Fit-out, Maintenance WORK PERMIT

Created: …../……/…………. BUILING # ............ UNIT # ………… KM Meter # …………

Projects
AL FURJAN 1 ☐ ALMAHA ☐ MCP ☐
AL FURJAN 2 ☐ JAHIZ 1 ☐
AL FURJAN 3 ☐ JAHIZ 2 ☐
AL EZAB ☐ QBIC ☐
Fit-out, Maintenance Work Permit
☐ FITOUT ☐ FIRE SYSTEM
☐ SIGNAGE INSTALLATION ☐ STORAGE
☐ CIVIL ☐ GAS INSTALLATION/ USAGE
☐ ELECTRICAL UPGRAGE ☐ ACEES TO ROOF
☐ MECHANICAL ☐ ACCESS METER ROOM
☐ PLUMBING ☐ ACCESS OR WORK OUTSIDE UNIT
☒ CCTV SYSTEM ☐ OTHERS
REQUIRED Documents check list
1. ☐ Kahramaa Transfer Certificate new printed date
2. ☐ Copy of Contract
3. ☐ Copy of Signed QID
4. ☐ Photo of Maintenance or fit-out required
5. ☐ Fit-out Layout Drawing
DETAILED DESCIPRION REQUIRED AND MANDATORY:

START DATE …/…/………. REQUESTOR ID# ……………. REQUESTOR NAME …………….

END DATE …/…/………. REQUESTOR MOBILE ……………. REQUESTOR SIGN …………….
STATUS OF □ KAHRAMAA METERS TRANSFERRED (Y/N)? □ LEASING / COLLECTION PENDING (Y/N)?
□ ANY OPEN VIOLATIONS (Y/S)?
QDB APPROVAL
QDB- FM COORDINATOR QDB- FM PM QDB HEAD OF FACILITIES
COMMENTS
DATE &
SIGN

• Requestor confirmed that all terms and conditions apply as per leasing agreement and Fit-out manual, in case of any breaches or violations,
requestor will be back charged for the cost of damages due to non-compliance.
• Requestor confirmed that the status of the check box is considered as follow yes if  and No if  and not applicable if □ (blank).
• Requestor confirmed that he complies with required government regulation, permits and approvals for the intended works.
• Requestor confirmed that all required drawings and documents are available and can be collected immediately anytime requested by the owner
or his representative.
• This permit was issued on the awareness of the requestor for liabilities back charge for any violation or breaches of regulations and process for
maintenances and FO.