Racking Permit Storage & Operational Details Form OWNER'S INFORMATION CERTIFICATE
Name/address of property to be protected with sprinkler protection:
Existing or planned construction is:
Describe the intended use of the building:
Note regarding speculative buildings: The design and installation of the fire sprinkler system is dependent on an accurate description of the likely use of the building. Without specific information, assumptions will need to be made that will limit the actual use of the building. Make sure that you communicate any and all use considerations to the fire sprinkler contractor in this form and that you abide by all limitations regarding the use of the building based on the limitations of the fire sprinkler system that is eventually designed and installed.
Is the system installation intended for one of the following special occupancies:
Fixed guideway transit system
Marine terminal, pier, or wharf
Aircraft engine test facility
If the answer to any of the above is "yes," the appropriate NFPA standard should be referenced for sprinkler density/area criteria.
Indicate whether any of the following special materials are intended to be present:
Flammable or combustible liquids
Compressed or liquefied gas cylinders
Liquid or solid oxidizers
Organic peroxide formulations
If the answer to any of the above is "yes," describe type, location, arrangement, and intended maximum quantities.
Indicate whether the protection is intended for one of the following specialized occupancies or areas:
Spray area or mixing room;
Solvent extraction;
Laboratory using chemicals;
Oxygen-fuel gas system for welding or cutting;
Acetylene cylinder charging;
Production or use of compressed or liquefied gases;
Commercial cooking operation;
Cleanroom;
Incinerator or waste handling system;
Linen handling system;
Industrial furnace ;
Water-cooling tower;
If the answer to any of the above is "yes," describe type, location, arrangement, and intended maximum quantities.
Will there be any storage of products over 12 ft (3.7 m) in height?
If the answer is "yes," describe product, intended storage arrangement, and height.
Will there be any storage of plastic, rubber, or similar products over 5 ft (1.5 m) high except as described above?
If the answer is "yes," describe product, intended storage arrangement, and height.
Is there any special information concerning the water supply?
If the answer is "yes," provide the information, including known environmental conditions that might be responsible
for corrosion, including microbiologically influenced corrosion (MIC).
Is seismic protection required?
Provide short-period spectral response parameter:
I certify that I have knowledge of the intended use of the property and that the above information is correct
• Please give a short description of the type of business and the operational activities that will occur within the warehouse.
What type of products/material will be loaded on the racks / shelving.
What are the products made of?
If there are Material Safety Data Sheets available, please provide those.
How are the products packaged?
If Styrofoam, then what percentage of volume does it make up of the entire carton?
Please advise the type of internal filler used.
Will the shelved / racked products be hand-loaded directly onto the shelf levels, or will
they be stored on pallets?
What type of decking will be present on the shelf / rack levels?
If stored on Pallets: Are the pallets wood or plastic?
Will the pallet loads be stretch wrapped on 4 sides?
Will there be a dust cover or stretch wrapping over the top of the load (encapsulated)?
Will there be storage of any Open Top Containers / Parts Bins within the shelving /
rack system?
If present are the Containers / Bins made from Plastic or Carton?
Describe the storage application and max height containers / bins will be stored to.
Will there be any hazardous materials, combustible liquids, tires or rolled paper stored
within the racking or area?
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