Fillable Campus-tent-request-form-req-09-15 Campus Tent Request Form

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Campus-tent-request-form-req-09-15 Campus Tent Request Form

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Distribution: [ ] Event Calendar [ ] UPE [ ] In-Tents Events Last Updated 9/16/2015 – DM
Campus Tent Request Form
(Submit completed form with CAF to Facilities Reservations – Zip 720 or SSC 110)
Is this an Original Request or an Update ? Today’s Date:
Must be filled out by Requestor:
Event Name: ______________________________________________________
Location Requested: _______________________________________________
Requested Dates/Times”
Set-up: Event Day & Date: __________________________________________________
Time: _____________________________________________________________
*On-Site Responsible Party (present at event): *Cell Phone:
Off Campus Requestor: (please complete info)
Requestor: __________________________________ Address:____________________________________________
Organization: ________________________________ Phone: ___________________ *Cell: _____________________
*Onsite Responsible Party (present at event):
__________________________________________________________
----------------------------------------------------------------------------------------------------------------------------------------------------------------
All tents and canopies having an area of over 400 square feet (larger than 20’ x 20’) or an occupant load of more than 10
persons, require that an application for a Special Events Permit that must be submitted to the SFM for review and
approval.
Please see second page for CA Office of the State Fire Marshal requirements and more information.
20’ X 40’ Tent with Sides – Requires Special Events Permit (FEE: $425 Campus Requestor or $467.50 Off Campus User – permit not included)
20’ X 40’ Tent without Sides – Requires Special Events Permit (FEE: $325 Campus Requestor or $357.50 Off Campus User – permit not included)
15’ X 20’ Tent with Sides - (FEE: $255 Campus Requestor or $280.50 Off-Campus User)
15’ X 20’ Tent without Sides - (FEE: $225 Campus Requestor or $247.50 Off-Campus User)
Map Attached (Please include a sketch of a map of where you would like the tent located.)
CAF# _____________________________
Vendor Contact Info for Setup of Campus Tent(s): Gary Bergeron @ In-Tents Events 530.321.4639
- Facilities Reservations will coordinate setup, contact info for onsite purposes only
Take-down:
Event Day & Date:
Time:
On Campus Requestor
:
(
please complete info)
Dept/Group:
Ext:
Zip:
***OFFICE USE ONLY***
Request Sent to In-Tents Events
In-Tents Events Confirmation
Date:
Department of Environmental Health & Safety
FIRE AND LIFE SAFETY REQUIREMENTS FOR TENTS
AND CANOPIES ERECTED ON CAMPUS
Application for Permit:
In accordance with regulations of the Office of the State Fire Marshal (SFM), all tents and canopies having
an area of over 400 square feet (larger than 20’ x 20’) or an occupant load of more than 10 persons, require
that an application for a Special Events Permit be submitted to the SFM for review and approval. Tents
and canopies are also subject to an on-site inspection by the SFM prior to final approval for the event.
The application must be submitted to the Department of Environmental Health and Safety (EHS) no less
than 21 days in advance of the event to ensure all agency requirements and approvals can be obtained.
EHS will submit the application on behalf of the University / sponsoring organization or group to the SFM.
Fees:
There is no charge for the application or permit; however, if a pre-event inspection is required by the State
Fire Marshal fees of approximately $263.00 (one hour) will be incurred. Inspection fees may be higher if
deficiencies are found or more than one inspection is required.
How to Obtain the Permit:
Contact the Department of Environmental Health and Safety (EHS) at (530) 898-5126. EHS staff will
complete the Special Event Permit application on your behalf.
EHS will need the following information in order to complete the application:
1. Event sponsor, name, and contact information.
2. What is the nature of the event?
3. When (date & time) and where (campus location) will the tent(s) be erected?
4. What is the total size and number of tents, will there be side panels?
5. How many chairs, tables, stages, podiums, etc. will be inside of the tent?
6. Will food* be prepared or served inside the tent?
7. Is electricity required?
8. Do you plan on using decorations, decorative fabric, etc.?
Additional information may be required dependent on the event and size of tent.
*EHS food serving permit may be required.
Please contact EHS at (530) 898-5126 if you have any questions.
Thank you for your contribution to campus fire safety!
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Campus-tent-request-form-req-09-15 Campus Tent Request Form

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Completed 22 March 2020

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