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EXHIBIT 3 DIVISION 4 — REFERENCE FORMS Office of the State Fire Marshal Sample Plan Review Triage List This form is provided for informational patposes only. For the complete triage list visit the website below. Information andforms may be obtained at Office of the State Fire Marshal, Fire and Life Safety Division - Plan Review Seadon www. ostna, /ire. ca, gav 1. GENERAL o Height increase ❑ Provide a complete plan review o Fire Sprinklers (Type, Full, Partial) application Submit plans sufficient size a Fire Alarm (Type) o Other Fire Protection System (Type) ❑ Provide site address o Smoke Control System (Y/N) ❑ Provide name of owner and occupant o Occupant load for entire building and ❑ Identify if new construction or T.I. each oor ❑ Identify It new or existing tenant space uildi Year building was constructed ❑ Identify if deferred submittal c o High Fire Hazard Severity Zone ❑ CSFM file number must be on title o Seismic Joints and locations (Y/N) O sheet ❑ Slip sheets shall be bound to set o Emergency Responder Radio Coverage ❑ Sheet index ❑ �/N) Identify occupancy groups/uses on floor ❑ Wet stamp and sign sheets plans ❑ Electronic signature approval ❑ Identify adjacent buildings on the site required ❑ Identify fire separation distances ❑ Scope of Work ❑ Identify building allowable area increases ❑ Provide a Key Plan coordinated to each ❑ Justify frontage allowances sheet ❑ Sprinkler heightlarea increase cannot be ❑ Provide a North orientated Site combined Map ❑ Orientate all sheets to North ❑ Identify types and materials of all construction ❑ Identify deferred submittals o Provide wall legends o Fire rated assemblies ❑ Provide adopted code cycle listings and o Scan listed assemblies to plans standards ❑ Penetration protection ❑ Provide a legible scale. Typically1/8" o Scan listed fire stopping systems to plans ❑ Provide approved reference o Classification of roof covering ❑ Details for opening protection 2. ACCESS AND WATER SUPPLY o Door schedule ❑ Provide Local Fire Authority Approval Letter ❑ Window schedule ❑ Fire Department p ❑ Louver schedule ❑ Fire Department Connection ❑ Listed smoke containment system ❑ Fire Hydrants ❑ Interior finish smoke and flame spread ❑ Fire Alarm Annunciator 4. EXITING ❑ Fire Alarm Control Panel ❑ Paths of travel to a public way ❑ Knox BoxJKsy Switch ❑ All occupancies/uses on floor plans ❑ Emergency Responder Radio Coverage ❑ Correct occupant load factors (gross, net) ❑ Elevator gurney accommodation ❑ Provide a complete fire access plan ❑ Cumulative loads (lobbies, corridors, stairs, ❑ Provide 6 mo, current site fire flow information etc.) ❑ Furniture plan 3. NONSTRUCTURAL PROVISIONS ❑ Egress capacity (width and number) ❑ Building Analysis (include the following) ❑ Door swing o Occupancy groups and varied uses ❑ Door hardware o Building construction type ❑ Delayed egress design o Number of stories ❑ Card readers/ access control o Actual building height ❑ Emergency lighting and photometric o Building area in square feet ❑ Exit signs o Area of project in square feet ❑ Exit enclosures (vertical and horizontal) o Separated, non -separated, accessory use ❑ Exit discharge o Allowable area ❑ Areas of refuge & Safe dispersal areas o Area increase 10 iRavaitsi 80A-652