DFPC HEALTH FACILITY AND SUPPRESSION INSPECTION REQUEST FORM
COMPLETE THIS FORM FOR ALL DFPC HEALTH FACILITY INSPECTIONS AND SUBMIT TO REQUEST AN INSPECTION
WHAT TYPE OF INSPECTION
Check ALL Boxes that are applicable,
LIMITED STAKES GAMING
IS PERMIT ISSUED and PAID IN FULL
Inspection will not be scheduled for permits that are not issued or paid, It is the responsibility of the Point of Contact to schedule inspections, communicate with all contractors, maintain permit card and all project documents on the jobsite
YES, I have received a PAID invoice for payment
No, I have not received payment notification and will not submit to schedule inspection
PROJECT NAME AND LOCATION
INCLUDE STREET ADDRESS-CITY-COUNTY
PERMIT MUST BE ON THE JOBSITE AND ALL FEES PAID IN FULL
DESCRIPTION OF WORK TO BE INSPECTED
Brief description of all work to be inspected, quantity or size of area to be inspected, location of Compartment, floor or wing
POINT OF CONTACT NAME
This must be the only person to schedule inspections, Point of contact must communicate with all subcontractors to schedule inspections and verify that project is ready for inspection and all required signatures are on the permit card or documents are on site prior to DFPC inspection
CONTACT PHONE NUMBERS
PROJECT ZIP CODE
INSPECTION REQUEST DATE and TIME
HEALTH FACILITY RULES-Inspection request must be entered by 12:00 noon on Thursday to be scheduled the next week. The posted Permit Card, a copy of the reviewed plans including any applicable reviewer markups or commentary must be present on-site prior to scheduling the first inspection. Inspections shall be in accordance with Article 7 of 8 CCR 1507-31 and shall only be scheduled by the designated primary point of contact. Additional fees may be assessed in accordance with Article 13 of 8 CCR 1507-31 for partial inspections, re-inspections or off-hour inspections. Fire and Life Safety Code Inspections, with the exception of the final inspection, may be performed by the Qualified Local Fire Department by a State Certified Fire Inspector as long as they are inspecting to the Division of Fire Prevention and Control's adopted Health Facility codes, standards, and review commentary and are willing to sign our permit card.
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