Montane WORK PERMIT ‘APPLICANT'S INF ORATION Tpplicant's Tame Date Applied fwalalinyy} Topline Owner Ly Tenr 1D Authored Representative CoRR TOT Date at Wome (masa TREQUIRERENTS 1 owner isa membern good standing 1D Filled out Job Hazard analysis (see table atthe back page) Unk owner isa memberin god standing 1D Filled out Job Hazard analysts see table atthe back page) 1D Fortenant- Letter of authorcation fom the Owner Ferauthorced Representative Special ower of attomey ‘WORK DESCRIPTION Type of Wer Di camentey 1 electrical Plumbing) panting 1B easurement/isyout Deals of he Work Work Duration rare Date Eng Date Tota DAE — ttt Company Tame Ser — CaF Ca Tae Ta A HANPOWER TOOLS DETALS Fanpower "alr & Equipment WerierWane Fao PaRCaaTDeeiptOn ed reaavon Tere Ty Post the Work Permit at the exterior face of the man door orgate | [] Coordinate wit the Admin forthe proper duporal of Wash [E Atleart one (1) lbs fir extinguisher shouldbe a the ste TUNDERTARING: Thereby acknowledge that Rave read and fuly understood the house rules of The Nantane Condominium Corporation regarding ‘onstruction and renovation /epair works. | accept and agree to all the tems and conditions stated there | shal be responsible forthe actions of my workers and shall hold The Montane Condomintam Corporation fre fram any iabity from any untoward incidents, injuries and damages caused by my worker | warrant that al nformation provided or attached are true and accurate in all respects and hereby give full consent to The Montane Condom corporation to process the same, whether personal, sensitive orprivieged, pertaining tomyself which wil be used fororin relation tomy aplication for a work permit aeatatste ear eS Hirhena evils TD Owner ira member n good standing 1B Required attachments are complete Property Engineer Date Téminitrative Assistant 7 Date ‘Approved by Property Nanager / DateISSUANCE OF A WORK PERMIT 1, Work Permit will only be issued for Minor Works whichis defined as superficial in nature such as installation of furniture and appliances, backsplash, change of lights, installation of fixtures, minor carpentry, painting and other minor works not lasting more than seven (D) days 2. All works that will last for more than seven (7) days and those considered as Major Renovation Work will require a Renovation Permit instead Examples of Major Renovation works Drop ceiling Replacement of Tiles in CR Combination of rooms Acdditional partitions Additional electrical circuits TERMS AND CONDITIONS 1, Work permit application shall be accomplished and submitted at least three (3) days prior to work commencement 2. A Job Hazard Analysis (JHA), signed by the Safety Officer / Person-In-Charge of the work, covering all activities stated in this permit shall be submitted together with this ‘Work Pemnit application pape oe SAMPLE FORM: activity: WAZARDS TINPACT | CONTROL MEASURES to ACTIVITY PROCEDURE /STEPS | ofthe PROCEDURE | _tmplement for the HAZARDS 3. Works shall not be allowed to proceed if the required one (1) unit of 20-Ib ABC fire extinguisher is not at the work site. 4, All works to be done should not cause damage to the building facilities or exceed utility capacities of the unit and should comply with pertinent government and safety regulations and shall be in accordance with the House Rules and Design & Construction Guidelines, 5. Measures should be put in place to minimize spread of odor/mists to adjacent units and. hallways when painting The Property Management has the right to confiscate the materials and equipment which are used for painting or spraying 6. Work stoppage shall be implemented if work being done is affecting adjacent units or common areas 7.If the owmer/workers continue to defy work stoppage or other orders, Property ‘Management has the right to confiscate materials or equipment to effect the stoppage 8. Tampering of Work Permit shall automatically render the work pemmit void. THANPOWER & TOOLS DETAILS (Continuation from front page) Fanpower "Tols & quipment VeaTher Tae Pain Paricaarmeseiption caanaity