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<p class="MsoNormal"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> Hot Work Program <noreply@qemailserver.com>
<br>
<b>Sent:</b> Thursday, July 11, 2024 8:20 AM<br>
<b>To:</b> Gavin Ketcheside <gavin.ketcheside@ucr.edu><br>
<b>Subject:</b> New Hot Work Permit Request - Construction<o:p></o:p></span></p>
</div>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"> <img width="180" height="45" style="width:1.875in;height:.4687in" id="_x0000_i1028" src="https://ucriverside.az1.qualtrics.com/CP/Graphic.php?IM=IM_8HvGTwJPt7awyvX" alt="Graphic.php?IM=IM_8HvGTwJPt7awyvX"><br>
<strong><span style="font-family:"Arial",sans-serif">HOT WORK PERMIT REQUEST</span></strong><b><span style="font-family:"Arial",sans-serif"><br>
<strong><span style="font-family:"Arial",sans-serif">CONSTRUCTION AND LARGE RENOVATION PROJECTS
</span></strong></span></b><span style="font-family:"Arial",sans-serif"><br>
-----------------------------------------------------------------------------------------------------<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">Jose Cardenas<br>
<strong><span style="font-family:"Arial",sans-serif">PHONE: </span></strong>9492392094<br>
<strong><span style="font-family:"Arial",sans-serif">EMAIL: </span></strong><a href="mailto:jose.cardenas@dpr.com">jose.cardenas@dpr.com</a><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERMIT REQUESTED BY: </span>
</strong>Jose Cardenas<br>
<strong><span style="font-family:"Arial",sans-serif">DEPARTMENT/CONTRACTOR COMPANY:
</span></strong>DPR Construction<br>
<strong><span style="font-family:"Arial",sans-serif">PHONE NUMBER: </span></strong>9492392094<br>
<strong><span style="font-family:"Arial",sans-serif">EMAIL: </span></strong><a href="mailto:jose.cardenas@dpr.com">jose.cardenas@dpr.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-family:"Arial",sans-serif;color:black;background:lightgrey">JOB DETAILS</span></strong><o:p></o:p></p>
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<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">07/15/2024<br>
<strong><span style="font-family:"Arial",sans-serif">JOB END DATE: </span></strong>07/19/2024<br>
<br>
<strong><span style="font-family:"Arial",sans-serif">LOCATION - BUILDING/FLOOR/ROOM</span></strong>: Fine Arts Building Lower Level: Dark Room and Video and Photo and Video Department Room Numbers 26, 48, 40, 38, 35, 29, 31, 32, 27, 28, 30, 36, 37, 41, 43,
48, 47, 45.</span><span style="font-family:"Arial",sans-serif"><br>
<br>
<strong><span style="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><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>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif">Construction is non-combustible and without combustible covering or insulation<br>
, Combustibles on both sides of walls, ceilings, and roofs are moved away<br>
</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>
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<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>
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<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>
<strong><span style="font-family:"Arial",sans-serif;color:black;background:lightgrey">FIRE SAFETY APPROVAL </span></strong></span></b><strong><span style="font-size:14.5pt;font-family:"Arial",sans-serif;color:black;background:lightgrey">
</span></strong><o:p></o:p></p>
</div>
<p class="MsoNormal"><strong><i><span style="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 DCFM</span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERMIT START (DATE): 7/15/24</span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">PERMIT EXPIRES (DATE): 7/19/24</span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">APPROVAL SENT TO REQUESTOR (DATE): 7/11/24</span></strong><br>
<br>
<strong><span style="font-family:"Arial",sans-serif">COMMENTS: send work completion notice when complete.</span></strong><br>
<br>
<strong><i><span style="font-family:"Arial",sans-serif">------------------------------------------------------------------------------------------------------</span></i></strong></span>
<o:p></o:p></p>
<div>
<p class="MsoNormal"><em><span style="font-family:"Arial",sans-serif;color:black;background:lightgrey"> </span></em><strong><span style="font-family:"Arial",sans-serif;color:black;background:lightgrey">Send Work Completion Notice to</span></strong><strong><span style="font-size:14.5pt;font-family:"Arial",sans-serif;color:black;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>
