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Phoenix Fire Department (City of Phoenix)

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Rev 6/2021
Phoenix Fire Department
Fire Prevention
Business Certificate Application Instructions
Certificate is required for businesses that install and/or service:
• Automatic Sprinkler Systems
• Fire Alarm Systems
• Special Suppression Systems
• Kitchen Hood Extinguishing Systems
• Underground Fire Lines and/or Hydrants
One certificate may be issued for multiple system types only if the responsible party is the same for each
system type, if not, then a Business Certificate will be issued to each responsible party.
All submittals require:
Business Certificate Application
Valid Arizona Registrar of Contractors License
Arizona Dept. of Revenue Transaction Privilege Tax License
Deficiency Report Agreement
Permit fee $150 per system
All the above documents are included
Including valid certification as follows:
•
Automatic Sprinkler Systems
• Fire Alarm Systems
• Special Suppression Systems
• Underground Fire
Lines
and / or Hydrants
One of the following certificates related to the type of work
being
performed held by the Business Certificate Holder:
CSA level 4 or higher – Copy of ID Card
5NICET 3 or higher – Copy of Certificate or ID Card
Certified Professional Engineer
• Kitchen Hood Extinguishing
Systems
One of the following certificates related to the type of work being
performed held by the Business Certificate Holder:
CSA
NICET 3 or higher
Certified Professional Engineer
The permit is valid for a three-year period.
Accepted Certifications
Certified Professional Engineer
Codes & Standards Assessments (CSA)
www.csaexams.com or
501-712-1272
National Institute for Certification in Engineering Technologies
(NICET)
www.nicet.org or
888-746-4238
Competent Party Requirements
The Business Certificate holder must ensure a competent party is onsite at the time of each
inspection,
per the Phoenix Fire Code. The Phoenix Fire Department accepts the following
certifications related to the type of work being performed for a Competent Party: CSA level 2 or
higher, NICET 2 or higher,
Manufacturer Certification or Certified Professional Engineers.
Rev 6/2021
Phoenix Fire Department
Fire Prevention
Permit Fee: $150 per system PFC 105.3.1
Check applicable boxes:
Automatic Sprinklers
Fire Alarm Systems
Special Suppression Systems Underground Fire Line and/or Hydrants
Kitchen Hood Extinguishing Systems
A separate application is needed for each Responsible Party (Business Certificate Holder).
One certificate may be issued for multiple system types only if the responsible party is the same for each
system type, if not, then a Business Certificate will be issued to each responsible party.
Business Information
Contractor Name:
Contractor Address:
City:
State:
Zip:
Mailing Address (if different):
City:
State:
Zip:
Office Phone #:
E-Mail Address:
Certification:
CSA
NICET
CPE
Mfg Cert Expiration Date:
AROC#:
Expiration:
Owner/Principal Name:
Signature: Date:
Responsible Party (Business Certificate Holder) Name:
Signature: Date:
Please also sign the Deficiency Reporting Agreement below.
Payment is due at the time of application submittal. All fees are non-refundable.
Permit applications may be faxed to 602-495-7429, submitted in person
weekdays
8:00 am to 5:00 pm, or mailed.
For permit questions or to speak to a Fire Inspector call 602-262-
6771
For more information, see
www.phoenix.gov/fire/prevention
Rev 6/2021
Phoenix Fire Department
Fire Prevention
Deficiency Reporting Agreement
Fire protection companies doing business in the City of Phoenix are required to submit a report of
deficiencies to Fire Prevention, per the Phoenix Fire Code.
Purpose comply with Phoenix Fire Code to:
1. Ensure businesses are complying with fire and life safety concerns.
2. To protect the public from imminent danger or hazard.
3. Ensure fire protection equipment is working properly in the event of an emergency.
4. Ensure fire protection equipment firefighters and first responders rely on to be in working order.
Document deficiencies of any fire protection equipment for which you are certified and permitted to
inspect. Document any fire and life safety issues that may put the public in imminent danger or harm to any
person(s) working in unsafe conditions. Follow and apply all related fire code sections, listed below, as
described in the 2018 International Fire Code with Phoenix Amendments.
Submit reports to:
www.thecomplianceengine.com
Note where is system is impaired:
2018 PFC 901.7 Systems out of service. Where a required or nonrequired fire protection system is
out of service, the Phoenix Fire Department Alarm Room, 602-495-5555 shall be notified
immediately and, where required by the fire code official, the building shall be either evacuated or
an approved fire watch shall be provided for all occupants left unprotected by the shutdown until
the fire protection system has been returned to service. Failure to comply may result in the
revocation of qualified contractor status to be an accepted Inspecting Authority within the City of
Phoenix.
By signing this document, I agree to adhere to all sections of the 2012 International Fire Code with Phoenix
Amendments, including those below:
105.9 Business Certificate. 901.6 Inspection, Testing and Maintenance.
901.6.1 Standards. 901.6.3 Records. - 901.6.3.1 Records information.
901.6.3.2 Inspection and testing tags. 901.6.3.3 Inspection forms.
It is important to report these items as soon as possible so that we may assist you in educating business
owners on the importance of fire/life safety issues.
Business Certificate Holder
Name (Print)
Company
Signature
Date
FOR OFFICE USE ONLY
Business Certificate
Number
F171
Expiration
Fire Dept. Signature
Date
Phoenix Fire Department
Fire Prevention
Phoenix Fire Department | Fire Prevention
150 South 12
th
Street
Phoenix, AZ 85034
Rev. 5/19/2020 Credit Card Payment Form
Credit Card Payment Form*
This form is provided for convenience only. Checks and cash are also accepted.
* Credit card payments received via email are not encrypted.
This f
orm does NOT qualify as the permit application, a separate permit application must be submitted.
Use This Section for Public Records Requests Only
Address Researched:
Company Requesting Research:
APPLICATION INFO
What are you paying for?
Public Records Permit Event Inspection
Address of Business or Event
Name of Event, Business or Facility (if applicable)
CREDIT CARD INFO
Credit Card Number (use dashes)
Amount to be Charged
Expiration Date (00/00)
Billing Address and Zip Code
Cardholder Name
Phone Number
Other Instructions (i.e. fax/email receipt) – Please print clearly
Payment is due at the time of application submittal.
Credit card payments may be faxed to 602-495-7429, submitted in person weekdays
8:00 am to 5:00 pm or mailed.
For permit questions or to speak to a Fire Inspector call: 602-262-6771.
For more i
nformation see www.phoenix.gov/fire/prevention
Please note: This form will be destroyed once payment has been processed.
Appeal/Eng. Interpretation
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Completed 23 February 2022

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