This permit requires 3 business days’ notice for processing. If this is an emergency, please submit this form and call the Fire Marshal’s Office at 916-734-1223.

* indicated required field.

Permittee Information

Email address must be in the following order characters@characters.domain
Please only enter numbers, and remember to include the area code.

Hazardous Work Information

Please enter only digits for date and time (12 hour clock) in the following order: Month, Day, Hour, Minute, and a time marker string, such as AM or PM
Please enter only digits for date and time (12 hour clock) in the following order MM Month, Day, Hour, Minute, and a time marker string, such as AM or PM

Please answer the following questions:

GENERAL YES NO N/A
Will hot work be conducted in any of the following areas?
Areas where the sprinkler system is impaired*
Areas where there exists the potential of an explosive atmosphere, such as locations where flammable gases, liquids or vapors are present*
Areas with readily ignitable materials, such as storage of large quantities of bulk sulfur, baled paper, cotton, lint, dust or loose combustible materials*
Do you have the current SDS?*
Has staff been trained in P&P 1624?*

SAFETY YES NO NA
Does staff have the proper PPE?*
Is the person(s) performing the hot work competent and trained in the use of all associated equipment and operations?*
Has a prework check been documented and performed?*
Will the area of hot work be accessed by people other than those performing hot work?*
Is the equipment being used for the hot work in good working condition, calibrated and listed?*

FIRE PREVENTION YES NO NA
Do you have access to one fire extinguisher within 5 feet?*
Has all combustibles been shielded or removed from the area?*
Will hot work be performed near pits, shafts, cracks, openings, etc.?*
Will sprinklers or smoke detectors be out of service during the work?*
Is there a trained person who can perform a fire watch?*
Is the area fire resistive and provided with good ventilation?*

Visit the UC Davis Health Fire Marshal’s Office website to view all Fire & Life Safety Guidelines (Firenets).

Please allow 3 working days for application processing. If the hazardous work takes place in the next 48 hours, please call the Fire’s Marshal’s Office at 916-734-1223.

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 Marshal’s Office in a timely manner.