ࡱ> 02/_ bjbjڿڿ E-b-bKtXXXXXlll8l.($~j?X?XXTFXXϳ\+Rj0oXx??B :  CHECKLIST FOR OCCUPANCY (BENEFICIAL) (SET-UP) (PARTIAL) PC#:_________________________________ Project Name:___________________________________ BUILDING:______________ FLOOR(S): AREA: sq. ft. SPACES (to be occupied): ___________________ MAX # OCCUPANTS: Persons (for spaces indicated) Check if completed. Comments/Explanations to right of question; Floor covering/finish complete? Lighting operable? Electrical Circuits operable? Electrical face plates / cover plates installed? HVAC operable and properly functioning? Exhaust systems operable and properly functioning? Lab gases properly installed and operable? Water system disinfected, potable and operable? Cold water available at all fixtures? Hot water available at all lavatories and sinks? Sprinkler system tested and properly functioning? Fire alarm system tested and properly functioning? Proper hardware functioning on all fire separation and egress doors? Interior EXITWAYS clear and unobstructed? Stairs conform to VUSBC and ADAAG requirements? Exterior EXITWAY clear and unobstructed? Fire Marshal Inspection Report recommending occupancy? I have inspected the portion of the building named above, have noted the results above and state that the portion of the building listed above is substantially complete and ready for (safe and beneficial occupancy.) (Move in and set-up of equipment and occupancy by staff only.) Date Signature Print name cc: Procurement Manager     DGS-30-152 HECO-13.3b 91Ƭ, VIMS Rev. 7/13 Page  PAGE 1 of  NUMPAGES 1 8:=>@OVcpq$ % . q s x y ' 6 7 i   6 > p x   J R y * 2 願hr bhVd`CJhr bhVd`>*CJhfhf5CJ hVd`>*CJ hfCJ hr b>*CJhfh35CJ hr bCJhr bh3CJ hf5CJhfhVd`5CJ hVd`5CJ hVd`CJ<9:% '  6 p  J y * x Vmdgdr bddgdr b$a$2 x /3s*HIJKLNOQRTUWabrst}󼴰hCh,bh@hqeMh^ h3Jh3 h3h3 h35h\jh\Uhr bhr bCJ h^CJhr bhr bCJ hr b>*CJ hr bCJ hr bCJ hCJ h@CJ hVd`>*CJ hVd`CJ1mnKMNPQSTVWt$a$  H$DAgd,bgd,b 0dhgdr b 0dhhr bhr bCJh\hCh,bjh,b5UaJ*hf5mHnHu* h,b5jh,b5UaJC0P1F:p,bBP/ =!"8#@$% Dps666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH D`D Normal1$CJ_HhmH sH tH DA D Default Paragraph FontViV 0 Table Normal :V 44 la (k ( 0No List <& < Footnote Reference4@4 ,b0Header  H$6/6 ,b0 Header CharCJh4 @"4 ,b0Footer  H$6/16 ,b0 Footer CharCJhHBH ,b0 Balloon TextCJOJQJ^JaJR/QR ,b0Balloon Text CharCJOJQJ^JaJhPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w<  NNsssv2  m SZ\amov!8@0(  B S  ?KMNPQSTVWoqKMNPQSTVW3=66xxVV/3IJKKNNW\23qeMjQVd`r b,b2lFz*VCj=- .f;^u@`KM@@UnknownG*Cx Times New Roman5Symbol3.*Cx Arial5. .[`)TahomaA$BCambria Math" h)hh<<! @xGG2 HP $P- 2!xx/~ GBenjamin F. WebbRodriguez, Juan Oh+'0h  $ 0 <HPX`GBenjamin F. WebbNormalRodriguez, Juan3Microsoft Office Word@G@V^*@,[+< ՜.+,0 hp|  DGSG G Title  !"#$%&()*+,-.1Root Entry Fp˵\+31TableWordDocumentESummaryInformation(DocumentSummaryInformation8'CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q