<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
<meta name="Generator" content="Microsoft Word 15 (filtered medium)">
<!--[if !mso]><style>v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style><![endif]--><style><!--
/* Font Definitions */
@font-face
{font-family:"Cambria Math";
panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:11.0pt;
font-family:"Calibri",sans-serif;}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:#0563C1;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{mso-style-priority:99;
color:#954F72;
text-decoration:underline;}
p.msonormal0, li.msonormal0, div.msonormal0
{mso-style-name:msonormal;
mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:11.0pt;
font-family:"Calibri",sans-serif;}
span.EmailStyle21
{mso-style-type:personal-reply;
font-family:"Calibri",sans-serif;
color:windowtext;}
.MsoChpDefault
{mso-style-type:export-only;
font-size:10.0pt;}
@page WordSection1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.WordSection1
{page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang="EN-US" link="#0563C1" vlink="#954F72">
<div class="WordSection1">
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> Hot Work Program <noreply@qemailserver.com> <br>
<b>Sent:</b> Monday, June 1, 2020 12:07 PM<br>
<b>To:</b> Gavin Ketcheside <gavin.ketcheside@ucr.edu><br>
<b>Subject:</b> New Hot Work Permit Request - Construction<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"> <img id="_x0000_i1025" src="https://ucriverside.az1.qualtrics.com/CP/Graphic.php?IM=IM_8HvGTwJPt7awyvX" alt="Graphic.php?IM=IM_8HvGTwJPt7awyvX"><br>
<strong><span style="font-size:12.0pt;font-family:"Arial",sans-serif">HOT WORK PERMIT REQUEST</span></strong><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><br>
<strong><span style="font-family:"Arial",sans-serif">CONSTRUCTION AND LARGE RENOVATION PROJECTS </span></strong></span></b><strong><span style="font-family:"Arial",sans-serif">
</span></strong><span style="font-family:"Arial",sans-serif"><br>
</span><span style="font-size:12.0pt;font-family:"Arial",sans-serif">-----------------------------------------------------------------------------------------------------</span><span style="font-family:"Arial",sans-serif"><br>
</span><strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">UCR PROJECT MANAGER: </span></strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Fernando Canon<br>
<strong><span style="font-family:"Arial",sans-serif">PHONE: </span></strong>951-827-4821<br>
<strong><span style="font-family:"Arial",sans-serif">EMAIL: </span></strong><a href="mailto:fernando.canon@ucr.edu">fernando.canon@ucr.edu</a><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERMIT REQUESTED BY: </span>
</strong>David Evans<br>
<strong><span style="font-family:"Arial",sans-serif">DEPARTMENT/CONTRACTOR COMPANY:
</span></strong>Kitchell Contractors<br>
<strong><span style="font-family:"Arial",sans-serif">PHONE NUMBER: </span></strong>619-372-6964<br>
<strong><span style="font-family:"Arial",sans-serif">EMAIL: </span></strong><a href="mailto:deevans@kitchell.com">deevans@kitchell.com</a></span><span style="font-family:"Arial",sans-serif"><br>
----------------------------------------------------------------------------------------------------------------------------- </span>
<o:p></o:p></p>
<div>
<p class="MsoNormal"><strong><span style="font-size:12.0pt;font-family:"Arial",sans-serif;background:lightgrey">JOB DETAILS</span></strong><o:p></o:p></p>
</div>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"> <br>
</span><strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">JOB START DATE: </span></strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">06/02/2020<br>
<strong><span style="font-family:"Arial",sans-serif">JOB END DATE: </span></strong>06/03/2020<br>
<br>
<strong><span style="font-family:"Arial",sans-serif">LOCATION - BUILDING/FLOOR/ROOM</span></strong>: Orbach Library Ground Floor Lobby</span><span style="font-family:"Arial",sans-serif"><br>
<br>
</span><strong><span style="font-size:12.0pt;font-family:"Arial",sans-serif">THE FOLLOWING PRECAUTIONS HAVE BEEN ACKNOWLEDGED AND WILL BE IN PLACE WHENEVER POSSIBLE (FOR EXCEPTIONS - SEE COMMENTS BELOW)</span></strong><span style="font-family:"Arial",sans-serif"><br>
<br>
</span><strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">General:</span></strong>
<o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif">, Available sprinklers, hose streams, and fire extinguishers are in service and operable<br>
, Hot work equipment is in good repair<br>
, Fire detection equipment protected from false activation<br>
, PPE is used to protect workers from physical and chemical hazards while hot work is being performed</span><o:p></o:p></p>
</div>
<p class="MsoNormal"><br>
<span style="font-size:10.0pt;font-family:"Arial",sans-serif"> <strong><span style="font-family:"Arial",sans-serif">Within 35 feet (11 meters) of work:</span></strong></span>
<o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif">, Flammable liquids, dust, lint, and oily deposits are removed/cleaned<br>
, Explosive atmosphere in area is eliminated<br>
, Floors are swept and clean<br>
, Combustible floors are wet down and/or covered with fire protection blankets<br>
, Other combustibles are removed when possible or else covered with fire protection blankets or metal shields<br>
