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,
Required
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
PROJECT NAME AND LOCATION *
INCLUDE STREET ADDRESS-CITY-COUNTY
Your answer
PERMIT NUMBER *
PERMIT MUST BE ON THE JOBSITE AND ALL FEES PAID IN FULL
Your answer
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
Your answer
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
Your answer
CONTACT PHONE NUMBERS *
Your answer
PROJECT ZIP CODE *
Your answer
CONTACT EMAIL *
Your answer
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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ADDITIONAL COMMENTS
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This form was created inside of State.co.us Executive Branch.