Artesia Fire Department
Office of Fire Prevention & Public Education
Special Fire Permit Application
3300 W. Main St – Suite F
575-746-5051 – FAX 575-746-5093
PERMIT#:______________________ DATEAPPLICATIONRECEIVED:___________________________
InstallationAddress:________________________________ NamesofOccupancy:___________________________________
PropertyOwner:___________________________________ Addressofowner:_____________________________________
SystemInstallerorContractMaintenancePersonnel:___________________________________________________________
NMFireMarshal’sCertificateofFitness#andExpirationDate:___________________________________________________
Dateandestimatedtimewhenworkwillbeconducted:_________________________________________________________
Scopeof
workbeingperformed:____________________________________________________________________________
________________________________________________________________________________________________________
Installer’sbusinessphone:___________________________ Installer’son‐sitecellphone:_____________________________
ll
ire
rotections
stemsmustmeettheminimumre
uirementso
theInternationalFireCode&themostcurrent
a
licable
NFPAstandard
s
.
Typeofsystemyouareconductingmaintenance,
inspection,orinstallationon:
FireAlarm
FireSprinkler
Kitchenhood/firesuppression
Standpipe
FirePump
BatterySystem
SprayorDippingrooms,areas,booths,etc
FireSprinkler/Standpipe/FirePump–PlanswithaNICETIIIstamp
shallbesubmittedwiththisapplicationwithneworworkinvolving
morethan20sprinklerheadsorreplacementoffirepump.Those
plansshallincludescaledrawings,manufacturerinformationand
sizesforallcomponents,andhydrauliccalculations.
Sprinklerworkrequiresa
minimumoffourcallinspections:
undergroundpiping,hangers/rough‐in,pressuretesting,andfinal
inspection/acceptancetesting.A24hournoticemustbegivenfor
each.
Intheeventofroutinetestingandmaintenanceyouarerequired
tocompleteapermittoensurepropernotificationofthefire
department.
FireAlarm–Firealarmsystemsshallincludedrawings,manufacturer
informationforalldevicesandcalculations.
Firealarmsrequireaminimumoftwocallinspections:rough‐in&
finalinspection/acceptancetesting.A24hournoticemustbegiven
foreach.
Intheeventofroutinetestingandmaintenanceyouarerequired
to
completeapermittoensurepropernotificationofthefire
department.
KitchenHood/FireSuppressionSystem–Plansshallbesubmitted
thatincludesthehazardbeingprotected,thetypeofsystem,
manufacturerinformation,andlocationofallkeycomponents.
SystemsmustbetestedtotheUL300standard.
Hood/firesuppressionsysteminspectionsrequireaminimumof
twocallinspections:rough‐in&final
inspection/acceptancetesting.
A24hournoticemustbegivenforeach.
Intheeventofroutinetesting&maintenanceyouarerequiredto
completeapermittoensurepropernotificationofthefiredept.
1.Undergroundpiping
Signature______________________________________ Date__________________________
PermitGranted DatePermitIssued_______________IssuedBy_________________
PermitDenied Remarks__________________________________________________
3.Pressuretest
FORALLINSPECTIONSCALL(575)746‐5051or(575)513‐1883
Workshallnotproceeduntiltheinspectorhasapprovedthevariousstagesofinstallation
FIREDEPARTMENTAPPROVALS
2.Hangers/Rough‐in 4.Final/AcceptanceTest
IFPLANSARENOTBEINGSUBMITTEDDUETOLIMITEDSCOPEOFWORKORYOUAREPROVIDINGGENERALMAINTENANCEONLYPLEASE
ATTACHASMALLSUMMARYOFTHEWORKBEINGCONDUCTEDONTHESYSTEMANDANESTIMATEDSTARTANDENDINGDATE
click to sign
signature
click to edit