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2021 S Evergreen St Unit 2 - Plan
CITY OF SANTA ANA 0 n living area = 1,234 s.f. porch area = 36 s.f. existin first floor plan SC 1 /4'- 1'-0" OOR SCHEDULE NUMBER OTY I SIZE COMMENTS D01 3 2068 L IN D02 D03 1 2468 L IN 2668 L IN 2 D04 1 3068 L EX D05 1 3068 L IN D06 1 3068 R E D07 1 14068 IN D0b CARBON MONOXIDE ALARM SEE NOTE BELOW �/ SMOKE DETECTOR ALARM SEE NOTE BELOW SD i ULE M M ENTS W01 1 203ORS 040FX W03 2 304ORS W 04 I 4036 RS W05 4 4040RS W06 2 4050RS WO 5 5ORS W08 I 1 1305ORS SMOKE DETECTORS SHALL: a. Be interconnected such that the actuation of one alarm shall activate all alarms. b. Receive their primary power from the building wiring with 90 minutes battery backup. c. Approved combined smoke alarms and carbon dioxide alarms are acceptable. CARBON MONOXIDE ALARM SHALL: a. Be interconnected such that the actuation of one alarm shall activate all alarms. b. Receive their primary power from the building wiring with 90 minutes battery backup. c. Approved combined smoke alarms and carbon dioxide alarms are acceptable. DETECTORS ARE NOTTO BE LOCATED IN THE KITCHEN, GARAGE, OR WITHIN 3 FEET FROM DOOR TO KITCHEN OR BATHROOM OR SUPPLY REGISTERS SMOKE DETECTORS AND CARBON MONOXIDE ALARMS SHALL COMPLY WITH SECTION R315, ALL APPLICABLE STANDARDS AND REQUIREMENTS FOR LISTING AND APPROVAL BY THE OFFICE OF THE STATE FIRE MARSHALL FOR SMOKE ALARMS. R315.3.1. L-----------------------� living area = 819 s.f. �1 NORTH existin second floor plan SC 1 /4'- 1'-0" V NUMB MMENTS D01 1 2668 L IN D02 2 2868 L I D03 2 2868 R IN D04 1 5068 IN rDO51 8068 IN CARBON MONOXIDE ALARM SEE NOTE BELOW CO SMOKE DETECTOR ALARM SEE NOTE BELOW J WINDOW SCHEDULE NUMBER TY SIZE COMMENTS W01 W 02 1 1640FX 202O RS 1 W03 W 04 W05 1 203ORS 1 304O RS 404ORS 4 W06 1 15040RS WINDOWS ABBREVIATIONS RS = RIGHT SLIDING LS = LEFT SLIDING TS = TRIPLE SLIDING FG = FIXED GLASS SH = SINGLE HUNG DH = DOUBLE HUNG SC = SINGLE CASEMENT DC = DOUBLE CASEMENT TC = TRIPLE CASEMENT SA = SINGLE AWNING DA = DOUBLE AWNING TA = TRIPLE AWNING SH = SINGLE HOPPER DH = DOUBLE HOPPER TH = TRIPLE HOPPER LV = LOUVERED FEET WIDTH IN FEET HEIGHT �IN TYPE OF WINDOW Q WIN DOW F, FEET WIDTH IN FEET HEIGHT IN THRESHOLD. I fir (OCCURS AT ALL 0 Y_EXTERIOR DOORS) SWING DOOR Planning and Building Agency KEYNOTES C1 II DOUBLE KITCHEN SINK WITH GARBAGE DISPOSAL WITH AIR GAP FOR DISHWASHER. ❑2 DISHWASHER WITH AIR GAP -VERIFY DIMENSI NS NIG R MANUFACTURER'S SPECIFICATIONS. F3 39" CLEAR REFRIGERATOR SPACE, PROVIDE R CESSED COLD WATER BIB AND SHUT-OFF FOR ICE MAKER. 11 L4 OVEN WITH LIGHT, HOOD AND 100 CFM VENT TO OUTSIDE GAS Master ❑5 LAVATORY WITH BASE CABINET Date: �6 EXHAUST FAN 50 CFM WITH BACK -DRAFT DUMPER TO OUTSIDE �7 WATER CLOSET 1.28 GPF W/30" WIDE CLEARA CE 15" EACH SIDE FROM CENTER AND 24" MIN CLEARANCE @ FRONT ❑8 CERAMIC TILE OVER CEMENT BOARD OR PLASTER ❑9 F.A.U. IN ATTIC. PROVIDE LIGHT, POWER, UNOBSTRUCTED 24" PASSAGE, 30" WIDE WORK SPACE, AND AIR SUPPLY FROM THE ATTIC. PROVIDE CONDENSATE DRAIN LINE TO OUTSIDE AND VENT TO OUTSIDE 10 30"X30" MIN ATTIC ACCESS (PROVIDED F.A.U. MAY PASS THROUGH) WITH MIN 30" CLEAR HEADROOM. PROVIDE SWITCHED LIGHT, 110V OUTLET AND 24" SOLID FLOORING TO F.A.U.,(NOT MORE THAN 20'-0" IN LENGTH). 