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plot; A
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<br />answers are "No"
<br />Print Name.,
<br />to-
<br />Plione Number:.
<br />NIS
<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 residential tracts)
<br />I
<br />act Information and Questionnaire below, then sign and date the Appli
<br />roject Informati
<br />ngle Family Residence/Duplex Addifion/Remode
<br />Yes No Questionnaire OCFA Plan Type it "Yes"
<br />*(PR160) Residential Site
<br />� New — Is this a new single familyresidence or duplex? t"M WaterAVa ilabllity
<br />PR400-402 Flre Spnnkler
<br />Nam 26 � e ADU — Is this a new Accessory Dwelling Unit (ADU) on the same property as a house that already has (PR40"02) Fire Sprinkler
<br />fire s rinklers or a house that will have firespn*nklers added aspart of this.Rroject? - --
<br />341 � �j Addition — Is this (A) an addition to a currently sprinklered building, or (B) an addition requ- - -- - - - iring a fire (pR400-4�2J Fire Spnnkler
<br />spnnkler retrofit based on a threshold set bV local ordinance?am 0 - dif I R160 Residential Site
<br />4. E:1 � Distance — Is the most remote portion of the addition, ADU or other detached structure greater than (P 1
<br />1404,,feet from the fire access roadway?
<br />Total Area — Will the addition result in a total area of greater than 3,600 square feet (sfl for non- '(PR160) Rmdentia1
<br />l Site
<br />sprinklered buildings, or greater than 6,200 sf for sprinklered buildings, including the area of all � WaterAvailability
<br />enclosed s Paces, such asgara es, stairs, and detached structures se arated b less than 10-feet?
<br />6. � �j Remodel — Is this a remodel of a sprinklered bullding with a scope of work that includes adding or (PR400442) Fire Sprinkler
<br />91
<br />removing any interior walls? Note: If "YesN, then project must be evaluated by a C-1 6 licensed
<br />contractor to determine if a fire spnnkler modification i-s needed.
<br />7. Detached Structure — Is this a new detached utility or accessory structure not an ADU), such as a ;(PR160) RidenISite
<br />garage, workshop, game room, pool house, ba etc., requiring fire sprinklers based on a threshold (PR4004q Fire Sprinkler
<br />set by ocalordinance? - ---d - -- -
<br />Gate—lsa gate being installed across a driveway or road that is designated as a fire depa ent (PRI Gate
<br />access roadwa , or a drivewa or road that serves more than a single home/duptax?
<br />9. Methane j Is project located in or less than 100' from a "Division of Oil, Gas, and Geothermal '(PR160) R�Idential Site
<br />Resources (DOGGR) field boundary or well (active or abandoned), less than 300-feet from an oil/gas ;�PRtTF-174) Methane
<br />seep, or less than I 000-feet from a landfill? (Note: For projects in Yorba Linda, this requirement only Testglffgatfon Plans
<br />applies to new homes, enclosed accessory structures, addition to existing structure greater than 1000
<br />S and ADU's .
<br />10. Vegetation moo S e propesruc's
<br />ture (A) on the perimeter of a communty conRaining, or adjacent to ;(PRi2� Fuel Modulkaeon
<br />slopes or hills, or (B) adjacent to an open space or Meldland area containing non-irrigated vegetabon,
<br />R182) Accessory
<br />or C) in a State Responsibility Area or Local Responsibility Area "Fire Hazard Severity Zone', as
<br />Sbuch,re
<br />III
<br />defined b the State, or D near an area that could be effected by awl re in the o en spaceft
<br />*OCFA approval requrequiredre issuance of a grading/building perm. All other plans types may be defamed submittals.
<br />Applicant e
<br />certify, under penalty pe►jury, under the laws of the Styofr)
<br />L
<br />MOMWO
<br />L'004%
<br />Signature:
<br />Email.
<br />of Ca Mi�,
<br />irbs, tod000 t!5
<br />at thelnfamaon above is true:
<br />0
<br />Date:
<br />Attention Building Department Staff —After you've verified all questions were answered accurately as "No", then you may acceptpt ththissigned fo asis
<br />written release that an OCFA review ie not required. If any questions were answered as "Yes", then the plan type n the
<br />�li all
<br />rmin#4 i
<br />ra r I
<br />and the BuildingUP01{MO" Ji o bet Bubm e
<br />d a onh with tlheeappropri
<br />Form (on the reverse),
<br />and the Building-epa men stIl
<br />ay be require
<br />I requires the applicant to have their plans reviewed by 0GFA, or if any answers are "Yes"
<br />a review is required, please initial this line and provide an explanation on the Plan Referral
<br />Ate plans to OCFA for a determination.
<br />For questions and SLIbmittal infomialion, plc:asc visit ocfa om,
<br />or cell OCFA at (714) 573,,6100
<br />
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