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--Y,A&161 ICITy OF Permits & Plan Check Section | 20 Civic Center Plaza COMP.0 Box 1988 (M-19) Santa Ana, CA 92702 (714)647·5800 www.santa-ana.org -#r./9214·.ORANGE COUNTY FIRE AUTHORITY ' c¥' r>.4 4 : 'tf't) ) Plan Submittal Criteria for COMMERCIAL projects, MULTIFAMILY%9*24 J RESIDENTIAL projects and RESIDENTIAL TRACT developments INSTRUCTIONS: Fill in the project business address and provide a brief description of the scope of work and type of business operation that will take place. Answer questions I through 8. read and initial item 9. then complete and sign the certification section. [ f you answer *YES" to an.t·part OF question [ through 8. submit the type of plan indicated in italies to the OCFA (see www.ocfa.org for submittal information and locations). In some cases. other plan typeS not Indicated herein may also be necessary depending on specific conditions or operations. [fyou need help completing this form or have questions regarding requirements for review. please contact the OCFA at 714-573-6 108 or visit us at 1 Fire Authority Road in [rvine for assistance. Address (street number & name, suite, city):t 9536 *-/4-<7 941 1(2-rn/- S-74 9711 7Project Scope/Business Description: ius 7,01-U_.4- 7 2 es,t/ Of- SU.4 K (60'07 It. YES NO 1. (onstruction of a new building, a new story, or increase the footprint of an existing building? Changes to roadways, curbs, or drive aisles? Addition, relocation, or modification of fire hydrants or fences/gates?Fire Master Plan (PR145) 2. [ Installation/modification/repair of underground piping, backflow preventers, or fire department connectionsserving private fire hydranUsprinkler/standpipe systems?Underground Plan. (PR470, PR475) 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 ' assistance? 24-hour care or supervision? Incarceration or restraint? Hotel, apartment, or residential facility with 3+ units and 4+ stories, or podium/wrap construction? Congregate housing/dormitories with 4+ stories and 17+ people? High-rise structure (55+ feet to highest occupied floor level)?Architectural Plan (PR200-PR285) 0 4.' ( {nstallation/modification of locks delaying or preventing occupants from leaving a space or requiring use of acard, button, or similar action to open a door in the direction of exit travel?Architectural, Sprinkler, and/or Alarm Plan depending on the occupancy and type of device installed (PR200-PR280, PR420-PR425, PR500-PR520) 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 liquids; vapor recovery; smoke control; battery back-up/charging systems (>50 gal. electrolyte, >1,000 lb. lithium ion); welding/brazing/soldering, open flame torches, cutting/grinding; or other similar operations?Special Equipment Plan (PR315, PR340-PR382) 6. [ torage/use/research with flammable/combustible liquids or other chemicals? Motor vehicle/aircraftmaintenance/repair? Cabinetry/woodworking/finishing facility? Chem C/ass &floor plan (full architectural plan if H occupancy); Special Equipment Plans may be necessary. (PR315-PR360, PR232-PR240) 7. [ [torage 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-piled Storage Plan (PR330) 8. 0€ooking 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 hood mechanical plan. (PR335) Initial that you have read and understand the following statement: 9. *Sprinkler/Alarm Requirements: Consult California Building and Fire Codes and local ordinances (see the local ordinance for buildings constructed prior to Jan. 1, 1946) to determine sprinkler or alarm system requirements; if a system is required, plans shall be submitted to OCFA. Existing buildings undergoing remodel must be evaluated by a licensed contractor to determine if modification iseeded; if so, the licensed contractor shall submit plans for approvalprior to making modifications. (Initial here:--) Building Department: tfall of the questions hal·e been answered ac·curatelr as ".·VO ''and the project does not othenvise require OCFA review of sprinkler or alarm plans-*, then you ma> accept this signed A,rm as a written release thal OCFA review is not required, Should vot, still require ditit the lipplil'unt have pllins approved by tile OCF.4 please initial here or attitch an OCF.4 referral furm and have the applicant .Stihmit the form along with the appropriate phinS und fees fur OCF.4 review. I certify under penalty of perjury under the laws of the State of California that the above is true: Print name:fy?,47€U€L- Co€ETZ_Signature: -k----3Ul.t-«,C- Phone Number' Qei?¥-44-7 -Z-Date* 1 - 6 - 7453(-j4,34) 7 1 2-- %03)1-28-2013 efe . 9 j