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Home My WebLink AboutCOO-2021-250-CO - Certificate of OccupancyPlanning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. 1988 (M-19) Santa Ana, CA 92702 (714) 647-sBts COO_ 2o21-2so-co BTN 368665 @C 9.z m U)a Uovm U)a tslr cA R o dr 9 +v BUSINESS ADDRESS UNIT OR SUITE ZIP CODE 3941 S. Bristol Street Ste D 92704 BUSINESS NAME Kefir Mix BUSINESS PHONE NO (714 \760 -4155 () EI\,,IERGENCY PHONE NO. Quynh Anh Nguyen, Owner/President BUSINESS OWNER'S NAME & TITLE :MAIL ADDRESS kefirmix.us@qmail.com 15051 Humphrey Cir., Irvine, CA92604 BUSINESS OWNER'S MAILING ADDRESS DO YOU SUBLEASE? trYes E No (lFYES, NAME OF SUBLEASOR)SOUARE FEET I 200 FLOOR AREA lst floor LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME Pacific West Asset Management Corporation BUSINESS PHONE NO. 1714 1433 -7300 tt EMERGENCY PHONE NO. LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESS 3l9l-D Airport Loop Dr., Costa Mesa, CA92626 SunflowerMetro, LLC PROPERTY OWNER'S NAME BUSINESS PHONE NO. (714 \433 -7300 EMERGENCY PHONE NO. () 3 l9l -D Airport Loop Dr., Costa Mesa, CA 92626 PROPERTY OWNER'S ADDRESS BUSTNEss oEScRrproN Kefir Yogurt O MANUFACTURING g OFFICE E RETAIL SALES tr WHOLESALE O WAREHOUSE O GROUP ASSEMBLY U AUTO REPAIR (NO WELDING, NO OPEN FLAMES, NO SPRAY PAINTING O AUTO BODY (SEE ATTENTION BELOW) tr WOODWORKING (SEE ATTENTION BELOW ) . EATING ESTABLISHMENT (SEE PWA) tr OTHER (DESCRIBE ABOVE) ll Yes El No No. 1 Will you be storing and/or utilizing hazardous materials at this facility? El Yes E No No. 2 Does your production process produce hazardous waste? lf you have answered Yes to erther question you must contact Orange County Frre ALrthority s Hazardous l\4ateflal Disclosure Sectron at (714) 573-6000. lf YES, please ATTENTION: ALL GROUP "H"OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE TNCTDENTAL TO WELDTNG W|TH OPEN FLAIVE, WOODWORKING, CUTTTNG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED rN ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. SIGNATURE TITLE Owner/President DATE 04t08t2021 DEPARTMENT USE ONLY EXPIRED/OPEN PERMITS?YES NO Date of report: PRIOR APPROVED USE aTr FJ6 6sllBrsfll..{o.rT PRIOR APPROVAL OATE ll"olzDro PRIOR OCCUPANCY GROUP B PRIOR CONSTRUCTION TYPE{B PLANNING -Hl CUP APPROVED J,at DENIED DATE I 4l 0'lz1 OCC. LOAD OCCUPANCY GROUP CONSTRUCTION TYPE APPROVED DENIED OATE Note: One of the following must be checked by the C of O lnspector. I I Y€s [ ] No Has the insp€ctor identified any hazardous materials at this facility? c#.|r'I* of Fost lP, trD ttorE lont,l6 NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) [ ] Yes I I No ls hazardous waste being generated at this site? sl-n$a qffrfirstttuE{- 'Pr"r,rr= \ n slctor fit"^ tzt"l4 OCCUPANCY INSPECTION APPLICATION I J@k.- Please turn in this completed form with your Certificate of Occupancy application. Company Name (Print)DCIA Enterprises, lnc. dba Kefir Mix contact Name: QuYnh NguYen CTI*SAI{TA Al,{Ar}iilffi Planning and Building Agency Plannlng Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, CA92702 (714) 647-s804 www.santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Address (business mailing address)15051 Humphrey Cir, City:lrvine State: cA Zip 92604 PhoneNo.: 714-725'2149 E-mailAddress: kefirmix.us@gmail.com ! Change of Property owner n Change of Occupant ! Change of Use E Additional Occupant 1. The following best describes my operation: E Omce only fl Retailsales fl ltledlcal/Dental E Warehouse/Manufacturlng/Distrlbution I RestauranUTake Out Food ! Ottrer (describe) 2. 