HomeMy WebLinkAboutFlammable Finishes Permit HA WAIL FIRE DEPARTMENT Dltz
FIRE PREVENTIONBUREAU P2iunmirAi��°�uir $290.00
HILO:25Aitpitni St Suite 2501,Hilo,HI9h720 (808)932-2913 or(808)932-2914
KOl:4: -4 5044Ane Keohokalole Hig%Bldg E.Kafhta-Kona,HI 96-40(808)323-4-00 Permit Ntunber
For Fire D"J"rt]nt U
FLAMMABLE FINTWES PERMIT APPLICATION
Completed application shall be submitted with payment to the Hilo or Kona fire prevention office. Payment may be
cash or check. Checks shall be made out to `County Director of Finance'.
(To be completed by applicant)
Business Name: TMK:
Address:
City/State: Zip Code:
Applicant: Phone:
Fax: E-Mail Address:
Mailing Address for Permit:
(To be completed by HFD)
INSPECTION
Inspection Type: ❑Initial ❑Annual Over spray confined to Booth/Room ❑Yes ❑ No
Spray Booth/Room separated by 3' clearance or partitions of lhr construction(Sec. 43.1.3.3) ❑ Yes ❑ No
Open flame or spark producing devices are not in use within 20' of spray areas(Sec. 43.1.4.1.5) ❑ Yes ❑ No
Smoking is prohibited and`No Smoking" signs are conspicuously posted. ❑ Yes ❑ No
Approved waste collection cans are supplied for spray impregnated rags ❑ Yes ❑ No ❑N/A
Mechanical ventilation satisfactoq ❑ Yes ❑ No Filters Clean ❑ Yes ❑ No
Exhaust ducts vent to exterior ❑ Yes ❑ No
Electrical wiring approved for spray finishing applications ❑ Yes ❑ No
Exit(s) Satisfactory ❑ Yes ❑No Emergency Lighting Satisfactory ❑ Yes ❑ No ❑N/A
Minimum 4A:40BC Extinguisher Within 30'of spray finishing application ❑ Yes ❑ No
Date portable fire extinguishers inspected: Inspected by:
Spray Booth/Room protected by an approved automatic fire extinguishing system ❑ Yes ❑ No
Automatic sprinkler heads are protected from overspray ❑ Yes ❑ No ❑N/A
Fire Sprinkler System Satisfactoq ❑ Yes ❑ No Date Fire Sprinklers Inspected:
Inspected by: Documentation maintained on site ❑ Yes ❑No
Comments:
APPLICANT SIGNATURE: DATE:
INSPECTOR SIGNATURE: DATE:
Revised 4/13/2012