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HomeMy WebLinkAboutCOO-2022-628-CO - Certificate of Occupancycoo-2022-628-CO Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. 1988 (M-19) Santa Ana, CA 92702 (7r4) 647-5815 OCCUPANCY INSPECTION APPL!CATION BTN 3 sttqL @C 9.z m @a oo7ma U) + \ \' \ \.$ o )e>r N Qt0vo Nt h ?11o( BLISINESS ADDRESS UNIT OR SUITE ZIP CODE Svr/uy 14/rB+qE' BUSINESS NAME BUSINESS PHONE NO tLzlt 2Sl- t o'7 z, EMERGENCY PHONE NO /.lt d*'> ct1?o zL(O I /ucr BUSINESS OW ON R'S NAME & TIILE ADDRESS L5z oS E (-a '2-R tL?3 b4-ve tA 50^la+ o+ AUSINESS OWNERS MAILING ADDRESS oo You SUBLEASE? o YesINo (rF YES, NAME OF SUBLEASOR)SOUARE FEET Q5os9 n FLOOR AREA 'la0rL(r BUSINESS PHONE NO i\rtt,4tV- /o /O EMERGENCY PHONE NO () LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME 6&qn,, A-tZ |'U24, LLC- LEASING AGENT OR PROPERTY MANAGEi.iENT COMPANY ADDRESSBeuu QQoup Feuu Qno,,tp PROPERTY OWNERS NAME BUSINESS PHONE NO 0lVtht- to 1e () EMERGENCY PHONE NO PROPERTY OWNERS ADDRESSi;aqi R;-ii,'il We 4L z)ot Tqi,u , c*7':7&o Itkst+E? E<TA BUgtkteA O MANUFACTURING O OFFICE O RETAIL SALES O WHOLESALE O WAREHOUSE E GROUP ASSEMBLY O AUTO REPAIR (NOWELDING, NOOPEN FLAMES, NO SPRAY PAINTING O AUTO EODY(SEE ATTENTION BELOW) E WOOCMJORKING (SEE ATIENTION BELOW) O EATING ESTABLISHMENT (SEE PWA) XoTHER (DEscRrBE ABovE) IBUSINESS DESCRIPTION E YesXNo No 1 willyou be sloring and/o. ulrlizing hazardous metenals at this faciltty? tr Yes X No No. 2 Does lour production process produce hazardous waste? It yoiJ have ansrr€red Yes to ather quesl,on tlou musl conEct Oranga Counly Fir6 Authoritys Hazardous Mat6rial Dlsclosurc Slclion at (71a)5734000 ll YES, pleasa d6scnbe_ ATTENTION: ALL GROUP 'H' OCCUPANCIES (INCLUOING, BUT NOI LIMITEO TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE INCIDENTAL TO WELDING WITH OPEN FLAME, WOODWORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT 8E CONDUCTED IN ANY BUILOING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. a^ L.-?-,SIGNATURE TITLE Ot qeR. DATE al rf zo -,, ->,- DEPARTMENT USE OI(LY EXPIREDiqPSN PERMITS? YES )dlo Date of report:q\ar\aa'ra- PRIOR APPROVED USE Se.v'u, Ynt PRIOR APPROVAL OATE t>q [,7 la.at PRIOR OCCUPANCY GROUP,or, PRIOR CONSTRUCTION TYPE V9 PLANNING[Ir - 30 ZONE L2 CUP APPROVED M ?.\at OENIED "'&tl?u laot> occ. LoAD)qo OCCUPANCY GROUP3 CONSTRUCTION TYPE{B APPROVED-->c- qz DENIEO DATE lo-13.22 fuole' On€ ol lhe followng musl b€ checked by the C ol O lnsp€ctor [ | Ye3 I I No Has the insp€clor identrfied any hezardous materials at lhis facilily? tNOTES (LIMTTATIONS OF APPROVED OCCUPANCY)Yetr,4 I lYes u><_> I I No ls hazardous waste being generated al this site? tttr ,. >t t* ,, fi'> hb t.,-L \t, ,,,SNTA NA PLI$IIC &luut\c lcilcl Planning and Building Agency Planning Oivision 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, C492702 (7r4) 647-s804 www.santa-ana.or9 GERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Please turn in this completed form with your Cedificate of Occupancy application. Company Name (Print):5 MN Lt A 9si a contact Name: zuo Ll N City:SAr^t'i+ Lt/E Phone No A,.b -z5l-7o7t-E-mail Address t>932 kAtv?aw r_-tE Change of PropertV Owner p change of Occupant E ChangeofUse E Additional Occupant '1. The following best describes my operation: D Otfice Only ! Rotail Sales E MedicauDental n Warehouse/Manufacturing/Oistribution ! RestauranUTake Out Food p otner{aescribel lL4*<5++e €s(PtLtSA He'r1 ' 2. Please provide a brief description of how the business operates at this site (for example, please describe the qeneral natute of the business. what activities occur on-site, the hours of operation, open to the iuoticl. 77teQ EP t I Pc< AR u u*t t AS? FoR. C a!