Spreadsheet: 177de565-5f2b-4d88-bbc9-3ed0bd238b8b
Sheet: TIP Application

 |  |  |  |  |  |  |  | TIP Application Form
 |  |  |  |  |  |  |  | PDC  Division
 |  |  |  |  |  |  |  | 16930 [NAME], Houston, Texas 77032
 | Part 1 |  |  |  |  |  |  | [PHONE]          FAX [PHONE]
 | Prime Tenants must submit a completed application form for each TIP - Tenant Improvement Project submittal.
 | Date Submitted: |  |  |  | Airport: (Circle) | IAH    /    HOU   /    EFD
 |  |  |  |  | Telephone:
 | Project Title:
 | Project Scope Brief Description: |  |  |  |  |  | Project Type:
 |  |  |  |  |  | ¨ | Exterior Remodeling
 | *Attach Work Plan / Full Scope-of-Work |  |  |  |  | ¨ | Interior Remodeling
 | Specific Project Site:  ______________________________________________ |  |  |  |  | ¨ | New Construction
 |  |  |  |  |  | ¨ | Installation of Equipment
 | Estimated Construction Time: _____________calendar days |  |  |  |  | ¨ | Renovation of Existing Facility
 | Estimated Start Date: _____________ |  |  |  |  | ¨ | Security Improvements
 | Estimated Construction cost : $____________ |  |  |  |  | ¨ | Signage
 | Does your project require a Crane? __Y, ___N      Crane Height (AGL):______FT |  |  |  |  | ¨ | FAA / TSA
 | FAA Airspace & Environmental Approvals (*) are Mandatory except interior projects |  |  |  |  | ¨ | Airside / Cargo
 | * Refer to www.FAA.gov    Select Form 7460.1 Application |  |  |  |  | ¨ | Temporary Facility Until _______
 | Special Requirements: |  |  |  |  | ¨ | Others: ____________________
 | Utility Requirements:  Do the proposed improvements require new or existing utility connections?
 |  | ¨ | Electrical Required |  | ¨ | Water
 |  | ¨ | Wastewater Application Required |  | ¨ | Gas
 |  | ¨ | Telecommunication/Security/Alarms |  | ¨ | Other ______________
 | Note: Provide electrical load diagram / analysis, identify and show location of panel being located on your submittal.
 | Are there any special construction requirements: ______________________________________________
 | __________________________________________________________________________________________
 | Prime HAS Tenant: _________________________________________________ |  |  |  | Contact :
 | Address: ______________________________________________ |  |  |  | Phone:
 | City: Houston _______________ | State: _______ |  | Zip: ___________ | FAX:
 | E-mail: _________________________________________________________
 | Your Sub-Tenant: _______________________________________________ |  |  |  | Contact :
 | Address: _______________________________________________ |  |  |  | Phone:
 | City:  _______________ | State: _______ |  | Zip: ___________ | Fax:
 | [NAME]: ______________________________________________________
 | Name of Architect or Engineer: |  |  |  | [NAME]: ___________________________
 | Address: |  |  |  | Phone:
 | City: ________________ | State: |  | Zip: _______________________ | Fax:
 | [NAME]: ______________________________________________________
 | Note: Please reference the TIP No. in all future correspondence pertaining to this project
 | Part 2 - For H.A.S. use only:
 | Application Received: |  |  | Application accepted on: |  |  | TIP#:
 | 1st Meeting Date: |  |  | HAS distribution:
 | Prime Tenants are encouraged to engage the services of expert aviation consultants for assistance with Airport, FAA, CBP, TSA, HCFCD, ADA and City of Houston Building Code regulatory requirements for compliance.