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Home My WebLink AboutCOO-2021-164-CO - Certificate of OccupancyI Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. r988 (M-19) Santa Ana, CA 92702 (714) 647-s8ls il rOA 0t - coo-2021-164-C) OCCUPANCY INSPECTION APPLICATION BTN 4]1?-?t 0 (D C 9.z maa oo7ma U') h \ f.-, c-J \ 1L144 alZ SouTu r4A,r., ST , S+^,rA ANA ZIP CODE 921 ctBUSINESS ADDRESS uril{:F€Fl€u++€' BUSINESS PHONE NO. r?llr(io - QC39 EMERGENCY PHONE NO. awt3y- h6 89SAppHir; nAs5AGE BUSINESS NAME KiM PHuonlG Tu; N(,UYeM 0r,.,1Nt(, BUSINESS NAME T T/cA42t44 4 SouTu Lql, rv S u t 2,tto"tb@icAIN EMAIL ADDRESS o (IF YES, NAME OFO YesYOU BUSINESS PHONE NO.EMERGENCY PHONE NO.COMPANY NAME LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESS PROPERTY OWNER'S NAME bp. SoTR oMo icvl BUSINESS PHONE NO. (1to3+S Dtrql EMERGENCY PHONE NO. 6DtfuS-oK4'l 4nIQ rY),R$ECRAN, filE, ANUITTbR.NE , CAqMSO PRbPERTY oWNER'S ADDRESS ,f I!l Yes lfNo No. 1 Will you be storing and/or utilizing hazardous materials at this facility?,, El Yes E/l,,lo No. 2 Does your production process produce hazardous waste? lf you have answered Yes to either question you must contact Orange County Fire Authority's Hazardous Material Disclosure Section at (714) 573-6000. lf YES, please describe BUSTNES. DES.RTP.oN MASSAGE SPA O AUTO REPAIR (NO WELDING, NO OPEN FLAMES, NO SPRAY PAINTING tr AUTO BODY (SEE ATTENTION BELOW) O WOODWORKING (SEE ATTENTION BELOW) tr E/rrING ESTABLISHMENT (SEE PWA) Eirxen (oescRIBE ABovE) ATTENTION: ALL GROUP "H' OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE INCIDENTAL TO WELOING WITH OPEN FLAME, WOODWORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. 2-lLl lz o rt DATE 6? -- ,TURE 0wNPa TITLE qXPEEEYOPEN PERMITS?DVEs- - No -o"t"oireport' z,lp (ElDEPARTMENT{'SEoNLY PRIOR APPROVAL DATE blL, l r? PRIOR OCCUPANCY GROUPg PRIOR CONSTRUCTION TYPE{hPRIOR APPROVED USE 9e*vr1p vtt DATE .3llol"-lPLANNINGbct€4ZONE CUP FKAPPROVED DENIED OCCUPANCY GROUP6 CONSTRUCTION TYPElz potsrbAPPROVED DENIEDry /-e -2tDATEocc. LoAD I lNo ls waste being generated at this site?[ ] Yes [ ] No Has the inspector identified any hazardous materials at this facility? t I Note: One of the following must be checked by the C of O lnspector NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) {i, I l E MANUFACTURING E OFFICE tr RETAIL SALES O WHOLESALE OWAREHOUSE tr GROUP ASSEMBLY I ,",SANTA NA,"i})tr - Planning and Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, C492702 (714) il7-5804 www.santa-ana.org CERTIFICATE OF OCCUPA}.ICY SUPPLEMENTAL QUESTIONNAIRE Please turn in this completed form with your Certificate of Occupancy application. Company Name (Print):SAppU I pr MA(qAG F contact Name: Kr t..t PUID N k THr tr[rUYelV Address (business mailing address)tLYl thsDUTH M*iru sr" City:SANTA ANA state: (A zip: qL7Ol Phone No E-mailAddress E Change of Property o*n", {c hange of Occupant E Change of Use ! ROOitional Occupant 1. The following best describes my operation: E Ottice Only E Retail Sales n Medica!