PART
II
(A)
INFORMATION
ON
FIRE FLOW AVAILABILITY
(Part
II
to
be completed
by
Water
Purveyor)
The distance from the fire hydrant to the property line is.
______________
_
feet via vehicular access. The fire flow services will
be
rendered from a
________
_
inch diameter water main. The hydrant is located on
______
=_:;-
_____
_
(Street)
(Feet)
(Direction)
m
____
~-~~-~~~-----
(Nearest Cross - Street)
Under normal operating conditions the fire flow available from this
_____
--:-::::--:-
__
_
(Size)
hydrant
is
______
_
GPM at
20
PSI
residual for 2 hours at
_____
PSI Static
PART
II
(B)
SPRINKLERED BUILDINGS
ONL
V
Detector Location:(check one) 0 Above Grade
o Below Grade
Backflow protection required (fire sprinklers/private hydrant):
0 Ves
Type
of
Protection Required:(check one)
Either
o
o
No
DDouble
Check Detector Assembly 0 Reduced Pressure Principal Detector Assembly
OOther
Domestic Meter Size
PART
II
(C)
Water Purveyor
Date
PART
III
Signature
Title
Conditions
for
Approval
by
the
Building
Department
(To be Completed
by
Building
Department)
The building permit may be issued for single family dwellings when the above information is
complete and shows that the following minimum requirements are met and the property is not
in
the Verv High Fire Hazard Severity Zone.
The water system is capable
of
delivering at least 1250 GPM
at
20 PSI for two hours.
The distance from the structure to the fire hydrant does not exceed
450 feet via vehicular access.
The proposed construction must
be
within 150 feet
of
a vehicular access roadway that
is
a
minimum of
20 feet wide, paved with concrete or asphalt and does not exceed 15% grade.
,
APPROVED
BY
DATE
OFFICE
This
Information
is
Considered
Valid
for
Twelve
Months
Where the water service does not meet the above requirements for approval by the
Building
Department,
Fire Prevention Division approval
of
the site plan will be required before a Building Permit can
be
issued by
the
Building
Department.
click to sign
signature
click to edit
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