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ORANGE COUNTY FIRE AUJAII0111TY
<br />Plan Submittal Criteria Form
<br />Required for Single Family or Duplex Residences
<br />(Use Commercial form for lots wth 3+ dvMing unR, or new rewental tracts)
<br />Complete the Project Irlformatron and Questionnaire below, then sign and date the Applicant I
<br />Project Information
<br />n ne,u ginnlp Family Residenoe/Duplex O Addition/Remodel 9 ADU
<br />CITY OF SANTA ANA
<br />Planning and Building Agency
<br />Mroved
<br />OIT ISSUANCE
<br />Date:
<br />M
<br />Address: Y Unit it City or Unincorporated County Area: ZIP: I
<br />x7:
<br />,,;1S1s130=4i, _. _ ..,...-
<br />.,
<br />Scope of Work: ADDITION TO DETACHED GARAGE AND CONVERSION TO AN ADU
<br />Existing Area to Total Resulting 622 Stories 1 Area Added in Past 2 Years
<br />Area:
<br />373 be Added: 249 Area:(excluding this ro ect
<br />Questionnaire OCFA Plan Type if "Yes"
<br />1,
<br />tires
<br />nv
<br />New Is this a new single family residence or duplex?
<br />Site
<br />with W2t
<br />with
<br />ith atarAvailability
<br />pRI00.402) Fire Sprinkler _
<br />2.
<br />®
<br />ADU — Is this a new Accessory Dwelling Unit (ADU) on the same property as a house that already has
<br />(PR400 402) Fire sprinkler
<br />firesprinklers or a house that will have fire sprinklers added as part of this project?
<br />3,
<br />®
<br />Addition — Is this (A) an addition to a currently spnnklered building, or (B) an addition requiring a fire
<br />(PR400 402) Fire Sprinkler
<br />s nnkler retrofit based on a threshold set by local ordinance?
<br />4.
<br />®
<br />Distance — Is the most remote portion of the addition, ADU or other detached structure greater than
<br />'IPR160) Residential Site
<br />140-feet from the fire access roadway?
<br />5®
<br />Total Area — Will the addition result in a total area of greater than 3,600 square feet (sf) for non-
<br />"(PRl60) Residential Site
<br />Water Availability
<br />Fff
<br />spnnklered buildings, or greater than 6,200 sf for spnnklered buildings, including the area of all
<br />with
<br />enclosed spaces, such as garages, stairs, and detached structures separated by less than 10-feet?
<br />6.
<br />®
<br />Remodel — Is this a remodel of a spnnklered 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 />contractor to determine If a fire sprinkler modification is needed.
<br />7
<br />®
<br />Detached Structure — Is this a new detached utility or accessory structure (not an ADU), such as a
<br />APR 1 esideenbal Site
<br />garage, workshop, game room, pool house, barn, etc , requinng fire sprinklers based on a threshold
<br />set by local ordinance?
<br />g.
<br />®
<br />Gate — Is a gate being installed across a driveway or road that is designated as a fire department
<br />(PRI80) Gate
<br />access roadway, or a driveway or road that serves more than a single home/duplex?
<br />g.
<br />Q
<br />®
<br />Methane — Is project located in or less than 1 00'from a "Division of Oil. Gas, and Geothermal
<br />"�PR160)4e Residential Site
<br />Resources' (DOGGR) field boundary or well (active or abandoned), less than 300-feet from an oillgas
<br />seep, or less than 1000-feet from a landfill? (Note. For projects in Yorba Linda, this requirement only
<br />TestMitigation Plans
<br />applies to new homes, enclosed accessory structures, addition to existing structure greater than 1000
<br />sf, and ADU's).
<br />1 p.
<br />®
<br />Vegetation — Is the property/structure (A) on the perimeter of a community containing, or adjacent to
<br />'(PR125) Fuel Modification
<br />Accessory
<br />slopes or hills, or (B) adjacent to an open space or wildland area containing non -irrigated vegetation,
<br />(PR18u)
<br />or (C) in a State Responsibility Area or Local Responsibility Area 'Fire Hazard Severity Zone', as
<br />Structure
<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 detore issuance or a graainlyuuoun;y Pt�11111r. 1�1 UU IVI Fnai a kyF i i y
<br />Applicant Certification
<br />1 certify, under penalty of perjury, under the laws of the S e f Calif rnia, t t t e i formation above is true: I
<br />Print Name: SILVIATORRES Signature, Date:
<br />SIL'AA TORREQ Email. SILVIA OR R13
<br />Phone Number -- —
<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 maybe 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 />l-orm (on the reverse), to be submitted along with the appropriate plans to UUF-A for a determination.
<br />For que.!;om and subriot it Inforrnahon, please visll oela org, or call OCFA at V14) 573-6100
<br />
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