Fillable Revised Fire Suppression Permit Application Draft 9.26.17 (Louisville Jefferson County Metro Government)

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Revised Fire Suppression Permit Application Draft 9.26.17 (Louisville Jefferson County Metro Government)

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The Revised Fire Suppression Permit Application Draft 9.26.17 (Louisville Jefferson County Metro Government) form is 1 page long and contains:

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U.S.A. forms for Louisville Jefferson County Metro Government

BROWSE LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT (KY) FORMS

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Louisville-Jefferson County Metro Government
CONSTRUCTION REVIEW DIVISION
Department of Codes and Regulations
444 S. 5
th
St. – Louisville, KY 40202
Phone: 502.574.3321 Web Site: louisvilleky.gov/government/construction-review
F I R E S U P P R E S S I O N P E R M I T A P P L I C A T I O N
I verify that the fire suppression design criteria is in accordance with all applicable codes and standards adopted by the Commonwealth of Kentucky and the Code of Ordinances that the water flow
information noted above is true and accurate. I further acknowledge that I have reviewed the anticipated water demand for this system and find the actual water flow pressure adequate to serve this
system.
Signature of Owner or Agent
Date
Location:
Subdivision Name:
Lot #
(street address is required for all applications)
(If applicable)
Estimated Cost:
$
Building Permit Number:
(Do not include Electrical, Plumbing, HVAC or Land.)
(Total Square Footage of Project)
Applicant:
Email:
Applicant Type:
☐ Architect
☐ Engineer
☐ Contractor
☐ Other
Address:
Phone:
City:
State:
Zip:
Cell:
Owner:
Email:
Address:
Phone:
City:
State:
Zip:
Cell:
Sprinkler/Standpipe Systems
Stand Alone Standpipes:
Standpipes w/ Sprinkler System:
Sprinkler:
Number of Sprinklers:
Static:
PSI
Residual:
Water Flow:
GPM
Duration:
Source of Water Supply:
Source of Water Flow Data:
Date and Time of Water Flow Test:
AM/PM (Circle one)
Anticipated Water Demand:
PSI
GPM
Classification of Hazard (S):
Type of Building Occupancy:
Specific Types of Suppression Systems:
NFPA Standard(s) Followed in Design:
Other Suppression Systems
Carbon Dioxide System:
Pounds of Agent:
Halon System:
Pounds of Agent:
Dry Chemical System:
Pounds of Agent:
Flammable Liquid/Pressure Tanks:
Gallons:
Foam Gallon Concentrate Systems:
Gallons:
Range Hood System:
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1. The fee for new installation and or replacement of a sprinkler system shall be as follows:
Number Of Sprinklers Fee
Number Of Sprinklers Fee
4 - 200 $150
4 - 200 $150
201 - 300 $175
201 - 300 $175
301 - 400 $210
301 - 400 $210
401 - 750 $250
401 - 750 $250
OVER 750 $250 plus 20 cents
OVER 750 $250 plus 20 cents
a. The fee for reworking up to 50 sprinkler heads on an existing sprinkler system shall be $50. The fee for reworking over 50
heads shall be calculated using fee table listed above in (1).
2. The fee for automatic and/or manual fire detection systems shall be as follows: 0 to 20,000 square feet
shall be $150; over 20,000 square feet shall be $150 plus $20 for each additional 10,000 square feet in excess of 20,000 square feet.
3. The fee for a standpipe system shall be $150 (On combination standpipe and sprinkler systems the sprinkler permit fee includes the
standpipe fee.
4. The fee for a carbon dioxide fire suppression system shall be $150 for the first 200 pounds of agent plus $.02 for every pound in
excess of 200 pounds.
5. The fee for a clean agent suppression system shall be $150 for the first 35 pounds of agent plus $.06 for each pound of agent in
excess of 35 pounds.
6. The fee for a foam suppression system shall be $.50 per gallon of foam concentrate where the system is not part of an automatic
sprinkler system. Foam suppression system that are submitted as part of an automatic sprinkler system shall be reviewed under the
sprinkler fee schedule. The minimum fee shall be $150; the maximum fee shall be $ 1,500.
7. The fee for a range hood suppression system shall be $150.
8. The fee for a dry chemical suppression system shall be $150 for the first 30 pounds of agent plus $.25 for each pound in excess of
30 pounds.
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Revised Fire Suppression Permit Application Draft 9.26.17 (Louisville Jefferson County Metro Government)

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Completed 3 August 2020

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