Architectural Barriers Project Registration Application
0. CONTACT INFORMATION
Your Name:*
Your Email:*
1. RAS INFORMATION
Name:
Olaf Brunjes
RAS #:
1228
Phone:
915-209-2580
2. PROJECT INFORMATION
Project Name:*
Bldg / Facility Name:*
Project Address 1:*
Project Address 2:
Project City:*
Project State:
Project Zip:*
Project County:*
Est. Start Date:*
Est. Completion Date:*
Estimated Cost:*
Type of Funding:*
--Select--
Public funds, public lands, or federally funded roadway project
Private funds, private lands for private use
Type of Work:*
--Select--
New Construction
Renovation/Alteration
Additions to Existing Building
All funds by tenant?*
--Select--
Yes
No
Roadway project?*
--Select--
Yes
No
CAD Account #:*
Square Footage:*
Detailed Scope of Work:*
3. BUILDING/FACILITY OWNER
Building / Facility Owner:*
Owner Business Representative:
Owner Address 1:*
Owner Address 2:
Owner City:*
Owner State:*
Owner Zip:*
Owner County:*
Owner Email:*
Owner Phone:*
Ownership Type:*
--Select--
Individual
Sole Proprietorship
Corporation
Trust or Estate
Limited Partnership
Government
LLP
LLC
Other
Specify Business Type:
4. DESIGNATED AGENT
Is there a designated agent?*
--Select--
Yes
No
Agent Name:*
Agent Business Rep.:
Agent Address 1:*
Agent Address 2:
Agent City:*
Agent State:*
Agent Zip:*
Agent County:*
Agent Email:*
Agent Phone:*
5. DESIGN FIRM
Is there a designer?*
--Select--
Yes
No
Firm Name:*
Designer Name:
Firm Address 1:*
Firm Address 2:
Firm City:*
Firm State:*
Firm Zip:*
Firm County:*
Firm Email:*
Firm Phone:*
License Type:*
--Select--
Architect
Engineer
Registered Interior Designer
Landscape Architect
Other
License Number:*
6. TENANT
Is there a tenant different than the owner?*
--Select--
Yes
No
Tenant Name:*
Tenant Email:*
Tenant Phone:*
Submit
