BLACK HAWK FIRE DEPARTMENT
Division of Fire Prevention
137 Clear Creek St., Suite 200 / PO Box 68 - Black Hawk, Colorado 80422
Phone # 303-582-0426 FAX # 303-582-2229
EXTENDED FIRE WATCH PERMIT
THIS PERMIT REQUIRES PRE-APPROVAL FROM THE FIRE CHIEF OR FIRE CODE OFFICIAL

This permit is being issued due to a fire protection and/or life safety system being off-line or out of service. Performing a fire watch allows the building owner/occupant to maintain operations while life safety issues are being addressed.

IN THE EVENT OF AN EMERGENCY, DIAL 911

Property Name Owner
Street Address City State Zip
Property Contact/Representative Phone Email
Contractor Company/Contact Phone Email
Life Safety System Affected (example: upgrading fire alarm system, testing fire suppression system, etc)

This document shall serve as your official fire watch notice. Repairs, maintenance, or testing of any life safety system shall be completed as quickly as possible. The owner/occupant shall adhere to the following requirements of the adopted International Fire Code listed below and a fire watch log sheet shall be maintained during this time. Download

403.1 Fire Watch Personnel.
When, in the opinion of the fire code official, it is essential for public safety in a place of assembly or any other place where people congregate, because of the number of persons, or the nature of the performance, exhibition, display, contest or activity, the owner, agent or lessee shall provide one or more fire watch personnel as required and approved, to remain on duty during the times such places are open to the public, or when such activity is being conducted.

403.1.1 Duties.
Fire watch personnel shall keep diligent watch for fires, obstructions to means of egress (exits) and other hazards during the time such place is open to the public or such activity is being conducted and take prompt measures for remediation of hazards, extinguishment of fires that occur and assist in the evacuation of the public from the structures.

NOTE: THIS PERMIT IS VALID FOR A PERIOD NOT TO EXCEED 30 DAYS FROM DATE AND TIME ISSUED.

Start Date/Time:
Signature of Responsible Party / Recipient Title Date
Signature of Approving Fire Officer Fire # Date Time
Date Time
Entered into ERS Extended Permit Expires:
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