Fillable Form BCAD 103 - REV 050818: FIRE SPRINKLER (Broward College)

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Form BCAD 103 - REV 050818: FIRE SPRINKLER (Broward College)

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  • 91 check-boxes
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Building Code Administration
Form BCAD 103 - REV 050818
6950 Cypress Rd. Suite 106, Plantation, FL 33317 • (954) 635-2130 • Fax: (954) 206-7227 • CA9224
Page 1 of 2
FIRE SPRINKLER PERMIT APPLICATION
FOR OFFICE USE ONLY
INSTRUCTIONS: Submittals shall include the Attached Fire Sprinkler
System Checklist. Application must be typed or printed in ink. Submit
original application signed and notarized. Attach (2) two sets of
hardcopy plans, specs, product approvals and calcs.
For further assistance call (954) 635-2130.
Permit No.
File No.
1. BC Proj. Mgr:
Mobile: ( ) -
Email:
2. BC Project No.:
3. Campus: North Central South DTC Cypress Coral Springs Miramar
Other:
4. Building No. / Location:
REV 010419
954.766.2717
Fort Lauderdale Office · 1800 Eller Drive · Suite 600 · Fort Lauderdale, FL 33316 | O:954.766.2717 |·CA514
6950 Cypress Rd. Suite 106, Plantation, FL 33317 • (954) 635-2130 • Fax: (954) 206-7227 • CA9224
Page 2 of 2
This application is hereby made to obtain a permit to do the work and installations as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,
PLUMBING, SIGNS, WELLS, POOLS, ROOFS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, etc…
OWNER/CONTRACTOR AFFIDAVIT: I certify that all the foregoing information is
accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning.
“NOTICE: In addition to the requirements of this permit, there may be additional
restrictions applicable to this property that may be found in the public records of this
county, and there may be additional permits required from other governmental entities
such as water management districts, state agencies or federal agencies.”
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
11. Owner (or BC Project Manager):
Print Name of Owner (or PM)
Contractor / Qualifier:
Print Name of Contractor
Date:
Date:
________________________________
Owner or Program Manager Signature
STATE of FLORIDA, COUNTY of
Sworn to and subscribed before me this day of
, 20 , by .
_________________________________
Notary Signature
(SEAL)
Personally known OR produced identification
Type of identification produced
________________________________
Contractor (Qualifier) Signature
STATE of FLORIDA, COUNTY of
Sworn to and subscribed before me this day of
, 20 , by .
_________________________________
Notary Signature
(SEAL)
Personally known OR produced identification
Type of identification produced
Building Code Administration Use Only
BCAD Approval Signatures:
Recommended for Approval: __________________________Date: _______________
Application Approved by: _____________________________Date: _______________
Fort Lauderdale Office · 1800 Eller Drive · Suite 600 · Fort Lauderdale, FL 33316 | O:954.766.2717 |·CA514
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Page 1 of 5
Submit this Checklist with Fire Sprinkler
Permit Application and Plan submittals.
Fire Sprinkler System Checklist for Plan Review and Inspections
The following is intended to assist the engineer and or installing contractor in designing and submitting for
review - a "code compliant" - fire sprinkler system. This document in no way details all of the
requirements that may be necessary for a complete code compliant system.
Note: Systems shall be designed in accordance with the codes adopted in State Fire Marshal Rules
and specifically, NFPA 101 and NFPA 13.
Project # Project Name:
Campus:
Permit #:
Occupancy Type:
Contractor: Phone#
Inspector: Date of Inspection:
INSPECTION CODES:
(210) Fire Live / P-Test (212) Fire Sprinkler P-Test (214) Fire Pump Test
(289) Fire Sprinkler Rough (290) Fire Sprinkler Final (194) Fire Marshall Final
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
GENERAL / ALL PERMITS
1. Is the required permit identified on the job site?
2. Are the approved plans on the job site?
WATER SUPPLY
3. Is proper hydrant installation and location provided? WASA D-8 Manual
NFPA 24:4-1
4. Are the backflow, meter and required isolation valves installed correctly? A
minimum of 40 feet from the structure is required. WASA D-8 Manual, Fire
Engineering Policy.
5. Are all control valves, connections, etc. open, clear and unobstructed and
installed properly? NFPA 25: 3, NFPA 13:5-6.2.1, 5-6.2.2
6. Is the sprinkler system provided with a listed indicating valve (PIV, etc.) in an
accessible location and 40 feet from the structure? NFPA 24: 2-2.6 and 3-3.2
7. Is the PIV installed so that the top will be 36 inches above grade?
NFPA 13:5-14.1.3.1
8. Is the Fire Department connection within 150 feet of a hydrant and not
obstructed by landscaping; a minimum of 40 feet from the structural? WASA
Page 2 of 5
Submit this Checklist with Fire Sprinkler
Permit Application and Plan submittals.
