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ORANGE COUNTY FIRE AUTHORITY <br />Plan Submittal Criteria Form <br />Required for Single Family or Duplex Residences <br />(Use Commercial form for lots with 3+ dwelling units or new res idential tracts) <br />SFR <br />Complete the Project Information and Questionnaire below, then sign and date the Applicant Certification. <br />Project Information <br />□New Single Family Residence/Duplex lit!" Addition/Remodel ADU □Other <br />Address: Unit#: City or Unincorporated County Area: ZIP: <br />1428 W 2nd Street Unit 2. Santa Ana CA 92703 92703 <br />Scope o f Work: WINDOW CHANGE OUT <br />Existing 688 Area to Stories: 1 Area Added in Past 2 Years 0 Area: be Added: <br />Total Resulting <br />Area: (excludina this oroiect): <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />Yes No □ Ii!) <br />�□ □ Ii?] □ Ii?] □ Ii?] <br />□ Ii?] <br />□ Ii?] <br />□ Ii?] □ Ii?] <br />□ Ii!) <br />Questionnaire <br />New -Is this a new single family residence or duplex? <br />ADU -Is this a new Accessory Dwelling Unit (ADU) on the same property as a house that already has <br />fire sorinklers or a house that will have fire sorinklers added as oart of this oroiect? <br />Addition -Is this (A) an addition to a currently spri nklered building, or (B) an addition requiring a fire <br />sorinkler retrofit based on a threshold set by local ordinance? <br />Distance -Is the most remote portion of the additi on, ADU or other detached structure greater than <br />140-feet from the fire access roadway? <br />Total Area -Will the addition result in a total area of greater than 3,600 square feet (sD for non- <br />sprinklered buildings, or greater than 6,200 sf for sprinklered buildings, including the area of all <br />enclosed soaces, such as Qaraaes, stairs, and detached structures seoarated by less than 10-feet? <br />Remodel -Is this a remodel of a sprinklered building with a scope of work that incl udes adding or <br />removing any interior walls? Note: lf"Yes", then project must be evaluated by a C-16 licensed <br />contractor to determine if a fire sorinkler modification is needed. <br />Detached Structure -Is this a new detached utility or accessory structure (not an ADU), such as a <br />garage, workshop, game room, pool house, barn, etc., requiring fire sprinklers based on a threshold <br />set bv local ordinance? <br />Gate -Is a gate being installed across a driveway or road that is designated as a fire department <br />access roadway, or a driveway or road that serves more than a sinqle home/duolex? <br />Methane -Is project located in or less than 100' from a "Division of Oil, Gas, and Geothermal <br />Resources" (DOGGR) field boundary or well (active or abandoned), less than 300-feet from an oil/gas <br />seep, or less than 1000-feet from a landfill? (Note: For projects in Yorba Linda, this requirement only <br />applies to new homes, enclosed accessory structures, addition to existing structure greater than 1000 <br />sf, and ADU's). <br />Vegetation -Is the property/structure (A) on the perimeter of a community containing, or adjacent to <br />slopes or hills, or (B) adjacent to an open space or wildland area containing non-irrigated vegetation, <br />or (C) in a State Responsibility Area or Local Responsibility Area "Fire Hazard Severity Zone", as <br />defined by the State, or (D) near an area that could be affected by a wildfire in the open space. <br />*OCFA approval required before issuance of a grading/buil ding permit. All other plans types may be deferred submittals. <br />Applicant Certification <br />OCFA Plan Type if "Yes" <br />'(PR160) Residential Site with Water Availability (PR400-402) Fire Snr/nkler (PR400-402) Fire Sprinkler <br />(PR400-402) Fire Sprinkler <br />'(PR160) Residential Site <br />•(PR160) Residential Site with Water Availability <br />(PR400-402) Fire Sprinkler <br />'(PR160) Residential Site (PR400-402) Fire Sprinkler <br />(PR180) Gate <br />•(PR160) Residential Site '(PR172-174) Methane Test/Mitigation Plans <br />'(PR125) Fuel Modification (PR182) Accessory Structure <br />I certify, under penalty of perjury, under the laws of the Sta ta of California, that the information above is true: <br />Print Name: Elena Ramirez Pantoja Signature: [It , Date: 3/27/25 <br />Phone Number: +17143093759 Email: Elenapantoj a123@mail.com <br />Attention Building Department Staff-After you've verified all questions were answered accurately as "No", then you may accept this signed form as a <br />written release that an OCFA review is not required. If any questions were answered as "Yes", then the plan type on the right side may be required. <br />_ _ If all answers are "No" and the Building Department still requires the applicant to have their plans reviewed by OCFA, or if any answers are "Yes" <br />and the Building Department prefers for OCFA to determine if a review is required, please initial this line and provide an explanation on the Plan Referral <br />Form (on the reverse), to be submitted along with the appropriate plans to OCFA for a determination. <br />For questions and submittal information, please visit ocfa.org, or call OCFA at (714) 573-6100