2024 SCI/VPSU Request Inspection/Fire Clearance FORM

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LosAngelesCityFireDepartment

REQUESTEDINSPECTIONforFIRECLEARANCE

LOS ANGELES FIRE DEPARTMENT

Fire Prevention Bureau

ValleyPublicSafetyUnit: lafdvpsu@lacity.org or(818)374-1110

Schools,Churches&Institutions: lafdsci@lacity.org or(213)978-3664

INSPECTIONADDRESS:____________________________________________________________

CONTACT’STELEPHONENUMBER:___________________________________________________

CONTACT’SEMAIL:_________________________________________________________________

NAMEOFBUSINESS:________________________________________________________________

NORMALBUSINESSHOURS:(ex:M-F9a-5p)_____________________________________________

REASONFORFIRECLEARANCEREQUEST:______________________________________________

L.A.M.C.57.202 RequestedInspection.Aninspectionthatisrequestedbyabusinessor buildingownerwiththeintentofreceivingaFire Clearance LetterstatingthatthebuildingandbusinessareFireCodecompliantatthetime oftheinspection. Normalperiodicinspections andinspectionscoveredunderothersectionsofthisCode wouldnotbeconsideredarequestedinspection.

L.A.M.C.107.7Requestedinspections.

Feechargedforrequestedinspections.TheDepartmentshall chargeandcollectafeeforanyRequestedInspection. ARequestedInspection shallbeconductedatthespecificrequestofabuildingorbusinessownertodetermine whetherabuildingandbusinessareFireCode compliant.Uponreceiptofpaymentoftherequisite feeand verificationthatthebuildingand businessareFireCodecompliant,theFire DepartmentwillprovideaFireClearance Letterconfirmingsaid compliance.IftheinspectionrevealsFireCodeviolationsthatrequire curing,aNoticeofViolationwillbeissuedandanadditionalRequestedInspectionfeecollectedpriortoissuingaFireClearance Letter reflectingcompliance.

REQUESTEDINSPECTIONFEE(L.A.M.C.57.202)

FEEHOURSRequestedInspectionFee$382/hour1orfractionthereofthereafter

TYPE OF REQUEST

X Requested Inspection for basic Fire Clearance (NOT STD 850): $382.00

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