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CITY OAANA <br />Planning and Buildtng Agency <br />slur <br />ORANGE COUNTY FIRE AUTHORITY pp ed <br />R ERN��SRAN E <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) Complete the Project Information and Questionnaire below, then sign and date the Ap Iic�nisCertitDation. <br />Project Information <br />❑ New Single Family Residence/Duplex ❑ Addition/Remodel [B' ADU ❑ Other <br />Address: Fit #: City or Unincorporated County Area: ZIP: <br />3414 S Timber St Santa Ana 92707 <br />Scope of Work: Build ADU <br />Existing Area to Total Resulting Stories:l Area Added in Past 2 Years <br />Area: be Added: Area: (excluding this ro'ect : <br />Yes No <br />1 •JoDistance <br />ew — Is this a new single family residence or duplex? <br />OCFA Plan Type if "Yes" <br />*(PR160) Residential Site <br />with Water Availability <br />2.DU <br />— Is this a new Accessory Dwelling Unit (ADU) on the same property as a house that already has <br />(PR400-402) Fire kler <br />(PR400.402) Fire Sprinkler <br />es rinklers or a house that will have firesprinklers added as art of this project? <br />3•ddition <br />— Is this (A) an addition to a currently sprinklered building, or (B) an addition requiring a fire <br />(PR400.402) Fire Sprinkler <br />sprinkler retrofit based on a threshold set b local ordinance? <br />4• <br />— Is the most remote portion of the addition, ADU or other detached structure greater than <br />0-feet from the fire access roadwa ? <br />*(PR160) Residential Site <br />5•otal <br />Area — Will the addition result in a total area of greater than 3,600 square feet (so for non- <br />*(PR160) Residential Site <br />sprinklered buildings, or greater than 6,200 sf for sprinklered buildings, including the area of all <br />with water Availability <br />6• <br />enclosed spaces, such as garages, stairs, and detached structures separated by less than 10-feet? <br />Remodel — Is this <br />a remodel of a sprinklered building with a scope of work that includes adding or <br />(PR400.402) Fire Sprinkler <br />removing any interior walls? Note: If "Yes", then project must be evaluated by a C-16 licensed <br />ontractor to determine if a firesprinkler modification is needed. <br />�• <br />Detached Structure — Is this a new detached utility or accessory structure (not an ADU), such as a <br />*(PR160) Residential Site <br />garage, workshop, game room, pool house, barn, etc., requiring fire sprinklers based on a threshold <br />set by local ordinance? <br />(PR400.402) Fire Sprinkler <br />8• <br />Gate — Is a gate being installed across a driveway or road that is designated as a fire department <br />(PR180) Gate <br />9. <br />Access roadway, or a driveway or road that serves more than a single home/duplex? <br />Ej <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 <br />*(PR160) Residential Site <br />*(PR172.174) <br />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 />Methane <br />Test/Mitigation Plans <br />applies to new homes, enclosed accessory structures, addition to existing structure greater than 1000 <br />and ADU's). <br />10. <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 <br />*(PR125) Fuel Modification <br />wildland area containing non -irrigated vegetation, <br />or (C) in a State Responsibility Area or Local Responsibility Area "Fire Hazard Severity Zone", as <br />(PR182) Accessory <br />Structure <br />*OCFA <br />approval <br />required <br />defined kv the State, or D near an area that could be affected by a wildfire in the o ens ace. <br />before issuance of a aradina/huildinn narmir <br />i --1- 11---.... I . vv I-SUMII U.". <br />Applicant Certification <br />I certify, under penalty of perjury, under the laws of the Stat alifornia, that the information above is true: <br />Print Name: rDAlY 1/r Signature: <br />Date: <br />Phone Number: _ ��2=��.j� dev <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 <br />