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2. First Name*
3. Last Name*
5. Location of Inspection*
7. City*
8. State*
9. Zip Code*
11. Phone:*
12. Email*
14. Permit Numbers*
15. Type of Inspection(s)*

    1. Fire Sprinkler - Rough/Hydro
    2. Fire Sprinkler - Final
    3. Fire Alarm - Rough/Wiring
    4. Fire Alarm - Final
    5. Fire Prevention - Final
    6. Other
17. Please describe the scope of the inspection(s) being requested: *
19. Preferred Date & Time of Inspection*
20. Acknowledge the following (select all three)*

    1. Submitting this request does NOT automatically schedule an inspection
    2. No “piggybacking” inspections. We will schedule only the requested inspection
    3. Approved plans and the contractor holding the permit must be on site for the inspection
22. What happens next?

    1. An Inspector or representative of the fire department will call you to schedule the inspection within 24 to 48 hours. (Some exceptions may apply)

    2. If you do not receive a call back within 48 hours, there could be a problem with our system. Please call 626-939-8823. Note that due to our 4/10 work schedule, the Fire Administration Office is closed every Friday. It is possible that calls made on a Thursday will not be returned until Monday.

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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

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