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Fire Marshal Plan Review Cost Form 2012 (PDF)

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Queen Anne’s County Department of Emergency Services Office of the Fire Marshal 100 Communications Drive Centerville, Maryland 21617 410 758-4500 ext. 1144 Fire Protection Plan Review and Inspection- Data Report Project Name: ________________________________________________________________________________________________

Project Location: Street _________________________________________________________ Room/ Suite_______________________

City: _______________________________ Zip: ____________________

Contact or Contractor: _________________________________________________________________________________________

Address: Street _________________________________________________________________ Room Suite_____________________

City: ______________________________ State: __________________ Zip: ___________________

Contact Person: _____________________________________________ Phone: ( ) _____________

(1) Fire Alarm Detection System

a) $150.00 per fire alarm panel……………………………………………………………………….. = $___________

b) No of initiating & indicating devices__________ @ $2.00 each …………………………………. = $___________

(2) Sprinkler, Water Spray & Combined Sprinkler/Standpipe Systems

a) No. of sprinkler heads __________@ $2.00 each…………………………………………………. = $ __________

b) No of extended coverage heads ______ @ $3.00 each……………………………………………. = $ __________

c) $150.00 per system, whichever is greater ……………………………………………………….…= $ __________

(3) Standpipe and Hose System

a) Total linear feet of piping ______ @ $50.00 per 100 feet or fraction of 100 feet…………………. = $ _________

b) $150..00 per system whichever is greater……………………………………………………………= $ _________

(4) Fire Pump

a) Gal. Per min. of rated capacity _________ @ $0.50 per gal ……………………………………… = $ _________

b) $300.00 per pump, whichever is greater…………………………………………………………… = $ _________

Note: There is no fee for limited service pumps for residential sprinkler systems as permitted for NFPA 13 D

(5) Gaseous and Chemical Extinguishing Systems

a) Total lbs. Of gaseous or dry chemical agent __________ @ $1.00 per pound………………… …= $ _________

b) $100.00 per 30,000 cubic ft. of volume of the protected space……………………………………… = $ _________

c) $150.00 per wet chemical extinguishing system………………………………………………… . ..= $ _________

d) $150.00 per system, whichever is greater…………………………………………………………. ..= $ _________

(6) Foam System

a) No. of nozzles or local applicator devices _____ @ $100.00 each …………………………………..= $ _________ plus

b) No. of sprinkler heads for combined sprinkler/foam systems ______ @ $2.00 each…………….. ..= $ _________

c) $150.00 per system, whichever is greater …………………………………………………………..= $ _________

(7) Smoke Control Systems

a) Total cu. Ft. of space protected _____ @ $100.00 per 50,000 cubic feet of volume or portion of the protected space, up to a maximum of

$1,500.00 per system

b) $300..00 per system, whichever is greater…………………………………………………………..= $ ___________

Total Fees $ ____________

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