HomeMy WebLinkAboutCOO-2022-635-CO - Certificate of Occupancycoo-2022-635-CO
Certificate of Occupancy Application
n.nrlng t Auldlng Ag.ncy
Bulldlng sal€iy olvl!lon
PO l9€8 (M-rg)
sanra Ana ca 92702
(714) 6ar-5815
coo
Busano!3 Tar Xumbsr (aTl{)
Please noto lhat All fields mtEt bo tully complotsd in ordor to submil this application.
Business Addrcss Bu3lnes! Floor Localion
/ 1sl znd Olher1810 N B.rstol St
Busa ess Namo gusinoss Phono ll Enre y Phon€ I
Angel Crty Eell LLC T.co Aell139806 (714) 953,7344
BUsiness Owncr Name Business Owner Tille Email Addross
Manager shernandeu @drgtood com
Eusinoss Ownor Mailing Addres3
3120 S Durango Or f305
Caty State 2ip Code
Las Vegas 891r7
squara foet a3 the building?
2.000
Do you Subloaso?
Loasin ent or Property Managemont Co. Nam€Eusino3s Phono,
James Deboard (310) 228,7651
C,ly Sraro Zip Codo
CA 90210
Eusinoss Phono I Emo
(310) 228-7651
Property Owner Add.sss
12006 Talus Pl
Stato
2022-635-CO
Jat+r.il
Business o
(725) 444-641r
Leasing Agent or Prcperty lilanagsment Company
Ptoperty Owner
(310)228-76s1
90210CA
zi Codo
u\B\oa
Unit oa Suite
clty gtato Ztp Code
ry
o
Lo.sing Agcnt or Property ilanagement Co. Add.633
EmoBoncy Phong t
It1o,zzffis'------l
| ! 2006 Tarus Pr
ry
o
Propeaty Ownar l{amo
Cltyry
6utlnor! Deacrlptlon
Offic€
irodiceuDsnlal
Rateil Sel€s
lvhol€!ale
. Ealing EElauishment
(FOG Cloaronco Roqulred. Uploed bclow.)
\ ibrehouse
Manufactudng
Group Assombly
Vtoodworklng (Se€ Atlantlofl bolour.)
Aulo Body (S€€ A{endo.r bolow )
Auto Repeir (No li.r8lding, No Open Flomes
No Spray Painling)
Olher
FOG Cbrnnc. L.tt rrrr
Pb... osi.d (71a) !47-33a) a raditbo.rtt -tt..ol! io ott h. FOG (Far Ot t O.!...) cl-Il.. !t .
TB 30808.pdf 824.30K8
Wlll haz.rdour matadab bo rlood andror udllzad .t thlr trclllty?
. Yes No
Doea th. productlon procela produco hazrrdorra warL?
Yos ' No
ll Yaa to 6ltier qu€Blion ebo€, Oranos Colnty FIl! Authodly'i H6u aadouB Meterlal Obclosurc 56(10.r at (7la) 5734000 muat ba conLclad
ATTENTIONT ALL GROUP 1l- OCCUPANCIES (INCLUDING. AUT NOT LIMITED TO, AUTO AOOY AUTOMOTIVE V\ORK OR STORAGE INCIDEifiAL
TO WELD{N6 WITII OP€N FLAME. IAT@OTI'ORKING, CUTTING, S}IAPING OR SAM'NG IAtoOO) S}IALL NOT AE CONOUCTED IN ANY BUILDING
OR STRI,,CTURE UNLESS THERE IS AI{ APPROVED FIRE SPRINKI.ER SYSTEM INSTALLED,
Occuprncy chrnge fype
, Chengo of Proporty Owner Chang€ ofocqpant Chang€ofuse Addllional Occupanl
Provlde s brlal doacrlptlon ol how the bualne$ oporatga at thlr rlto, hcluding what.ctlvltle. occur on-alto,lhe houra ofop.ratlon, opon to tho
publlc.
(Fo. €r&nple, dothng sal6s - opefl Mf &!f.n )
Fasl Food Restaurant
What was the lormor of bu3lnoBa or us6 of this tacllity?
(cont6.tlho lea5ng 6gent or buildng o*ner lo d6le.rnm3 prlorbuciness u!6 )
FaslFood Reslaurant
l! thb e now bulldlng?
Yes . No
Haa tho bullding or unit booa vacant?
Yes . No
la tho tlooa or bualneg! onlranca ahrred whh another bualnela?
Yes No
wlllthL burlnoa! lnclud6 | lobby or waltlng arra?
