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PMCM Form-049 Rough-Ins Inspection Request

This document is an inspection request form for roughing-in work on a construction project. It provides information on the project name and location, contractor, date requested, and area to be inspected. The form allows the requester to check off which items within the sanitary/plumbing, electrical, mechanical, and fire protection systems should be inspected. Space is also provided for remarks. Upon completion, the form requires signatures from the requester, recommending approval, and approving parties.

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Abnar Kumplisha
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225 views2 pages

PMCM Form-049 Rough-Ins Inspection Request

This document is an inspection request form for roughing-in work on a construction project. It provides information on the project name and location, contractor, date requested, and area to be inspected. The form allows the requester to check off which items within the sanitary/plumbing, electrical, mechanical, and fire protection systems should be inspected. Space is also provided for remarks. Upon completion, the form requires signatures from the requester, recommending approval, and approving parties.

Uploaded by

Abnar Kumplisha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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PMCM Form-049 / Rev.

0 / 06 April 2016

PMQS CONSTRUCTION SOLUTIONS, INC.

INSPECTION REQUEST - ROUGHING-INS


PROJECT NAME : CONTRACTOR :
LOCATION :
CLIENT :

DATE REQUESTED : BUILDING IDENTIFICATION :

AREA TO BE INSPECTED : ACTION CODE :


Description : Approved
Location : Approved subject to comments, work may proceed
This form must be accomplished as a prerequisite for For reinspection
plastering, ceiling, wall enclosure, tiling works & others Disapproved, works cannot proceed

INSPECTION : PLEASE PUT CHECK ON BOX THE ITEM(S) TO BE INSPECTED. KEY PLAN SHOULD BE ATTACHED.
A. SANITARY & PLUMBING
WATER SYSTEM DRAINAGE SYSTEM WATER SYSTEM
Water Meter Gutter Water Meter
Valves Downspout Valves
Hot Water Line Main Pipe Hot Water Line
Cold Water Line Catch Basin Cold Water Line
Others pls. specify Gratings Others pls. specify
Others pls. specify

B. ELECTRICAL
POWER LIGHTING AUXILIARY SYSTEM
Conduits & Fittings Conduits & Fittings Conduits & Fittings
Wiring Wiring Wiring
Hanger & Support Hanger & Support Hanger & Support
Panel Board Receptacles Receptacles
Others pls. specify Fixtures Others pls. specify
Others pls. specify

C. MECHANICAL FIRE PROTECTION


Ducting Piping
Insulation Sprinkler Heads
Piping Valves
Valves Fire Extinguisher
Condensate Drain Fire Hose Cabinet
Others pls. specify Others pls. specify

REMARKS :

NOTE : SIGNATURE OVER PRINTED NAME, INDICATE COMPANY AND DATE SIGNED
REQUESTED BY : RECOMMENDING APPROVAL :

PMQS SITE ENGINEER


APPROVED BY :

CONTRACTOR PMQS CONSTRUCTION MANAGER

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