Santa Ana

Santa Ana
SANTA ANA POLICE DEPARTMENT
ALARM PERMIT APPLICATION
Please check one:
Commercial
PAUL M. WALTERS
Chief of Police
(Rev. 2/04)
Residential
APPLICANT INFORMATION
Applicant (Business or Resident Name)
Alarm Installation Date
Date Moved In
Unit/Apt/Suite
Zip Code
SERVICE ADDRESS (ALARM LOCATION)
Street Address
CONTACT INFORMATION
Daytime Phone
Phone # of Service Address
E-Mail Address (faster correspondence)
Address (Street, Suite#, City, State, Zip)
BILLING ADDRESS/INFORMATION
Please check one:
Same as service address above
Different – complete info to the right
ALARM COMPANY INFORMATION
Billing Name
Attention to
Company Name
State License No.
Address
Phone Number
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Low Voltage permit required on all alarm systems. For new installations, please call Police Crime Prevention, 714-647-5840.
Permits are not transferable to another alarm user or alarm site.
Permits are issued for a one-year period and the application fee will not be pro-rated based on the date of application or if
company/resident is moving out before term expires.
Police will not be dispatched to a location more than once if a permit hasn’t been filed. A permit invoice and notice shall be sent
to the alarm user after the first alarm activation. The police will not respond to any more alarm activations at that location until
permit has been filed & paid.
Whenever any change occurs in the information contained in the application, the permitted shall give the alarm administrator
WRITTEN notice of the change within 5 working days of the date that the change becomes effective. (This includes moving out
of the location or disconnection of alarm system)
Failure to pay false alarm fines will result in automatic Non-response status.
FOR QUESTIONS, PLEASE CONTACT THE ALARM COORDINATOR BY E-MAIL OR PHONE
[email protected] OR 714-245-8716
Please Return application and $29 check to:
City of Santa Ana
20 Civic Center Plaza M-87
Santa Ana, CA 92702
Attn: Finance Department
*Please make check out to City of Santa Ana
$29 Annual Permit Fee
due now with permit application.
Renewal invoice will be mailed annually.
Applicant Signature
Date
FOR OFFICE USE ONLY
ALARM COORDINATOR
FINANCE DEPARTMENT
POLICE PLAN CHECK/ BUILDING
Permit #:
AP Invoice #:
Low Voltage Permit
Entry Date:
Customer #:
Inspection Date:
Signature:
Signature:
Signature:
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