HomeMy WebLinkAboutCOO-2021-141-CO - Certificate of OccupancyPlanning & Building Agency
Building Safefy Division
20 Civic Center Plaza
P.O. 1988 (M-19)
Santa Ana, CA 92702
(714) 647-5815
coo-2021-141-CO
OCCUPANCY INSPECTION
APPLICATION
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NAME
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EMERGENCY PHONE NO.
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NAME PHONE EMERGENCY
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BUSINESS PHONE NO.
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BUSINESS DESCRIPTION
tr MANUFACTURING
tr OFFICE
tr RETAIL SALES
tr WHOLESALE
trWAREHOUSE
O GROUP ASSEMBLY
tr AUTO REPAIR (NO WELDING, NO OPEN
FLAMES. NO SPRAY PAINTING
O AUTO BODY(SEE ATTENTION BELOW)
tr WOODWORKING (SEE ATTENTION BELOW)
tr EATING ESTABLISHMENT (SEE PWA)
ldnen (oescRIBE ABovE)
n Ves;[,no No. 1 Will you be storlng and/or utilizing hazardous mat€riats at
this facillty?
p Ves {fo No. 2 Does }our productlon process produce hazardous waste?
lf you hav6 answered Yes to eithcr quostion you must contact Orange County
Fi16 Authority's Hazardous Material Dlsclosure Section et (714) 573-6000
lf YES, please describe
ATTENTION: ALL GROUP "H'OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE
INCIOENTAL TO WELDING WITH OPEN FLAME, WOOOWORKING, CUTTING, SHAPING OR SANOING WOOD) SHALL NOT BE CONDTJCTED IN
ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVEO FIRE SPRINKLER SYSTEM INSTALLED,
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DATE
oHFnnTMENT USE ONLY EXPIRED/OPEN PERMITS?- ./YES YNo oaro or report: V. H q
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PRIOR APPROVED USE
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PRIOR APPROVAL DATE
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PRIOR OCCUPANCY GROUP
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PRIOR CONSTRUCTION TYPE
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ZONEcfPLANNINGqc CUP APPROVEDf+DENIED DATEq l+lur
OCC. LOAD APPROVEDZ Crrrrta
DENIED."4 /-ts -ztDATE
Noter One ofthe following-musi be checked by the C ofO lnspector
I lYes I I No Has the lnspector identified any hazardous matorials at lhis facility?
Crsn+tnwl" &cfvLeNOTES: (LIMITATIONS OF APPROVED OCCUPANCY)
I I Yes { ] No ls hazardous wasts being generated at this site?
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EMERGENCY PHONE NO.
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10. ls the bulldlng eprlnklered? Yes n f.fo SL
11. Do you plan on making any lmprovements t-^oJhe building such as: exterior paintlng, signage,
interiortenantimprovements? Yes n ruo EF
lf yos, please descrlbe:
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12. Wilt your business include a lobby or walfing area? Yes Nl No E
lf yes, what will be the dimensions? '5o €-**/
13. Do you store equipment, materials, or products within the building? yes d No E
a. Wlll there be outdoor storage of equipment, materials, or products? Yes ! ruo ff
lf yes, please describe:
b. Will there be storaga,racks, pallets and/or shelving exceedlng 5 feet g lnches ln
height? Yes ! No
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requlred lor racks/shelvtng over 6', lnqulre wlth peflnlt counterl
14. Do you manufacture a product at the site? Yes E N" (
lf yes, please describe (lncluding process and end product):
a. Will operations produce dust/wood shavingo or slmllar materlal? Yes f]b. Does the operatlon involve the use of weldlng or op€n flame? Yes I No
15. Does the proposed use involve a patient care
acupuncturist, or physical therapist? Ves E
profe.ssion,ruoff
!n
lf yes, pleaso describe:
17. Will your buslness be offerlng the following services:
n Alcohotsales fl Smoking Lounge
n goOy piercing/ Ear piercing
Tattoosl Permanont make.up
None of the above
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such as doctor, dentist, chlropractor,
ls the proposed use wlthin the mental health professlon, such as:
NoNot Applicable ! Psychologist ! Psychiatrist
Soclalworker fl
16. ls counseling proposed as a part of your business operation? Yes ! *o &
a. Does your counseling business confact work wlth a public agency? Yes E *o \]
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18. Will your business be offering massag€s as part of your business operation? T[is includes
massage as anclllary to pedicures, manicures, and other sorvices. Yes E No &
19. ls cannabis or cannabis related product stored/cultivated, distributed, tested, manufactured or
dispensed at your business? Yes E *o K
20. Do you prepare or sell food for consumption on or off the property? Yes E *, (
lf yes, do you provlde sit down service n, drive-through fl, or orders to go/pick-up fl?
a.
S:Plannlng\Clsrlcal-Countor Forms\
CofO Questlonnake 08-27-18
Plannlng and Bulldlng Agoncy
Plannlng Dlvlslon
20 Clvlc Center Plaza
P.O. Box 1988 (M-20)
SantaAna, CA92702
(714) 647-5804
www.ganta-ana.org
CERTIFICATE OF OGGUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
C"O'SANTA
NAfi{il$
Please tum in this completed form your Certifrcate of Occupancy arylicatlon.
