Missouri Division of Fire Safety Elevator Safety Unit

firesafe@dfs.dps.mo.gov
Procedures: To obtain Plan Review approval and issuance of a State Installation/Alteration
Permit.
The following procedures shall be followed to obtain plan review approval and issuance of a state installation/
alteration permit:
1. Complete and submit permit application.
2. If applying for ALTERATION permit, include State ID, building location, location of equipment in building, and
serial number of equipment involved in alteration.
3. Submit blueprints for machine room, hoistway, and elevator shop drawings for new installations.
4. Submit architectual plans for new construction to include electrical, mechanical and plumbing for
struc-
ture in which the elevator is to be installed.
5. Submit specifications and new equipment list for alteration. An alteration is defined as; any change or
addition to any elevator equipment other than ordinary repairs and replacements.
6. Submit appropriate fees payable to the Missouri Division of Fire Safety.
To avoid delays, please submit plans/documentation at least sixty (60) days before beginning such project.
Fee Structure:
- Plan review fee $150.00
- Fee per elevator opening $25.00
- Installation/Alteration Permit Fee $25.00
Alterations Only:
see table on page 2
EXAMPLE Elevator:
Two story building, one elevator, door opens one side on each level, therefore, considered two openings: Total
Cost: $225.00 (Plan Review Fee -$150.00, openings $50.00 ($25.00 X 2), and Permit Fee $25.00)
EXAMPLE Platform Lift:
- 1 Unit, 2 Openings = Total Cost: $125.00
The above information/documents/fee(s) shall be submitted directly to:
Division of Fire Safety
Elevator Safety Unit
2401 East McCarty Street, PO Box 844
Jefferson City, MO 65101
(573) 751-2930
Platform Lift or Stair Lift:
- Plan Review Fee $75.00 per unit
- Fee per opening $12.50
- Installation/Alteration Permit Fee $25.00 Revised Section 8.7 Table
May 2007
Alteration that requires a full permit fee, plan review, and inspection. Requires fee of $150.00, plus
$25.00 for each floor opening, including the bottom floor, plus $25.00 permit fee.
Item
Electric
Hydraulic
MW & Es
**Alternating current, change to direct current
8.7.2.27.3
8.7.3.31.4
*Car, increase/decrease in dead weight of
8.7.2.15.2
8.7.3.21
**Controller
8.7.2.27.4
8.7.3.31.5
**Direct current, change to alternating current
8.7.2.27.3
8.7.3.31.4
**Driving machine
8.7.2.25.1
8.7.3.23.1
*Driving machine, change in location
8.7.2.25.2
8.7.3.23.6
**Electrically operated control valve
8.7.3.24
**Freight elevator change to passenger service
8.7.2.16.3
8.7.3.17
*Increase in rated load
8.7.2.16.4
8.7.3.20
**Increase
in rated speed
8.7.2.17.1
8.7.3.22.2&3
*Increase in travel
8.7.2.17.1
8.7.3.22.1
*Operation, change in type of
8.7.2.16.1
8.7.3.17
**Pressure, working change in
8.7.3.23.4
*Addition of elevator to existing hoistway
8.7.2.1.2
8.7.2.1.2
**Car decrease or increase in dead weight of
8.7.2.15.2
8.7.3.21
*Decrease in travel
8.7.2.17.1
8.7.3.22.1
*Freight elevator permitted to carry passengers
8.7.2.16.3
8.7.3.19
*Location of driving machine, change in
8.7.2.25.2
8.7.3.23.4
*Location of hydraulic jack, change in
8.7.3.23.5
