Fillable Fax (602) 495-7429 Fire Prevention Records Request (City of Phoenix)

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Fax (602) 495-7429 Fire Prevention Records Request (City of Phoenix)

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City of Phoenix
Phoenix Fire Department
Fire Prevention Division
150 S. 12
th
Street
Phoenix, AZ 85034
Fax (602) 495-7429
Fire Prevention Records Request
Please provide the following information. Failure to supply complete information may result in a
delayed response to your request. Payment must be received before records are provided. Fees:
Research fee $29 per address, plus the city of Phoenix copy fee $.24 per page.
Today’s Date: Requested By:
Company:
Phone: Fax:
Check reports requested:
General Inspections Hazardous Materials Permits Other
Certificate of Occupancy UG / AG Storage Tanks How Far Back?
Complaints Environmental Only Letter Required
Instructions: If addresses are on the same street, put in numerical order, otherwise put streets in alphabetical order.
1. Address 2. Address
Occ. File Dead File 1987 1997 Occ. File Dead File 1987 1997
3. Address
4. Address
Occ. File Dead File 1987 1997 Occ. File Dead File 1987 1997
Num. of
Pages:
Copy
Fee:
Research
Fee:
Total
Due:
1
st
Notification
2
nd
Notification
Per Arizona Revised Statute §39-121.03 “Commercial Purpose” means the use of a public record for the purpose of sale or resale or for the
purpose of producing a document containing all or part of the copy, printout or photograph for sale or the obtaining of names and addresses from
such public records for the purpose of solicitation or the sale of such names and addresses to another for the purpose of solicitation or for any
purpose for which the purchaser can reasonably anticipate the receipt of monetary gain from the direct or indirect use of such public record.
Non-Commercial Usage Commercial Usage
Purpose:
Requesting Party’s Signature
Disclaimer: The City of Phoenix, a municipal corporation, its agents, and employees, have provided the most complete information or
documents available and assume no liability for incomplete or inaccurate documents or information.
Print Form
Phoenix Fire Department – Fire Prevention Division
150 South 12
th
Street Phoenix, Arizona 85034-2301
602-262-6771 or (602) 495-5555 TTY
www.phoenix.gov/fire/prevention
Credit Card Payment Form
This form is provided for convenience only. Cash and checks, made out to the City of Phoenix, are also
accepted.
Credit card payments may be faxed to 602 495-7429, or may be submitted in person
weekdays between 8am & 5:00pm.
• Payments will not be accepted by email, mail, or by phone.
Please fill out the following information:
What are you paying for:
Records
Researched Address:
Company Requesting Research:
Job
Name:
Address:
Event Name
Name:
Address:
Permit Number
Number:
F
Address:
Billing Information:
Credit Card Number:
Expiration Date:
Card Holder Name:
Credit Card Billing Address
Contact Name:
Email/Fax:
Payment is due at the time of prelog, application, and plan submittal.
Inspection will not be scheduled until payment has been processed.
www.phoenix.gov/fire/prevention
Guidelines to Obtaining Fire Prevention Records
In order to fill a records request for Fire Prevention the following criteria must be met:
• Please ensure that you provide the complete address.
• If a range of addresses are requested please list each separately. A separate document
may be submitted.
• A postal address is required for search. Parcel numbers cannot be researched.
• Submit request form, in person, via fax or by mail.
Please note:
The occupancy and use of the site or building determine the code requirements. The physical
condition of the site or building is not information available from the Fire Department.
Fees - per City Legal Opinion 98-001
Fire Inspection Records Requests: $29.00 per
address City standard copy fee: $.24 per page
• If the address is not in our records there is no fee
• If the address is found $29 per address
• If any records are found specific to your request: $29 plus $.24 per page
• Requests requiring letters will automatically be charged a $29 fee
Staff will contact you directly when the search is complete and advise you if records are found
and what the fee will be. Requests will not be released without payment.
Payment will be accepted by cash, charge or check made to the City of Phoenix. Credit card
payments will only be accepted in person, via fax or postal mail.
For additional information contact Fire Prevention.
Fire Prevention Records
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Completed 2 August 2020

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