Structure Fire Protection Preplan
Submit Property Preplanning Information for Fire Department Incident Preparedness
Name
*
First Name
Last Name
Email
example@example.com
Local Contact Phone Number
*
Please enter a valid phone number.
Emergency Contact Phone Number
*
Please enter a valid phone number.
Have you registered with reverse 911?
*
Yes
No
To register your phone numbers go online to
ready.edso.org
or call Sheriffs Office (530) 621-5655
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My Mailing Address is the same as my Property Address?
*
Yes
No
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gas Type
*
Propane, permanently installed tank.
Propane, tempory type portable tank
Natural Gas
No Gas plumbed to home
Other
Describe tank location and/or shut off information
*
Electrical Service. Choose all that apply
*
Utility Connection (PG&E, etc.)
Backup Generator, auto start
Backup Generator, manual
Other
Panel Location / Other Information
*
Street name posted and easily seen from the street?
*
Yes
No
Address posted with 4" reflective numbers and easily seen from the street?
*
Yes
No
Locked Gate
*
Yes
No
Gate Code
*
Access roads and Driveways are:
*
Accessible to emergency vehicles and cleared 10' and 15' tall
Restricted because of vegetation
Access roads and Driveway condition:
*
Good Repair
Poor Condition
Access roads and driveway surface material:
*
Dirt
Gravel
Asphalt
Bridge
*
Yes
No
Bridge Material
*
Concrete
Wood (certified)
Other
Comments regarding access issues?
Fire Truck Turnaround Area
*
Yes
No
Number of Outbuildings
*
Type 0 for no outbuildings
Terrain around the home is:
*
Level
Slightly Sloped
Rolling
Steep
Home is:
*
Single Story
Two Story
Tri Level
Other
Siding Material
*
Wood
Brick
Stucco
Log
Synethetic
Cement
Fiber
Other
Roofing Materials
*
Metal
Wood Shake
Composition
Tile
Other
Home has 100' clearance of dry vegetation?
*
Yes
No
Is the clearance maintained?
*
Well Maintained
Poorly Maintained
Do you have a water supply?
*
Well
Pond
Swimming Pool
Stream
Water Tank
No Water Supply
Other
Water Supply Gallons?
*
Total storage capacity for all options chosen
Save
Submit
Should be Empty: