J01h Above Ceiling Work Permit.pdf
PDF 625 KB Posted
- Attached to
- PIMC Mechanical Projects: HVAC and Central Plant & Isolation Rooms in Phoenix, AZ, Maricopa, County
- Solicitation number
- 75H701-25-R-00001
About this file
This is an Above Ceiling Work Permit form (J01h) used for construction work at the Phoenix Indian Medical Center (PIMC). The form is a two-part document consisting of a permit application and an inspection checklist.
The permit section captures contractor details and specifies 13 types of above-ceiling work including inspection, electrical, medical gases, air conditioning, insulation, fire systems, plumbing, data, cables, piping, fire stopping, lighting, and nurse call systems. The inspection portion includes critical safety checkpoints both before and after work completion, focusing on fire and smoke barrier penetrations, materials touching fire sprinkler pipes, ceiling tile gaps, and medical gas pipe painting. The form requires inspector signatures at both the start and completion of work, with dedicated sections for documenting any work or inspection concerns.
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Text version
ABOVE CEILING WORK PERMIT
DATE: CONTRACTOR:
NAME: ADDRESS:
PHONE: CONTACT PERSON:
TYPE OF WORK:
a Inspection o Electrical o Data o Other Cables o Medical Gases a
D a a
Piping a Air Conditioning a Insulation work
Fire Stopping
Lighting Nurse callo Fire systems o Plumbing Systems
Project time period:
FROM: TO:
To be completed by PIMC Inspector
Date:
a Discussed locations of nearby fire and smoke barriers a Discussed foreign materials touching fire sprinkler pipe a Discussed gaps in ceilingtile o Discussed painting of medical gas pipes
Work Concerns:
Inspector signature (prior to work beginning)
J01h - Above Ceiling Work Permit
ABOVE CEILING WORK INSPECTION
Date:
o Inspected work area for fire and smoke barrier penetrations o Inspected work area for foreign materials touching fire sprinkler pipe o Inspected work area for gaps in ceiling tile o Inspected work area for painting of medical gas pipes
Inspection Concerns:
Inspector signature (after work completion)
J01h - Above Ceiling Work Permit
File details come from the government source that posted it. Updated .