(on eR .uiatK w1 hrT 1a4csh+e tueL. Bot>/, F-oor, Str(pte4, Flhr , veep Tsrue 3. What was the former type of business or use of facility? (Please contact the leasing agent or building owner to delermine p,or buslness use.)rAu€ Tl?e 4. Has the building or space been vacant or is this a new building? Yes ! f.lo B lf vacan't, for how long?l'/o y*cktvT . 5. Are you an independent contractor? Yes [i No E 6. Location of the business and suite number ( to floo,. ! 2tfloor ze " I qRA4.,b I veb I. sN'at! *, t+ %lo c floor 7. Do you share the floor or business entrance with another business? Yes n *" F 8. What is the amount of square footage leased?4,eo 9. How much of the space, which you lease, is office? ! 1oo%n so"z,X 30%o S:Planning\Clerical-Counler Forms\ ColO Oueslionnaire 08-27-18 !Less than 30% Address (business naiting aaoressl. 24U 4.4-r,,/.o AvL U\JtT k state: Lk zio: f u7" ( tr lf other than 100%, how is the remaining space used? , '. ,/ 10. ls th€ building sprinklered? Yes tr lo X '11. Do you plan on making any improvements to the building such as: exterior painting, signage, interior tenant improvements? Yes ! tto E lf yes, please describe: 12. Will your business include a lobby or waiting area? V""I ftfo a lf yes, what will be the dimensions, I O ' K 7 ' 1 3. Do you store equipment, materials, or products wilhin the building? Yes E *o K a. Will there be outdoor storage of equipment, materials, or products? Yes E No F lf yes, please describe: b. Will thers be storage racks, pallets and/or shelving excsoding 5 feet 9 inches in h€ight? Yes tr No N @amlt rcqulrcd lot racks/shelving over 6',lnqutra with perr'.tit counterl '14. Do you manufacture a product at the site? Yes ! ruo K lf yes, please desc(ibe (including process and end product): a. Will operations produce dusuwood shavings or similar material? Yss E No kb. Does tho operation involve the uso of welding or op6n flame? Yes E No B 15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor, acupuncturist, or physical therapist? Yes E No n a. ls the proposed use within the mental health profession, such as .Mtr No/Not Applicable E Psychologist E Psychiatrist Social worker !Other 16. ls counseling proposed as a part ofyour business operation? Yes E No K a. Does your counseling business contract work with a public agency? Yes ! No ( lf yes, please describe: 17. Will your business be offering the following seryices: ! Alcohol sales ! Smoking Lounge .[-l Tattoos/ Permanent make-up ! Body piercing/ Ear piercing p None ofthe above 18. Will your business be offering massages as part of your business operation? This includes massage as ancillary to pedicures, manicures, and other services. Yes I No E 19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or dispensed at your business? Yes ! ^o K 20. Do you prepare or sell food for consumption on or off the property? Yes ! *o ,( lf yes, do you provide sit down service E, drive-through E, or orders to go/pick-up E? SrPlanning\Cleical-Count€r Folms\ CoO Quesrionnaire 08-27-18 I Please explain: 21. Does your business sell automobiles or motorcycles? Yes E *"# lf yes, please explain: 22. Does Yes your businqFs service or repair vehicles or install equipment and accessories into vehicles?tr NoE lf yes, please explain 23. I acknowledge that lhave requested and received all zoning and Sa Ana Municipal Code requirements pertaining to my business and occupancy application (initial) I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEOGE AND BELIEF. rZ*v^7 q td ->.a Y1.. Signature J/ZugY1116, Y1,, 6 . Date Prinl Name Title lnformation The Planning 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 Oivision 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 prior 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, reslaurant, 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 Gode requirements. 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