*Location of hydraulic machine, change in
8.7.3.23.6
*Relocation of moving walk
8.7.6.2
*Relocation of escalator
8.7.6.2
*Top of car operating device
8.7.2.27.1
8.7.3.31.1 Alteration that requires permit and inspection (1003.3 and 1006.3)
Only requires $25.00 fee
Item
Electric
Hydraulic
*Buffer
8.7.2.23
8.7.3.27
*Car safeties
8.7.2.18
8.7.3.15
**Check valve
8.7.3.24
**Control valve
8.7.3.24
*Counterweight safeties
8.7.2.18
8.7.3.15
*Hydraulic Jack
8.7.3.23
**Door, power operation of
8.7.2.12
8.7.3.10
**Emergency operation (not signaling devices)
8.7.2.28
8.7.3.31.8
**Final terminal stopping device
8.7.2.26
None
**Firefighters service
8.7.2.28
8.7.3.31.8
*Governor
8.7.2.19
8.7.3.16
**Governor rope (not if same type, size and material)
8.7.2.19
8.7.2.16
**Guide rail
8.7.2.24
8.7.3.28
**Hoist-way door, power operation of
8.7.2.12
8.7.3.12
**Normal terminal stopping device
8.7.2.26
8.7.3.30
**Piping supply
8.7.3.24
*Piston
8.7.3.23.2
**Rope, suspension (not if same type, size & material)
8.7.2.21.1
8.7.3.25.1
**Plunger Gripper
8.7.3.23.7
*Operating device
8.7.2.27
8.7.3.31
*Overlay
8.7.2.27.6
8.7.3.31.5
**Sleeving
8.7.3.24
*Spring Buffer
8.7.2.27
8.7.3.27
**Wire Rope
8.7.2.21
8.7.3.25
**Valve
8.7.3.24
**Brake
8.7.2.25.1
**Capacity
8.7.2.16
All other alterations are required to conform to A17.1-2004 with 2005 Addendum and 2005 Supplement
section 8.7.
* Plans submitted with permit
** Scope submitted with permit P.O. BOX 844, JEFFERSON CITY, MO 65102, (800) 877-5688
MISSOURI DEPARTMENT OF PUBLIC SAFETY
MISSOURI DIVISION OF FIRE SAFETY
ELEVATOR SAFETY UNIT
INSTALLATION/ALTERATION PERMIT APPLICATION
TYPE OF ACTION
INSTALLATION
ALTERATION
DATE
OFFICE USE ONLY
STATE ID
APPROVAL
EQUIPMENT TYPE
LOCATION (ADDRESS, CITY, STATE, ZIP CODE)
APPLICANT NAME
OWNER NAME (IF DIFFERENT FROM APPLICANT)
APPLICANT ADDRESS
OWNER ADDRESS
BUILDING USAGE
APPLICANT CITY, STATE, ZIP CODE
OWNER CITY, STATE, ZIP CODE
SHAFT
NEW
EXISTING
NUMBER OF LANDINGS
NUMBER OF OPENINGS
CAPACITY (POUNDS)
(PEOPLE PER MINUTE) CONTRACT SPEED (FPM)
PLATFORM SIZE (FEET X FEET)
TYPE OF SAFETY
X
NUMBER OF OPENINGS IN CAR
BUFFERS
DEPTH OF PIT
SPRING
OIL
STROKE:
LOAD RATING:
MOTIVE POWER (VOLTS)
AC
DC
PHASE
TYPE OF MACHINE
REVERSE PHASE RELAY
TYPE OF GOVERNOR
GOVERNOR CABLE SIZE
HOISTING CABLES
HYDRAULIC CASING AND PISTON
NUMBER:
SIZE:
CASING DIAMETER:
PISTON DIAMETER:
ARCHITECTS NAME AND PHONE NUMBER
ADA COMPLIANT
YES
NO
CONTRACTOR NAME(S) AND ADDRESS(ES)
PLANS PREPARED BY
ELEVATOR
MANUFACTURER
ELEVATOR INSTALLED BY
I will see to it that the proposed work is faithfully carried out as described in this application and as shown on the plans accompany-
ing same, and not otherwise. Provisions of laws and ordinances applying to the premises and the proposed work will be complied
with whether stated in application and plans or not. Local code compliance is required if applicable.
MAIN RAILS (STEEL REQUIRED)
COUNTERWEIGHT RAILS (STEEL REQUIRED)
SIZE:
SIZE:
TOTAL PERMIT FEE
AGENT NAME, ADDRESS
ELEVATOR -PASS -HYDRAULIC
ELEVATOR - PASS - TRACTION
ELEVATOR - FREIGHT - HYDRAULIC
ELEVATOR - FREIGHT - TRACTION
DUMBWAITER
ESCALATOR
MOVING WALK
MAN LIFT
PERSONNEL LIFT
PLATFORM LIFT
STAIR LIFT
LOCATION IN BUILDING
MANUFACTURER
SERIAL NUMBER