LAFD Application for Plan Check

Page 1

Los Angeles Fire Department

Application for Plan Check

PROJECT INFORMATION Project Address:

City:

Zip Code:

Work Description (Briefly describe the scope of work):

PCIS Application #:

Comments:

BILLING INFORMATION Company Name:

Phone:

Email Address:

Address:

City:

State:

Zip Code:

Print Applicant Name :

Title:

Phone:

PROPERTY INFORMATION Area in Square Feet:

Building:

❑ HIGH RISE

Scope of Construction:

# of Floors:

(For Fire Alarm Only) How Many Devices:

❑ LOW RISE

❑ NEW CONSTRUCTION

❑ TENANT IMPROVEMENT

C:\Users\32969\Documents\FORMS\LAFD Application for Plan Check Application.doc

Revised: 04/22/2015


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