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 public). Our main operation consists of preparing/selling kefir yogurt drinks to direct consumers to enjoy off premise. Our planned hours of operation is M-Th: 11:30 AM to 9 PM and F-Sun: 11:30 AM to 10 PM 3. What was the former type of business or use of facility? (Please contact the leasing agent or building owner to determine prior business use.) We are currently using the facility as a boba tea house. We are keeping it the same except we will now sell kefir yogurt rather than boba and tea. 4. Has the building or space been vacant or is this a new building? Yes ! No I lf vacant, for how long? 5. Are you an independent contractor? Yes E No I 6. Location of the business and suite number: D I l"tfloor tr 2nd floor floor 7. Do you share the floor or business entrance with another business? yes E No X 8. What is the amount of square footage leased?1200 9. How much of the space, which you lease, is office? ! looo/o tr soo/o tr 3oYo Less than 30% lf other than 100%, how is the remaining space used? To prepare drinks, sitting area for guest. S:Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27-1 8 tr I 10. ts the building sprinklered? Yes ! No E 1 1. Do you plan on making any improvements to the building such as: exterior painting, signage, interior tenant improvements? Yes I No E lf yes, please describe: New outdoor signage to reflect the new name of store 12. Will your business include a lobby or waiting area? Yes ! No I lf yes, what will be the dimensions? 13. Do you store equipment, materials, or products within the building? Yes E No I a. Will there be outdoor storage of equipment, materials, or products? Yes E No I lf yes, please describe: b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes E No ! (permit required for racks/shelving over 6', inquire with permit counterl 14. Do you manufacture a product at the site? Yes E No I lf yes, please describe (including process and end product): a. Wil! operations produce dusUwood shavings or similar materia!? Yes b. Does the operation involve the use of welding or open flame? Yes E 15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor, acupuncturist, or physicaltherapist? Yes E No tr a. ls the proposed use within the mental health profession, such as No/Not Applicable ! Psychologist E Psychiatrist Socialworker E Other 16. ls counseling proposed as a part of your business operation? Yes f] No I a. Does your counseling business contract work with a public agency? Yes I lf yes, please describe: 17. Will your business be offering the following services: NoI EruoTNoI trtr Alcoholsales E Smoking Lounge Body piercingl Ear piercing E Tattoos/ Permanent make-up I None of the 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 E No I 19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or dispensed at your business? Yes E ruo ! 20. Do you prepare or sell food for consumption on or off the property? Yes I No E lf yes, do you provide sit down service L drive{hrough E, or orders to go/pick-up !? S:Planning\Clerical-Counter Forms\ CofO Questionnane 08-27 -18 ntr Please explain: Our operation consists mainly of drinks taken togo. The sitting area is currently closed off. But there are 4 tables for customers to enjoy drinks on premise. We plan to keep the sitting area closed until the covid situation has subsided tremendously. 21. Does your business sell automobiles or motorcycles? Yes E No I lf yes, please explain: 22. Does your business service or repair vehicles or install equipment and accessories into vehicles?yesE NoI lf yes, please explain: 23. I acknowledge that I have requested and received all zoning and Sanfa An7 Municipal Code requirements pertaining to my business and occupancy application. qv" (initial) I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. 04t0812021 Signature Quynh Nguyen Print Name Owner/President 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, exceptWednesday 10:30a.m. to4:00 p.m. The Planning Division is located within City Hall - Ross Annex, 20 Civic Center Plaza, First Floor. Additionally, you may call us al (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, restaurant, laundromat, trade or technica! 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 Gertificate of Occupancy to determine the grandparented rights of a nonconforming use, or a use which has additional Code requirements. S:Planning\Clerical-Counter Forms\ CofO Ouestionnaire 08-27-1 8 Date J#W-