This document is a technical form for a Fire Protection Subcode permit application, likely from the Ocean (Monmouth) municipality. It requires detailed information regarding fire protection systems for new installations, modifications, replacements, or conversions. Applicants must provide technical specifications for alarm systems, suppression systems (including dry pipe, pre-action, sprinklers, standpipes, and various suppression agents), fuel-fired appliances, and fuel storage tanks. The form also includes sections for applicant and owner identification, contractor details, and requires certifications from the applicant.
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Document Text
--- Document: Fire Subcode Technical Document ---
Flammable/Combustible Tanks
[ ]
Alarm Devices (i.e., smoke, heat, pulls,
water/flow)
Supervisory Devices (i.e., tampers, low/high air)
Signaling Devices (i.e., horn/strobes, bells)
Other Devices
TOTAL
Suppression Systems
GPM Type
Fire Pump
Dry Pipe/Alarm Valves
Pre-action Valves
Sprinkler Heads (Dry and Wet)
Standpipes
Pre-engineered Systems
Wet Chemical
Dry Chemical
CO2 Suppression
Other Systems
Foam Suppression
FM200 Suppression
Other
Kitchen Hood Exhaust System
Smoke Control System
Fuel-Fired Appliances [ ] Gas
Fireplace Venting/Metal Chimney
[ ] Solid
Other
System
[ ]
[ ] 110v Interconnected
CO Detectors/110v
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FIRE PROTECTION SUBCODE
TECHNICAL SECTION
C. CERTIFICATION IN LIEU OF OATH
I hereby certify that I am the (agent of) owner of record and am authorized to make this
application.
Alarm Systems
NUMBER
FEE (Office Use Only)
Water Supply Source
Method of Alarm/Suppression System Supervision _____________________
[ ] Certified Contractor [ ] Exempt Applicant
Date Received
Control #
Date Issued
Permit #
A. IDENTIFICATION—APPLICANT: COMPLETE ALL APPLICABLE INFORMATION. WHEN CHANGING
CONTRACTORS, NOTIFY THIS OFFICE. CALL UTILITY DIG NO: 1-800-272-1000.
[ ] Oil
U.C.C. F140 (rev. 11/09) 1 White = Inspector Copy 2 Canary = Office Copy 3 Pink = Office Copy 4 Gold = Applicant Copy
D. TECHNICAL SITE DATA
Block
Lot
Qualification Code
Work Site Location
zip code
municipality
street
Address
e-mail
Tel. ( )
Owner in Fee:
Fire Protection Equipment, NJ Div of Fire Safety Permit No.
Fire Protection Equipment, NJ Div of Fire Safety Installer No.
Fire Alarm Contractor No.
Exp. Date
Federal Emp. ID No.
FAX:
( )
Home Improvement Contractor Registration No. or Exemption Reason (if applicable):
Initial
Approval
Failure
Failure
Type:
Dates (Month/Day)
INSPECTIONS
Other
Fireplace Venting
Flam/Combust Tanks
Final
TCO
Smoke Control
Mechanical
Pre-Eng. System
Fire Pump
Standpipe
Suppression Sys.
Alarm System
Total Cost of Fire Protection Work $
Fuel Type:
Location:
Solar
[ ]
Electric
[ ]
Other
Oil
[ ]
Gas
[ ]
JOB SUMMARY (Office Use Only)
PLAN REVIEW
No Plans Required
[ ]
Approved by:
Date:
SUBCODE APPROVAL for CERTIFICATE
CA
[ ]
CO
[ ]
[ ] CCO
Joint Plan Review Required:
[ ] Bldg. [ ] Elec. [ ] Plumb. [ ] Elev.
SUBCODE APPROVAL for PERMIT
Date:
Approved by:
Approved by:
Date:
Fire Protection Plans Approved
[ ]
Partial -Underslab Utilities Approved
[ ]
Approved by:
Date:
Heating System:
Modification to Existing
OR [ ]
New
[ ]
[ ] Replacement
OR
[ ]Conversion
OR
New OR
Location of Main Control Valve:
Existing
Fire Suppression/Standpipe System:
[ ]
[ ]
New OR
Existing
Fire Alarm System: [ ]
[ ]
Location of Panel:
Fuel Storage Tank:
Fuel Type: [ ] Flammable OR [ ] Combustible
Capacity
B. FIRE PROTECTION CHARACTERISTICS
Proposed
Present
Use Group:
Proposed
Present
Constr. Class:
Contractor:
Tel.
( )
Address
e-mail
Applicant sign/Contractor
sign and seal here:
Print name here:
DESCRIPTION OF WORK:
$
Administrative Surcharge $
Minimum Fee $
State Permit Surcharge Fee $
TOTAL FEE $
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