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
D-8 Manual, Fire Engineering Policy; NFPA 24: 2-6.9; NPFA 1: 3-5.6.1
9. Is the Fire Department connection marked with a plate or fitting having raised
letters indicating the type of service? NFPA 24: 2-6.10.1
10. Is the Fire Department connection not less than 18 inches and not more than
4 feet above grade? NFPA 13: A-5.15.2
UNDERGROUND
11. Are all piping and fittings listed for fire protection service; coated, lined or
wrapped for protection; and installed per NFPA 24-7?
12. Is all buried pipe installed, protected and restrained against movement per
NFPA 24-8?
13. Is the connection between underground and above ground piping by an
approved device, properly strapped and protected? NFPA 24: 8-6
14. Has the service main been flushed per NFPA 24:9-1? NFPA 13: 10-2.1
15. Is the underground hydrostatic test complete and certified on the Contractor’s
Material and Test Certificate? NFPA 24: 9-2
16. Is piping supported throughout their full length and not supported by the bell
ends only? NFPA 13: 5-14.4.4.3
ROUGH SPRINKLER
17. Is all piping supported independently of the ceiling sheathing?
NFPA 13: 6-2.1.1 (See Exception) Note: nails are not acceptable for
fastening hangers. NFPA 13: 6-1.5.5 Are fasteners listed for the intended
use?
18. Does the maximum distance between hangers comply with Table 6-2.2?
NFPA 13: 6-2.2 (See exceptions)
19. Is there at least one hanger per section on branch lines with no hanger closer
than 3 inches to an upright head and no unsupported end greater than 36
inches? NFPA 13: 6-2.3.3, 6-2.3.2 (see exception)
20. Does the unsupported armover of a sprinkler not exceed 24 inches?
NFPA 13: 6-2.3.4 (se exceptions)
21. Is there at least one hanger on cross mains between each two branch lines?
NFPA 13: 6-2.4.1 (see exceptions)
Page 3 of 5
Submit this Checklist with Fire Sprinkler
Permit Application and Plan submittals.
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
22. Are all risers properly supported per NFPA 13: 6-2.4.5?
23. Are all systems provided with drainage per NFPA 13: 5-14.2?
24. Do all sprinkler supply pipes run through sprinklered areas? NFPA 13: 1-6.1
25. Are noncombustible stair shafts sprinklered at the top and under the first
landing? NFPA 13: 5-13.3.2
26. Are linen and trash chutes and rooms protected with an automatic sprinkler
system? NFPA 13:5.13.5
27. Are sprinklers installed in bathrooms over 55 sq. ft. located in dwelling units?
NFPA 13: 5-13.9.1 (Exception: sprinklers are required in bathrooms of
nursing homes and in bathrooms opening directly onto public corridors or
exitways.)
28. Are Sprinklers installed in clothes closets, linen closets and pantries within
dwelling units in hotels and motels that exceed 24 sq. ft. or have a least
dimension of greater than 3 feet? NFPA 13: 9.2
29. If sprinkler protection is installed in electrical equipment rooms, are
noncombustible hoods or shields installed to protect important electrical
equipment from sprinkler discharge? (see exceptions) NFPA 13: 5-13.1.1
30. Are walk-in coolers in fully sprinklered buildings provided with sprinkler
protection? NFPA 13: 1-6.1 Unsprinklered buildings – Building Code
2603.5.1.3
31. If required, are all concealed spaces provided with sprinkler protection?
NFPA 13: 5-13.1.1 (see exceptions)
32. Are sprinklers installed under roofs or canopies over areas where
combustibles are stored or handled? NFPA 13: 5-13.8.2 (Exception:
sprinklers are permitted to be omitted where construction is noncombustible
and areas under roofs or canopies are not used for storage or handling of
combustibles.)
33. Are sprinklers installed under exterior combustibles roofs or canopies
exceeding 4 feet in width? NFPA 13: 5-13.6.1
34. Are unenclosed escalators, staircases or similar floor openings protected with
draft stops that are a minimum of 18 inches in depth below the opening, and
provided with sprinkler protection spaced at 6 feet around the opening?
NFPA 13: 5-13.4 (See exceptions)
Page 4 of 5
Submit this Checklist with Fire Sprinkler
Permit Application and Plan submittals.
