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Online Fire Sprinkler Application

This Online Permit Application is applicable for new permits only. Modifications will be handled outside of the online permit application portal.
Please contact your Plan Review Team or fdpermits@beverlyhills.org for questions

1. PROJECT DETAILS
PROJECT ADDRESS
DESCRIPTION OF WORK*
WORK PROPOSED ON* MAIN BUILDING   
ACCESSORY STRUCTURE (Garage, Pool House, Trellis, BBQ, Accessory Dwelling Unit)
VALUATION BUILDING PERMIT NUMBER
FLOOR Area of Work (Estimated SQ. FT.)*

* Please answer the following questions to help us determine the applicable sprinkler permits and other requirements.


  • Are you applying for a New Commercial Fire Sprinkler Permit?
    How many devices ?
  • Are you applying for a New Residential Fire Sprinkler Permit?
    How many devices ?
  • Are you applying for a TENANT IMPROVEMENT FIRE SPRINKLER COMMERCIAL-PERMIT
    How many devices ?
  • Are you applying for a TENANT IMPROVEMENT FIRE SPRINKLER Residential -PERMIT
    How many devices ?
  • Will you need a fire pump?
  • Do you need to install or upgrade sandpipe System?
  • Do you need to install or upgrade Fire Main Water Supply or Hydrant?
2 (a). APPLICANT    
COMPANY NAME
FIRST NAME LAST NAME
EMAIL* The email address entered in this field will be your Electronic Plan Review login.
ADDRESS CITY, STATE , ZIP
PHONE* OFFICE PHONE
2 (b). OWNER INFORMATION     
SAME AS APPLICANT COMPANY NAME
FIRST NAME LAST NAME
EMAIL
ADDRESS CITY, STATE , ZIP
PHONE WORK PHONE
2 (c). CONTRACTOR     
LICENSE NO
LICENSE EXP DATE COMPANY NAME
FIRST NAME LAST NAME
EMAIL
ADDRESS CITY, STATE , ZIP
PHONE OFFICE PHONE
3. DECLARATIONS     
3.1 LICENSED CONTRACTOR'S DECLARATION

I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect

License Class: Lic No:
By checking this box, you are electronically signing Date:
3.2 WORKER'S COMPENSATION DECLARATION

I hereby affirm under penalty of perjury one of the following declarations:

I have and will maintain a certificate of consent to self-insure for worker's compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.

I have and will maintain worker's compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are:

Policy No: Company:
Print Name: By checking this box, you are electronically signing    Date:
3.3 CERTIFICATE OF EXEMPTION FROM WORKER'S COMPENSATION INSURANCE

I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker's compensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.

Print Name:
By checking this box, you are electronically signing Date:

WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.

3.4 I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this City and County to enter upon the above-mentioned property for inspection purposes.
Applicant/Agent Name:
By checking this box, you are electronically signing Date:
FILE ATTACHMENTS     
Contractor Agent Authorization Letter