. Yes No
It Yoi, provlds the dim€n3long
1000 st-
How much oftho laalod !prce l! orfica?
100% 50% 300/6 Less lhan 30%
ll other than ,00%. how ir the rom.lnln
Reslaurant
13 tho bulldlng sprlnklerod?
Ycs No
wlll sny lmprovsmenl3 bo made lo the bulldlng, such aa: extorlor palnllng, 3lgnago, lntodor tsnrnt lmprovement3?
Yes . No
c
wlllequipmont, materlala, or produclB be atored wlthln tho bulldlng?
, Yes No
Supplemental
)
wlll thero be ouldoor.torags ol equlpm€nt mrt€rlab or prDductr?
Yes . No
lvlll lhoro bc.toEge r.ckr. prllot! andlorrh.lvlng erceodlng 5 feot 9lnchor ln helght?
iPa,,nrl requtred d r6.t3$r€lv.g over 6 nqune w'lh P.md Counlcr )
Y€s No
Wll a product te mrnufactured at the 3lte?
wlll the piopo3od burln.s. lnvolvo e petlont c.rc prcieallon, .uch ea doctor, dentlli, chlropr.ctor, rcupunciurlal, or physlcal therapLt?
Yes No
wlll coun.ellng be r p6rt ottho bualnera opa..tlon?
Yes . No
Wll thl! buslno.3 bo ot o.ing tho iollowlng torvlce.:
Tatloos/ P€rman€nl mako-up
r' None of lhe above
Smoking Lounge
Eody pi€rcing/ Ear piercing
Wlll thla bualncra b. offcrlng maatag.! a. p..l oltho burlnels oporatlon?
Ihls hctn s firls$g€ a3 ancafs.y Io p.dc'rros. manrcurc!. a.rd dhor s.rvlc s
Yes . No
wlll cannablr or c.nnrblt rrleted product rtor.d. cultlvrtod, dlrtrlbulsd, te3led, menuf.cturod o. dlaponred at thl. burlnoar?
Yes . No
Yvlll lood lo. conaumptlon bc prtpared oraold on or otf tha propa.ty?
' Yes No
lf ygr, mrrk the bor for iervlcoc prcvld.d:
/ sal down servica " drive-lhrough , oders lo go,/pid(-up
Ploeso oxplaln
This rs a Fasl Food Reslauranl
Wll lhla bualnoa. lell automobllea or molorcycloe?
Ye6 , No
wlll thl. burlneaa s.rvlco or.op.lr vohlcl€r or lnrt ll equlpmont and acco.soder lnto v6hlc!.s?
I acknowlodgo that I havo 6quo.lod and rccefuod all Zonlng and Sanla Ana Munlclpel Codo roqulrcmenta pcrt.lnlng to my bualne.! and
occupancy appllcatlon.
7 Yes
I DECLARE UNDER PEIIALTY OF PERJURY THAT TH€ FOREGOING STATEMENTS ARE TRUE At{O CORRECT TO THE BEST OF iIY
KNOWLEDGE ANO BELIEF.
By eleclronlcally signlng thl! documont, I agrae my slgctronlc !lgnaturo Ir tho logrlequlv!l€nl ol my handw tton slgnalu.€ on thl! Appllcatlon
lor tho purposoB ol velldlty, ontorceablllty, .nd admlsslblllty. I (unher ecknowledgo th.t I havs ...d tnd agree wllh tho Prlvecy Pollcy of the Clty
? I have read and agree wllh th€ slalements abov€.
Slgnsturo O!te
04t17t2022
,,91f;"%traale'
Tltle
Solia Hernandez I offi- n*"g", -_
DEPARTMENT USE ONLY EXPIRETYOPEN PERXiTS?
I IYES .-{+t{O Dir oa rlgon:rderlaa r,:-
PRIOR APPROVED U8E
NiA
PFIOR APPROVED OATE
N/A
PBOR OCCUPAI{CY GNO(P
N/A
PRIOR COI€IRUCNON TYPE
N/A
PLANNI O
(iC
ZONE
C2
CUP APPROVEO
M. Arellano
o€NtEo OATE
9 t2612022
OCCUPANCY LOAO
/6
OCCtJPAl{CY GROTJP/-z CONSTRTJCTION TYPEt4 *<APPROVED
tbrsruat5
DE'{IED DATE
/b -il-azz-
Not., Oof o lD l.)lb$(rg orust be .trecked IJy lhe C ot O lnsBnlor
I I YES t I NO Hr. trl. hlpccbr ld.rilltlGd any h!..dar! fii.tdlals !t thl.lbc{ly t I YES I I t{O lr h.rrEb(.r v,'rb !.it9 fonc..lad .t thi. !ilt?
