CLARK COUNTY FIRE DEPARTMENT
CLARK COUNTY FIRE DEPARTMENT PERMIT SURVEY FORM
PROJECT ADDRESS
APPLICATION #____________________
PROJECT NAME ____________________________
DATE __________ ___ ______________
ASSESSOR'S PARCEL NUMBER(S) ______________________ FAX # __________________________
CONTACT PERSON ___________________________ PHONE # ___________________________
INITIATING AGENDY:
(Check box, Agency Application/Permit #, and Agency Signature Required Below)
AIR QUALITY BUILDING DIVISION
BUSINESS LICENSE CURRENT PLANNING
FIRE DEPARTMENT HEALTH DISTRICT
NOTE: Single family detached residences: complete items 1 and 2 only. Commercial occupancies/multi-family/home based business: complete all items below.
Does your building/project include:
Fire Dept. Review/Comments
Yes No
1.
Water supplied by a well or private water system
2.
Propane tank(s)
3.
Aboveground or underground flammable/combustible liquid tank(s)
4.
High-piled storage* (see definition below)
5.
Spray paint booths
6.
Medical Gas Systems
7.
Combustible Dust Producing Operations
8.
Chemicals ? Storage, Manufacture, or Use **
Signature
Date
A "Yes" response to any of the above conditions will require a permit or combined plan/permit request to be submitted to the Clark County Fire Department for review. Immediately contact CCFD PLANSCHECK AT (455-7100) for permit requirements. Plans must be reviewed and approved by CCFD Planscheck Division. A "Yes" response to any of the above conditions may also require a Special Use Permit from the Current Planning Division.
PRINT NAME
SIGNATURE
Check one: Property, Building, or Business Owner Occupants Legal Representative Responsible Party
*************************************************************************** *High-Piled Storage is storage of combustible materials in closely packed piles or combustible materials on pallets, in racks or on shelves where the top of storage is greater than 12 feet (3658 mm) in height. High-piled combustible storage also includes certain high-hazard commodities, such as rubber tires, Group A plastics, flammable liquids, idle pallets and similar commodities, where the top of storage is greater than 6 feet in height. **Refer to the Clark County Fire Departments "Hazardous Materials Systems" Guideline.
************************************************************************** For Development Services ? Building Division Use Only
Hazardous Occupancy Required? YES
NO
Signature of Building Official
If yes, then Special Use Permit Required.
New construction Addition Remodel
PAC Process Walk-thru
Commercial Residential
FAX TO CLARK COUNTY FIRE PLANSCHECK AT (702) 735-0775
-DISTRIBUTIONCUSTOMER AIR QUALITY MANAGEMENT BUSINESS LICENSE DEPARTMENT FIRE DEPARTMENT HEALTH DISTRICT
DEVELOPMENT SERVICES: BUILDING PLANS EXAMINATION ZONING PLANSCHECK CURRENT PLANNING
C:\DOCUME~1\JXK~1.CLA\LOCALS~1\TEMP\PERMIT SURVEY FORM REVISED APRIL 18 2006.DOC
Print Form
Click to Clear Fields
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- clark county business license application
- department of business license clark county nevada
- residential stormwater plan application clark county washington
- clark county community foundation inc grant application policies and
- clark county community foundation inc 2022 grant application form
- clark county fire department
- checklist instructions key employee las vegas
- minor home business clark county
- agreement for clark county landlord assistance program
- landlord assistance application process clark county nevada
Related searches
- clark county nv business license search
- clark county nevada business license se
- clark county business license application
- clark county adult education
- clark county ged program
- clark county job opportunities
- clark county business license search
- clark county business license status
- clark county business license department
- clark county business license renewal
- clark county adult education nevada
- clark county adult high school