Cornpany Name (Print):
Contact Name:
Address(buslnessmalllngaddress): l'23? ,Q / r t, -
city: €a-u *4 ?tn. 4 state: (4. t ztpt 7 7-7O 7
Phone No.:7/ ? ZDd 56 6'/ E+nailAddress ' o "cbt/<il Change of Property Owner E Change of Occupant ! Cnange of Use E Addltional Occupant
1. The following best descrlbee my operatlon:
I Otnce Only ! Retallsales n Msdlcal/Dental
! ttYarehouso/ilanufacturlng/Dlstrlbution E RestauranUTake Out Food
dotn"r(descrlbe) foca.rt *f Sctotl
Please provide a brief descrlption of how the buslness operates at thls slte (for example, ploase
describe the general nature of the business, what activltles occur on-site, tho hours of operatlon,
open to the public). /Oty+ fieP,
3. What was the former type of business or use of facility2 (Please contact the leasing agent or building
owner to detormlne pdorbusiness use.) fiean+y Sdrfuc4.
2
4. Has the building or space been vacant or is this a new bullding? Yes E
lf vacant, for how long?
5. Are you an independent contractor? Yes n fto Q/
6. Location of the business and suite number:
S roroo,, tr 2trfloor fl
-floor7. Do you sharo the floor or business entrance with another business? Yes ! Uo ft/
8. What ls the amount of square footage leased?
uo,ft
I
S :Plannlng\ClericaFCountor Forms\
CofO Questionnalro 08-27-'l I
Ho* r,r/n of the space, which you lease, is office?
/U looo/o tr 5oo/o tr 30%
lf other than 100%, how is the romaining space used?
I Less than 30%
t
Please explaln:
21. Does your business sell automoblles or motorcycles? Yes n
lf yes, please explain:
No v
,, ?::tffrt [:tW service or repair vehlcles or lnstall equipment and accessories into vehicles?
lf yes, please explaln:
23. I acknowledge that I have requesled and received all zoning and Santa $na Municipal Code
requirements pertaining to my buslness and occupancy application, (D Ctt- tinlflali
I DECLARE UNDER PENALW OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
Date
Title
lnformatlon
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 Plannlng 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 Plannlng 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 rogulations of
Santa Ana. Please check with the Planning Division's Public Counter prior to signing a lease or commitling
your business to a certain location to determine the feasibility.
lf a nonconforming use is discontinued, or lf a nonconforming buildlng is vacant, unused or unoccupled for
a period of 12 consecuUve 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 followlng us€s wil! requlre further documentation or an extended review and may or
may not be permltted: ofrlce usss within an lndustrlal zone; medlcal, restaurant, laundromat, trade
or technlcal schools, and automotive repalr and aervice uses wlthln spaces that were not previously
used for such purposss; a building that doss not meet the parklng demand for the proposed use;
or a use whlch generates a hlgher parklng demand or adherence to development standards than
the previous uses.
You may need to provlde floor plans, site plans, or document the prlor use before obtalning a
Gertlflcate of Occupancy to determine the grandparented rights of a nonconforming uso, or a use
whlch has addltlonal Code requlrements.
S:Plannlng\Clorbal-Counter Forms\
ColO Quasllonnake 08-27-1 I
\
MEMORANDUM
TO:
FROM:
SUBJECT:
MCT # 54258
Wednesday, March 24, 2021Finance & Management Services Agency
Planning and Building Agency
Miscellaneous Cash Transaction
All fees are subiect to change at any time and may also be affected by scheduled adjustrnents on July 1 of each year. The Payee must
pay the prevailing rate at the time payment is made.
PROJECT NAME
PROJECT ADDRESS:
Calilornia Beauty Salon COO
1232 S Main St, Santa Ana, CA 92707-1211
MASTER lDt2021-164617
AP #01$154-20
Application # COO-2021-14'I-CO Permit #
ISSUED TO
ADDRESS
Delfina Chavez
California Beauty Salon
Same
Santa Ana, CA 92707
ITEM OESCRIPTION QTY UNIT RATE ATOUNT FUND NO.
1 C€rtificato of Occupancy (Plannrng and lnsp€cllon)r 0000 s499.35 3499 36 01 1 16002 51605
Botchi:58596 - 3/26/21121 ID: NGARCIA0[lrcer (:TYH Tnonsi: 26 I of I
A,-i:t*: Reli: 5{258
(cpt ?:(t32?51179 ' 3/?(r/2(t2l I :il3 Pn
fnunsoct i on Toto I 1199.36
NELF INA (:HAVF. Z
( el't i I rcote of 0ccupon,:y
irl t l5t-r(r2- :.l5Lr5trtt0-
V isa
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{r*r r*r*rr**ir[t99 l+99
Auth+:080316
6
6
Commenls
lssued By: Arias. Fernanda (Planning and Building Agency)
TOTAL mCT AMOUNT: $499.36
GL Account #
01 1 16002 51605
Total
$499.36
NOTES:For payment to be considered complete, a
Miscellaneous Cash Transadion (MCT) must be paid
in full. Applicant musl return to Planning with
stamped cashier validation of the paid MCT for
closure in the Planning system.
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