11 36"X36" FIBERGLASS OR CONCRETE PAD FOR CONDENSER 3" MIN ABOVE GRADE. PROVIDE 220V WEATHERPROOF DISCONNECT & 100V WEATHERPROOF OUTLET WITHIN 25"-0" OF UNIT. (SEE BASEMENT PLAN FOR LOCATION) 12 RHEEM 9.5 GPM NATURAL GAG HIGH EFFICIENCY INDOOR TANKLESS WATER HEATER 200,000 BTU MODEL # ECOH2O0DVLN-1 CSA LISTED 13 4" DIAMETER DRYER VENT TO OUTSIDE WITH BACK -DRAFT AND DUMPER 14 PAINT GRADE WOOD OR VINYL -COATED WIRE 12" DEEP SHELF AT 67" ABOVE FINISH FLOOR 15 36" HIGH METAL RAILS @ LESS THAN 4" CLEAR BETWEEN 16 LOUVER DOOR 17 PORCH CONCRETE SLAB 18 36"X36" MIN CONCRETE LANDING 7" MAX BELOW THRESHOLD 0=0M M�Ew JI1L'1'L3J MAI-JADU CONVERSION PROJECT owner address: 2021 S. Evergreen St. Santa Ana CA 92707 310-592-1017 job address: 2021 S. Evergreen St. Santa Ana CA 92707 existing first floor plan and existing second floor plan DRAWN BY: CHECKED BY: DATE SCALE SEE PLANS JOB NO. SHEET A-1 SHEET NO. 2 OF 3 SHEETS NCE ko U) W W Of Ln It W04 i'n Q? NORTH CARBON MONOXIDE ALARM SEE NOTE BELOW CO SMOKE DETECTOR ALARM SEE NOTE BELOW SMOKE DETECTORS SHALL: a. Be interconnected such that the actuation of one alarm shall activate all alarms. b. Receive their primary power from the building wiring with 90 minutes battery backup. c. Approved combined smoke alarms and carbon dioxide alarms are acceptable. CARBON MONOXIDE ALARM SHALL: a. Be interconnected such that the actuation of one alarm shall activate all alarms. b. Receive their primary power from the building wiring with 90 minutes battery backup. c. Approved combined smoke alarms and carbon dioxide alarms are acceptable. DETECTORS ARE NOT TO BE LOCATED IN THE KITCHEN, GARAGE, OR WITHIN 3 FEET FROM DOOR TO KITCHEN OR BATHROOM OR SUPPLY REGISTERS SMOKE DETECTORS AND CARBON MONOXIDE ALARMS SHALL COMPLY WITH SECTION R315, ALL APPLICABLE STANDARDS AND REQUIREMENTS FOR LISTING AND APPROVAL BY THE OFFICE OF THE STATE FIRE MARSHALL FOR SMOKE ALARMS. R315.3.1. 11 T-0" I I I I 6 I existing laundry W 9'-0" CLG. I I I I I I D 16 1 I I �Cl u D0)7 4068 i I I 5'-4" SD I I existing bedroom-4 9'-0" CLG. I I I I I I I 0 00 I I I I I 4 I 2 I 3'- " L 1 3'-8" 4'-0" 36"e ° • "' W05 3068 , 404ORS \I TEMP Unit 2--- proposed jadu conversion (2)twodedicated home -run 225sgft M 20A duplex outlet 9'-0" CLG. pfor proposed portable stove M propo5ei plate �O O ExisnNG MSD 21TW0 DEOIG4TEC 'i-. HOME -RUN OL'TL_T-= C co G xistin hall 'OD01 3'_8" � conversion of existing main house space (previously X ll/v family room 14'-8" X 15'-3") into JADU - EXISTING WET BAR hot 11'-6" :0] �`-` existing o f II KING FRIDGE exisun lin 18 exis ' 7 bath LU 0 N zo in plug in countertop compact single hot plate low energy consumption Cr kitchenette cook top portable and electric OW05 1 I 1 existing T-0" M existing main house nook \ kitchen V) 9'-0" CLG. oW03-�— � M i 3 7 � M T i 208 r�" � ; M-��' 2 68 ti Apo de e pantry 6 6'-9" 4'-0"----------------Li Li existing foyer ` existing existing diningroom o in livingroom 0 9'-0" CLG. 9'-0" CLG. oW05 n 01 D06 - /3068 TEMP o existingN • pOt; hr 305ORS • ° 505ORS wos 00 °�P ' 1 • 00 wog N 7, OD '-1" -6" 3'-0" 2!-&' 5' 0" 2'-5" 5'-0" 21- 8'-0" 1'-0' '-1" proposed JADU conversion f i r s t floor plan SC 1 /4'- 1'-0" jadu livinq area = 225 s.f. iving area = 11009s.f. )orch area = 36 s.f. • EMERALD Ln 40 MW WINDOWS ABBREVIATIONS RS = RIGHT SLIDING LS = LEFT SLIDING TS = TRIPLE SLIDING FG = FIXED GLASS SH = SINGLE HUNG DH = DOUBLE HUNG SC = SINGLE CASEMENT DC = DOUBLE CASEMENT TC = TRIPLE CASEMENT SA = SINGLE AWNING DA = DOUBLE AWNING TA = TRIPLE AWNING SH = SINGLE HOPPER DH = DOUBLE HOPPER TH = TRIPLE HOPPER LV = LOUVERED FEET WIDTH IN FE!ETfl HEIGHT f--IN TYPE OF WINDOW Q WIN DOW r, _ f FEET WIDTH IN FEET HEIGHT IN THRESHOLD. (OCCURS AT ALL EXTERIOR DOORS) SWING DOOR CITY OF SANTA ANA Planning and Building Agency KEYNOTES ❑1 DOUBLE KITCHEN SINK WITH GARBAGE DISP SAL WITH AIR GAP FOR DISHWASHER. ❑2 DISHWASHER WITH AIR GAP -VERIFY DIMENSI NS E-0 R P MANUFACTURER'S SPECIFICATIONS. 73 39 CLEAR REFRIGERATOR SPACE, PROVIDER CEASED COLD WATER BIB AND SHUT-OFF FOR ICE MAKER. L4 OVEN WITH LIGHT, HOOD AND 100 CFM VENT TO OUTSIDE GAS Master ❑5 LAVATORY WITH BASE CABINET Date: EXHAUST FAN 50 CFM WITH BACK -DRAFT DUMPER TO OUTSIDE �7 WATER CLOSET 1.28 GPF W/30" WIDE CLEARA CE 15" EACH SIDE FROM CENTER AND 24" MIN CLEARANCE @ FRONT ❑8 CERAMIC TILE OVER CEMENT BOARD OR PLASTER ❑9 F.A.U. IN ATTIC. PROVIDE LIGHT, POWER, UNOBSTRUCTED 24" PASSAGE, 30" WIDE WORK SPACE, AND AIR SUPPLY FROM THE ATTIC. PROVIDE CONDENSATE DRAIN LINE TO OUTSIDE AND VENT TO OUTSIDE 10 30"X30" MIN ATTIC ACCESS (PROVIDED F.A.U. MAY PASS THROUGH) WITH MIN 30" CLEAR HEADROOM. PROVIDE SWITCHED LIGHT, 110V OUTLET AND 24" SOLID FLOORING TO F.A.U.,(NOT MORE THAN 20'-0" IN LENGTH). 