Fire and Life Safety Submittal Form

PRACTICE!

PRACTICE ONLY

SFM Plan Review Application

Utah State Fire Marshal

Fire & Life Safety Plan Review

Submittal Application

410 West 9800 South, 3rd Floor, Sandy, Utah 84070 | (801) 256-2390

OFFICIAL PLAN NUMBER

PENDING

Application Logged & Recorded

1. Project Information

Project Name

Plan Type

Project Location (Address & City)

2. Fee Calculation

Scope of Work (Sq. Footage)

Total Fee Due

Min: $75.00 | Rate: $0.022/sf

$0.00

3. Company / Applicant

Company Submitting Plans

Company Address

Contact Name

Telephone

Email Address

4. Building & Occupancy Details

Expected Completion Date

Expected 70% Completion Date

Description of Occupancy

Licensed as Health Care?

Stories

Height (ft)

Occ. Load

Constr. Type

Total Bldg Sq. Ft.

Sprinklers Required?

Allowable Sq. Footage

Basis?

5. Water Supply Data (Required)

Date of Test

Available Fire Flow (GPM @ 20psi)

Flow (GPM)

Static (PSI)

Residual (PSI)

6. Items Included in Submittal

SUCCESS!

Your Plan Number is stamped above.
Please print this form and email it with your plans.

Start New Application

Questions?

Contact our office or your local fire department for more specific fire and life safety hazard questions.

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