City of Santa Rosa Alarm Permit Application

City of Santa Rosa Alarm Permit Application
Please complete this form and return it with your payment
BURGLAR ALARM RENEWAL AND NEW PERMIT FORM
Santa Rosa Police Department ◆ 965 Sonoma Avenue, Santa Rosa, CA 95404
Alarm Permit Phone # 707-543-3616
FILE / PERMIT #_____________________
FOR RESIDENTIAL AND COMMERCIAL PERMITS
Premise
Name (of Resident or Business): __________________________________________ Telephone #: _______________________________
Address of Alarm
(Include Suite# and Zip Code):
_____________________________________________________________________________________
Mailing Address
(If different from above):
_____________________________________________________________________________________
Name of Person Responsible
For Payment of Fees:
Responsible’s
__________________________________________ Telephone #: _______________________________
FOR COMMERCIAL ALARMS ONLY
Business Owners Full Name:
_____________________________________________________________________________________
Ownership Type:
_____________________________________________________________________________________
Owner’s Address:
_____________________________________________________________________________________
Has business changed ownership within past 12 months: (please circle one)
Yes
or
No
ALARM COMPANY INFORMATION
Alarm Company Name:
First Alarm
(831) 476-1111
First Alarm
(800) 882-5276
__________________________________________ Telephone # ________________________________
Alarm Monitoring Service Name: __________________________________________ Telephone # ________________________________
Type of Alarm: (Circle all that apply): Commercial
Residential
Audible
Fire
Silent
Hold-Up/Panic Alarm
LIST THREE PERSONS WITHIN A 30 MINUTE DRIVE WHO CAN BE CONTACTED IN AN EMERGENCY
If you have an alarm monitoring service, please give us the same names and numbers they have for your alarm
Name # 1: _______________________________________________
Telephone # ________________________________________
Name # 2: _______________________________________________
Telephone # ________________________________________
Name # 3: _______________________________________________
Telephone # ________________________________________
Please Print Name: _____________________________________ Signature: _____________________________________________
*See Reverse Side for Ordinance Summary and Fee Schedule*
PD-012 Rev. 9/2008
SUMMARy OF ALARM ORDINAN cE
1. All alarm systems shall be installed in accordance with all applicable standards and requirements of the
building code and applicable established standards as required by the City of Santa Rosa
2. All audible alarm systems, when activated, shall automatically cease transmitting within 20 minutes.
3. Upon request of the police department, a user or designated representative shall respond within
one hour
4. It is unlawful to use any taped or otherwise recorded message to report a police or fire emergency to the City or
Santa Rosa Communications Center.
5. It is a misdemeanor for any person to install, possess, operate, use, service, or maintain any alarm system without a valid permit. In addition, permits are non-transferable.
6. Permits may be denied on the following grounds:
a. The alarm system is deficient.
b. The applicant or applicant’s agent has knowingly made any false, misleading fraudulent
statements of material fact.
c. Applicant has had a similar type permit previously revoked
d. Violation of any of the provisions of this chapter.
7. Permits issued pursuant to this division shall be renewed annually.
8. Any change in ownership in a business shall require a new permit.
9. Permits shall be posted on the premises in a conspicuous location.
10. The permittee shall be responsible for any service, test, repair, maintenance, adjustment, or installation which
might actuate a false alarm on a particular alarm system.
11. Newly installed alarms shall be granted a 15-day grace period in which to rectify system problems.
12. Grounds for revocation are:
a. Violation of any of the provisions of this chapter.
b. Excessive false alarms as defined by established regulations.
c. Any false, misleading, or fraudulent statement of material fact.
d. Failure of the permittee or representative to respond within one hour when requested
by the police department.
13. If a permit is revoked, the permittee has ten days following such notice to offer evidence to the Chief of Police
why it should not be revoked.
14. Any person whose application for a permit is denied, or whose permit is revoked, may appeal to the City Council
within 15 days from the date of the mailing of the notice.
R UL ES & R EG U LATIO NS
There shall be a recovery fee on each delinquent false alarm and permit fee account which is referred to a collection
agency for collection. The amount of the recovery fee in each case shall be equal to the total of all cost and charges
to the City made by the collection agency for recovery of the delinquent fee account.
Ten or more false alarms in any 12-month period is an excessive number, a public nuisance, and shall be grounds for the
revocation of the permit.
The extra charge fee for each and every false alarm in excess of one received by the City in any 12-month period shall be:
2nd
3rd
4th
5th
false
false
false
false
alarm ........................... $125.00
alarm ........................... $150.00
alarm ........................... $175.00
alarm ........................... $200.00
6th
7th
8th
9th
false
false
false
false
alarm ........................... $225.00
alarm ........................... $250.00
alarm ........................... $275.00
alarm ........................... $300.00
FALSE ALARM PENALTY - 10th and each subsequent alarm - $1000.00
Residential Permit ....................... $10.00
Business/Commercial Permit ...... $15.00
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