Do I need a notary for this application?

No. The application is signed and dated without a notary, and it mentions no sworn or notarized attachment.

How do I submit the inspection application?

Mail the completed application with a check to the Contra Costa County Fire Protection District address on the form, or email it with the credit card authorization form to info@cccfpd.org.

What payment does the form require?

The application states that a $316 prepayment is required. It allows payment by check or by submitting a credit card authorization form.

Pinole, CA · Contra Costa County

No notary required

Code Enforcement Fire and Life Safety Inspection Application

This application is for business applicants seeking a code enforcement fire inspection from the Contra Costa County Fire Protection District.

What this form is

Use this application to request a code enforcement fire inspection for a business. It asks for applicant contact details, facility location, business type and square footage, plus business name and on-site contact information. The form states that a $316 prepayment is required; after the application and payment are received and processed, a Fire Inspector will contact the applicant to schedule the inspection.

Who needs it

A business applicant seeking a code enforcement fire inspection should complete this application and provide the required prepayment.

How to submit it

Mail the completed application with a check payable to Contra Costa County Fire Protection District at 4005 Port Chicago Hwy, Suite 250, Concord, CA 94520. Alternatively, email the completed application and credit card authorization form to [email protected].

About notarization

This application is signed and dated without a notary; it mentions no sworn or notarized attachment, so the applicant simply signs and dates it.

How to submit this form

1
Download The Application
Download the Code Enforcement Fire and Life Safety Inspection Application PDF.
2
Complete The Application
Fill in the applicant, facility, business, and on-site contact information, then sign and date the application.
3
Prepare Payment
Provide the required $316 prepayment by check or include the credit card authorization form for credit card payment.
4
Submit To The Fire District
Mail the application with a check or email it with the credit card authorization form to the contact listed on the form.

Frequently asked questions

Do I need a notary for this application?: No. The application is signed and dated without a notary, and it mentions no sworn or notarized attachment.
How do I submit the inspection application?: Mail the completed application with a check to the Contra Costa County Fire Protection District address on the form, or email it with the credit card authorization form to [email protected].
What information does the application ask for?: It asks for applicant contact information, facility location, business type and square footage, business name, and on-site contact details.
What payment does the form require?: The application states that a $316 prepayment is required. It allows payment by check or by submitting a credit card authorization form.

Need something notarized?

This Code Enforcement Fire and Life Safety Inspection Application doesn’t need a notary — but if you have another Pinole form that does, a commissioned online notary can help.