NorEs: (uMnAroNs oF APPRoTED occuP Ncy) Eating Establishment only
CITY OF SANTA ANA
FOOD SERVICE ESTABLISHMENT (FSE)
WASTEWATER DISCHARGE NOTICE
AND REGULAR PERMIT
FSE ID
FSE Ownor Name
FSE Name
FSE Address
FSE City, State, zip
FSE Owner/Rep Email:
9
Jalhss Brandon
Taco 86ll (f39806), Angel City Eoll LLC
'1810 N. Bristol St.
Santa Ana, CA 92706
sh€rnandez@drgfood.com FSE Owner/Rep Phone: (303) 6$-3486
A gravity grcase interceptor lS required at this FSE:
Effective August 1, 2017, the City of Santa Ana adopted Ordinance Number NS 2921 amending Chaptor 39 of
the Santa Ana Municipal Code adding fats, oils and grease (FOG) control ragulations appllcable to Food S€rvice
Establishmsnts (FSEs). The ordinance requires all new and remodeled FSEs to install and maintain greaso
interc€ptors.
FSEs will be routinely inspect€d to evaluat6 the effectivoness of their graase control maasures. Exlsting FSEs
that discharge FOG and aro out of compliance wilh the Ordlnance provisions will be required to install grease
interceptors. All FSEs must implement Kitchen Bast Management Practices (BMPS) to remove FOG from the
waste stream ent€ring tha sewer system.
Progrem Rulos and Regulatlons
The Cily has establishsd Rules and R€gulations for the FOG Program. Ref6r to the City website at
htto://www.santa-ana.orslowa/foqldoc uments/foc rules and resulations.Ddf or contact the FOG
Control Prog.am Managor at (7 A) A47-3320 for copiBs of the Rul€s and Regulations. Also r6fer to these
sourc€s for the Fats, Oils, and Grease Control Regulations (Sectlon 39-56 o, th€ City's Municipal Code) and
for copies of forms and educational material.
Notlco and Regular P.rmit Notice
Tho City may amend this Notice and/or Regular Permit at any time. Complianco with the requir€ments contained
in this Notice 6nd Regular Parmit does not rolieve the FSE of its obligation to comply with the Fats, Oils, and
Grease Control Regulations, any applicable pretreatment regulauons, standards or requirements under local.
Stat€, and Federal laws, including 8ny such regulations, standards, requirements or laws that may bocome
effective during the term of this Notice and Regular Permit. Non-co pliance with any term or condilion of this
Notice and Regular Permit conslitutes a violation
result in revocation of the Permit.
ats,and Grease Control Regulation and may
AAel,r -Aa.
Print Name (FSE Owner/R€presentativo)ame (FSE Own6r/Representative)Date
BY signing, FSE owner agrees to all terms and nditions of this Notice
E. Barrera
; Deputy Public Works Direclor
Water Resources Manager
f,,t
Page I of I
Effectivo Dat6: July 27,2022
I
City of Santa Ana
No. 80423807
CERTIFICATE OF
OCCUPANCY
Effic tive
Erpires
Liccnsc No:
tt
^1/2022|fi7t2023
ls-09605
Fee
Penalry
Iotal l:ee
$ 935.00
$ 0.00
$ 9-r5.00
MASSAGE ESTABLISHMENT PERMIT
PURSUANT TO THE PRoVISIONS OF CHAPTER 22 OF THE SANTA ANA l\mNlC|PAL COoE. TrllS PERMIT lS GRANTED FoR TIE BUSINESS INDICATED 0N TllE
CONO TION THAT THE PERSON CORPOR}TION OR ENTITY NAMED IN THE PERMIT WILL ENSURE THAT THE BUSINESS IS OPERATED IN COT,IPLJANCE WITH
ThE LAWS ORD NANCES AND REGULATIOI1S THAT ARE NO1fl OR MAY HEREAFTER 8E IN FORCE 8Y THE UNITED STATES GOVERNMENT, THE STATE OF
CATIFORNIA AND THE CITY OF SANTA ANA PERTAINING TO SUCH BUSINESS THIS PERMIT MUST BE RENEWED ON OR BEFORE THE EXPIRATION OATE AS
SHOlvl{ A8OVE. THIS PERMiT MAY 8E SUSPENOEO OR REVOI(EO 8Y THE CITY FOE CAI]SE THIS PER IT IS NOT TRANSIERAEI.E OR REFUT,IDABLE.
NAME
D.B.A
LOCATION
CITY AND STATE
TYPE OF BUSINESS
Yulan ll'u
Blue Sky lVlassage
103.1 S. lltain Sreer
Santa An r. CA 92703
IVlassage Chicf of Policc
\,IUST BE POSTF]D IN A PRONIINEN'I-LOCATION
City of Santa Ana
llffective
Expires
[-iccnse No:
t t t1t2[22.
I U 17 t2023
l9-09605
Fee
Penalty
Total Fee
$ 915.00
$ 0.00
$935.00
MASSAGE ESTABLISHMENT PERMIT
PURSUANT TO 'HE PROVISIONS OF CHAPTER 22 OF THE SANiA ANA I,IIUNICIPAL COOE, TIIS PERMIT IS GRANTEO FOR THE BUSINESS NOICATEO ON TIlE
COl.l0lTloll TNAT THE PERSON, CoRPoRATIoN 0R ENTITY NAltlEo lN THE PERMIT WILL ENSURE THAT THE BUSINESS lS OPERATEo N COMPLIANCE W|TH
THE LAWS. ORDINANCES ANO REGULATIONS THAT ARE NOW OR MAY HEREAFTER 8E IN FORCE 8Y TI]E UNITEO STATES GOVERNMEI{T, THE STATE OF
CAL FORNIA AN] THE CITY OF SAN'A ANA PERTAINING TO SUCH BUSIN:SS THIS PERMIT IT,ST BE REIIEWEO ON OR BEFORE THE EXPIRATION OATE AS
SHOWN A8OVE, IIIIS PERMIT MAY BE SUSPENDED OR REVOKEO BY THE CITY FOR CAUSE IXIS PERIIIT IS I|OT TRANSFERABLE OR REFUNOABLE.
NAMI]:
D.B.A:
LOCATION:
CI'I'Y AND S]'ATE:
TYPE OF BUSINESS:
Yulan Wu
Blue S k1' Illassage
103.1 S. Main Strcca
Sante A na, CA 92701
lllassage
SAPD FILE COPY/
I
Planning & Building Agency
Building safety Division
20 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-s800
www.santa-ana.org
sPECrAr TNSPECTTON/COMPLATNT
INVESTIGATION FORM
k C
SUBJECT ADDRESS
Purpose of lnspection
! Residential il Commercial / lndustrial!:,.(s.--
CNc
@(-
m
-l
oonm
@(t
SUITE:-
a C
Requested by ! owner fl city otricial iQotner5SPD
Name:
Address
Phone:ffi
ACTION TAKEN: ! None Required E Correction Notice
INSTRUCTIoNS: ! OK Subject to Field ! Plan Check Required
PERMITS REQUIRED: E euiloing E Electrical ! Plumbing ! Mechanical
PLANS REQUIRED: E Site Plan D Floor Plan ! Roof Plan D Elevations
! Elect. Plan ! Plumbing lMechanical
FEES: ! Regular Fees ! Penalty Fee D lnvestigation Fee
NOTE: Building Permits for unpermitted room additions require a site plan, floor plan,
roof plan, framing plan and elevation
Remarks: ?-q*S{/>
/-\)^
(}
)r-
,\
[),
=pv"
)
o-f
aC
=t:l
Date imeln:1'.9a Time Out: lo r & ez* lns pector/lD c V,lCto-.-
lnspector Office Hours: Monday - Thursday 4:00pm - 4:30pm and Friday 3:00pm - 3:30pm
Permits may be obtained Monday, Tuesday, Thursday and Friday 8:00am - 4:00pm ; Wednesday 10:30am - 4:00pm
Tracking #Receipt #
Received by:Date
DateAddress tagged by:
Distribution: white lnspector - Yellow Applicant
OFFICE USE
Amount Paid:
eellelql
. ,+9\ITVN9 \€,AllUoc€unYrtgi rTrn,
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vziN|;-i:,
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or
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€:11 2rMa?' -atatE
lBtiB.w
r',.Ic H E :! va r lw :}d:.FFi?irYJrr6 ris ai€:,rx6Y-\^ av nTE
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iY€ :.rr! i?...c.,ai-io.r 4rH .EF;\. :-:t €Y^-i=
trr r ErarE ,t.EI-i,---7\--ii
a--,1, -rV-,:'
-€rfsoaa*-- :rc .6j>Y+€ "2, M ar) 5rl€&
a.n a a.bz d)
{ Y<_ or *,r ! In E)
xrg Ar iu al) ,o :a,cr. 91 dr^ ae rl . $re erv .E d)
'cr14 .oi lz) ,* * _nr t s!4rj- :h ioa or , r l
ar:€ ro5. rYr crn s :oa!ol, !€L^r. Fr? &ld<r'^6 ci*or i{:rr r_r.+ .r9r ., 6f :tor@!a
IJaa.cf4[E^;rr. x 116 sEr .. a, N er 'Ei{]a rYe! ai5 lrriv aril €!. q) r i,a! -r/C -at^a$ 14E 1G tar6 !!-!C Otr ri€$. 16lr
L1
E]tr :dnfav,i-r5d= l!
l--l.*"1
r:,r--\ ^:->. \;-z >or-r.
I t;I:l tr-ii
T-allir ll
I'l:il
I
hoou:5dNftar IaU or r>:aa,
>si-},a!, f=.1,frilo=d-
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ft Tm
|J.L--/
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ii :!'\ fi---- -.1 .i.!tl
City of Santa Ana
t: ft-ective
Expires
License No:
I I t t1/2072
tUt1t2023
22-250q7
Fee
Penalty
Total Fcc
$ 915.00
$ 0.00
$ 935.00
MASSAGE ESTABLISHMENT PERMIT
PURSUANT TC THE PROV S ONS OF ChAPTER 22 OF THE SANTA ANA MUNIC PAL COOE, TH]S PERMIT IS GRANTEO FOR THE EUSINESS INDICATED ON THE
CONOITION TI.IAT THE PERSON, CORPORATION OR ENT TY NAMED IN THE PERMIT WILL ENSURE THAT THE BUSINESS IS OPERATED IN COMPLIANCE IVITH
THE L-AWS, ORO NANCES AND REGULAT ONS THAT ARE NO'Ii OR MAY HEREAFTER 8E IN FORCE BY THE UNITEO STATES GOVERNMENT THE STATE OF
CALIFORNIA AND THE CITY OF SANTA ANA PERTAIN NG TO SUCii EUSINESS THIS PERMIT i.IUST 8E REIIEWEO OtI OR BEFORE THE EXPIRATION DAIE AS
SHOI{II ABOVE, THIS PERIIIIT MAY 8€ SUSPENOEO OR REVOKEO BY I']E CITV FOR CAUSE THIS P€Ri.!II IS t{OT TRANSFERABLE OR REFUiIDABLE,
NAME:
D,B.A:
LOC.ATION:
CITY AND STATE:
TYPE OF BUSINESS:
Zuoling Yang
Sunnl lll as sage
2521 N. Grand Ave., Unit A
S! ota A na, Cr\ 92 705
Ntassagc ('hicf of Policc
NII.IST BE POSTI'D IN A PRONTINENT LOCA'I'ION
City of Santa Ana
tifl'ective
Expires
License No:
tl n7/2022
tt 17 t2023
22-250e7
Fee
Pcnalty
Total Fee
$ 93S.00
$ 0.00
s93s.00
MASSAGE ESTABLISHMENT PERM IT
PURSUANT TO THE PROVIS ONS OF CHAPTER 22 OF THE SANTA ANA MUN CIPAL COOE, THIS PERMIT IS GRANTEO FOR THE SUSINESS INDICATEO ON THE
CONOITION THAT THE PERSOT.I. CORPORATION OR ENTITY NAMED N IHE PERMIT WILL ENSURE THAI THE EUSINESS IS OPERATEO N COMPLIANCE WITH
THE LAWS OROINANCES ANO REGULATIChIS THAT ARE I.JOVI OR MAY HEREAMR 8E IN FORCE BY THE UNITED STATES GOVERNMENT THE STAIE OF
CALIFORNIA ANO TI.]E C TY OF SANTA ANA PERTAINING TO SUCH EUSINESS IHIS PER II USI 8E RETIEWEO ON OR BEFORE THE EXPIRATION DATE AS
SIOWII A8OVE, THIS PERMIT I\.,IAY 8E SUSPENDED OR REVOXEO BY TtsE CITY FOR CAUSE THIS PER N |s ilOT TRANSFERABLE OR REFU"OABLE.
NAME:
D.B.A:
LOCATION:
CITY AND STATE:
TYPE OF BLISINESS:
Zuol ing l'ang
Sunny Nlassage
2521 N. Grand Ave.. Unit A
Santa A nr, CA 92705
Massage
SAPD FILE COPY/
--------->-.'-.-:'.
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