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Clearance Permit & Hazardous Material and Activity Review - IFC 2018  Forms

De Beque Fire Protection District

File Number:

Complete BOTH the Clearance Permit and the Hazardous Material and Acitivty Review - IFC 2018 forms.  The Hazardous Material Form follows below.  REMEMBER to submit BOTH forms!

 

CLEARANCE PERMIT
Contractor Information
PROJECT INFORMATION
OFFICE USE ONLY
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HAZARDOUS MATERIAL AND ACTIVITY REVIEW - IFC 2018
Complete this form along with the Building Permit Clearance Form. Describe the scope of work. Include the hazardous materials and/or activity and impact to your scope of work. Identify all Construction Set Plan Sheet(s) for each "Yes" response.
Attach a Hazardous Material Invementory Statement (HMIS) (Chemical Inventory) for each "Yes" response associated with the material or activity. Report quantities: Liquid = gallons; Gases = cubic feet; Solids = pounds.
This report shall be prepared by a qualified, competent person, firm, or corporation approved by the fire official. Completed form and attachments shall be attached to all Builidng Permit Clearance construction plan submittals.
Is the Material/Activity of the following either present or proposed?
BUILDING SERVICES AND SYSTEMS
SPECIAL OCCUPANCIES AND OPERATIONS
HAZARDOUS MATERIALS
SCOPE OF WORK AND PLAN SUBMITTAL
FOR OFFICE USE ONLY
Plan Review By
Date of Reveiw
Review Fee
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