HomeMy WebLinkAboutF10-0048 voidFIRE SPRINKLER PERMIT
Commercial & Residential Fire Alarm shop drawings are required at the time of
application submittal and must include the following information:
1. A Colorado Registered Engineer's stamp or N.I.C.E.T level III (min) stamp
2. Equipment cut sheets of materials
3. Hydraulic calculations
4. A State of Colorado Plan Registration form
5. Plans must be submitted by a Registered Fire Protection Contractor
Project Street Address:
(Number) (Street) / (Suite #)
Building /Complex Name: Z'ax�
Contractor Informat' n'
Company
Company dress:
City: Stat Zi
Contact N e: /v
Contact Phone:
S�
E -Mail
Town of Vaitontractor Registration No.:
(6p6actor Signature (required)
Property Information
Parcel #: 00 5�
(For parcel #, c ntact Eagle County Assessors Office at 970 - 328 -8640 or
visit www.eaglecounty.us /patie)
Tenant Na
Owner Name:
Complete Valuation for Fire Sprinkler Permit.
Fire Sprinkler $: 1t9�
Office Use: 1
Project #:
Building Permit #:
Sprinkler Permit #:
Lot #: Block # Subdivision:
Detailed Description of Work:
(use additional sheet if necessary)
Location of Work:
Does a Fire Alarm Exist? Yes (jK No( )
Does a Sprinkler System Exist? Yes (v/ No ( )
Work Class:
New ( ) Addition ( ) Remodel (pair ( )
Retro -Fit ( ) Other ( )
Type of Building:
Single - Family ( ) Duplex ( ) Multi - Family (Z_I/
Commercial ( ) Restaurant ( ) Other ( )
Date Receiv
Fn JUN 22 2010
TOWN om
29- May -09
Contrac
Mailing
Cit G
Name of Pry
Project Add
STATE OF COLORADO
DIVISION OF FIRE SAFETY
PLAN REGISTRATION FORM
C Registration Number_
City State G;� ` Zip Code ��
Description and Location of Work to be completed
19 4E
Name and Address of General Contractor:
Name and Address of Owner
Plan reviewed by Date
License/ Certificate No. (NICET or P.E.)
Plan reviewed by Date
Certification No. (Certified Fire Suppression Inspector)
Inspection Conducted by: Date
Certification No. (Certified Fire Suppression Inspector)
System Test Date Approved /Disapproved
Signature
Certification No. (Certified Fire Suppression Inspector)
Jurisdiction No.
Comments
(for additional comments use separate sheet)
Distribution: Original Copy goes to Division of Fire Safety Upon total completion of form. Copy to
local fire department. Copy to contractor and copy to building owner upon completion and sign -off.