Santa Margarita Fire Department

Post Office Box 67 Santa Margarita, California93453 Ph: 805-438-3185

ATION

Residential Project Fire Plan Request

Please provide the following information to obtain a fire plan from the Santa Margarita Fire Department. The information will then be reviewed and a Fire Plan Letter will be issued after all requirements are met. This process can take between 2 to 4 weeks depending on circumstances. Please allow adequate time for the review. Project requests and plans should be hand carried to the Fire Dept. at 22375 El Camino Real on the second or fourth Wednesday of the month between 7 p.m. and 9 p.m. If other arraignments for delivery are required contact the Fire Dept. at 438-3185 to schedule another time.

County Project/Permit #: ______APN: ______

APPLICANT INFORMATION

Owner's Name:______

Mailing Address: ______

City: ______State:______Zip:______

Daytime Phone: ( ) ______Evening Phone: ( ) ______

AGENT INFORMATION

Agent/Owner's Representative: ______

Mailing Address: ______

City: ______State:______Zip:______

Daytime Phone: ( ) ______Other Phone: ( ) ______

PROJECT LOCATION

Address: ______

Nearest Cross Street: ______

PROJECT INFORMATION

Type of Project: New Construction, Remodel, or Addition, Other (please explain): ______

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PROJECT INFORMATION

New Construction: ______Sq Ft. Existing Structure: ______Sq Ft. Total Project: ______Sq Ft.

List by: 1st Floor ______Sq Ft. 2nd Floor ______Sq Ft.Garage ______Sq Ft. Other ______

What is the total square footage of any structure(s) located within 50 feet of this project? ______

FIRE/LIFE SAFETY

Are you going to install a RESIDENTIAL FIRE SPRINKLER SYSTEM in your home? YesNo

FIRE DEPARTMENT ACCESS

Will any portion of the access road or driveway equal or exceed a 10% grade? Yes No

Will any portion of the access road or driveway be unpaved? Yes No

Is there an existing gate or will you be installing a new gate on the property? Yes No

What is the distance from the structure to the nearest hydrant? ______Ft.

What is the hydrant number? ______

REQUIRED ATTACHMENTS

1. A Site Plan and Vicinity Map are to be attached to the Fire Safety Plan application.

The Site Plan shall include: the access road, driveway, turnouts, turnarounds, proposed and existing buildings and thelocation of the nearest hydrant or residential fire connection, including all measurements.

2. A project floor plan on a single sheet of 8 ½ by 11 paper, to include locations of all access and egress points, all utility shutoff locations, fire department connections, and alarm panel locations.

3. A copy of the building plans, please note if they are to be returned.

COMMENTS:

Please provide any additional information you feel will be helpful in our fire safety plan evaluation.

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Signature of Applicant/Agent: ______Date: ______

Date Received:______Received by (initials): ______

Approved Yes No Date of response Letter:______Copy Filed ______