PCS-SAC-2014.1
Campus Planning & Facilities
Division of Business and Finance
678.839.6385
www.westga.edu/CPF
SPACE ALLOCATION REQUEST
DIRECTIONS:
Submit a Space Allocation Request for any project or program change requiring a change in space use or type.
Complete Sections A, B, and C for all requests
Forward to your Division Chair / Director, Dean or Division VP for authorization
Forward completed form to AVP Campus Planning & Facilities for review and routing for final approval.
A. REQUESTOR INFORMATION
Requesting Dept/Unit: Date of Request:
Contact Name: Contact Phone: Contact Email:
B. CURRENT / EXISTING SPACE
Provide building name and room number(s). Attach concept drawings/floor plans. Contact Laura Kowalski, x95263 for PDF floor plans. It is not
necessary to provide detailed plans as PCS will determine feasibility, code issues, and engage architectural services where needed.
Building Name:
Please list below all room numbers impacted by this change (Attach additional spreadsheet as required) PCS USE ONLY
Room Number Current Owner/Holder Current Use HEGIS Code ASF
C. REQUEST TO CHANGE FUNCTION OF SPACE (Attach additional sheets or supporting information as required)
Description of proposed change:
Justification:
If space is currently occupied by another department,
have you contacted current holder of the space?
YES
NO
N/A
YES
NO
When is space needed?
Will any current space be vacated?
YES
NO
Please list below all room numbers impacted by this change (Attach additional spreadsheet as required) AEC USE ONLY
Room Number
Proposed Owner/Holder
Proposed Use
HEGIS Code
ASF
IF RENOVATION OF THE SPACE IS NEEDED, PLEASE COMPLETE A PROJECT REQUEST FORM (PRF-2014.1).
D. AUTHORIZATION SIGNATURES
(Signatures indicate agreement that the space request should be investigated, not approved)
Div. Chair / Director: Name: Date :
Dean / VP: Name: Date:
REVIEWED AVP CP&F Brendan Bowen Date:
APPROVED Provost Dr. Michael Crafton
Date:
APPROVED VPBF
James Sutherland
Date:
Comments: