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Home My WebLink About80418224 - Certificate of OccupancyPlanning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. le88 (M-le) Santa Ana, CA 92702 (714) 647-s8ts - BTN Tz|rl t . TDCaz ma U) oonma U) 8g -l-rQ\ Ctr d A,D- t-in oo2E To b" oZ .4 ,rlNAME qa lu- &4 o-? Tarb- OWNER'S NAME & TITLE OWNFR'S DRIVERS NO. & STATE It ?>- BUSINESS OW NER',S t\4AtLtNG ADDRESS 5,al;ue h! D o 01+ ?o'+ t (IF YES, NAME OFDO YOU SUBLEASE? Yes loo / ct. tlLEASING OR PROPERTY NT NAME PHONE NO o EMERGENCY PHONE NO ol Ala irt ocADDRESS ( rlkE / PROPERTY OW ol E NER'5 PROP24 ERTY OWtl4o ,r*l-o BUSINESS DESCRIPTION MANUFACTURING OFFICE RETAIL SALES, WHOLESALE VwnReuouse AUTO REPAIR (NO WELDING, NO OPEN FLAMES, NO SPRAY PAINTING AUTO BODY (SEE ATTENTION BELOW) WOODWORKING (SEE ATTENTION BELOW) EATING /FOOD SERVICE ESTABLISHMENT CONTACT PWA FOG PROGRAM REVIEW AT 7 1 4-647 -3380. OTHER (DESCRIBE ABOVE)GROUP ASSEMBLY sfivlrffi * /'At;ct lrLl::,}lf," No 1 will vou be storins and/or utilizins hazardous materials at t I Ves }(o No. 2 Does your production process produce hazardous waste? lf you have answered Yes to either question please contact the Orange County Fire Authority (OCFA) 71 4-573-61 00. lf YES, please describe ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE INcIDENTAL TO WELDING WITH OPEN FLAME, WOODWORKTNG, CUTTTNG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED tN ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. S.A.M-C. ,I4-7.2 SIGNA TITLE DATE DEPARTMENT USE ONLY I /-6nrOPEN PERMITS? YES PRIOR APPROVED USE ftquOu*tt- PRIOR o Y PRIOR OCCUPAIICY GROUP{5-PRIOR CONqTRUCTION TYPE lll o/ , PLANNING ( ZONE tA CUP DATE / I { /so /trx3BLDG. SAFETY CONS'TION TYPE 6 DENIED '*' f/r/ /r"l il Yes [I No Has the inspector identified any hazardous materials at this facility? [l Yes [ ] No ls hazardous waste being generated at this site? utwarluls{. f-uurL W,_, -TE{91 NOTES; (LIMITATIONS OF APPROVED OCCUPANCY) Note: One of the following must be checked by the C of O lnspect6r r.,- ,/ ,fffi No8o4 1,8224 occuPA-'i'J;.1Eili3il BUSINESS PHONE NO.EMERGENCY PHONE NO. 4 ,,SANTA A]\tA,'ii',iffi \/Planning and Building Agency Planning Division 20 Civlc Genter Plaza P.O. Box 1988 (M-20) Santa Ana, C492702 (7141647-5804 www.santa-ana.org t CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Please turn in this completed form with your Certificate of Occupancy application. Company Name (Print)lov ?oo[. 1- C)utcrl zr^f,\;ro. Contact Name: 4 oon Toi ? a/L TI- Address (business mailing address):T City:tfln State C,PT zi o Phone No.lb-&c Fax No.( 16, t/, - %?g 1 (F/D tlz-o7 q9 What was the previous use of the space you wish to lease? (Please contact the teasing agent or building owner to determine prior business use./ LJaruhoule . 2. Has the building or space been vacant or is this a new building? Yes No ,Klf vacant, for how long? 3. 4. 5. 6. Are you the primary tenant? Ves ffi No Et\ Do you sublease from an existing tenant? Yes f No Are you an independent contractor? Yes E ruo E Location of the business and suite number: K +v e.4> K 1't floor tr 2nd floor tr floor 7. Do you share the floor or business entrance with another business? Yes E No ( 8. 9. What is the amount of square footage leased?I cpds e+ How much of the space, which you lease, is office? 100%tr soo/o tr 3eo/o lf other than 100%, how is the remaining space used? cm\cntr-frm\C of O questionnaire 07 t2012 Page 1 of4 E Less than 30% I t t,l.c-ht E ,10. 11 12 13 14 15 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 pperation, open to the public). 5fu1. fl. chu"J { ^\Ylz'-= ruo.H Do you store equipment, materials, or products within the buildingZ Yes 0 Will there be outdoor storage of equipment, materials, or products? Yes n lf yes, please describe: Will your business include a lobby or waiting area? Yes lf yes, what will be the dimensions? Do you manufacture a product at the site? Yes E No lf yes, please describe: *oX *o E, x'No K Do you plan on making any improvements to the bu!