This application should be received by Planning, Design & Construction a minimum of two weeks prior to the event.
Yes No Yes No
Number of occupants will exceed (50)
Tent/canopy structure using greater than 2.5” diameter
steel members as framing members
Tables and chairs for more than (50)
Tent/canopy structure higher than 10 ft.
Canopies exceed 400 sq. ft.
Raised platform structure 30” above grade (Stage)
Tents & temporary structure exceed 200 sq. ft.
Wall mounted devices/appendages weighting more than
25 lbs
Seating arrangement within structure
Cooking and/or heating planned
Fire works, open flames or hot objects
Generators for electrical service planned
Plans will have impact on existing Fire Lane Yes No
Access to Fire Apparatus will be affected Raised platform structure exceeds 1/2 inch above grade
Exit signs and illumination plans not known No planned access from parking area
Permanently affixed tent and/or temporary
structure unknown
Items to be mounted on wall exceeding 3" from the
surface of the wall
Plans will impact exit width for the assembled No planned ramp design
Means of egress from within structure
unknown and/or unplanned
THIS FORM, WHEN SIGNED BELOW BY THE REQUESTER, WILL AID THE PLANNING, DESIGN AND CONSTR. OFFICE TO
ASSESS WHETHER ANY SUBSEQUENT PLANS AND CALCULATIONS ARE GOING TO BE REQUIRED FOR A PERMIT.
Signature _______________________________________ Date ____________________________________
FEES: Due to the temporary nature of the project/event - Compliance for accessibility will be reviewed by Planning, Design &
Constr. Vendors shall set aside a budget for fees related to possible Structural review should it be deemed necessary. The exact
amount of fees will depend upon the complexity of the structural installation. Structural review shall be by the CSU Peer Reviewer
and/or by University contracted Campus Engineer. Fees shall also be assessed for State Fire Marshal Plan review and Field
i
nspect
ion and any time expended by Planning, Design & Construction staff as applicable.
COOKING BOOTHS: Vendor shall submit the "Responsible Vendor Form for Outdoor Cooking Booth" form to Planning, Design &
Constr. FM office for approval. This form is available in Facilities Reservations (510) 885-3681 or Planning, Design & Constr.
FM at (510) 885-4259
The Deputy State Fire Marshal or Building Official may require structural plans, computations and specifications to be prepared
and designed by an engineer licensed by the State.
NOTE: If you have marked "yes" to any of the above, please make an appointment with the Planning, Design & Constr.
FM office to confirm the Scope of Approval process. Contact (510) 885-4259.
Jurisdiction:
Division of State Architect/OSFM/CSUEB
ACCESSIBILITY
FIRE AND LIFE SAFETY
STRUCTURAL PLANS
Jurisdiction: California Office of the State Fire
Articles 25 and 32 of California Fire Code, Title 19
& 25 - and Health and Safety Codes
Jurisdiction: Seismic Review Board (SRB)
25800 Carlos Bee Blvd., Hayward, CA 94542
Contact: Chuck Copus
SPECIAL EVENTS PERMIT APPLICATION CHECKLIST
Facilites Management and Planning
Planning, Design & Construction
Phone: (510) 885-4259
The department or organization sponsoring the event is responsible for providing the following information:
Today's Date: _____________
Requester (print name): ________________________
Location: ___________________________________
Date of Event(s): ___________________________________
Sponsor/Organization _______________________________
Fax: (510) 885-3313
chuck.copus@csueastbay.edu
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