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CITYOFSANTA <br />ANA PLGE <br />&BUILDING <br />AGENCY <br />Planning & Building Agency <br />Permits &Plan Check Section <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714)647-5800 <br />www.santa-ana.org <br />COM <br />Q, ORANGE COUNTY FIRE AUTHORITY <br />Submittal Criteria for COMMERCIAL projects, MULTIFAMILY <br />3 RESIDENTIAL projects and RESIDENTIAL TRACT developments <br />INSTRUCTIONS: Fill in the project·/business address and provide a brief description of the scope of work and type of business <br />operation that will take plate. Answer questions 1 through 8, read and initial item 9, then complete and sign the certification section. If <br />you answer "YES" to any ptirt of question 1 through 8, submit the type of plan indicated in italics to the OCFA (see www.oc fa.org for <br />submittal information and locations). In some cases, other plan types not indicated herein may also be necessary depending on speci fic <br />conditions or operations. Ifyou need help Completing this form or have questions Tegarding requirements for review, please contact the <br />OCFA at 714-573-6108 or visit its at 1 Fire Authority Road in Irvine for assistance.K (ON<#90-90Address (street number & name, suite, city): A..200 /t/MAI W St- <br />Project Scope/Business Description:Ne\1/ Iso sm El- NOSK <br />#4/ R PAo Ducts <br />YES NO <br />1. [ -Construction of a new building, a new story, or increase the footprint of an existing building? Changes to <br />roadways, curbs, or drive aisles? AdditiM, relocation, or modification of fire hydrants or fences/gates?Fire <br />Master Plan (PR145) <br />2. [Installation/modification/repair of underground piping, backflow preventers, or fire department connectionsserving private fire hydrant/sprinkler/standpipe systems?Underground :Plan. (PR470, PR475) <br />3. Drinking/dining/recreation/religious functions! or other gatherings in a room >750 sq.ft. or >49 people?Healthcare or outpatient services for >5 people who may be unable to immediately evacuate without <br />assistance? 24-hour care or supervision? Incarceration or restraint? Hotel apartment, or residential facility with <br />3+ units and 4+ stories, or podium/wrap construction? Congregate housing/dormitories with 4+ stories and 17+ <br />people? High-rise structure (55+ feet to highest occupied floor level)?Architectural Plan (PR200-PR285) <br />4. [Dnstallation/modification of locks delaying or preventing occupants from leaving a space or requiring use of a»' card, button, or similar action to open a door in the direction of exit travel?Architectural, Sprinkler, and/or Alarm <br />Plan depending on the occupancy and type of device installed (PR200-PR280, PR420-PR425, PR500-PR 520) <br />5. [stallation/modification/use of spray booths: dust collection; dry cleaning; industrial ovens/drying equipment; <br />industrial/commercial refrigeration systems; compressed gasses; tanks for cryogenic or flammable/combustible <br />liquids; vapor recovery; smoke control; battery back-up/.charging systems (>50 gal. electrolyte, >1,000 lb. lithium <br />ion), welding/brazing/soldering, open flame torches, cutting/grinding; or other similar operations?Special <br />Equipment Plan (PR315, PR340-PR382) <br />6. 1 torage/use/fesearch with flammable/combustible liquids or other chemicals?Motor vehicle/aircraft <br />maintenance/repair? Cabinetry/woodworking/finishing facility? Chem Class & floor plan (full architectwral plan <br />if„H occupancy); Special Equipment Plans may be necessary. (PR315-PR360, PR232-PR240) <br />7. 3 [3¥storage or merchandizing areas in excess of 500 sq. ft. where items are located higher than 12' (6' for high-»' hazard commodities, plastic, rubber, foam, etc.)? High-,iled Storage Plan (PR330) <br />8.0 EFooking under a Type I commercial hood; installation or modification of a fire extinguishing system located in acommercial cooking hood? Hood & Duct Extinguishing System, not just the hoed mechanical plan. (PR335) <br />Initial that you have read and understand the following statement: <br />9. *Spfinkler/Alarm Requirements: Consult California Building and Fire Codes and local ordinances (see the local <br />ordinance for buildings constructed prior to Jan. 1, 1946) to determine sprinkler or alarm system requirements; if a <br />system is required, plans shall be submitted to OCFA. Existing buildings undergoing remodel must be evaluated by a <br />licensed contractor to determine if modification is needed; if so, the licensed contractor shall submit plans for apprevalprior to making modifications, (Initial here:(5 ) <br />Building Department: Ifall of the questions have been answered accurately as "NO" and the project does not otherwise require OCFA <br />review of sprinkler or alarm plans *, then you may accept this signed form as a written release that OCFA review is not required. <br />,Should you still require that the applicant have plans approved by the OCFA please initial here or attach an OCFA referral <br />form and have the applicant submit the form along with the appropriate plans and fees for OCFA review. <br />I certify under penalty of perjury under the laws of the State of California that the abo*els true: <br />Print name:m IKE.Bee Wl APJ Signature: <br />Phone Number:5-52-- 67 6-/900 Date: 3 --i) - / 9 <br />2-28-2013 ese