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Fire Marshal Plan Review Cost Form 2012 (PDF)

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This is a Fire Protection Plan Review and Inspection Data Report/Cost Form from the Queen Anne’s County Office of the Fire Marshal for recording project and contact information and calculating review/inspection fees. The form provides line-by-line fee schedules and calculation fields for: fire alarm detection systems ($150 per panel; $2 per initiating/indicating device), sprinkler/water spray/combined systems ($2 per sprinkler head; $3 per extended coverage head; $150 per system minimum), standpipe and hose systems (per 100 ft of piping at $50 and $150 per system minimum), fire pumps (per gpm at $0.50 and $300 per pump minimum; note exempting limited service residential pumps per NFPA 13D), gaseous/dry chemical extinguishing systems (per pound and per cubic foot with $150 wet chemical/system minimum), foam systems (per nozzle $100 and per sprinkler head $2 with $150 per system minimum), and smoke control systems (charged by cubic feet with per-system maximums and a $300 minimum). A final Total Fees line is provided for the computed amount.

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Queen Anne’s County
Department of Emergency Services
Office of the Fire Marshal
100 Communications Drive
Centerville, Maryland 21617
410 758-4500 ext. 1144
Fire Protection Plan Review and Inspection- Data Report
Project Name: ________________________________________________________________________________________________
Project Location: Street _________________________________________________________ Room/ Suite_______________________
City: _______________________________ Zip: ____________________
Contact or Contractor: _________________________________________________________________________________________
Address: Street _________________________________________________________________ Room Suite_____________________
City: ______________________________ State: __________________ Zip: ___________________
Contact Person: _____________________________________________ Phone: ( ) _____________
(1) Fire Alarm Detection System
a) $150.00 per fire alarm panel……………………………………………………………………….. = $___________
b) No of initiating & indicating devices__________ @ $2.00 each …………………………………. = $___________
(2) Sprinkler, Water Spray & Combined Sprinkler/Standpipe Systems
a) No. of sprinkler heads __________@ $2.00 each…………………………………………………. = $ __________
b) No of extended coverage heads ______ @ $3.00 each……………………………………………. = $ __________
c) $150.00 per system, whichever is greater ……………………………………………………….…= $ __________
(3) Standpipe and Hose System
a) Total linear feet of piping ______ @ $50.00 per 100 feet or fraction of 100 feet…………………. = $ _________
b) $150..00 per system whichever is greater……………………………………………………………= $ _________
(4) Fire Pump
a) Gal. Per min. of rated capacity _________ @ $0.50 per gal ……………………………………… = $ _________
b) $300.00 per pump, whichever is greater…………………………………………………………… = $ _________
Note: There is no fee for limited service pumps for residential sprinkler systems as permitted for NFPA 13 D
(5) Gaseous and Chemical Extinguishing Systems
a) Total lbs. Of gaseous or dry chemical agent __________ @ $1.00 per pound………………… …= $ _________
b) $100.00 per 30,000 cubic ft. of volume of the protected space……………………………………… = $ _________
c) $150.00 per wet chemical extinguishing system………………………………………………… . ..= $ _________
d) $150.00 per system, whichever is greater…………………………………………………………. ..= $ _________
(6) Foam System
a) No. of nozzles or local applicator devices _____ @ $100.00 each …………………………………..= $ _________ plus
b) No. of sprinkler heads for combined sprinkler/foam systems ______ @ $2.00 each…………….. ..= $ _________
c) $150.00 per system, whichever is greater …………………………………………………………..= $ _________
(7) Smoke Control Systems
a) Total cu. Ft. of space protected _____ @ $100.00 per 50,000 cubic feet of volume or portion of the protected space, up to a maximum of
$1,500.00 per system
b) $300..00 per system, whichever is greater…………………………………………………………..= $ ___________
Total Fees $ ____________
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