$jng such as: exterior painting, signage, interior tenant improvements? Yes E *o F lf yes, please describe: Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor, acupuncturist, or physical therapist? Yes f] *o K ls the proposed use within the mental health profession, such as: 16. cm\cntr-frm\C of O questionnaire 07t2012 Ktr No/Not Applicable ! Psychologist E Psychiatrist Socialworker Other ls counseling proposed as a part of your business operation? Yes E No Does your counseling business contract work with a public agency? Yes E lf yes, please describe: Page 2 of 4 /,, 17. Wll your business be offering the following services I ncohol sales ! Smoking Lounge ! AoOy piercing/ Ear piercing ffi 18 19 20 21 22 TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND tl ?t r/+Date cm\cntr-frm\C of O questionnaire r business be offering massages as part of your business operation? This massage as ancillary to pedicures, manicures, and other services. ruoK ls medical marijuana stored or dispensed at your business? Yes E ruo H Do you prepare or sell food for consumption on or otf the property? Yes E No K lf yes, do you provide sit down service [, drive-through f,, or orders to go/pick-up E? Please explain: Will you includes Yes E Does your business sell automobiles or motorcycles? Yes E No lf yes, please explain: Tattoos/ Permanent make-up None of the above E Does your business service or repair vehicles or install equipment and accessories into vehicles? Yes E *o ,K lf yes, please explain: I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE BELIdF. la lu Print Title 07t2012 Page 3 of 4 I L 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 10:00 a.m. to 4:00 p.m. The Planning Division is located within City Hal! - 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 ceftain 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 l\Iunicipal 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. Page 4 of 4 cm\cntrJrm\C of O questionnaire 0712012 Planning & Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, CA 92702 (714) 667-2700 www.santa-ana.org PLANNING DIVISION FEES Sheet 2 of 3 2 t.l Lffe(trvc :/ l,i 201 3 MISCELLA ADULT ENTERTAINMENT LAND USE PERMIT......,...... CERTIFICATE OF COMPLIANCE.. CHANGE OF ADDRESS REQU HrsToRrc FXTERToR MODIFICATION (HEMA)............. HISTORIC PROPERTY PRESERVATION AGREEMENT... (Mills Act Application) HISTORIC RESOURCES COMMISSION ACTION (Historic Designation)... HOME OCCUPATION PERMIT..... LAND USE CERTIFICATE Category 1 Bazaars, Fiestas, Sidewalk 5ales, Outdoor Auctions, Child Care (8-14 children) and Ancilllary Massage Establishments... Category 2 Carnival, Circus, Outdoor Music, Concert, Arcade and ABC Licenses........... Category 3 Antennas/Dishes..... Category 4 Exterior Telephones (Pay Phones) First Pay Phone...... Per Additional Pay Phone (Each)................ ............. S Category 5 Outdoor Vending Machine (Each)...................................................... S Category 6 Small Collections (Recycling Facilities)......... OFF-PREMISE ADVERTISING (SIGN) PERMIT. NON-CONFORMING/ZONING VERIFICATION 1ETTER............. RESIDENTIAL RELOCATION.. SIGN PERMIT REVIEW (on-premise).. SIGN PROGRAM REVIEW........ TEI'/PORARY SIGN TEMPORARY TRAILER......... UNDERGROUND UTILITY WAIVER.................... s s 5 s s s 5 s 5 s 5 1,414.06 1,065.35 1,030.59 1,949.49 3,935.87 5,015.05 247.92 350.43 628.41 652.67 545.77 159.90 s s s 159.90 s 910.39 s 4,808.29 s s1 1.65 5 3,620.45 5 439.92 s 49s.78 5 143.47s ss0.24 5 446.22 q s q s_ s_ q s s s 5 s s s s q s 01 1 1 6002-s3605 AMOUNTM LANDSCAPE PLAN REVIEW Residential Projects............ Non-Residential Projects........ Per lnspection after 2nd lnspection....... s s s q s s s s 604.46 1,352,39 451.49 oTHER...... 01 1 16002-s',I605 AMOUNT CERTIFICATE OF OCCUPA s 399.79 s TOTAL S PROJECT ADDRESS DATE AppLtCANT PHONE BYMAILING ADDRESS 2WHITE FINANCE./YELLOW.APLLICANT/PINK-PLANNING s_ ( q