Nanaimo By-law 7108, s. 41 — Repeal The “FIRE PROTECTION AND CONTROL BYLAW 1991 NO. 3879” and amendments thereto are hereby repealed

Repeal The “FIRE PROTECTION AND CONTROL BYLAW 1991 NO. 3879” and amendments thereto are hereby repealed.

Bylaw 7108 – Consolidated Version SCHEDULE “A” Deleted in its entirety (7108.03) Bylaw 7108 – Consolidated Version SCHEDULE "B" EMERGENCY CONTACT PERSON FORM

Owner Name:

• __________________________________________________________ Occupier Name (if any):
• __________________________________________________ Address of Premises with Fire Alarm System:
• _________________________________

Owner Telephone Number:

• ________________________________________________ Occupier Telephone Number (if any):
• ________________________________________ First Emergency Contact Person Name:
• ______________________________________ Relation to Owner or Occupier:
• _____________________________________________ Emergency Telephone Number:
• ____________________________________________ Second Emergency Contact Person Name:
• ___________________________________ Relation to Owner or Occupier:
• _____________________________________________ Emergency Telephone Number:
• ____________________________________________ Third Emergency Contact Person Name:
• _____________________________________ Relation to Owner or Occupier:
• _____________________________________________ Emergency Telephone Number: ____________________________________________ Please print clearly the above information. Bylaw 7108 – Consolidated Version SCHEDULE "C" ORDER FORM NANAIMO FIRE RESCUE DEPARTMENT ORDER TO Having inspected the Premises __________________________________ by you to (owned or occupied) wit: ________________ located at _____________________________, British Columbia (type of occupancy) (civic address) and legally described as _______________________________________ (the " Premises "), (legal description) on the _______ day of _______, _____
• (Day) (Month) (Year) I, ____________________, being the Fire Chief or a Fire Prevention Officer with the Nanaimo (Name of Officer ) Fire Rescue Department FIND THAT: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ _____________________ THEREFORE, pursuant to the authority vested in me and under the "Fire Protection and Life Safety Regulation Bylaw 2011 NO. 7108" you are HEREBY ORDERED TO: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ The action or work specified in this Order must be completed within ______ days after receipt of this Order. Should any requirement of this Order not be carried out or completed within the time prescribed, as outlined in the Fees and Charges Bylaw shall be billed to the Owner or Occupier for any subsequent inspection required. (7108.03)

Owner or Occupier Name:

• ____________________________________________ Fire Chief or Fire Prevention Officer:
• ____________________________________ I, Served a copy of this Order on ______________________ at ____________________, (Owner or Occupier) (Location) BRITISH COLUMBIA on ________________. (Date) Signed:____________________________ Signed:______________________________ Fire Prevention Officer Owner or Occupier acknowledging receipt of Order Bylaw 7108 – Consolidated Version SCHEDULE "D" EVACUATION ORDER Evacuation Order By Order of the Nanaimo Fire Rescue Department The building located at _____________________________________________, Nanaimo, British Columbia (Civic Address) and legally described as ______________________________________, (the " Premises ") is ordered to be evacuated under the City of Nanaimo Fire Protection and Life Safety Regulation Bylaw 2011, No. 7108 Section 26.1. ____________________________________________________________________________ (Reason for Evacuation)

NO PERSON shall enter this building without the authorization of the Fire Chief. Date of Posting _______________________________

No person shall remove, alter or deface or cause to be removed altered or defaced, this notice as per Section 26.3 of the City of Nanaimo Fire Protection and Life Safety Regulation Bylaw 2011, No. 7108. Order posted at the Premises on:

