Auburn, CA · Placer County
Ember-Resistant Zone Acknowledgment
This acknowledgment records that an applicant for new construction has received the Fire Department’s ember-resistant zone flyer and understands the zone requirements.
What this form is
Applicants use this form to acknowledge receiving the City of Auburn Fire Department’s informational flyer and understanding the ember-resistant zone requirements for new buildings or structures constructed in the city after July 10, 2024. It asks for the applicant’s name, project address, signature, and date. The accompanying information describes the five-foot clear zone and materials that must be kept out of it.
Who needs it
Applicants for new buildings or structures in Auburn use this form to acknowledge receipt of the flyer and understanding of the ember-resistant zone requirements.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This acknowledgment is signed without a notary; the signer simply signs and dates it, with no notarized or sworn attachment identified.
How to submit this form
- 1
Download the Form
Download the Ember-Resistant Zone Acknowledgment PDF.
- 2
Complete the Acknowledgment
Enter the applicant name and project address, then sign and date the form.
- 3
Review the Information
Read the accompanying ember-resistant zone information. The document does not list any required attachments.
- 4
Submit to the City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Ember-Resistant Zone Acknowledgment?
- No. The acknowledgment is signed and dated without a notary, and the document identifies no notarized or sworn attachment.
- How do I submit the Ember-Resistant Zone Acknowledgment?
- The document does not give a submission address or method. Submit it to the city department named on the form and check the city website for current contact details.
- Who uses this acknowledgment?
- Applicants for new buildings or structures in Auburn use it to acknowledge receiving the Fire Department’s informational flyer and understanding the ember-resistant zone requirements.
- What does the ember-resistant zone require?
- The form states that new buildings or structures must have a five-foot radius clear of vegetation and combustible materials. Its informational pages list examples of materials to keep out of the zone.