PROJECT INITIATION FORM
PLANNING, DESIGN AND CONSTRUCTION
125 PDC Building
Baton Rouge, LA 70803
www.lsu.edu/pdc
A. REQUESTOR INFORMATION
B. PROJECT INFORMATION
Project Location /
Building/Site Name:
Request Date: Please check if you would like an appointment to discuss the project.
Department: College:
Requestor’s Name: E-mail : Phone:
E-mail : Phone:
Project Contact:
(if different from requestor)
Room Number(s) /
Project Area:
Primary Function / Current Use of Space:
Proposed Function / Use of New or
Renovated Space:
Check project request type
Estimate Only Feasibility Study New Construction/ Addition Renovation/ Refurbishment
Repair/ Maintenance Furnishings/ Equipment Building Exterior/ Roof Landscape/ Site
Mechanical Electrical Plumbing
Other Request - Specify:
Project Description: (Describe the basic scope of your project. Include plans, sketches, specifications or any other additional information.
Please indicate any equipment needs as part of this project such as furniture, carpet, audio visual, etc.)
Special Architectural Features Required: Please describe (Ex. Suspended ceilings, special flooring, soundproofing, etc.)
Special Electrical & Lighting Requirements:
Yes
No
If yes, please describe.
Number of Receptacles Needed:
Audio/ Visual Equipment:
List equip. with installation requirements.
CLEAR FORM
B. PROJECT INFORMATION continued
Security Alarm System Requirements:
Yes
No
If yes, please describe.
Special Plumbing Requirements:
(Drains, emergency showers, gas, air, etc.)
Yes
No
If yes, please describe.
Heating, Air Conditioning, Ventilation & Humidity Requirements
Maximum number of people using the space at one time:
Any heat generating equipment in the project :
(Ex. Computers, copiers, lab equipment)
Yes
No
If yes, please describe.
Special environmental conditions needed for equipment:
(Ex. Controlled temperature, humidity, ventilation, etc.)
Yes
No
If yes, please describe.
Year round cooling requirements.
Yes
No
If yes, please describe.
Telecommunications Requirements: (Please indicate location of outlets on plans, sketches, etc.)
# Telephone outlets required:
# Fax Line outlets required:
# Data Line outlets required:
C. SCHEDULE REQUIREMENTS / CRITICAL DATES
Desired Completion Date:
Please select any scheduling issues/ requirements.
Semester Start/End End of Fiscal Year Semester Break Time of Day
Other:
D. PROJECT FUNDING
Anticipated Budget:
<$5,000 $5,000 - $14,999 $15,000 - $49,999 $50,000 - $99,999 $100,000 - $500,000
Available Project
Budget:
Fiscal Year End Funds:
(Funds will expire after current fiscal year)
Yes
No
Dept. Budget Mgr.:
Email:
Account:
Phone:
All projects will be assessed a standard design fee based on the final amount of construction and/or furniture costs for projects managed
by Planning, Design and Construction.
E. PROJECT APPROVALS
PREPARED BY: Name: Date:
Name of Dean, Director or Vice Chancellor who has reviewed and approved this request
Name:
Title:
Email:
Phone: