Fillable FIRE CODE APPLICATION OPERATIONAL PERMIT TOWN OF CAVE (Town of Cave Creek)

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FIRE CODE APPLICATION OPERATIONAL PERMIT TOWN OF CAVE (Town of Cave Creek)

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BROWSE TOWN OF CAVE CREEK (AZ) FORMS

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TOWN OF CAVE CREEK
Building & Fire Safety Department
37622 N Cave Creek Rd
Cave Creek, AZ 85331
For OFFICE Use
Only
Fee:
Paid:
FIRE CODE
OPERATIONAL
PERMIT
APPLICATION
APPLICATION DATE
:
*
Each permit type requires a separate application
Please indicate which type of Fire Code Operational Permit, choose only one
Carbon Dioxide Systems Used in Beverage Dispensing
Carnivals and Fairs
Combustible dust-producing operations
Combustible Fibers
Compressed Gases
Cutting and Welding
Dry Cleaning
Exhibits and Trade Shows
Explosives, Fireworks displays
Flammable and Combustible Liquids
Floor Finishing
Fumigation and Insecticidal Fogging
General Inspection
Hazardous Materials (above exempt amounts)
High-Piled Storage
Hot Work Operations
LP-Gas
Lumber Ya
rds and Woodworking Plants
Miscellaneous Combustible Storage
Mobile Food Preparation Vehicle
Open Burning
Open Flames, Torches and Candles
Places of Assembly, Occ-Load ________
Private Fire Hydrants
Pyrotechnic Special Effects Material
Repair Garage and Motor Fuel-dispensing Fac.
Special Event_______ Non-Profit________
Spraying or Dipping Operations
State Licensed Facility-Annual Inspection
Number
of
Beds
State Licensed Facility- Day Care/Preschool
Number
of
Persons
State Licensed Facility Inspection- Other Type
________________________________
Storage of Scrap Tires and Tire Byproducts
Tents and Temporary Membrane Structures
# of Tents requiring
permit
_____________
Set-up Date: _______________________
Private Residential Party YES NO
Wood
Products
Waste Handling
Other
Project/Event Address:
Descripti on
of
Work/Event:
\
Date of
Event:
Firework/Pyrotechnic Company Information (if applicable)
Company
Name:
_____________________________________
Contact
Name:
___________________________ ____________
Address:
_____________________________________________
City,
State,
Zip:
___________________________________________
Phone:
______________________________________________
Email: ________________________________________________
Business Name:
Applicant Information (MUST BE COMPLETED)
Applicant
Name:
___________________________________
Business
Name:
____________________________________
Address:
__________________________________________
City,
State,
Zip:
____________________________________
Phone:
___________________________________________
Email:
____________________________________________
Date:______________
Permit #:
Event Information (when applicable)
EventAddress_______________________________________
__________________________________________________
Set up Date ____________Set up Time ________________
Discharge Date _________Discharge Time _____________
Head Pyro Name ___________________________________
Cell # ____________________________________________
Email:____________________________________________
Fire Code Operational
Permit Submittal
Criteria
To better
serve you and to expedite the permit application and review process please provide a complete permit package at the time of
submittal. Permit Applications and Plans may be submitted electronically (see below), or via Mail to: Town of Cave Creek Building &
Fire Safety Department, Attn: Permit Technician, 37622 N Cave Creek Rd, Cave Creek, AZ 85331 480-488-6622
Electronic Submittal: Once you have filled out the application, save to your computer and email (along with any other required items,
(such as site plan, certificate of insurance, pyrotechnic certification, etc.) to: twilgus@cavecreekaz.gov. Once reviewed, the Permit
Technician will provide you with a Permit Number and the required fees via email. You may pay with a Credit Card(VISA/MasterCard
Only), Check or Cash when you pick up the approved permit. To receive your permit via email you must pay with a credit card.
•
A fully completed permit application - All applicable areas need to be filled in including the “Description of Work/Event” field.
•
A completed HMIS (Hazardous Materials Inventory Statement) is required for all Flammable or Combustible Liquids permits, and
hazardous materials permits.
•
Site Plans and Floor/Seating Plans are required for Places of Assembly permits (Events), Carnivals and Fairs, and Exhibition and
Trade Shows.
•
For CO2 Systems, provide two sets of shop drawings and all cut sheets for the entire system.
•
Plans shall show intended use of all rooms. Name of project, job address, and the name of the person who is designing the system
must be on all sheets.
•
Storage plans and associated fire sprinkler density calculations are required for High-Piled or Miscellaneous Storage Permits.
•
Tents and Temporary Membrane Structures require a Site Plan (to scale). A Seating/Floor Plan is also required when the occupant
load is 50 or more.
•
Additional items may be required by Town of Cave Creek Building & Fire Safety during review.
TOCC Fire Code Operational Permit Application REV: 01/11/2021 Page 2 of 2
*Permits shall be obtained prior to any work commencing or inspection occurring.
If the work begins prior a permit is issued, a dou
ble fee will be charged and a Citation may be issued.*
FOR FIREWORKS/PYROTECHNICS DISPLAY PERMITS, THE FOLLOWING DOCUMENTS ARE REQUIRED WITH
SUBMITTAL:
• The firework company/provider is responsible for obtaining the permit and scheduling the inspection. Applications must be
submitted at least 20 days prior to event.
• A plan establishing procedures to follow and actions to be taken in the event that a shell fails to ignite in, or discharge from, a mortar
or fails to function over the fallout area or other malfunctions shall be included with the permit application.
• Outdoor fireworks displays shall include a diagram of the location at which the fireworks display will be conducted, including the
site from which fireworks will be discharged; the location of buildings, highways, overhead obstructions and utilities; and the lines
behind which the audience will be restrained shall be included with the permit application
• Pyrotechnics before a proximate audience shall include plans indicating the required clearances for spectators and combustibles,
crowd control measures, smoke control measures and requirements for standby personnel and equipment shall be included with the
permit application.
• Approved fireworks and pyrotechnic articles shall be handled by an approved, competent operator. A copy of an approved certificate
of fitness shall be included with the permit application.
• A CERTIFICATE OF INSURANCE OF ONE MILLION DOLALRS ($1,000,000) GENERAL LIABILITY PLUS FIVE MILLION
DOLLARS ($5,000,000.00) IN EXCESS LIABILITY NAMING THE TOWN OF CAVE CREEK AS AN ADDITIONAL
INSURED MUST ACCOMPANY THIS APPLICATION.
• Evidence that a Fire Department has been contracted with, or has agreed, to provide ONSITE equipment & personnel in the event of
a fire or emergency during the shoot. The Fire Inspector may immediately discontinue the firework or pyrotechnic display if a
hazardous condition exists.
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FIRE CODE APPLICATION OPERATIONAL PERMIT TOWN OF CAVE (Town of Cave Creek)

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Completed 15 February 2021

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