Complete this application for special events/assemblies.

Note: Recommended browsers to submit the form below are Firefox and Chrome.

* indicated required field.

Applicant Information

Email address must be in the following order characters@characters.domain
Please enter only numbers. Followed by area code

Event Information

Please enter only digits for date and time(12 hour clock) in following order MM DD YYYY HH MM and time marker string, such as AM or PM
Please enter only digits for date and time(12 hour clock) in following order MM DD YYYY HH MM and time marker string, such as AM or PM
Please enter only digits for date and time(12 hour clock) in following order MM DD YYYY HH MM and time marker string, such as AM or PM
Please enter only digits for date and time(12 hour clock) in following order MM DD YYYY HH MM and time marker string, such as AM or PM
Please enter only numbers. Followed by area code

All events must submit a site plan


Please Answer The Following Questions

Yes No N/A
Does the event require storage?*
Does the Special Event have a plan for waste disposal?*
Will a tent/canopy be used for the event?*
Will a bounce house be used?*
Will a generator be used?*
Will portable outdoor heaters be used?*
Does the event require portable electric space heaters?*
Will the event be around outdoor vegetation?*
Will the event have outdoor combustible storage?*
Will open flames (candles, sterno, etc.) be present at the Special Event/Assembly?*
Will the event be using a BBQ or Solid Fuel cooking device?*
Does the event have fire extinguishers?*
Do you require additional extinguishers Footnote Link[1]?*
Is fire department access required?*
Will the event require temporary wiring?*
(i.e.: audiovisual devices, speakers…)
Will there be street or lane closures?*

Applicant must also contact Parking Services regarding closures.

Please allow 2 working days for application processing. If the event takes place in the next 48 hours, please call Fire Prevention Department. 916-734-1223. UCDHS Fire Prevention Department requires site inspection after event set up.

Please enter only digits for date and time(12 hour clock) in following order MM DD YYYY HH MM and time marker string, such as AM or PM

Applicant must be present during inspection to finalize permit

Acknowledgment

By submitting this application, applicant acknowledges that the information given is correct. Any permit which violates any applicable law or regulation shall be void, and any approval of plans and specification in the issuance of such permit shall be void. Applicant responsible to present any event changes to the Fire Prevention Department in a timely manner.

[1] Contact Fire Prevention Department for fire extinguisher loan. 916-734-1223