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
35. Is the Hydrostatic test complete and certified on the Contractor’s Material and
Test Certificate? NFPA 24: 9-2
36. Is a sidewall sprinkler installed at the bottom of each elevator shaft (pit) of
hydraulic operated elevators/ NFPA 13: 5-13.6.1
FIRE SPRINKLER
37. If a fire alarm is installed, are all sprinkler control valves, including the P.I.V.
provided with a tamper switch? NFPA 101: 9.7.2.1
38. Are caps for the Fire Department connection installed? NFPA 13: 3-9.2
39. Is a wrench and padlock provided for the post indicator valve?
NFPA 13: 5-14.1.1.3
40. Is a water gong/electric bell outside water flow device provided?
NFPA 13: 5-15.1.1, FPP8-99-3
41. Is a sign provided for the outside alarm device? NFPA 13:5-15.1
42. Is a copy of NFPA 25 provided for the owner? NFPA 13: 10-4 (2)
43. Are spare sprinkler heads and a wrench installed in the fire pump or riser
room? NFPA 13: 3-2.9.1, 3-2.9.2
44. Is the system data plate provided on riser? NFPA 13: 10-5
Note: engraved plate if used outdoors.
45. Are identification signs for the fire sprinkler valves provided? NFPA 13: 3-8.3
46. Is a pressure gauge installed in each system riser? NFPA 13: 4-1.1, 5-15.3.2
Roof manifold-NFPA 14: 3-6, 9-4.5
47. Is sprinkler protection provided in the fire pump room? NFPA 13: 1-6.1,
NFPA 20
48. Are inspector test valves readily accessible? NFPA 13: 5-15.4.2, A-5-15.4.2
49. Are sprinkler heads clean and unpainted? NFPA 13: 5-6.3.3
50. Is the distance from walls to sprinklers not more than one-half of the
allowable distance between sprinklers? NFPA 13: 5-6.3.2.1
51. Are sprinklers located a minimum of 4 inches from a wall? NFPA 13: 5-6.3.3
Page 5 of 5
Submit this Checklist with Fire Sprinkler
Permit Application and Plan submittals.
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
YES NO N/A
52. Are sidewall sprinklers installed only in Light Hazard occupancies?
NFPA 13: 5-4.2, 5-7 (Exception: sidewall sprinklers shall be permitted to be
used in ordinary hazard occupancies where specifically listed for such use).
53. Are sidewall sprinkler deflectors (vertical type) located not more than 6 inches
nor less than 4 inches from walls and ceilings? (see exceptions)
NFPA 13: 5-7.4.1.1, 5-7.4.1.2
54. Is sprinkler head clearance maintained – 18 inches minimum from storage?
NFPA 13: 5-5.6 Special sprinklers – 36 inches. NFPA 13: 5-5.6 Exception 2
55. Where upright or pendent sprinklers are installed near horizontal obstructions
against walls (like cabinets or soffits) they shall be located in accordance with
NFPA 13: 5-6.4.1.2 (b)
56. Are open grid ceilings installed beneath sprinklers? NFPA 13: 5-13.13
(see exceptions)
57. Are sprinkler heads provided below obstructions (A/C ducts) that exceed 4
feet in width? NPFA 13: 5-5.5.3.1
58. Are rack storage shelves provided with in rack sprinkler protection or
approved over head sprinkler protection? NFPA 13: 7-4.1
59. Have all tests been completed and the Contractor’s Material and Test
Certificate been provided? NFPA 13: 8-1 (c) / 13R 2-1.2.1, NFPA 13: 10-1(3)
60. Are inrack systems of over 20 heads provided with separate indicating control
valves? NFPA 13: 5-14.1.6
61. Are deflectors of sprinklers aligned parallel to ceilings, roofs, or the incline of
stairs? NFPA 13: 5-6.4.2
62. Are all sprinkler pipes free from electrical grounding? NFPA 13: 5-14.4.3.5
63. Is the Fire Department connection identified by a sign that states: “No parking
Fire Department connection”? NFPA 1: 3-5.6.2.
I hereby attest that, to the best of my knowledge, the aforementioned checklist information and the plans calculations
are accurate and adequate for the sprinkler system being submitted.
Date: _________________
Applicant Signature State Registration Number
Applicant Name (print) Applicant Company
Address City State Zip Code Telephone Facsimile Number
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Form BCAD 103 - REV 050818: FIRE SPRINKLER (Broward College)

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Completed 18 August 2020

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