Fillable Fire Services Permit Application (City of Sammamish)

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Fire Services Permit Application (City of Sammamish)

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BROWSE CITY OF SAMMAMISH (WA) FORMS

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801 – 228
th
Avenue SE Sammamish, WA 98075 Phone: 425-295-0500 Fax: 425-295-0600 web: www.ci.sammamish.wa.us
1/2/2018 3:31 PM
Fire Services Permit Application
Please bring in a CD or thumb drive with PDF’s of plans and calcs at submittal.
*Paper plans are not necessary*
Project Description:
PROPERTY
Property Address:
City/State/Zip:
Tax Parcel No:
Water District:
Legal Description:
Zoning:
PROPERTY OWNER
Name:
Phone/Fax:
Mailing Address:
City/State/Zip:
Email:
Cell:
OWNER’S AUTHORIZED AGENT/CONTACT
Name:
Phone/Fax:
Mailing Address:
City/State/Zip:
Email:
Cell:
FIRE SERVICES CONTRACTOR
Company Name:
Phone/Fax:
Contact:
Mailing Address:
City/State/Zip:
Email:
Cell:
State License No:
Expiration:
I hereby certify that I am the owner (or owner’s authorized agent) of this property or an appropriately licensed
contractor (or the firm’s authorized agent) and the installation of the work described will be performed in accordance
with all applicable laws & codes, including state contractor registration laws. I understand that failure to comply may
result in revocation of any permit from this application.
Signature______________________________________________ Date__________________________
PERMIT NUMBER
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1/12/2018 11:29 AM
FIRE PERMIT FEES
Fire Alarm
Tenant Improvement
# Devices:
New Alarm System
# Devices:
Other Devices
# of Transmitters:
# of Power Sub Panels:
Commercial Fire Sprinkler
Tenant Improvement
# Devices:
New System
# Devices:
13 D System
# Devices:
Other Components
Supply installed by sprinkler contractor:
Supply installed by other than sprinkler contractor:
Standpipes:
Fire Pump:
Fire Extinguishing Systems:
Full System
Tenant Improvement or system modification
Temporary membrane structures, tents and canopies
Flammable/combustible liquid storage tank installation/removal
Fireworks
1/2/2018 3:31 PM
OVER-THE COUNTER SPRINKLER PERMIT CHECKLIST
Scope of Work
Yes No
Quick Response Head Change Out: ____ Heads - K factor and spacing must match existing.
No head relocations
Yes No
Recalled Head Change Out: __________ Heads - K factor and spacing must match existing.
No head relocations
Yes No
Tenant Improvement/Alteration.
Relocating __________Heads
Adding __________ Heads
Capping / plugging __________ Heads
Verify Each of the Following Required Conditions
All work completed in accordance with applicable NFPA standards, city ordinances and / or standards
No change of use. Previous use (if known)_______________________________________________
Proposed use___________________________________________
Work will not change hydraulic calculations
No moving / relocating mains or cross mains
Limited to Light / Ordinary Hazard
Inspection Requirements
Plans and cut sheets (for new equipment) on site and stamped by WA State certified designer (at the
appropriate level based on type of project)
Cover Inspection of the piping prior to installation of the ceiling or ceiling tile
Final inspection of the completed system.
Re-inspection fees may apply if:
- Work was not in accordance with permit application
- Work not ready for inspection
As built drawings
I hereby certify that I am the owner (or owner’s authorized agent) of this property or an appropriately licensed contractor
(or the firm’s authorized agent) and the installation of the work described will be performed in accordance with all
applicable laws & codes, including state contractor registration laws. I understand that failure to comply may result in
revocation of any permit from this application.
Signature____________________________________________________Date__________________________
IMPORTANT APPLICANT INFORMATION
Application or construction documents will be reviewed within a reasonable time period based on the current workload. Construction
documents which do not conform to the requirements of 16.05, 16.10 and 16.20 SMC will be rejected in writing, stating the reason(s).
Applications for which no permit is issued within 18 months following the date of application shall expire by limitation. Applications may also
be canceled for inactivity, if an applicant fails to respond to the department’s written request for revisions, corrections, actions or additional information
within 90 days of the date of request. The Building Official may extend the life of an application if any of the conditions listed under SMC 16.20.225 (3)
exist.
The Permit Center may authorize refunding of not more than 80 percent of the permit fee paid when no work has been done under a permit
issued and not more than 80 percent of the plan review fee paid when an application for a permit for which a plan review fee has been paid is withdrawn
or canceled before any plan review is done. No refund shall be made for application or plan review fees where a plan review has been performed and
the application is rejected in accordance with 16.20.220 SMC. The Permit Center shall not authorize refunding of any fee paid except on written
application filed by the original permittee not later than 180 days after the date of application.
All provision of laws and ordinances governing this type of work shall be complied with. The granting of a permit does not presume to give
authority to violate the provisions of any local, state or federal law regulation construction of the performance of construction.
Every permit shall expire 2 years from date of issuance. SMC 16.20.235
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STANDARD FIRE SPRINKLER DCVA CONNECTION
Single Family Fire Sprinkler Meter Requirements - 2018 January 2018
SAMMAMISH PLATEAU WATER AND SEWER DISTRICT
REQUIREMENTS FOR
REQUESTS FOR WATER METERS
TO BE USED WITH
SINGLE FAMILY RESIDENTIAL FIRE SPRINKLERS
The following information must be provided to the District for its verification that the
proper backflow prevention device is being installed on the fire sprinkler system.
Incomplete submittals will not be accepted for review.
In the Cities of Sammamish and Issaquah, the information should be included with the
application for a permit to install a fire sprinkler system in a single-family residence, and
the City will forward the information to the Sammamish Plateau Water and Sewer
District for review. In unincorporated King County, the owner, builder, or fire sprinkler
designer shall forward the information directly to the District.
This information must be supplied to the District prior to installation of a 1” or larger
meter as a requirement for fire sprinklers. All correspondence shall reference the tax
parcel number and the Building Permit number.
1. Plans showing the fire sprinkler design, including the location of the backflow
prevention device. A detail showing a typical installation is enclosed for your
use. A catalog cut/specification sheet of a Department of Health-approved
backflow prevention device must be provided with the submittal.
2. Calculations from the Fire Sprinkler designer indicating the meter size or flow
requirements (in gpm) for the fire sprinkler design.
Please note that if a water meter in excess of 1” is required for the fire sprinklers
the District may require that two water meters will be installed, one for domestic
use (size based on domestic requirements) and one for fire sprinklers (size based
on fire sprinkler requirements).
Please note: The District will be requesting the plumbing fixture count for the residence
to determine the minimum meter size required for domestic use.
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Fire Services Permit Application (City of Sammamish)

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Completed 24 January 2021

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