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CITYOF SANTA <br />PLMLIG <br />& al[DI.\G <br />.AGESCY <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 />1,017779/- 94.f <br />COM <br />-NGE-£*ht/\ORANGE COUNTY FIRE AUTHORITY <br />/ AT.,9..13/ \ <br />l,Ti Plan Submittal Criteria for COMMERCIAL projects, MULTIFAMILYU*%1*</ 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 operation that <br />will take place. Answer questions 1 through 8, read and initial item 9, then complete and sign the certification section. If you answer <br />"YES" to any question 1 through 8, submit the type of plan indicated in italics to the OCFA (see www.ocfa.org for submittalinformation and locations). In some cases, other plan types not indicated herein may also be necessary depending on specific conditions,or business operations. If you need help completing this form or have questions regarding requirements for review, please contact theOCFA at 714-573-6108 or visit us at 1 Fire Authority Road in Irvine for assistance. <br />Address (street number/name, suite, city): 2-1 0 2- 6/27/2 7-74 7-145 776.0) A Uf E-44*4:F <br />Project Scope/Business Description: AWE 57-»P- 7' f-Fs 7-74/Z- BAD 4 Z)/J 69 2-,4£1£5 <br />5,5--00 6.6 <br />YES NO Are the following applicable to the proposed project or business? <br />1, 0 Construction of a new building, a new story, or increase the footprint of an existing building? Changes toroadways, curbs, or parking lots? Addition, relocation, or modification of fire hydrants or fences/gates?Submit <br />Fire Master Plan <br />2. Installation/modification/repair of underground piping, backflow preventers, or fire department connectionsserving private fire hydranusprinkler/standpipe systems? Submit Underground Plan <br />3. (521 Drinking/dining/recreation/religious functions or other gatherings in a room >750 sq.ft. or >49 people?» Healthcare/outpatient services for >5 people who may be incapable of immediate evacuation without <br />assistance? Daycare/education for children? Adult daycare? 24-hour care/supervision? Incarceration or <br />restraint? Hotel/apartmenVresidential facility with 3+ units, congregate housing/dormitories with 17+ people?A high-rise structure (55 feet)?Submit Architectural Plan <br />4. 0 20 Installation or modification of electromechanical locks delaying/preventing egress from a room or building?Submit Architectural and Alarm Plan; Sprinkler Plan required if building is not sprinklered <br />5. Installation/modification/use of spray booths; dust collection; dry cleaning; industrial ovens/drying equipment;industrial/commercial refrigeration systems; compressed gasses; tanks for cryogenic or flammable/combustible <br />liquids; smoke control; battery back-up or charging systems; welding/brazing/soldering, open flame torches,cutting/grinding or other similar operations?Submit Special Equipment Plan <br />6. 3 QI Storage, equipment, processes, or research involving flammable/combustible liquids or other chemicals?Motor vehicle or aircraft maintenance/repair facility? Cabinetry, woodworking, or finishing facility?SubmitArchitectural Plan and Chemical Classification; Special Equipment Plans may also be necessary <br />700 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.)?Submit High-piled Storage Plan <br />Cooking under a Type I commercial hood; installation or modification of a fire extinguishing system located in a8. 3 01 commercial cooking hood? Submit Hood & Duct Extinguishing System, not just the hood mechanica/ p/an <br />Initial that you have read and understand the following statement: <br />9. *Sprjnkler/Alarm Requirements: Consult California Building and Fire Codes and local ordinances (see the localordinance for buildings constructed prior to Jan. 1, 1946) to determine sprinkler or alarm system requirements; if asystem is required, plans shall be submitted to the OCFA. Existing buildings undergoing remodel must be evaluated bya licensed contractor to determine if modification is needed; if so, the licensed contractor shall submit plans for approvalprior to any changes taking place. (Initial her*3%7' ) <br />r <br />I certify under penalty of perjury under the laws of the State of California that tbSd*a,«glit[(!E £5/-Print name: 3-Art M SIS (96 L . Signature: -/ /-2 ,:21 <br />Phone Number: 3/0 - 96>2 - 32 3-2- / , -Date:12-- IO /1._ <br />Building Department: Ifall ofthe questions have been answered "NO" and the project does not otherwise require OCFA review ofsprinkler or alarmplans*, then you may accept this signed form as a written release that OCFA review is not required. Should you still require that the applicant haveplans approved by the OCFA please initial here or attach an OCFA referral form and have the applicant submit the form along with theappropriate plans andfees for OCFA review. <br />3-28-2012 jb