11 36"X36" FIBERGLASS OR CONCRETE PAD FOR CONDENSER 3" MIN ABOVE GRADE. PROVIDE 220V WEATHERPROOF DISCONNECT & 100V WEATHERPROOF OUTLET WITHIN 25"-0" OF UNIT. (SEE BASEMENT PLAN FOR LOCATION) 12 RHEEM 9.5 GPM NATURAL GAG HIGH EFFICIENCY INDOOR TANKLESS WATER HEATER 200,000 BTU MODEL # ECOH2O0DVLN-1 CSA LISTED 13 4" DIAMETER DRYER VENT TO OUTSIDE WITH BACK -DRAFT AND DUMPER 14 PAINT GRADE WOOD OR VINYL -COATED WIRE 12" DEEP SHELF AT 67" ABOVE FINISH FLOOR 15 36" HIGH METAL RAILS @ LESS THAN 4" CLEAR BETWEEN 16 LOUVER DOOR 17 PORCH CONCRETE SLAB 18 36"X36" MIN CONCRETE LANDING 7" MAX BELOW THRESHOLD 0=0m 'I M�Ew 1 1111ai'1'L3J OMMIONWA, M�Em M�Em M�Em' MAI-JADU CONVERSION PROJECT owner address: 2021 S. Evergreen St. Santa Ana CA 92707 DAVID MAI 310-592-1017 job address: 2021 S. Evergreen St. Santa Ana CA 92707Al proposed first floor plan DRAWN BY: CHECKED BY: DATE SCALE SEE PLANS JOB NO. SHEET A-1 SHEET NO. 3 OF 3 SHEETS NCE SHT. INDEX OF SHEETS SHT G-1. SITE PLAN 1. A- 1. EXISTING MAIN HOUSE FLOOR 1 & 2 2. A- 2. PROPOSED 1ST FLOOR PLAN FOR JADU &MAIN HOUSE 3. SCOPE OF WORK: 1. CONVERSION OF EXISTING S.F MAIN HOUSE 225 S.F JADU (Unit 2) EXISTING AREA ANALYSIS S.F. ZOONING : R-1 TOTAL LOT AREA -------- 5,400 S.F.=100.00% FOOTPRINT COVERAGE--1,890 S.F.= 35.00% FRONT UNIT: FIRST FLOOR LIVING ----------------- 1,234 S.F. SECOND FLOOR LIVING-------------- 819 S.F TOTAL LIVING AREA ------------------ 2,053 S.F. PORCH AREA--------------------------- 36 S.F. FIRST FLOOR LIVING------------------ 194 S.F. SECOND FLOOR LIVING-------------- 424 S.F TOTAL LIVING AREA------------------ 628 S.F. GARAGES AREA----------------------- 426 S.F. LEGAL DESCRIPTIONS LOT 6; TRACT# 696; BOOK 20; PAGES 45&46 APN# 014-122-26 PROJECT INFORMATION OWNERS NAME: DAVID MAI 2021 S. EVERGREEN STREET SANTA ANA CA 92707 PHON E 310-592-1017 PROJECT LOCATION 2021 S. EVERGREEN STREET SANTA ANA CA 92707 OCCUPANCY (SPRINKLERED) R-3/1-1 CONSTRUCTION V-B NUMBER OF STORIES 2 NOTE: Mechanical, electrical and plumbing are not part of this plan review and approval. MEP are subject to building field inspection. ALLEY 40.00' PL I'9 CNORTHo0 00 II 8 5' 01 TWO STORY ADU % 628 S. F. ,44" TWO CAR GARAG 426 S.F. II u � - —C/L/ (F) CURB & GUTTERI 5% 5% II 800 S.F. PEN SPACE II t EVERGREEN STREET SITE PLAN SC: 1"=10'-0" C/L/ �44" o_ 00 fM .--1 N.- This project shall comply with the 2022 edition of California Building Code(Title 24); 2022 CRC; 2022 CBC ; 2022 CPC ; 2022 CMC ; 2022 CEC ; CGBC; "2022 T- 24 Energy Standards" & local codes and ordinances. CITY OF SANTA ANA Planningand Building Agency © CONCRETE RIVEWAY CDCONCRETE ALKWAY O3 2 WATER V ETERS ® 2 ELECTRI METERS O5 LANDSCAP DkD LAND SCAP P D S -fML © PLANTER P R �A I�/ePLAN V Q TREE PER • NCAPE PLAN ® AC CONDE SEDRS (N) 6- TALL WOOD FENCE 0=0M M�Ew JI1L'1'L3J MAI-JADU CONVERSION PROJECT owner address: 2021 S. Evergreen St. Santa Ana CA 92707 DAVID MAI 310-592-1017 job address: 2021 S. Evergreen St. Santa Ana CA 92707 site plan DRAWN BY: CHECKED BY: DATE SCALE SEE PLANS JOB NO. SHEET G-1 SHEET NO. 1 OF 3 SHEETS NCE APP-13 CBC 2016 NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvem ents specified at ___________________________________________________________________________________________. We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your names as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owne r, obtain the prior approval of the permitting