Urgent Request (Initial fr Urgent service Less than 14 days) AF UW ARCF UW Prject N.: 203928 Request N.: 0014 Title: Dem Annex 4 *Select r Check the bx belw USR r NOW* Utility Shutdwn Request (USR) shutting dwn r utage f services (Mech, Elec, Plumb - rms/areas in r utside Bldgs) X Ntice Of Wrk (NOW) n lss f services (ntice t ccupants f wrk in areas/rms in r utside Bldgs) Submittal date: 1/16/15 Shutdwn date: N shutdwn but wrk t start n 1/19/15 Requester: Tdd Bergsma - Skanska Start Time: 7:00 am Duratin: 6 wrking days USR Scpe f wrk: Nt applicable NOW Scpe f Wrk: Skanska s subcntractr NCM Cntracting Grup will dem Annex 4 building and surrunding trees as per the Cntract Dcuments. Fencing has been erected arund the site as per previuslysubmitted NOW 0011. Demlitin scheduled t begin n 1/19/15, dependent n SDOT issuing a curb-crssing permit t mve demlitin equipment, trucks and dumpster int fenced-ff area frm NE Pacific St; SDOT permit #257935 has been submitted t SDOT fr issuance (attached). Reference attached traffic management plan frm NCM Cntracting Grup. Tree remval n the nrth end f Annex 4 t be perfrmed by bth NCM and Nrthwest Cnstructin. Measures will be taken t prtect the undergrund saltwater strage tank, refer t attached wrk plan frm NCM. Requisitin/Jb Number: Wrk Order Number: Prject Name: Prject Number: ARCF 203928 Cntractr Name: Telephne Number: Skanska USA Building, Inc ffice Prject Supervisr: Telephne Number: Mike Richtte 206 930-7517 UW Prject Crdinatr: Telephne Number: Jeff Angeley (Sr. CM, UW CPO) 206 391 1836 Maintenance Crdinatr Review: Systems Affected: nne Plumb. Shp Refrig. Shp Hspital Shp Signal Shp Elect. Util. Shp Elect. Shp Cmm. Center Cntrls Shp FOMS Shp Plant Ops. Mgmt. Pwer Shp Elevatr Shp Cnst. Crd. Cntractr EH&S
Urgent Request (Initial fr Urgent service Less than 14 days) AF HS Bldg. Mgr. UWMC Bldg. Mgr. Bldg. Crd. Other Other SHUTDOWN OR NOTICE OF WORK APPROVAL OR ACCEPTANCE Maintenance Crdinatr/Supervisr Signature: Date: Outage Prgram Crdinatr Signature: Date:
PROJECT BOUNDARY SEE SHEET LD0.04 FOR EXTENT OF TREE REMOVAL ADJACENT TO ANNEX 4 BUILDING SITE DEMOLISH THE HEALTH SCIENCES ANNEX 4 BUILDING AND ALL ASSOCIATED STRUCTURES AND UTILITIES 1 PROTECT EXISTING CURB CUT FOR ACCESS TO ENCLOSURE FOR RELOCATED CHILLER
AN NCES 3 NE PACIFIC STREET L.O.W. HEALTH SCIENCES ANNEX 4 L.O.W. 2 Tree Remval and Prtectin Plan - Annex Scale: 1"=10.0' Plan SITE PREPARATION AND DEMOLITION LEGEND L.O.W. Landscape Limit f Wrk Tree Prtectin Fence Existing Tree t be Remved. Cmpletely remve rt system. Existing Tree t Remain and be Prtected Critical Rt Zne. All Wrk Within Shall be Dne by Hand 3 NOTES 1. Limit f Wrk is Face f Building unless shwn therwise. 2. All lawn and shrubs within the limit f wrk t be cleared and grubbed unless nted therwise. 3. Fr all tree and shrub remval, including remval f rt system. 4. Fr site elements t be salvaged, see Civil dwgs.
The fllwing demlitin wrk plan is fr the demlitin f fur annex buildings, pedestrian ramp (selective), demlitin f selective site walls and hardscapes. Wrk will be cmpleted in accrdance with Exhibit A f the cntract dcuments. Thrughut the demlitin and lad ut prcess, every effrt will be made t0 segregate debris fr recycling. NCM understands that reductin f nise, vibratin, and dust are key n this prject. That is why sawcut separatins and shear-prcessrs will be used thrughut the demlitin and remval prcess. Water misting will be perfrmed t reduce and cntain visible emissins f cncrete dust. Track-he and ther exhaust emitting equipment will be tested and cnfirmed as meeting TIER 3 EPA requirements.