/Dentat f] Warehouse/Manufacturing/Distribution ! Restaurantffake Out Food d otn", (describe) MnSS4grp- SP+ 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, opentothepubric)' 9Ru - q?M ll gA\s/ wr-E<. MA$nGE sERvtcf sP# 3. What was the former type of business or use of facility2 (Please contact the teasing agent or building owner to determine prior business use.) MASsAcrr S P+ 4. Has the building or space been vacant or is this a new building? Yes E No / V lstfloor tr 2ndfloor [ _floor 7. Do you share the floor or business entrance with another business? Yes E No { 8. What is the amount of square footage leased?iO DC) ,chm { 9. How much of the space, which you lease, is office? tr 1oo% n soo/o tr 30% lf other than 100%, how is the remaining space used? AS A MAssAert sPt E/ 1".. than 30% S: Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27-1 8 lf vacant, for how long? 5. Are you an independent contractor? Yes fl No VI 6. Location of the business and suite numbe ,, C r n*, An A I rI 10. ls the building sprinklered? Yes E ruo E 11. Do you plan on making any improvements to ile building such as: exterior painting, signage, interior tenant improvements? Yes E No EI lf yes, please describe: / 12. Will your business include a lobby or waiting area? Yes M tto E lf yes, what will be the dimensions? / 13. Do you store equipment, materials, or products within the building? yes Z No E a. Will there be outdoor storage of equipment, materials, or products? Yes E *o / lf yes, please describe: b. Will there be storage .r{cks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes E No N[ (permit required for racks/shelving over 6', inquire with permit counter) 14. Do you manufacture a product at the site? Yes E ruo V lf yes, please describe (including process and end product): a. Will operations produce dusUwood shavings or similar material? Yes E *, tb. Does the operation involve the use of welding or open flame? Yes E No EI 15. Does the proposed use involve a patient care profes$6n, such as doctor, dentist, chiropractor, acupuncturist, or physicaltherapist? Yes E No N[ a. ,ls the proposed use within the mental health profession, such as: / M Uoltrtot Applicable ! Psychologist n Psychiatrist E Socialworker E Otner_ 16. ls counseling proposed as a part of your business operation? Yes E ftfo d a. Does your counseling business contract work with a public agency? Yes E *o { !y'attoos/ Permanent make-up M None of the above 18. Will your business be offering massages as part of your business opfration? This includes massage as ancillary to pedicures, manicures, and other services. Yes M No E 19. ls cannabis or cannabis related product store/ dispensed at your business? Yes E No M lf yes, please describe: 17. Will your business be offering the following services: E Alcohol sales n Smoking Lounge ! eoOy piercing/ Ear piercing cultivated, distributed, tested, manufactured or 20. Do you prepare or sell food for consumption on or off the property? Yes n No { lf yes, do you provide sit down service n, drivethrough E, or orders to go/pick-up !? S:Planning\Clerical-Counter Forms\ CofO Ouestionnaire 08-27-18 - Please explain: 21. Does your business sell automobiles or motorcycles? Yes E No lf yes, please explain: 22. Does Yes t your businegC service or repair vehicles or install equipment and accessories into vehicles?N ruOET lf yes, please explain 23. I acknowledge that I have requested and received all zoning and Santa 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 THE OF MY KNOWLEDGE AND BELIEF l/L t lV I Zoz-t Date -r]-Signature Print Name Kru PUttOAlG TUt AIA)Yritt nr\lr0E I 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. to 4:00 p.m. The Planning 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 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 industrialzone; 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. S :PIanning\Clerical-Counter Forms\ CofO Questionnaire 