authority. OWNER’S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. _____1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an “Owner -Builder” build- ing permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner’s insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop- erty. _____2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. _____3. I understand as an “Owner-Builder” I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead o f my own. _____4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbe rs on permits and contracts. _____5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an “employer” under state and federal law. _____6. I understand if I am considered an “employer” under state and Federal law, I must register with the state and federa l government, withhold payroll taxes, provide workers’ compensation disability insurance, and contribute to unemployment com- pensation of each “employee.” I also understand my failure to abide by these laws may subject me to serious financial risk. _____7. I understand under California Contractors’ State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontrac- tors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contr act with a licensed general building Contractor. _____8. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any f inan- cial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workma n- ship or materials. Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org 2021 Evergreen St Santa Ana CA 92707 DM DM DM DM DM DM DM DM _____9. I understand I may obtain more information regarding my obligations as an “employer” from the Internal Revenue Ser- vice, the United States Small Business Administration, the California Department of Benefit Payments, and the California Divi- sion of Industrial Accidents. I also understand I may contact the California Contractors’ State License Board (CSLB) at 1 -800- 321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. _____10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following ad- dress:_________________________________________________________________________________________. _____11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. ____12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the informati on I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors’ State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to underst and that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contactors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers’ compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner’s driver’s license, form notariza- tion, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner’s signature. Signature of Property Owner _____________________________________________ Date: ______________________ Print name of Owner __________________________________________________ AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER’S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work):_______________________________________________________ Project Location or Address: ____________________________________________________________________________ Name of Authorized Agent: _____________________________________________________________________________ Address of Authorized Agent:__________________________________________________________________________ Phone Number of Authorized Agent: ______________________________________________________________________ I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Property Owner’s Signature: __________________________________________________ Date:______________________ Print Name of Owner: ______________________________________________________________ Note: A copy of the owner’s driver’s license, form notarization, or other verification acceptable to the agency is