Fire Pump Permit Application Section A Site Information – Complete for All Permits Name of Building/Site: DPW ISD Parent Building – Permit Number: Physical Location (911 Address): Name of Lessee (If Business) Building Owner Name: Owner Mailing Address: Owner Contact (Phone and Section B Fire Pump Project Information – The fire pump will support - check all that are applicable: Class I or III Standpipe System Fire Sprinkler System Shared between buildings in a complex Fire Hydrant System Specialty Suppression System Other: Section C Fire Pump Information – Manufacturer: Model: Type: GPM @ PSI Diesel Electric This application must be accompanied by the following: Electric fire pumps must be accompanied with a letter from BED indicating service reliability as per NFPA 20. and information for each type of system component being installed. Manufacturer’s specifications Fire alarm system connections shall require a separate City permit issued to a qualified fire alarm technician. NOTE: All submittal documents are required prior to review and permitting. *FOR OFFICE USE ONLY DO NOT WRITE IN GREY * – Firehouse # Permit # Received Date: Reviewer: Check # Amount: DPW Permit #: BFD FMO Approval Date: Check From:
Fire Pump Permit Application Section A – Site Information Complete for All Permits Name of Building/Site: DPW – ISD Parent Building Permit Number: Physical Location (911 Address): Name of Lessee (If Business) Building Owner Name: Owner Mailing Address: Owner Contact (Phone and Section B – Fire Pump Project Information The fire pump will support - check all that are applicable: Class I or III Standpipe System Fire Sprinkler System Shared between buildings in a complex Fire Hydrant System Specialty Suppression System Other: Section C – Fire Pump Information Manufacturer: Model: GPM @ PSI Type: Diesel Electric This application must be accompanied by the following: Electric fire pumps must be accompanied with a letter from BED indicating service reliability as per NFPA 20. Manufacturer’s specifications and information for each type of system component being installed. Fire alarm system connections shall require a separate City permit issued to a qualified fire alarm technician. NOTE: All submittal documents are required prior to review and permitting. *FOR OFFICE USE ONLY – DO NOT WRITE IN GREY * Firehouse # Permit # Received Date: Reviewer: Check # Check From: Amount: DPW Permit #: BFD FMO Approval Date:
Fire%20Pump%20Permit%20Application_0.docx