Building/Contents/Portable - Add/Update/Delete Form PLEASE COMPLETE FOR (EACH) BUILDING, CONTENTS, PORTABLE

Building #

Contact Person:

II.

III.

I. Building Change Type:

New Building: Building Addition:

Description (usage):

IV. Occupancy:

V. Building Replacement Cost (excluding land, site improvements):

VI. Contents and Equipment Replacement Cost:

Year Built:

Yes No

Yes No

Yes No

Supplemental Portable Data Please complete this section for New Portable

If portable is leased, a copy of contract must be attached

or Dimensions (in Feet):

Foundation:

Plumbing:

Installation Costs:

Yes No

Yes No

Year Built:

Frame:

Please return to RESIG, P&L Department; 5760 Skylane Blvd., Suite 100; Windsor, CA 95492; Fax# 707-836-9079. For questions, call 707-836-0779 ext. 121 or 106.

Fax #:

Date:

District:

Contact Email:

School:

Building Address:

Date of Change/Acceptance:

Building Information

Building Name:

Leased Brief:

Automatic Sprinkler:

Intrusion Alarm:

Fire Detection System:

New Portable:

Supplemental Building Data Please complete this section for New Building and/or Building Addition

Square Footage: Width:

Frame:Construction Type: Wood:

Number Of Stories:

Fire Protection Class:

Demolition/Removal:

Facility Owned Facility:

OR Dimensions (in Feet): Length:

Square Footage: Length: Width:

Construction Type: Wood: