HomeMy WebLinkAboutCOO-2021-561-CO - Certificate of OccupancyPlanning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. 1988 (l\t-19)
Santa Ana. CA 92702
(7 t4) 647-5Er5
OCCUPANCY INSPECTION
APPLICATION
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UNIT OR SUITE ZIP CODEAUSINESS ADORESS ot
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BUSINESS EMERGENCY PHONE NOBUN
EUSINESS OWNE E NO & STATES ORIVERS LICEN
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ESS ITLEBS
EMAIL ADDRESS
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AUSINESS OWNER S MAILI G ADDRESS ?L C..r;DirC (L
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SQUARE FEET FL AREANo (lF NAME OF SUALEASOR)DO YOU SUALEASE? t]
EMERGENCY PHONE NO
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CoMPANY NAMETEASING A NT R
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BUSINESS PHONE NO
LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADORESS
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BUSINESS PHONE NO
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EMERGENCY PHONE NOPROPERry OWNERS NAME
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PRoPERTY owNER's AbDREss
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BUSINESS DESCRIPTION
O MANUFACTURING
D OFFICE
D RETAIL SALES
O WHOLESALE
OWAREHOUSE
O GROUP ASSEMBLY
O AUTO REPAIR (NOWELDING, NO OPEN
FLAMES. NO SPRAY PAINTING
O AUTO BOOY (SEE ATTENTION BELOW)
E WOODWORKING (SEE ATTENTION AELOW)
qEATING ESTABLISHMENT {SEE PWA)
E OTHER (DESCRIBE AEOVE)
El Yes XNo No. 1 will you be stonng and/or ulilizng hazardous matorials al
this facility?
El Yesjlia lo No. 2 Does your produclion process produce hazardous waste?
ll you have answered Yes lo erther questron you musl conLact Orange County
Ftre Authontys Hazardous Malerial Drsclosure Sectron et (714) 573-6000
lf YES please descibe AA
ATTENTION: ALL GROUP 'H" OCCUPANCIES (INCLUOING, BUT NOT LIMITED TO, AUTO BOOY, AUTOMOTIVE WORK OR STORAGE
INCIDENTAL TO WELDING WITH OPEN FLAME, WOODWORKING, CUTTING, SHAPING OR SANDING WOOO) SHALL NOT BE CONOUCTEO IN
ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED."*[5.L TITLE
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DATE
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DEPARTMENT USE ONLY PERMITS?
Dale ol report 7lzt lo-Q-Q-at\2r-NO
PRIOR APPROVED USE
€orltn " €.i-aL li<hnar.t
PRIOR APPROVAL DATE
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PRIOR OCCUPANCY GROUP
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PRIOR CONSTRUCTION TYPE
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PLANNINd
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ZONE
CI
CUP APPROVEDP--'-s\DENIED oAIE /
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occ. LoAD OCCUPANCY GROUP3 CONSTRUCTION TYPE//t 2-aryclt
APPROVED L,,DENIED
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DATE//3-22
Nols One ol the lollowlng musl be checked by lhe C ol O lnspector
I I Yes I I No Has l]E inspector ldenliffed any hazrrdous malerials al this facillly?
J
t I Yes )€lo ls hazadous waste being generated at this site?
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NOIES: (LIMITAIIONS OF APPROVED OCCUPANCY)
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coo-2021-561-CO
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Please turn in this com form with your Certificate of Occu,'pplication.
Company Name (Print)E)
Contact Name :
Address (business mailing address)+tg
City:5"^l^ [Aft slad: (-'4 zip qzlol
Phone No.:( -7t4\ SsO - q{., R l,' E-mail Address c
E Change of Property Owner E Change of Occupant E ChangeofUse D Additional Occupant
1. The following best describes my operation:
E otfice only E Retail Sales E Medical/Dental
n Warehouse/Manufacturing/Distribution ffilflestauranUTake Out Food
n Other (describe)
Please provide a brief description of how the business operates at this site (for example, please
describe the general nature of the business, what activities occur on-site, the hours of operation,
open to the pu blic). f.l,- t > 9ct"t- V4tn Maxrczirr.Ees\ 6.,6 .
3. What was the former type of business or use of facility? (Please contact the leasing agent or building
owner to detemine prior busirless use'.) 1;a"\ f,e.J (,lf.rrreirt'-tr r.,J
4. Has the building or space been vacant or is this a new building? Yes E No EL
lf vacant, for how long?
5. Are you an independent contractor? Yes ! ruo E.
6. Location of the business and suite number:
EL 1ufloor fl 2nofloor tr floor
7. Do you share the floor or business entrance with another business? Yes E No EL
8. What is the amount of square footage leased?lso '
. C<: kl
2
9. How much of the space, which you lease, is office?
B 1oo% n sov" E goz
lf other than 100%, how is the remaining space used?
S:Planning\Clencal-Counter Forms\
Cofo Ouestionnaire 08-27-18
! Less than 30%
*-SANTA
NAqHffi
Planning and Building Agency
Planning Division
20 Civic Center Plaza
P.O. Box 1988 (M-20)
Santa Ana, C492702
(714) 647-5804
www.santa-ana.org
GERTTFTCATE OF OCCUPANCY
SUPPLEMENTAL
QUEST!ONNAIRE
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10. ls the building sprinklered? Yes E tlo tE]
11. Do you plan on making any improvements to the building such as: exterior painting, signage,
interior tenant improvements? Yes ! No EI
lf yes, please describe:
12. Will your business include a lobby or waiting area? Yes E No EJ
lf yes, what will be the dimensions?
13. Do you store equipment, materials, or products within the building? Yes E No E
a. Will there be outdoor storage of equipment, materials, or products? Yes E t',lo E
lf yes, please describe:
b. Will there be storage racks, pallets and/or shelving exc€eding 5 foet 9 inches in
height? Yes E No El (perrrrt required for racks,/shelving ovor 6', inquire with permlt counler\
14. Do you manufacture a product at the site? Yes E No E
lf yes, please des cribe (including process and end product):
a. Will operations produce dusUwood shavings or similar material? Yes n No Eb. Does the op€ration involvcthe useof welding oropen flams? Yes ! NoE
15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor,
acupuncturist, or physical therapist? Yes ! NoB
a. ls the proposed use within the mental health profession, such as:
EFNo/Not Applicable D Psychologist E Psychiatrist
E Social worker ! other
16. ls counseling proposed as a part of your business operation? Yes E No EL
a. Does your counseling business contract work with a public agency? Yes ! No Q
lf yes, please describe:
17. Will your business be offering the following services:
E Alcohol sales ! Smoking Lounge E Tattoos/ Permanent make-up
! Body piercing/ Ear piercing E- None of the above
18. Will your business be offering massages as part of your business operation? Ttis includes
massage as ancillary to pedicures, manicures, and other services. Yes E ruo E[
19, ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or
dispensed at your business? Yes ! t,to EL
20. Do you prepare or sell food for consumplion on or off the property? Yes € t,lo n
lf yes, do you provide sit down service E, drive-through !, or orders to go/pick-uppJ
S:Planning\Clerical-Counter Forms\
ColO Queslionnaire 08-27-18
Please explain:
21. Does your business sell automobiles or motorcycles? Yes E No BI
lf yes, please explain:
22. Ooes your business service or repair vehicles or install equipment and accessories into vehicles?
Yes E NoB
lf yes, please explain:
23 Municipal Code
(initial)
I DECLARE UNDER PENALW OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE ANO BELIEF.
I acknowledge that lhave requested and received all zo
requirements pertaining to my business and occupancy app
SiqqotuteWpt 7.ot
nino and Santa Anaticaiion. FP-
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Date
lnformation
The Plannang Division's Public Counter is open for walk-up customers from 8:00 a.m. to 4:00 p.m., Monday
through Friday, except Wednesday 10:30 a.m. to 4:00 p.m. The Planning Division is located within City
Hall - Ross Annex, 20 Civic Center Plaza, First Floor. Additionally, you may call us at (714) 647 -5804
should you require any general information.
The Planning Division reviews Certificate of Occupancy requests for change of address, new businesses,
or expansions to ensure that the proposed use is consistent with the established zoning regulations of
Santa Ana. Please check with the Planning Division's Public Counter praor to signing a lease or committing
your business to a certain location to determine the feasibility.
lf a nonconforming use is discontinued, or if a nonconforming building is vacant, unused or unoccupied for
a period of 12 consecutive months, any subsequent use must conform in every respect to the provisions of
the Municipal Zoning Code, and a nonconforming building may not thereafter be used or occupied until it
conforms in every respect to the provisions of the Code.
Generally, the following uses will require further documentation or an extended review and may or
may not be permitted: office uses within an industrial zone; medical, restaurant, laundromat, trade
or technical schools, and automotive repair and service uses within spaces that were not previously
used for such purposes; a building that does not meet the parking demand for the proposed use;
or a use which generates a higher parking demand or adherence to development standards than
the previous uses.
You may need to provide floor plans, site plans, or document the prior use before obtaining a
Certificate of Occupancy to determine the grandparented rights of a nonconforming use, or a use
which has additional Code requirements.
S:Plannrng\Clencal-Counler Forms\
Cofo Questionnaire 08-27-18
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CITY OF SANTA ANA
FOOD SERVTCE ESTABLTSHMENT (FSE)
WASTEWATER DISCHARGE NOTICE
AND REGULAR PERMIT
Effective Date. Augusl 31 2021
Roberto Rrvas
79FSE ID
FSE Owner Name
FSE Name
FSE Address
FSE City. State. Zip
FSE Owner/Rep Email:
Taquorla El Gordito Corp
415 N. Grand Ave
Santa Ana. CA 9270'1
hogarrlvas@gmarl com FSE Owner/Rep Phone: (714) 482,8843
A gravity grease interceptor lS required at this FSE;
Effactive August 1 , 2017. the City of Santa Ana adopted Ordinance Number NS 292'1 amending Chapter 39 of
the Santa Ana Municipal Code adding fats, oils and grease (FOG)control regulations applicable to Food Service
Establishments (FSES). The ordinance requires all new and remodeled FSES to install and maintain greaso
interceptors.
FSES wrll be routinely inspected to evaluate the otfectiveness of their grease control measures. Existing FSES
that discharge FOG and are out of compliance with the Ordinanc€ provisions will be requrred to install grease
interceptors. All FSEs must implement Kitchen Best Management Practices (BMPs) to remove FOG from the
waste stream entering the sewer system.
Program Rulos and R€gulations
The City has established Rules and Regulations for the FOG Program. Refer to the City website at
httD: //'w ww.santa-ana. ors/owa,/fodd mentvfoe rules and rcsulations.Ddf or contact the FOG
Control Program Manager at 1714) 647 -3320 for copies of the Rules and Regulations. Also refer to thes€
sourcos for the Fats, Oils, and Grease Control Regulations (Section 39-56 of the City's Municipal Code) and
for copies of forms and educational material.
Notlco and Rogular Permit Notlcs
The City may amend this Notice and/or Regular Permit at any time. Compliance with the requirements contained
in this Notice and Regular Permil does not relieve the FSE of its obligation to comply with the Fats, Oils, and
Grease Control Regulations, any applicable protrsatment regulations, standards or requirements under local,
Stato. and Federal laws, including any such regulations, standards, raquirements or laws that may become
effective during the term of this Notrce and Regular Permit. Nonrompliance with any term or condition of this
Notac€ and Regular Permit constitutes a violation of thc Fgtr, Oils tnd Grrasc Control Regulation and may
,€odazA /Ua-0a131/2021
Print Name (FSE Owner/Representative)Sign Nama (FSE Owner/Rcprcscntatrve)
BY signing. FSE owner agrees to all terms and conditions of this Notice
,6et Cesar E ffela
Deputy Public Works Drrector
Water Resources l\,lanager
Page I ot l
Date
result in revocation of the Permit
Roberto Rivas
I
GREASE INTERCEPTOR MEMORANDUM
Date: August 31. 2021
From: Anais Linares - Eng ineering Aidc'
Location: 415 N. (;RAND AVE., SANTA ANA,cA 92701 (TAQITERIA EL (;ORl)lT() C()llP.)
The above refercnced lood sen'ice establishment (FSU) must compll'with the FOG Control Program
Rules and Regulations established in Ordinance N5-2921 and as tbllows:
A g ravitv grease intcrceD tor is required at this FSE for the follou'in g reason(s):
This is an existing FSE involving a change ol ownership that will result in an increase of FOC
discharged to the sewer system or is likely to continue discharging a high level of FOC.
C/c:Water Resources Division
Planning & Building Agency
OC Health Care Agency
Public Works Agency (Development)
EEC Environmental
Applicant
Tor Robert Cisneros -_!!e!n ingll qgil!!!!g