HomeMy WebLinkAboutAPPLICATION - 05-00197 - SimplexGrinnell LP - Fire Safety Certification
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"A safety system certification permit is required to install, modify, maintain, or service all new and
existing fire extinguishers, fire suppression systems, fire alarm systems, and other life safety
systems within the Cify of Rexburg"
BUSINESS NAME: SimplexGrinnell LP Parcel:
OFFICEADORESS: 1272 West 2240 South, Ste A Salt Lake City, UT 84119
OFFICE PHONE NUMBER: 801-262-9406
CONTACT PERSON: Kyle Ari~ot CELL PHONE #; 801-633-9793
PLEASE IDENTIFY SYSTEMS TO BE COVERED BY THIS PERMIT- CHECK ALL THAT APPLY.
~_FIRE ALARM SYSTEMS -Alarm Contractors shall have a minimum of NICET Level 1 Certifications
•PLEASE PROVIDE CERTIFICATIONS;
:•NICET Certification
•Panel Certification
:•Proof of Liability Insurance
-AUTOMATIC SPRINKLER SYSTEMS * Fire Sprinkler Contractors shall have a minimum of NICET Level III
Certifications.
•PLEASE PROVIDE CERTIFICATIONS:
:NICET Certification
vAny Additional Certifications
• Proaf of Liability Insurance
FIRE EXTINGUISHERS STANDPIPE SYSTEMS SMOKE CONTROL SYSTEMS
SPECIAL HAZARD SYSTEMS ,,..,-,FIRE PUMPS
AUTOMATIC FIRE EXTINGUISHING SYSTEMS FOR COMMERCIAL COOKING
'''PLEASE PROVIDE DOCUMENTATION OF TRAINING LEVELS, INSTALLATION CERTIFICATIONS, LIABU.ITYINSURANCE, ETC.
FOR ALL DISIPLINES.'••
Jun, 22. 2005 7:48AM
No. 0835 P, 14
BUSINESS NAME: SimplexGrinnell LP
PLEASE LIST ALL COMPANIES YOUR BUSINESS I$ AUTHQRIZED TO REPRESENT:
COMPANY NAME: Tyco Fire Products PHONE#: 801-269-0688
COMPANY NAME: Tyco Safety Products PHONE#: 978-731-2500
COMPANY NAME: Ansul PHONE ~:
800-862-6785
'"'"PLEASE LIST ADDITIONAL COMPANY AUTHORIZATIONS ON THE BACK OF THIS FORM""'
I csrtlfy That I have read lhis application end declare under penalpr o! ptrJury flat fha Inlorm^tlon contain^d herein ~ eorrect end complete, l agree to compy MAth
all eky ordlnancas, adopted codes, end state laws relaling to the Mstallatlon, modMlcallon, sarvlc^, and meint^n^nce o! new end existing IKe salary systems. I
hereby authorlra repreaanfativ^^ of This cityr to inspect any work for compliance purposes. I am eMh^r the contrector res nsiDle for the wo-k, or I represent the
owner as slgnMlad ^bova and am acting wish the owner's IooMrector's full knowledge or con^sn(.~
r..
Kyle Arigot ~ _
r
PRINT NAME OF APPLICANT APPL NT'S SIGNATURE - `
6/22/05 ''~
DATE
PERMIT VALID FOR ONE YEAR FROM DATE
OF APPROVAL.