re- quired to be presented when the permit is issued to verify the property owner’s signature. DM DM DM DM 2021 Evergreen St Santa Ana CA 92707 David Mai 1/9/2026 YES NO INSTRUCTIONS: ORAN GE COUNTY FI RE AUTHORI TY Plan Submittal Criteria COMMERCIAL projects, MULTIFAMILY RESIDENTIAL projects and RESIDENTIAL TRACT developments · 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 1 through 10, read and initial items 11 and 12, then complete and sign the certification section. · If you answer: - “YES” to any part of questions 1 through 10, submit the type of plan indicated in italics to OCFA. · In some cases, other plan types not indicated herein may also be necessary depending on specific conditions or operations. · Visit www.ocfa.org for submittal information and locations. If you need assistance in filling out this form or have questions regarding requirements for review, please contact OCFA at 714-573-6108 or visit us at 1 Fire Authority Road, Irvine, CA 92602. Address Suite City Project Scope/Business Description 1. Construction 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? Construction within 300 feet of an active or proposed oil well? Fire Master Plan (PR145) 2. Property is adjacent to a wildland area or non-irrigated native vegetation? Fire Master Plan (PR145); a Fuel Modification Plan may also be required. (PR120, PR124) 3. Located in or < 100’ from a Division of Oil, Gas, and Geothermal Resources (DOGGR) field boundary, < 300’ from an oil/gas seep, or < 1000’ from a landfill? Methane Work Plan. (PR170) 4. Installation/modification/repair of underground piping, backflow preventers, or fire department connections serving private fire hydrant/sprinkler/standpipe systems? Underground Plan. (PR470, PR475) 5. Drinking/dining/recreation/meetings/training/religious functions or other gatherings in a room > 750 sq.ft. (> 1,000 sq.ft. for training/adulteducation) or > 49 people? Healthcare/outpatient services for > 5 people who may be unable to immediately evacuate without assistance? Education for children (academic tutoring for ages 5+ is exempt unless classified as an E occupancy by the Building Official)? Adult/child daycare? 24-hour care/supervision? Incarceration or restraint? Hotel/apartment or residential facility with 3+ units and 3+ stories (3-story townhouses/rowhouses where an independent direct exit to grade is provided for dwelling are exempt)? Congregate housing/dormitories with 17+ people? High-rise structure (55+ feet to highest occupied floor level)? Architectural Plan (PR200-PR285) 6. Installation/modification of locks delaying or preventing occupants from leaving a space or requiring use of a card, 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) 7. 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) 8. Storage/use/research with flammable/combustible liquids or other chemicals? Motor vehicle/aircraft maintenance/repair? Cabinetry/woodworking/finishing facility? Chem Class & floor plan (full architectural plan if H occupancy); Special Equipment Plans may be necessary. (PR315-PR360, PR232-PR240) 9. Storage 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) 10. Cooking under a Type I commercial hood; installation or modification of a fire extinguishing system located in a commercial cooking hood? Hood & Duct Extinguishing System, not just the hood mechanical plan. (PR335) Initial each of the following two items indicating that you have read and understand the statement: 11. *Sprinklers/Alarms: Consult Building/Fire Codes and ordinances to determine sprinkler/alarm requirements; if a system is required, plans shall be submitted for OCFA review. Existing buildings undergoing remodel must be evaluated by a licensed Initials contractor to determine if modification is needed; if so, contractor shall submit plans prior to making modifications. 