DEVELOPMENT SERVICES DEPARTMENT
PROJECT FACILITY AVAILABILITY - FIRE
Please type or use pen
____________________________________________________________
Owner’s Name Phone
____________________________________________________________
Owner’s Mailing Address Street
____________________________________________________________
City State Zip
ORG___________
ACCT__________
ACT___________
TASK__________ AMT $___________
DATE__________
DISTRICT CASHIER’S USE ONLY
SECTION 1. PROJECT DESCRIPTION TO BE COMPLETED BY APPLICANT
A. Major Subdivision (TM) Specific Plan or Specific Plan Amendment
Minor Subdivision (TPM) Certificate of Compliance:_____________
Boundary Adjustment
Rezone (Reclassification) from______________ to ______________ zone.
Development Permit, purpose:___________________________________
Use Permit, purpose:__________________________________________
Time Extension/ Expired Map Case No.____________________________
Other_______________________________________________________
B. Residential . . . . . . Total number of dwelling units_____________________
Commercial. . . . . .Gross floor area________________________________
Industrial . . . . . . . Gross floor area________________________________
Other . . . . . . . . . . Gross floor area________________________________
C. Total Project acreage ______Total number of lots____________________
D. Construction Type: _______________________________________________
E. Size of Buildings (in square feet):
F. Is site plan attached? Yes No
Assessor’s Parcel Number(s)
(Add extra if necessary)
By signing below, the applicant acknowledges that the information provided is accurate and acknowledges that any significant modification of the
proposed project may result in changes to the District’s draft conditions/availability to serve.
Applicant’s Signature:_____________________________________________________________ Date:______________________________________
Project Address:________________________________________________________________ Phone:_____________________________________
(On completion of above, present to the District that provides water protection to complete Section 2 below.)
SECTION 2: FACILITY AVAILABILITY
TO BE COMPLETED BY MURRIETA FIRE & RESCUE DISTRICT
The information below is based on a cursory review of the information provided on this form. Changes or modification in use, construction type or site
design may impact fire requirements. The applicant is encouraged to process an updated form if the project changes or one year from the authorization
date has transpired. A more detailed review will be completed once a formal permit application has been file with the City Development Services
Department.
A. Closest serving fire station:
B. District conditions are attached. Number of sheets attached:_______________
District will submit conditions at a later date, once a formal permit application has been file with the City Development Services Department.
C. Fire Flow requirements: ______________GPM @ 20 PSI for ______________Hours
This Project Facility Availability Form is valid until final discretionary action is taken pursuant to the application for the proposed project or until it is
withdrawn, unless a shorter expiration date is otherwise noted.
Authorized Signature:______________________________________________ Print Name_____________________________________
Print Title_____________________________________________ Phone______________________________________ Date____________________
NOTE: THIS DOCUMENT IS NOT A COMMITMENT OF SERVICE OR FACILITIES BY THE DISTRICT
On completion of Section 2 by the District, applicant is to submit this form with application to:
Development Services Department - 1 Town Square, Murrieta, CA 92562