, All wall and floor openings are covered<br>
, Fire protection blankets are suspended beneath work<br>
, Ducts and conveyors that might carry sparks to distant combustible materials are protected or shut down</span><o:p></o:p></p>
</div>
<p class="MsoNormal"><br>
<strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Fire Watch/Hot Work area monitoring:</span></strong>
<o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif">, Fire watch will be provided during and for at least 30 minutes after work stops<br>
(including lunch and break times)<br>
, Fire watch is supplied with suitable fire extinguishers and fire fighting equipment<br>
, Fire watch is trained in the use of fire extinguishing equipment and in sounding emergency alarm<br>
, Additional fire watch may be required in adjoining areas, above, and/or below<br>
, Fire watch will verify isolated fire detection equipment is returned to normal operation</span><o:p></o:p></p>
</div>
<p class="MsoNormal"><br>
<strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Work on walls, ceilings and/or roofs:</span></strong>
<o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Does not apply</span><br>
<o:p></o:p></p>
</div>
<p class="MsoNormal"><strong><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Work on enclosed equipment:</span></strong>
<o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Does not apply</span><o:p></o:p></p>
</div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> <br>
<strong><span style="font-family:"Arial",sans-serif">OTHER PRECAUTION(S) TAKEN (IF APPLICABLE):</span></strong></span>
<o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
</div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> <br>
<strong><span style="font-family:"Arial",sans-serif">COMMENTS (WHY PRECAUTION(S) CANNOT BE PUT INTO PLACE):</span></strong></span>
<o:p></o:p></p>
<div style="margin-left:30.0pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
</div>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"> <strong><span style="font-family:"Arial",sans-serif"> </span></strong><em><b><span style="font-family:"Arial",sans-serif"> </span></b></em></span>
<o:p></o:p></p>
<div>
<p class="MsoNormal"><em><b><span style="font-family:"Arial",sans-serif"> End of Request</span></b></em><b><i><span style="font-family:"Arial",sans-serif"><br>
<em><span style="font-family:"Arial",sans-serif">-----------------------------------------------------------------------------------------------------------------------------</span></em></span></i></b><b><span style="font-family:"Arial",sans-serif"><br>
</span></b><strong><span style="font-size:12.0pt;font-family:"Arial",sans-serif;background:lightgrey">FIRE SAFETY APPROVAL </span></strong><strong><span style="font-size:14.5pt;font-family:"Arial",sans-serif;background:lightgrey">
</span></strong><o:p></o:p></p>
</div>
<p class="MsoNormal"><strong><i><span style="font-size:12.0pt;font-family:"Arial",sans-serif">------------------------------------------------------------------------------------------------------</span></i></strong><span style="font-family:"Arial",sans-serif"><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">FIRE SAFETY APPROVAL: Gavin Ketcheside Assistant Fire Marshal</span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERMIT START (DATE): 6/2/20</span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERMIT EXPIRES (DATE): 6/3/20</span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">APPROVAL SENT TO REQUESTOR (DATE): 6/1/20</span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">COMMENTS: Any questions call Gavin K at 951-333-9289</span></strong><br>
<br>
</span><strong><i><span style="font-size:12.0pt;font-family:"Arial",sans-serif">------------------------------------------------------------------------------------------------------</span></i></strong>
<o:p></o:p></p>
<div>
<p class="MsoNormal"><em><span style="font-size:12.0pt;font-family:"Arial",sans-serif;background:lightgrey"> </span></em><strong><span style="font-size:12.0pt;font-family:"Arial",sans-serif;background:lightgrey">Send Work Completion Notice to</span></strong><strong><span style="font-size:14.5pt;font-family:"Arial",sans-serif;background:lightgrey">
<a href="mailto:hotwork@lists.ucr.edu"><span style="font-weight:normal">hotwork@lists.ucr.edu</span></a> </span></strong><span style="font-family:"Arial",sans-serif"><br>
</span><em><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif">------------------------------------------------------------------------------------------------------</span></b></em><span style="font-family:"Arial",sans-serif"><br>
</span><em><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:blue">Select reply and complete the below information before sending.</span></em><o:p></o:p></p>
</div>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"> <br>
<strong><span style="font-family:"Arial",sans-serif">JOB COMPLETED ON (Please specify DATE and TIME):</span></strong></span><br>
<o:p></o:p></p>
<div>
<p class="MsoNormal"><strong><span style="font-family:"Arial",sans-serif">SUBMITTED BACK TO EH&S (DATE):</span></strong><b><span style="font-family:"Arial",sans-serif"><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">SUBMITTED BY:</span></strong></span></b><br>
<br>
<o:p></o:p></p>
</div>
</div>
</body>
</html>