12. Fire Hazard Severity Zone: Consult maps available at building department or on OCFA website to determine if your site is located in a FHSZ. Buildings in a FHSZ may be subject to special construction requirements detailed in CBC Chapter 7A or CRC R327— Initials the building department will determine specific requirements. I certify under penalty of perjury under the laws of the State of California that the above is true: Print Name Signature Phone Number ( ) Date / / Building Department: If you have verified that all of the questions have been answered accurately as “NO”, and the project does not otherwise require OCFA review of sprinkler or alarm plans*, then you may accept this signed form as a written release that OCFA review is not required. Should you still require that the applicant have plans approved by OCFA, please initial here or attach an OCFA referral form and have the applicant submit the form along with the appropriate plans and fees for OCFA review. 10-08-14 EE COM O R A N G E C O U N T Y F I R E A U T H O R I T Y Plan Referral Form Required for OCFA to review plans upon the request of the Building Department when the answers on the Plan Submittal Criteria Form (on the reverse) are all “No”. City / County Official Requesting Review: City / County Reference #: Date: __________________________________ City / County: _____________________________________ E-Mail: __________________________________ Contact Name: _____________________________________ Phone #: _________________________________ Title: _____________________________________ ** Have the applicant complete and sign the OCFA Plan Submittal Criteria Form on the reverse of this form. ** Reason(s) for Review: Please describe why OCFA Plan Review is or may be required by the City/County : OCFA COMMENTS: No further action required on this specific plan type, based on information provided on: ____/______/______. Project to be taken in for OCFA Review. Other: Name: _________________________________________ Contact #: ______________________________________ Date: _________________________________ OCFA Authorization Updated: 06/02/2020 rs CERTIFICATE NO. 100005 SANTA ANA UNIFIED SCHOOL DISTRICT SCHOOL FACILITIES FEE CERTIFICATION OF COMPLIANCE AND RECEIPT FOR PAYMENT FOR Project Number:PRJ-7119086 Project Request ID:VYXRTKGPP4 Request Contact:Andy Mai (OWNER) Job Location / Address: 2021 S Evergreen St, Santa Ana, CA 92707 Permit Issuing Office: City of Santa Ana This is to certify that all fees due to the Santa Ana Unified School District under Provision of Government Code Section 65995 as a prerequisite to the issuance of a Building Permit have been received, based on the above referenced information, this Certification is hereby Executed. PMT-193677 Development Type Construction Type Square Feet Residential Accessory Dwelling Unit (ADU) 225 Permit Number TBD 193677-Residential Accessory Dwelling Unit (ADU) fees as required in the amount of:$1,163.25 ($5.17 [Rate] x 225 [Square Footage])A School Administrator has marked this Approval Form as exempt. The entire form will not be subject to fees. Developer Fees Paid:$0.00 Amy Acosta School District Representative Date: 01/08/2026 NOTICE OF 90-DAY PERIOD FOR PROTEST OF FEES Pursuant to Section 66020 of the California Government Code and other applicable law, you have a period of ninety (90) days from the date of payment of school fees, mitigation payments or other extractions to protest the validity thereof. This ninety (90) day period commences upon such payment of performance of any other requirement as provided in Section 66020. Any such protest must be in writing and received by the Santa Ana Unified School District within ninety (90) calendar days of the date of the School District Certification above.