HomeMy WebLinkAboutCOO-2022-690-CO - Certificate of Occupancycoo-2022-690_CO
Certificate of Occupancy Application
Pl.nni6g I aqrlding Ag.ocy
Bullding S.t.ry Oiri3lon
20 C vrc Cente, Plaza
PO r988 iM-19)
sanra ana ca 92702
(714) 647-5815
coo
Business Tar l{umber (BTN)
381550
Please note that all fields must be fully completed in order to submit this application.
)O \
Business o
Business Address
3412 WESTMINSTER AVE !1,6-A
State
CA
Eusine3s Phone *
Surinoaa Floor Locatlon
- 1sl 2^d Other
C ity Zip Cod€
92703
Emergency Phone,
RAMIREZ
Business Owner Name Bu3iness Owner Title
Sanla Ana
LUIS GERARDO RAIVIREZ EUSEBIO
Business Owner Mailing Address
(510) 927-7801
Email Address
eusebiolouisl 0@gmarl.comOWNER
12612 SUNSWEPT AVE APT 6
City
GAROEN GROVE
How many square loet is the building?
1C
Do you Sublease?
Yes . No
State
CA
Zip Code
92843
Leasing Agent or Property ilanagement Company
Leasing Agent or Property il.nagement Co. l{ame
SANTA ANA MINI MALL IONI ROI\,,IAN
Le.sing Agenl or Property ilanagement Co. Addre+
Business Phone t
(714) 554-9200
Emergency Phone I
(711)925-6532
3412 WESTMINSTER AVE
Zap Codo
SANTA ANA CA
o
(714) 554-9200
Emerg€ncy Phone I
(7r4) 925-6s32
City State
Business Phone,
Zap Code
r\\B\r>
SANTA ANA CA 92703
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[Jnit or Suite
I
gusaness Name
l'E1o)ta?8oi ------_l I
o
Clty St to
192703
Property Owner
Proparty Ownei Name
Pioparly Owner Add..!!
Burlno!a Ooac.lptlon
Ofrc€
MedrcaUDental
a Retarlsales
Vvholesale
EalinO Establishmenl
(FOG Clearance Required. Upload below.)
Manufactunng
Group Assernbly
Wbodwoftrng (See Anention below.)
Auto Body (Se€ Attention below.)
Auto Repar (No V1/bldinO No Opeo Flames
No Spray Painting)
Olher S\&{P MEET
Will hazardous malerial3 be stor.d !nd/or otllized et thi3 f.clllty?
Yes No
Doos th6 production proce!! produce hazardou! waEte?
lf Yes to either queslon above Oranoe County Fire Aulhority's Hazardous Malerjal Disclosur€ Section al (714)5734000 muat bo contactad
ATTENTION: ALL GROUP 'H' OCCUPANCIES (NCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE \ /ORK OR STORAGE INCIOENTAL
TO V,ELDING WTH OPEN FLAME, !1/OODV1,oRKING, CUTTING. SHAPING OR SANDING V1/OOO) SHALL NOT BE CONDUCTED IN ANY BUILDING
OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED.
Occupancy Ch.ng. Typo
Change of Propeo Orvner 7 Change of Occupant ChangeolUse Adclitronal Occupanl
Provide a brief de3criptlon of how the bosineli op.rater at lhi3 !ite. including what actlvilie! occur on-!lte, the hours of operatlon, open to the
public.
rFDr rrample clolhr.q s.l6s - open t/'F 8-5pm r
SELL FOOD FOR BIRD FROM CALIFORNIA
What was lhe former type of bu.ine33 or use ol thi3 facility?
,co'iri<r rhe reilott .rt6.r or D!'ld ng own6r ro derermrne p.rdr D!s r
SALES FOOD FOR BIRD FROM CALIFORNIA
15 thia a new bulldlng?
Yes No
Haa tha bulldlng or unll been v.cut?
Yes . No
l! the floor or bu!lner! entrence !hared wlth another bu!lnela?
