Fillable Tentpermitapplication LAKE HAVASU CITY FIRE DEPARTMENT PERMIT APPLICATION

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Tentpermitapplication LAKE HAVASU CITY FIRE DEPARTMENT PERMIT APPLICATION

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LAKE HAVASU CITY FIRE DEPARTMENT
Fire Prevention Division
2330 McCulloch Blvd. N.
Lake Havasu City, AZ 86403
(928) 855-1141 lhcfire@lhcaz.gov
FD-246 Updated/CA 2.13.20
Tent Construction Permit Application
A Tent Construction Permit is required if erecting an air-supported temporary membrane structure or a tent with an area in excess
of 400 square feet, unless an exception below applies. A $102 permit fee will be charged for a plan check and inspection. Permits
shall be applied for by the vendor erecting the tent(s) only.
Exceptions:
1. Tents used exclusively for recreational camping purposes.
2. Tents open on all sides and comply with ALL of the following:
2.1. Individual tents do not exceed 700 square feet; and
2.2. The aggregate area of multiple tents placed side by side without a fire break clearance of 12 feet does not exceed 700
square feet total; and
2.3. A minimum clearance of 12 feet to all structures and other tents.
Permit process and time frame: In order to process your application or request for service within 72 hours from the date
of submittal, all requested information and attachments must be provided. Use the site plan on the reverse side of this
application. Contact the Fire Prevention Bureau with any questions at (928) 855-1141 or email lhcfire@lhcaz.gov.
Event Name/
Description:
Event Address:
Property Owner:
Phone:
Property Owner
Address:
Applicant Name:
Phone:
Applicant Address:
Tent Owner Name:
Phone:
Tent Owner Address:
Dates for Event:
Size:
Quantity:
Purpose:
Public Assembly
Sales
Other: ____________________________________
If a Public Assembly Tent:
Tables & Chairs Tables #____ Chairs #____
Chairs Only Chairs #___
Required:
Flame retardant certificate
Site diagram
Floor plan
By signing this Tent Construction Permit Application, the Applicant agrees to meet the entire requirements of the Lake Havasu
City Fire Department Specification #11, Standards for Tents and Other Membrane Structures & Field Checklist
(available online @ https://www.lhcaz.gov/fire-department/fire-code), and other applicable requirements contained in the
2012 International Fire Code. The Applicant agrees to make known to all applicable parties the requirements contained in LHCFD
Specification #11.
Signature of Applicant Affiliation Date
Clarification of Interpretation: A person may request the City to clarify its interpretation or application of a statute, ordinance, code,
or policy affecting the procurement of this license pursuant to A.R.S. § 9-839.
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LAKE HAVASU CITY FIRE DEPARTMENT
Fire Prevention Division
2330 McCulloch Blvd. N.
Lake Havasu City, AZ 86403
(928) 855-1141 lhcfire@lhcaz.gov
FD-246 Updated/CA 2.13.20
EXHIBIT 1: Site Plan / Floor Plan (Use for simple plans. Attach additional sheets for larger events).
Use a separate sheet diagraming individual floor plans for each tent.
Ensure that all applicable provisions of LHCFD Specification #11 are depicted in the plan views.
Tent # ________ of ________ Tent Design Occupancy Loads: Chairs Only: ________ Tables & Chairs: ________
Tent Use: Tent Dimensions: L=______ W=______ Total area: ______ sqft
Use this box for the overall site plan and additional “EXHIBIT 1” sheet for individual floor plans.
TO BE COMPLETED BY FIRE PREVENTION BUREAU
Date plans submitted:
Dates plan approved:
Approved by:
Other requirements/comments:
Permit #:
Fee:
Cash Check Credit Card
Issued by:
Date issued:
Inspection scheduled: Yes
No
Date for inspection:
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Tentpermitapplication LAKE HAVASU CITY FIRE DEPARTMENT PERMIT APPLICATION

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Completed 13 July 2020

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