High-Piled Permits
Commodity Questionnaire
Help us classify your stored commodities for fire code compliance.
Section 1
Tenant Information
Company Name
*
Contact Name
*
Contact Email
*
Contact Phone
Street Address
*
City, State, Zip
*
County
M.U.D.
Section 2
Commodity Information
Brief description of items being stored
*
Check all that apply to materials stored in this facility:
Plastics
Expanded Plastics — Cartoned
Expanded Plastics — Exposed
Unexpanded Plastics — Cartoned
Unexpanded Plastics — Exposed
Plastic Pallets
Encapsulated Pallets
Rubber, Fiber & Paper
Rubber Tires — On-side
Rubber Tires — On-tread
Rubber Tires — Laced
Paper Records Storage
Baled Cotton Storage
Loose Fiber Storage
Rolled Paper Storage
Rolled Carpet Storage
Pallets & Containers
Banded Pallets
Open Top Containers
Liquids & Chemicals
Combustible Liquids
Flammable Liquids
Aerosols
Compressed Gas
Liquified Gas
Hazardous Materials
Oxidizer — Liquid
Oxidizer — Solid
Corrosive — Liquid
Corrosive — Solid
Toxic — Liquid
Toxic — Solid
Explosives
Other Hazardous Materials
Operations
Paint Booth
Powder Coating
Other materials or operations not listed above
Section 3
Storage Information
Typical Load / Unit Dimensions
Length
Width
Height
Weight
Type of Lift Equipment
Mezzanine Storage?
Storage Arrangements
For each arrangement used, indicate max storage height and approximate area.
Storage Type
Used?
Max Height
Storage Area
Single & Double-Row Rack
Yes
No
Multiple-Row Rack
Yes
No
Cantilever Rack
Yes
No
Portable / Stackable Rack
Yes
No
Solid Piled
Yes
No
Palletized Floor-Piled
Yes
No
Idle Pallet Storage
Yes
No
Open Metal Shelf
Yes
No
Back-to-Back Metal Shelf
Yes
No
Automated Storage
Yes
No
Section 4
Miscellaneous
Anything not covered above?
All information will be kept confidential and used solely for fire code compliance review.
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