<em><b><span style="font-family:"Arial",sans-serif">------------------------------------------------------------------------------------------------------</span></b></em><br>
<em><span style="font-family:"Arial",sans-serif;color:blue">Select reply and complete the below information before sending.</span></em></span><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>
<p class="MsoNormal" style="margin-bottom:12.0pt"><o:p> </o:p></p>
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<hr size="2" width="100%" align="center">
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<p class="MsoNormal"><br>
<b>Recipient Data: </b><br>
<b>Time Finished:</b> 2024-07-11 09:19:53 MDT<br>
<b>IP:</b> 169.235.64.129<br>
<b>ResponseID:</b> R_3JIsmuQ4TB0C9aL <br>
<b>Link to View Results:</b> <a href="https://ucriverside.sjc1.qualtrics.com/apps/single-response-reports/reports/hRSKwcYOwrt-Pxqf2iZ5ULwwQ1UOrpewgme9CXfmZhiC9zfQXmFp8mI8YJrDm-K6iW2oVHui6oik12UY9lHyEaVWtQobRHOh5JGL6YgGMIplm2T4OMuiL2EX59PtHF96hEwHHhYZzGPrqZDaazV2WDQFQMyzlbgTeYTy1BcLDTZLvdLA5dXCpYc5Bl0ROIL2ZX3XYs5JrGIhVGQ7MCHwYaRkvN89QeTXS3WPPie21TFHzR%2EKTOYeh0cu9CD1f6cs7RkFa1oEm2tkptS7oq2fu9%2EV1bmTdnpoSvREik%2Ehsog%2EAFnYgTKjzztXWFzGL0Xm85fLKFnrvh8u4KTPUnOJOA">
Click Here</a><br>
<b>URL to View Results:</b> <a href="https://ucriverside.sjc1.qualtrics.com/apps/single-response-reports/reports/hRSKwcYOwrt-Pxqf2iZ5ULwwQ1UOrpewgme9CXfmZhiC9zfQXmFp8mI8YJrDm-K6iW2oVHui6oik12UY9lHyEaVWtQobRHOh5JGL6YgGMIplm2T4OMuiL2EX59PtHF96hEwHHhYZzGPrqZDaazV2WDQFQMyzlbgTeYTy1BcLDTZLvdLA5dXCpYc5Bl0ROIL2ZX3XYs5JrGIhVGQ7MCHwYaRkvN89QeTXS3WPPie21TFHzR%2EKTOYeh0cu9CD1f6cs7RkFa1oEm2tkptS7oq2fu9%2EV1bmTdnpoSvREik%2Ehsog%2EAFnYgTKjzztXWFzGL0Xm85fLKFnrvh8u4KTPUnOJOA">
https://ucriverside.sjc1.qualtrics.com/apps/single-response-reports/reports/hRSKwcYOwrt-Pxqf2iZ5ULwwQ1UOrpewgme9CXfmZhiC9zfQXmFp8mI8YJrDm-K6iW2oVHui6oik12UY9lHyEaVWtQobRHOh5JGL6YgGMIplm2T4OMuiL2EX59PtHF96hEwHHhYZzGPrqZDaazV2WDQFQMyzlbgTeYTy1BcLDTZLvdLA5dXCpYc5Bl0ROIL2ZX3XYs5JrGIhVGQ7MCHwYaRkvN89QeTXS3WPPie21TFHzR%2EKTOYeh0cu9CD1f6cs7RkFa1oEm2tkptS7oq2fu9%2EV1bmTdnpoSvREik%2Ehsog%2EAFnYgTKjzztXWFzGL0Xm85fLKFnrvh8u4KTPUnOJOA</a><o:p></o:p></p>
<div class="MsoNormal" align="center" style="text-align:center">
<hr size="2" width="100%" align="center">
</div>
<p class="MsoNormal" style="margin-bottom:12.0pt"><br>
<b>Response Summary:</b> <br>
<br>
PLEASE SELECT PERMIT TYPE:<br>
Construction and large renovation Projects (PD&C managed)<br>
<br>
PRECAUTIONS CHECKLIST: Note: If necessary, please use the comments area below to further explain why a listed precaution cannot be taken in the manner described.<br>
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<br>
<br>
WITHIN 35 FEET (11 METERS) OF HOT WORK SITE:<br>
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<br>
<br>
FIRE WATCH/HOT WORK AREA MONITORING:<br>
Fire watch will be provided during and for at least 30 minutes after work stops (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<br>
<br>
WORK ON WALLS, CEILINGS, AND/OR ROOFS:<br>
Construction is non-combustible and without combustible covering or insulation<br>
Combustibles on both sides of walls, ceilings, and roofs are moved away<br>
<br>
WORK ON ENCLOSED EQUIPMENT:<br>
Does not apply<br>
<br>
HOT WORK BEING PERFORMED BY:<br>
Contractor under Planning Design & Construction supervision (large construction projects)<br>
<br>
JOB TIME FRAME:<br>
Start date 07/15/2024<br>
Start Time 5:00 AM<br>
End Date 07/19/2024<br>
End time 3:00 PM<br>
<br>
LOCATION OF HOT WORK (BUILDING, FLOOR, ROOM, ETC.)<br>
Fine Arts Building Lower Level: Dark Room and Video and Photo and Video Department Room Numbers 26, 48, 40, 38, 35, 29, 31, 32, 27, 28, 30, 36, 37, 41, 43, 48, 47, 45.<br>
<br>
Project/WO Number:<br>
B23-000090<br>
<br>
FACILITIES SUPERVISOR OR UCR PROJECT MANAGER SUPERVISING THIS JOB:<br>
Name Jose Cardenas<br>
Phone Number 9492392094<br>
Email <a href="mailto:jose.cardenas@dpr.com">jose.cardenas@dpr.com</a><br>
<br>
HOT WORK PERMIT REQUESTOR:<br>
Name Jose Cardenas<br>
Department/Contractor Company DPR Construction<br>
Phone Number 9492392094<br>
Email Address <a href="mailto:jose.cardenas@dpr.com">jose.cardenas@dpr.com</a><br>
<br>
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