Form 81 986 PDF Details

Engaging with the regulatory framework of the City of Philadelphia, individuals seeking to hone their professional capabilities in the critical field of fire safety encounter the Application for Fire Alarm Systems Inspector under the strict oversight of the Department of Licenses and Inspections. Anchored at the Municipal Services Building, this pivotal form, identified as 81-986, serves as a gateway for professionals aspiring to certify their qualifications and dedication to protecting urban environments through proficient fire alarm system inspection. Crucial to navigating the complexities of regulatory compliance, the form demands meticulous completion, from personal identification details to proof of professional qualifications such as NICET certifications, Underwriters’ Laboratory endorsements, or the prestigious validation through a Professional Engineer status in Pennsylvania. Beyond the precise entry of personal and employer information, the application delves into the necessity of holding a Commercial Activity License for lawful business operations within Philadelphia's vibrant economic landscape. This detailed procedural document, underscored by a non-refundable application fee, embodies the city's commitment to safety and professionalism, mandating the submission of credentials that signify a robust understanding of fire protection engineering technology. As applicants append their signature, they affirm their adherence to the city’s rigorous standards, poised to contribute their expertise in safeguarding communal spaces against the peril of fire incidents.

QuestionAnswer
Form NameForm 81 986
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesFire_Alarm_Insp ector city of philadelphia fire alarm systems inspector license renewal form

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APPLICATION FOR

 

FIRE ALARM SYSTEMS INSPECTOR

CITY OF PHILADELPHIA

 

LICENSE

DEPARTMENT OF LICENSES AND INSPECTIONS

MUNICIPAL SERVICES BUILDING CONCOURSE

 

1401 JOHN F. KENNEDY BOULEVARD

APPLICATION # ____________________________________________

PHILADELPHIA, PA 19102

For more information visit us at www.phila.gov

 

(Please complete all information below and print clearly)

 

NAME OF APPLICANT :

 

ADDRESS: _________________________________________________________________________________________________________________

CITY:_____________________________________________________________STATE:_________________ ZIP :_____________________________

PHONE # (________) __________________________________E-MAIL: ________________________________________

NAME OF COMPANY OR EMPLOYER (IF ANY): __________________________________________________________________________________________

ADDRESS: _________________________________________________________________________________________________________________________

CITY: _____________________________________ STATE: _______ ZIP: ___________________

E-MAIL:_________________________________________

PHONE #: (________) __________________________________

FAX # (________)________________________________

FIRE ALARM SYSTEMS INSPECTOR LICENSES ARE ISSUED TO QUALIFIED PERSONS. THEY ARE NOT ISSUED TO COMPANIES.

 

YOU OR YOUR EMPLOYER ARE REQUIRED TO HAVE A COMMERCIAL ACTIVITY LICENSE TO CONDUCT BUSINESS IN PHILADELPHIA

DO YOU HAVE A COMMERCIAL ACTIVITY LICENSE? YES

NUMBER _________ NO

SUBMIT PROOF OF QUALIFICATIONS (BASED UPON ONE OF THE FOLLOWING) WITH THIS APPLICATION

1.NICET Alternative. Submit a National Institute for Certification in Engineering Technologies (NICET) certificate at Level II or higher in the Fire Alarms subfield of Fire Protection Engineering Technology.

2.Underwriters’ Laboratory (UL) Alternative. The company for which the applicant is principal or designee is

listed with UL in one of two categories of Protective Signaling Services. The first acceptable category is for

Central Station Service (UUFX) as a “Full Service Company” or “Fire Alarm Service — Local Company.” The second acceptable category is for Local, Auxiliary, Remote Station and Proprietary Service (UUJS).

3.Professional Engineer Alternative. A professional engineer registered in the Commonwealth of Pennsylvania. You must provide the Department with a signed and sealed statement of qualifications in the field of fire alarm systems.

FEES

APPLICATION REQUIRES SUBMITTAL OF A NON-REFUNDABLE APPLICATION FEE

 

REVENUE

OFFICE USE ONLY

CHECK OR MONEY ORDER PAYABLE TO “CITY OF PHILADELPHIA”

FEE

CODE

CHECK #

FIRE ALARM SYSTEMS INSPECTOR

$200.00

3707

 

COMMERCIAL ACTIVITY LICENSE (IF REQUIRED)

$300.00

3702

 

 

 

TAX I.D. NUMBER ISSUED BY THE REVENUE DEPARTMENT IS

TAX I.D. NUMBER:

 

 

 

REQUIREDTO OBTAIN A BUSINESS PRIVILEGE LICENSE

 

 

THIS APPLICATION MUST BE ACCOMPANIED BY PAYMENT OF THE APPLICATION FEE AND PROOF OF QUALIFICATIONS

I hereby certify that the statements contained herein are true and correct to the best of my knowledge and belief. I understand that if I knowingly make any false statement herein I am subject to such penalties as may be prescribed by law or ordinance.

APPLICANT’S SIGNATURE:

 

DATE: _______/_______/_______

 

 

 

 

81-986 (Rev 2/13)