Yes . No
Wlll lhia buslnoas lnchde a lobby or waiting aroa?
Yes'No
How much ol tho lerled 3pace lr ottlco?
100"/0 5090 30qo . Less lhan 3001"
lf olher th.n 100%, how is the remaining space used?
t0
13 thc bulldlng !prlnllored?
Will!ny improvemont! be made to th6 bulldlng. 6uch as: erlerior paintlng. 3ignage, intorior tenanl improvem6nts?
Yes No
Will equipm€nl, m.te.lels, or product3 be rtorod tyithin th. bulldlng?
Yes No
Wlll a p,oduct bo manufacturod rt tha !ite?
Yes No
Supplemental o
Wlll tho propoled buslne3s lnvolve a pationt care profe3!ion, such .! docto( dentist, chi.opractor, acupuncturi!t, or physlcalthe.apBt?
Will couns.llng be a p!.1of tho bu!lne3! opo.rtion?
Yes ' No
Willthl. burlne!. be otlering th. followlng servlcoa
Alcohol sales
Tatloos/ Permanenl make-up
/ None of the above
SmokinO Loun0e
Body piorcing/ Ear p€rcing
Willthl! butlne$ to offo.ing mataagea r! pt.t o[ tho bualnols opo.atlon?
rlns clu(es nrassaqe as af. ldry ro pe rLu.es rnan'cues and oiher servrc4!
Yes . No
Wlll cann.bla or c.nn.bl! related producl 3tored, cultiv.t.d, diltrlbuted, tested, m.nufrctur6d or dBpenlod et thl. bu.lnes!?
Yes . No
Will tood lor conrumption bo prepared or told on or off the property?
Yes . No
Will thir bu!lneaa !oll automobile! or motorcycles?
Yes . No
Will thi3 bualnoas 3ervice or rupalr vohlcle! or Inlt ll equipment.nd accesao.ier lnto vohlclea?
I acknowledge that I have requestsd and recelved all Zoning and Santr Aaa Munlclpal Code requiremenl! pcrtelnlng to my bualno!3 and
occup.ncy appllc.tion.
, Yes
I OECLARE UNOER PENALTY OF PERJURY THAT THE FOREGOING STATEMENTS ARE TRUE A D CORRECT TO THE BEST OF MY
KT.IOWLEOGE At{ D BELIEF.
J Yes
By eloctronic.lly 6igning thls documont. I agr66 my ol€ctronic sign.ture i3 tha ls0.l equlvalont of my handwritlqn rign.ture on thlr Appllcation
toi thc purpoier of valldlty, enforcoabillty. end rdml$ibility. I fuAher acknowledgo that I hrvo read .nd agre€ wlth the Prlv.cy Pollcy of the Clty
of Srnt Anr.
/ I have read and agree wilh lhe slalements above
Signalure Orte
10t1212022
Prant Name Title
LUIS GERAROO RAMIREZ EUSEBIO OW!ER
DEPARTMENT USE ONLY
\o(an\a'),a
PRIOR APPROVED USE
[(" !n'' \
PRIOR APPROVED DATE
2oo1
PRIOR OCCUPANCY GROUP
IA
PRIORCONSTRUCIION TYPE
V rv iP\
PLINNI}.IC
t)( - .s
ZONE
loz lr, *
CUP APPROVEO
1a.- o u-cz--<^
OENIED DATE
to /,ll zo:z
OCCUPANCY LOAD OCCUPAT.ICY GROUP
/ry
CONSTRUCTION TYPElo €4<
lclioveo
2-4s2tg
DENIED
n DAIE
//5-a"2_
Noie One ol the followlng rnusl b€ checked by lhe C ol O lnspector
I I YES I ! NO tlas the insp€clor rdentifed any hazaftlous matedab at this taolity?
NOTES (L|MTTATTONS OF APPROVED OCCUPANCY)
t I YES t I NO ls hazardous waste berng gene.ated al lhrs sle?
f('\.r.\
I exprneoioper pea*tttst
I
r r ".. .6-nio D.re or roport: