PIKES PEAK REGIONAL BUILDING DEPARTMENT
2880 International Circle, Colorado Springs, CO 80910
FIRE SUPPRESSION CONTRACTOR A-B-C-D
LICENSE INFORMATION

I. FEES:

APPLICATION...$20.00 LICENSES: A..$125.00 B..$100.00 C..$75.00 D..$50.00

II. TECHNICAL EXPERIENCE: The following, per license type, are required;
 



 
 
 

LICENSING PROCESS:
 
 
 

A. Submit a complete file:
    1. Completed and signed Application form
    2. Application fee (Do NOT send the License Fee at this time - see "E" below)
    3. All listed "Technical Experience" requirements

By mail: Contractor Licensing Office: 2880 International Cir., Colorado Springs, Colorado 80910

B. All applications will be reviewed by the CSFD for completion. All complete files will be submitted to the Fire Board of Appeals.

C. The FIRE BOARD OF APPEALS will act on each application.
This Board meets the second Thursday each month.

D. The FIRE BOARD will pass their recommendations to the BOARD OF REVIEW.
This Board meets the third Wednesday each month.

E. Once both Boards have given their approval, you may pick up your license.

After the date of the Board of Review which acted on your file, you have 60 days to pick up your license! You will not receive a letter telling you to pick up your license, it is your responsibility to do so. If not picked up within 60 days the files will be disposed of.

To obtain your license, submit the license fee to the Regional Building Department.

If sending it in by mail; indicate that it is a NEW LICENSE and the EXAMINEE'S NAME.

F. INSURANCE: The following types of coverage are required:

GENERAL LIABILITY: In the amount of $300,000 Combined Single Limit

WORKERS COMPENSATION in accordance with the State statutes

If exempt from Workers Comp, submit a written statement with the examinee's signature stating same.

THE INSURANCE CERTIFICATES must:

1. List the CERTIFICATE HOLDER as:

Pikes Peak Regional Building Department,
2880 International Cir., Colorado Springs, CO 80910

2. Contain a 10-day cancellation notification cause

3. The "Insured" must match the "firm" name EXACTLY as your have written it on the application.
 
 


 
 

PIKES PEAK REGIONAL BUILDING DEPARTMENT

APPLICATION FOR FIRE SUPPRESSION CONTRACTOR A -B -C -D
 
 
 

                                                                                        LICENSE TYPE:________ DATE:__________________

        CONTRACTOR/

I. FIRM INFORMATION: Firm type: _____Corporation _____Partnership _____Sole Proprietorship

CONTRACTOR/FIRM NAME:___________________________________ PHONE: ( )______________

ADDRESS: ________________________________________________________________________________
                                                                                           Street
_________________________________________________________________________________________
                                                    City                                                                        State                     Zip

II. OWNER/PRINCIPAL/MANAGER INFORMATION:

NAME:________________________________________________ SSN:________ _____ _____________
                                    Last                         First                     Initial

ADDRESS:_________________________________________________ PHONE:( )_____________
                                                                Street
________________________________________________________________________________
                                                    City                                                         State               Zip

List your three most recent positions as an employee/supervisor:

        DATES                         COMPANY                                         ADDRESS                           POSITION
______________ ___________________________ ________________________________ ____________

______________ ___________________________ ________________________________ ____________

______________ ___________________________ ________________________________ ____________

III. "RESPONSIBLE MANAGING EMPLOYEE" (RME):

NAME:_____________________________________________________ PHONE: ( )______________
                                            Last                                 First

ADDRESS:______________________________________________________________________________
                                                           Street                                        City                                  State        Zip

N.I.C.E.T. Certificate # _____________________________ Level: III___ IV___

Engineering Registration #:_______________ State: ____________ SSN______________________

IV. QUESTIONS TO BE ANSWERED IN BEHALF OF THE FIRM (Not required if a NEW Firm):
 

A. How long has the Firm operated as a Contractor? _________
B. Type of work conducted as the Contractor: Residential_______ Commercial_______
C. List some work projects in which firm worked as the Contractor (including present projects):

                SPECIFIC LOCATION                                  TYPE                                                  PROJECT COST
                                                                          (Residential/Commercial)                                          (Approx)

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

D. List licenses the Firm currently holds (attach copies of licenses):

        JURISDICTION / TYPE and NUMBER                        JURISDICTION / TYPE and NUMBER

_________________________________________ ____________________________________________

_________________________________________ ____________________________________________

V. CERTIFICATION:

A. To be signed by "RME"

I, the undersigned, do hereby submit application for a contractor's license as the "responsible managing employee" for the firm named herein. I do hereby expressly represent, and warrant that, I am acting in the capacity of "RME" of said firm; and I hereby agree to accept the responsibilities for said company's, and my own, actions in connection with the contractor's license that may be granted.

I hereby declare that the information set forth in this application is true to the best of my knowledge and belief.

SIGNATURE:_____________________________________________________________________________

B. To be signed by Owner/Principal/Manager of Firm

The undersigned individual, partnership, or corporation, do hereby declare and warrant that the above named owner, principal, or manager for a contractor's license has the express authority to bind the company, partnership, or corporation by his application herein; and, further, we do hereby agree to abide by the ordinances and regulations promulgated by the city of Colorado Springs, and the County of El Paso, and adopted by other municipal entities within El Paso County, in regard to any work which may be done by our firm pursuant to the Contractor's license applied for.

Type of Organization: _____ Individual ____ Partnership ____ Corporation

Name of Organization:____________________________________________________________________________________

Name of Owner/Principal/Manager

(PRINT):_____________________________________________TITLE:________________________

Signature:_________________________________________________________________________