Print Form
Permit Service Center
2120 Milvia Street, Berkeley, CA 94704
Main Tel: 510.981.7500 TDD: 510.981.7474 Fax: 510.981.7505
Scheduling Inspections: 510.981.5585
Clear Form
Fire Inspectors: 510.981.5585 Fire Plan Checker: 510.981.7447
Email:
Planning@ci.berkeley.ca.us
FIRE PERMIT APPLICATION
SHADED AREAS FOR STAFF USE ONLY
Please note:
Building, Electrical, Mechanical, and Plumbing elements require separate applications.
APPLICATION #
RELATED APPLICATIONS
____________________
_______________________________________________
STREET ADDRESS/ UNIT # (if applicable)
TENANT NAME
TOTAL PROJECT SQUARE FEET
VALUATION ($)
APPLICATION GROUP (mark applicable permit types):
EQUIPMENT
ANNUAL EVENT
ASSEMBLY
TANKS
TEMP. USE
OPER/STORE
Contractor Name
Check Applicable Boxes
Phone#
--
--
EQUIPMENT INSTALLATION
Address
State Lic#
Sprinkler System
Bus. Lic #
Standpipe
City, ST
ZIP Code
Fire Pump
Underground Pipeline
Extinguishing Systems
Property Owner Name
Phone#
High Pile Storage
Window Bars
Address
Fire Alarm Devices:
_____________________
Water Flow Alarms
City, ST
ZIP Code
ANNUAL EVENT
Applicant/Contact Person
Phone#
ASSEMBLY
< 300 Occupants
Address
FAX#
≥ 300 Occupants
TANKS
City, ST
ZIP Code
Addition
Removal
Size(s):
____________________________ gal.
Describe Scope of Work:
Size(s):
____________________________ gal.
TEMPORARY USE
Parking Spaces:
_____________________
Fireworks
Other, as described
OPERATION/STORAGE
Hazardous Gas/Liquid
Hazardous Material
Rev. 6/04