FORM B

APPLICATION AND CERTIFICATION FOR FIXED INSTALLATION AND

FIRE ALARM SYSTEMS
( as prescribed in By Laws 7.7.1.20 & 7.7.1.21 )
...........................................20.................
To the Local Authority
........................................................................................
I ( name of submitting
person)................................................................................................................
I/C No.
:.............................................................of ..............................................................
.....................
Hereby apply for approval to install / supervise the installation of the fixed
installations / fire alarm system * as described hereunder and as shown on the
drawings submitted with this applications which I have designed in accordance
with the current FOC Rules / BSCF / British Standards
No. :........................................................................................................................
.................................
Name Of
Owner : .................................................................................................................
..................
Address of Premises of installation /
s : ...................................................................................................
................................................................................................................................
..................................
................................................................................................................................
..................................
Type and nature of installations :
Fire Alarm System *
Wet Riser *
Dry Riser *
Hose Reel *
Other Fixed Installation
* ........................................................
Building
Protected : ..............................................................................................................
...................

Number of Riser (Wet / Dry )

* : ..............................................................................................................
Number of Pumping
inlets : ...................................................................................................................
Number of landing
valves : ...................................................................................................................
...
Number of Fire Alarm call
Points : ...........................................................................................................
Number of indicator
panels : ...................................................................................................................
Location : ................................................................................................................
.................................
Fire Station link
to ............................................................................................................................
.......
Secondary Power
Supply : ...................................................................................................................
.
Water Supplies : The following water supplies have been provide :
Number of Fire Hydrants : ................................... Position /
s : .......................................
Minimum Flow / gpm : .............................................
Water works Main / Ring main :
.......................................Diameter : .....................................inches
Private Reservoir ( Type ) :
................................................Capacity : ......................................gallons
Rate of Discharge / replenishment by waterworks
mains : ...............................................................
Pump

Motive
Niminal
power : .................................... Patting : .......................................
Gallons /
Pounds / sq.
min: ....................................
Inch : .....................................
Drawing Water
from : ...............................................................................................
..
Comments ( if any ) and departures from the BSCP / FOC / British Standards /
CIFS

Regulatio
ns :

.............................................................................................................
..........................
.............................................................................................................
..........................
.............................................................................................................
..........................
................................................
Signature of submitting person

FOR OFFICIAL US E ONLY

Date
Received : .............................................
.......

Date Approved : .....................................

I hereby certify that the

Fixed Installations / Fire Alarm System as
describe in the Form of
Application and as shown on the approved drawings have been completed under
my personal supervision and have been tested to my satisfaction and as such I
would apply for your endorsement
for issue of a completion certification
Date : ................................................

....................................................................
........
Signature of submitting
person