Attachment E Above Ceiling Permit 11-10-17.pdf
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- Solicitation number
- 36C24822R0002
About this file
This document contains an above ceiling permit and information regarding a federal contract opportunity for variable air volume assembly replacement services. The permit outlines safety requirements and inspection procedures for work above ceilings at a Department of Veterans Affairs medical center. The related federal contract opportunity is for replacing 1,184 variable air volume assemblies in the main hospital and 119 assemblies in the community living center at the West Palm Beach Veterans Affairs Medical Center. Bids are due by December 2, 2021. The requirement is set aside for service-disabled veteran-owned small businesses. The contract value is estimated between $10-20 million. The solicitation will be issued on or about October 28, 2021 and all information will be posted on SAM.gov. The contracting office is the Department of Veterans Affairs Network Contracting Office 8 located in Tampa, Florida.
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Text version
Date of last revision 11/10/17
Department of Veterans Affairs Medical Center West Palm Beach
Construction Safety Program
ABOVE CEILING PERMIT
This purpose of this permit is to ensure the integrity of fire and smoke walls within the scope of work.
Outside contractors are to report any existing penetrations to the Medical Center COR or Project
Supervisor for correction. Project CORs/Supervisors are to conduct a final inspection above the ceiling, complete and return this permit to the Safety office for review by the Construction Safety Committee.
Issued by: ___________________________________ Date: _____________________________
Issued to: _______________________________________________________________________ (FMS/ITOPS/Other Service Project Supervisor responsible for inspection of above ceiling)
This portion is to be completed by the COR/Project Supervisor. This permit applies only to the area and for the date(s) specified:
Permit issued for: Building:________Floor:_________Room(s):________________________
*****If issued for the Community Living Center: Has Contractor/Project Supervisor confirmed chemicals to be used above the ceiling are safe for CPVC/PVC sprinkler components? Y N
Dates permit is valid: _______________________________________
Project # and Name:______________________________________________________________
Description of Project:
FINAL INSPECTION
The final above ceiling inspection for this project is complete and no penetrations exit. All existing penetrations have been n correctly and completed sealed as required by wall construction.
Building:_____Floor:_____ Room(s):________________________ Inspection Date:_________
Inspected By:__________________________________________________________________ (PRINT AND SIGN NAME - COR/FMS/OIT Project Supervisor)
Received by Occupational Safety and Health: _______________________________________
(NAME AND DATE)
Date submitted to the Construction Safety Committee: ________________________________
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