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HomeMy WebLinkAbout5 - FIRE - OWNERS CERTIFICATE (1)Is the system installation intended for one of the following special occupancies: OWNER’S INFORMATION CERTIFICATE CHECKLIST The following is Figure A.28.1(b) in NFPA® 13, Standard for the Installation of Sprinkler Systems, 2022 edition. Note regarding speculative buildings: The design and installation of the fire sprinkler system is dependent on an accurate description of the likely use of the building. Without specific information, assumptions will need to be made that will limit the actual use of the building. Make sure that you communicate any and all use considerations to the fire sprinkler contractor in this form and that you abide by all limitations regarding the use of the building based on the limitations of the fire sprinkler system that is eventually designed and installed. Indicate whether any of the following special materials are intended to be present: If the answer to any of the above is “yes,” the appropriate NFPA standard should be referenced for sprinkler density/area criteria. If the answer to any of the above is “yes,” describe type, location, arrangement, and intended maximum quantities. To learn more, view the code requirements and related content at nfpa.org/LiNK. Y N Special Occupancies Y N Special Occupancies Aircraft hangar Airport terminal Fixed guideway transit system Aircraft engine test facility Race track stable Power plant Marine terminal, pier, or wharf Water-cooling tower Y N Special Materials Y N Special Materials Flammable or combustible liquids Compressed or liquefied gas cylinders Aerosol products Liquid or solid oxidizers Nitrate film Organic peroxide formulations Pyroxylin plastic Idle pallets Name of property: Address:City:State:Zip Code: Name of owner: Existing or planned construction is: Fire resistive or noncombustible Wood frame or ordinary (masonry walls with wood beams) Unknown Describe the intended use of the building: CERTIFICATE CHECKLIST Continued Indicate whether the protection is intended for one of the following specialized occupancies or areas: Will there be any storage of products over 12 ft (3.7 m) in height? If the answer is “yes,” describe product, intended storage arrangement, and height. Will there be any storage of plastic, rubber, or similar products over 5 ft (1.5 m) high except as described above? If the answer is “yes,” describe product, intended storage arrangement, and height. Is there any special information concerning the water supply? If the answer is “yes,” provide the information, including known environmental conditions that might be responsible for corrosion, including microbiologically influenced corrosion (MIC). Provide water supply data for the project. If the answer to any of the above is “yes,” describe type, location, arrangement, and intended maximum quantities. Y N Occupancy or Area Y N Occupancy or Area Spray area or mixing room Class A hyperbaric chamber Solvent extraction Cleanroom Laboratory using chemicals Incinerator or waste handling system Oxygen-fuel gas system for welding or cutting Linen handling system Acetylene cylinder charging Industrial furnace Production or use of compressed or liquefied gases Water-cooling tower Commercial cooking operation Yes No Yes No Yes No CERTIFICATE CHECKLIST Continued This information is provided to help users navigate NFPA 13, Standard for the Installation of Sprinkler Systems, 2022 edition. It is not intended to be a comprehensive list of requirements under NFPA 13. Check with the local jurisdictions for specific requirements. This material does not represent the official position of NFPA or its technical committees on any referenced topic, which is represented solely by the NFPA documents in their entirety. For free access to the complete and most current version of all NFPA documents, please go to nfpa.org/docinfo. NFPA disclaims liability for any personal injury, property, or other damages of any nature whatsoever resulting from the use of this information. In using this information, you should rely on your independent judgment, and when appropriate, consult a competent professional. Copyright ©2024 National Fire Protection Association. All Rights Reserved. Is seismic protection required? Provide short-period spectral response parameter. I certify that I have knowledge of the intended use of the property and that the above information is correct. Signature of owner’s representative or agent: ______________________________________Date: _____________________ Name of owner’s representative or agent completing certificate (print): ___________________________________________________________________________ Relationship and firm of agent (print): _________________________________________________________________________ Yes No