• ______________________________ __________________________ Fire Chief or Fire Prevention Officer (Date) Bylaw 7108 – Consolidated Version SCHEDULE "E" BURNING PERMIT (7108.03) Special Event Burning Permit Cooking Fire Ceremonial Fire Permit Campground Other Date:
• _____________, Authority granted to:__________________Phone:____________ (“Hereinafter the Permittee”) Fire Location and Event:
• _________________ Ceremonial Training by:
• _________________ Tribal Name:
• ______________________ (“Elder’s Name”) Number of Fires:
• _______ Permit valid From:
• _______________ to:________________ Inclusive (“Date & Time”) Subject to the following conditions:
• The Permit Holder shall be responsible for the fire/s authorized by this permit and shall during light-up and for the duration of the fire, undertake the following:
• • Provide one adult person equipped with a garden hose connected to a water source and shovel suitable to effectively safeguard the fire. • Shall insure the safeguarding forces to extinguish the fire/s authorized by this permit until the fire/s have been completely extinguished. • Shall not start or rekindle fire/s during windy weather and shall take such extra precautions as are necessary to prevent fire from escaping during windy periods. • Shall totally extinguish all fires authorized by this permit on or prior to the expiry date of this permit:
• or shall extinguish them forthwith upon suspension or cancellation of the permit;
• or when instructed to do so by the Fire Chief or designate. • Shall not allow burning to continue, where that burning, in the opinion of the Fire Chief, is a nuisance because of the emission of smoke and ash. • Shall be responsible for all costs incurred to suppress any fire that escapes or threatens to escape from burning or that causes a nuisance because of smoke or ash. • In the event of the Permit Holder failing to suppress any fire to the satisfaction of the Fire Chief, the Fire Chief may cause such fire/s to be immediately suppressed. • It is prohibited to burn rubber tires, tar, asphalt shingles, or any other like substances, which produce heavy black smoke on or in any fire authorized by this permit. • This permit is subject to cancellation or suspension at any time at the discursion of the Fire Chief or an Officer of Nanaimo Fire Rescue Department where there is a violation of any condition under which the permit was issued. I have read and understand the conditions of this burning Permit. Permit Holder _______________________________________ (Signature) Issued By ______________________________ Title _________________________ Nanaimo Fire Rescue Department Bylaw 7108 – Consolidated Version SCHEDULE "F" PRIVATE FIRE HYDRANT SERVICE REPORT Hydrant Service Report Fire Protection Technician:
• ________________________________________________

Owner: _______________________________________________________________ Hydrant No.:

• __________________ Test Date:
• ___________________________ Location:
• ______________________________________________________________ Main Size:
• _____________ Flow Rate:
• ____________ Ports:
• _____________ Out of Service:
• Yes No Comments:
• __________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Pressure:
• _________ Make:
• __________________Distance to isolation valve: _______ Branch valve operated: Yes No Service top end: Yes No Serviced bottom end: Yes No Service threads: Yes No Flushed out: Yes No Pressure tested: Yes No Greased: Yes No Drains properly: Yes No Painted: Yes No Weed eaten: Yes No Comments: __________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Further work recommendation: ___________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Bylaw 7108 – Consolidated Version S SCHEDULE "G" (7108.04) FUEL TANK PERMIT APPLICATION Application to Remove, Withdraw From Service, or Install a Fuel Tank The applicant hereby applies for permission to (check all that apply): Install Fuel Tank Remove Fuel Tank Withdraw Fuel Tank from Service Type of Fuel Tank: Above Ground Underground If there is more than one Fuel Tank on the property, or proposed to be installed on the property, please describe all such Fuel Tanks and specify which one(s) this application concerns: ___________________________________________________________________________ ___________________________________________________________________________ Attached Report by Qualified Professional: Name of Qualified Professional : ________________________________________________ Date of Report: ______________________________________________________________ It is understood that completion of this form constitutes an application only and that the work applied for will not be commenced unless and until a Fuel Tank Permit has been issued. Civic Address: Full Name of Registered Owner: Mailing Address of Registered Owner: Name of Contractor/Installer: Address of Contractor: __________________________________________________ Phone Number of Contractor: _____________________________________________ Name of Applicant (if different): Signature of Applicant:_____________________ Date:_________________ Bylaw 7108 – Consolidated Version City of Nanaimo - Fire Rescue Department Date Application Received: Approved: YES or NO Comments: Signature: SCHEDULE “G” Fuel Tank Permit Application Instructions