 5093 | DRIVEWAY | SY | ||||||||
| 851-147 | 5115 | ROAD | SY | ||||||||
| LF | |||||||||||
| 852-262 | VEHICLE PARKING, N/ORGN | SY | |||||||||
| 852-289 | 4049 | SIDEWALK | SY | ||||||||
| 871-183 | 4047 | STORM DRAIN DSPL | LF | ||||||||
| 872-247 | 4070 | FENCE, SECURITY | LF | ||||||||
| 872-248 | 5097 | FENCE, INTERIOR | LF | ||||||||
| 890-187 | UTIL VAULT (4 or more transformers) | SF | |||||||||
| 890-158 | LOAD & UNLOAD PLATFORM | SF | |||||||||
| 843-314 | 4059 | FIRE PROTECT WATER MAIN | LF | ||||||||
| 2. DEMOLITIONS | |||||||||||
| a. | DEMOLITIONS NOT BEING REPLACED: | ||||||||||
| CATEGORY | UNIT | ||||||||||
| CODE | NOMENCLATURE | UM | AMOUNT | REMARKS | |||||||
| 852-289 | Sidewalk | SY | |||||||||
| 851-145 | Driveway | SY | |||||||||
| 812-223 | Prim Distr Line OH | LF | |||||||||
| 852-262 | Veh Pking, N/Orgn | SY | |||||||||
| 851-147 | ROAD | SY | |||||||||
| LF | |||||||||||
| b. | DEMOLITIONS BEING REPLACED: | ||||||||||
| CATEGORY | UNIT AMT | REPLACED | |||||||||
| CODE | NOMENCLATURE | UM | ON 7115 | WITH | TOTAL COST | ||||||
| 852-289 | Sidewalk | SY | |||||||||
| 851-145 | Driveway | SY | |||||||||
| 890-121 | A/C Plt 5 to 25 TN | TN | |||||||||
| CONSULT THE REAL PROPERTY CATEGORY CODES LISTING ON THE CE WEB SITE AT THE RESOURCES/REAL ESTATE TAB FOR ADDITIONAL CATEGORY CODES AND PROPER NOMENCLATURES. |
(IF CATEGORY CODE LISTING INDICATES MORE THAN ONE UNIT OF MEASURE (UM), DATA FOR EACH "UM" MUST BE PROVIDED; IF ADDITIONAL SPACE IS NEEDED, PROVIDE THE DATA ON A SEPARATE SHEET OF PAPER IN THE SAME FORMAT AS AREA BEING WORKED)
| 3. ADDITION TO EXISTING BUILDING OR FACILITY | |||||||
| YES | NO | ||||||
| a. | UTILITY PLANTS OR SYSTEMS: | ||||||
| ADDED. | |||||||
| REPLACED. | |||||||
| REMOVED. | |||||||
| b. | REAL PROPERTY INSTALLED EQUIP (RPIE). | ||||||
| ADDED. | |||||||
| REPLACED. | |||||||
| REMOVED | |||||||
| 4. ALTERATION OR REHABILITATION OF A BUILDING OR FACILITY | |||||||
| YES | NO | ||||||
| a. | ADDITION / DELETION OF RELATED FACILITIES | ||||||
| b. | ADDITION / DELETION OF PORCHES, BALCONIES, MEZZANINES, ETC | ||||||
| c. | REAL PROPERTY INSTALLED EQUIP (RPIE). | ||||||
| ADDED. | |||||||
| REPLACED. | |||||||
| REMOVED. | |||||||
| 5. CERTIFICATION: | |||||||
| I certify that the above information is accurate and complete to the best of my | |||||||
| knowledge and belief. | |||||||
| CONTRACTOR REPRESENTATIVE (sign/date) | |||||||
| PROJECT MONITOR/INSPECTOR (sign/date) | |||||||
| CONCUR: | CHIEF, CONSTRUCTION MGT or SABER (sign/date) | ||||||
| 6. STATEMENT OF CONDITION (Condition Code (CC) Descriptions are on CE Web site) | |||||||
| Project has extended useful life of the facility | YES | NO | |||||
| Current CC is: | Project has upgraded CC to: | ||||||
| _____________________________________ | |||||||
| CHIEF, ENGINEER FLIGHT (sign/date) | |||||||
| Revised 12/14/2010 |
&CAttach 18 FA4855-13-R-0009 &C&"Arial,Regular"&9Page &P&R&"Arial,Regular"&9 1354ckls Includes Material & Labor Costs UM = Unit of Measure C - Construction M - Maintenance R - Repair MCP = Military Cns Prog MC = Minor Cns O&M = Ops & Maint From ground to top of last floor Example:
23' 4" = 23.33 SF
Enter 23.33 here Example:
30' 10" = 30.83 Enter 30.83 here Length x Width entry will automatically compute total SF New facilities will always be Condition Code 1. Condition Codes for existing facilities can be located in the 7115 Inventory listing located on the CE Web Site.
Portrait/Letter
MARGINS:
Top .30 Bottom .25 Left .50 Right .25 Footer .20 Header 0 i.e.: Abandoned In Place Physically Demolished Enter amount being demolished, i.e. -25; this will show as (25) From ground to top of last floor Enter total cost for PRIM OH, Transformers and Poles under PRIM OH cat code on DD Fm 1354 Enter total cost for PRIM UG, Transformers and Poles under PRIM UG cat code on DD Fm 1354 joanna.kidd, McGuire AFB:
Thousand BTU's divided by 1,000,000 = MB. If less than 1 MB, enter 1 in unit amount column.
Example:
12,000 BTU's / 1,000,000 = .012 MB;
enter 1 in unit amount column.
Beginning here are several blank rows for additional cat codes needed to be entered with associated info.
Beginning here are several blank rows for additional cat codes needed to be entered with associated info.
Beginning here are several blank rows for additional cat codes needed to be entered with associated info.
Format: 145-346 If multiple usage, identify in "Misc Data" below.
These items will not normally appear on the DD Fm 1354; any cost associated with the replacements will be included at bldg category code on the DD Fm 1354. The info is needed to make changes to the RPR, new serial/model # , etc will be obtained from the RPIE listing.
Beginning here are several blank rows for additional utility connections info, if needed.
Beginning here are several blank rows for additional utility connections info, if needed.
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