Permit Request • CampusOptics

This permit is issued for all operations involving the installation or revision of Fire Alarm components. All work shall be between the hours of 7:00 AM and 3:00 PM unless otherwise noted and authorized. THE UHFMO AT 713-743-5858 AND THE UH FIRE ALARM SHOP AT 713-743-5762 SHALL BE NOTIFIED OF ANY CHANGES TO WORK THAT IS RESCHEDULED, CANCELED, OR IF WORK COMPLETED EARLY.

Requester

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Location

Campus, Building, or Outdoor Area* Required

Additional Location Details

Project Information

Have certified plans been submitted and approved by UHFMO?* Required

Project Manager* Required

Texas RME License #* Required

State SCR #* Required

Work Request Number* Required

Job Supervisor Name* Required

Job Supervisor Phone #* Required

Worksite Information

Is work being performed on weekends or after hours?* Required

Floor Number* Required

Room Number(s)* Required

Work Type

Description of work being performed* Required

Fire Watch Names?* Required

Fire Watch?* Required

Will fire suppression be shutdown?* Required

Closing Notes

I have read and understand the above information and agree to abide by the requirements of this document, The applicable NFPA Codes and the Fire Marshal’s Office standards. I further understand that all operations are subject to inspection and possible corrective action. I understand this permit shall be displayed at the job site.* Required

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Add files to upload as supporting documentation along with your permit request.

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