F-280
LOS ANGELES FIRE DEPARTMENT Bureau of Fire Prevention & Public Safety 200 N. Main Street, Suite 1710 Los Angeles, CA 90012 (213) 978-3670
Subject line of the email shall be formatted as follows: [ITEM] [1ST Date of Activity] - [Street Address of Activity Location] * EXAMPLE: TENT 10/21/15 - 200 N Main St * Make checks payable to: “City of Los Angeles”
APPLICATION FOR SPECIFIC ACTION OR PROJECT PERMIT LOCATION INFORMATION Address
Date(s) of Use
FIRE DEPARTMENT USE ONLY
Date Granted
Permit #
Date Expired Name
Phone
City
State
Zip Code CONTRACTOR INFORMATION
Name
Phone
Address City
State
Zip Code
Print Name
Signature
Title
PROPERTY OWNER / SPONSORING ORGANIZATION Name
Phone
Address City
State
Zip Code
Print Name
Signature
Title
*Do not write below Inspector Signature
this line* Date
Unit Phone
PAU (213) 978-3650
ITEM
CODE
Fireworks – Ground Display
388238
$569.00
Fireworks – Aerial Burst Mortars (Under 6")
388239
$758.00
Fireworks – Aerial Burst Mortars (Over 6")
388240
$1,516.00
Exhibit, Show or Circus
388242
$1,146.00
Tent – 401 to 3,500 Sq Ft
388243
$758.00
Tent – 3,501 to 25,000 Sq Ft
388244
$1,516.00
Tent – Over 25,000 Sq Ft
388245
$3,032.00
Farmers Market 1 Year
388257
$624.00
Live Theater Less Than 30 days < 99 SEATS
388253
$758.00
Live Theater More Than 30 Days > 99 SEATS
388254
$1,516.00
TOTAL FEES
QTY
FEE
FIRE MARSHAL
Permit will not be valid unless signed by Fire Marshal. EMS & Receipts Unit 200 N. Main, City Hall East Suite #1620 (Rev. Code #3882) HOURS 7:30AM – 3:00PM Monday through Thursday
EFFECTIVE Jan 05, 2026