08-27-1 8 ill MEMORANDUM TO: Finance & Management Services Agency FROM: Planning and Building Agency SUBJECT: Miscellaneous Cash Transaction MCT # 54036 Wednesday, March 10, 2021 I All fees are subject to change at any time and may also be affected by scheduled adjustments on July 1 of each year. The Payee must pay the prevailing rate at the time payment is made. PROJECT NAME: PROJECT ADDRESS: Sapphire Massage COO 1241 112 S Main St, Santa Ana, CA 92707-1210 MASTER tD#2021-164781 AP # 014-01 1-31 Application # COO-2O21-164-CO Permit # ISSUED TO: Sapphire Massage ADDRESS: 1241112 S Main St Santa Ana, CA 92707 ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. 1 Certificate of Occupancy (Planning and lnspection)1.0000 $499 36 $499 36 0'r 1 'r 6002 51 605 Botch+:5g4tr9 - 3/1(r/2u21 [il].*,-itvn Trcrnsi! 12 a - -! r. Reli:llLL 9, 'niilitnszr+:s+ - 3/rtt/zit?L TronEnction Iouor SAPPHIRE HASSAGE ID: qmorult 54036 9; 13 ,r t199 .3( fiii t ilitl' E, 3[.Itt:o on " Cosh Chanse Comments: lssued By: Arias, Fernanda (Planning and Building Agency) TOTAL MCT AMOUNT $ 499.36 GL Account # 01116002 51605 Total $499.36 NOTES For payment to be considered complete, a Miscellaneous Cash Transaction (MCT) must be paid in full. Applicant must return to Planning with stamped cashier validation of the paid MCT for closure in the Planning system. Page 2 of 3 !5r:r ( $Li l:..t lr\ R00M,,4'. :@ .;l ' '1 I I'o,j t,i --1- $, .rl CI O :rAclttExlTslGN .NTBRNAIIONAI $YSMBOL OT ACCESS l!'..:-)'.-. FCeE rz{,,hsllrinsr. " l':'-,. :I :r :. .:- ,... rl:.r'j City of SantaAna Effective: 0411712021 Expires: 0411712022 License No: 15-29726 NAME: D.B.A: LOCATION: CITY A}.TD STATE: TYPE OF BUSTNESS: Kim Nguyen Sapphire Massage l24l % S. lllain St. Santa Ana, CA 92707 Massage Fee: $ 903.07 Penalty: $ 0.00 Total Fee: $ 903.07 Fee: $ 903.07 Penalty: $ 0.00 Total Fee: $ 903.07 MASSAGE ESTABLISHMENT PERMIT PURSUANT TO THE PROVISIONS OF CHAPTER 22 OF THE SANIA ANA MUNICIPAL CODE. THIS PERMIT IS GRANTED FOR THE BUSINESS INDICATED ON THE CONOITION THAT THE PERSON, CORPORATION OR ENTITY NAMEO IN THE PERMIT WILL ENSURE THAT THE BUSINESS IS OPERATED iN COI\,FLIANCE WITH THE LAWS, ORDINANCES AND REGULATIONS TI-IAT ARE NOW OR IIAY HEREAFTER BE IN FORCE BY THE UNITED STATES GOVERNMENT, THE STATE OF CALIFORNIA AND THE CITY OF SANTA ANA PERTAINING TO SUCH BUSINESS, THIS PERMTT MUST BE RENEWED ON OR BEFORE THE BOIRATION DATE AS SHOWN ABOVE, THIS PERMIT I/AY BE SUSPENDED OR REVOKED BY THE CITY FOR CAUSE. THIS PERIT]T IS NOT IRAIISFERABLE OR REFUNDABLE. of Police MUST BE POSTED IN A P MINENT LOCATION City of SantaAna Effective: 0411712021 Expires: 0411712022 License No: 15-29726 MASSAGE ESTABLISHMEI\T PERMIT PURSUANT TO THE PROVISIONS OF CHAPTER 22 OF THE SANTA ANA MUNICIPAL CODE, THIS PERMIT IS GRANIED FOR THE zuSINESS INDICATEO ON THE CONOITION TI-I,AI THE PERSON, CORPORATION OR ENTIW NAMED IN THE PERMIT WILL ENSTJRE THAT THE BUSINESS IS OPERATED IN COMPLIANCE WITH THE I.AWS, OROINANCES ANO REGULAIIOT{S THATARE NOW OR MAY HEREAFIER BE IN FORCE BY THE UNITED STATES GOVERNMENT. THE STATE OF CALIFORNIA ANO THE Cft OF SANTA ANA PERTAINING TO SUCH EUSINESS. IHIS PERMIT MUST BE RET{EWED ON OR BEFORE THE EXPIRATIOII DATE AS SHOWI{ ABOI/E. THIS PERMIT ijI,AY BE SUSPENOED OR REVOKEO BY THE CITY FOR CAUSE. THIS PERMIT IS NOI TRATISFERAELE OR REFUNDABLE. NAME: Kim Nguyen D.B.A: SapphireMassage LOCATION: t24r % S. Main St. CIry AND STATE: Santa Ana, CA 92707 ryPE OF BUSINESS: Massage SAPD FILE COPYI