HomeMy WebLinkAboutCOO-2021-300-CO - Certificate of OccupancyC
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O.1988 (M-le)
Santa Ana, CA 92702
(714) 647-s8ts
COO- zozl-3rc-Co
OCCUPANCY INSPECTION
APPLICATION
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BUSINESS PHONE NO.
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5t1_1555-l'lgATTAF^'P dL"(-rrE
BUSINESS OWNER'S NAME & TITLE
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EMAIL ADDRESS
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SQUARE FEET
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AREA(No (lF YES, NAME OF SUBLEASOR)O Yes
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NO.
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EMERGENCY PHONE NO.
1 Ste 3oo n 7COMPANY ADDRESS
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PROPERTY OWNER'S NAME BUSINESS?HoNE No
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EMERGENCY PHONE NO.
()
PROPERry OWNER'S ADDRESS
BUSTNESS DEscRrproN 6t<il q +""tJ o+1,2
O MANUFACTURING
YoFFrcE
E RETAIL SALES
tr WHOLESALE
BWAREHOUSE
tr GROUP ASSEMBLY
T
tr AUTO REPAIR (NO WELDING, NO OPEN
FLAMES, NO SPRAY PAINTING
O AUTO BODY (SEE ATTENTION BELOW)
tr WOODWORKING (SEE ATTENTION BELOW)
E EATING ESTABLISHMENT (SEE PWA)
O OTHER (DESCRIBE ABOVE)
El Yes F(No No. 1 will you be storing and/or utilizing hazardous materials at
this facility?
I Yes ,(No No. 2 Does your production process produce hazardous waste?
lf you have answered Yes to eather question you must contact Orange County
Fire Authority's Hazardous Material Disclosure Section at (714) 573-6000.
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, WOODWORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN
ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED.
SIGNATURE C€o
TITLE DATE / I
oV/Zt / z r
DEPARTMENT USE ONLY YES NO
Nd ltradl
Date ol reDort:n;;;ii -'llr'r^r4 ll to v.H
EXPIRED/OPEN PERMITS?
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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PLANNING
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P DATE . .
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DATE r I74/le 4OCC. LOAD OCCUPANCY GROUP
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CONSTRUCTION TYPE
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Note: One of the following m(lst be checked by the C of O ln-pector.
I I Yes [ ] No Has the inspector identified any hazardous materials at this facility?
AOn(€0lr"C,,t
[ ] Yes [ ] No ls hazardous waste being generated at this site?
NOTES: (LIMITATIONS OF APPROVED OCCUPANCY)
,,-SANTA
ANA,',ti)ffi
Planning and Building Agency
Planning Division
20 Civic Center Plaza
P.O. Box 1988 (M-20)
Santa Ana, CA92702
(714) 647-5804
www.santa-ana.org
)
CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
with your Ceftificate of Occupancy application.
Eit rL rersz
Contact Name OL€J- Ttla./
Address (business mailing address):btlct - €d;C
City:{*,n4 Rlvft'State:C* zip, q>?of
Phone No., (- OIOO E-mait Address: A r'O LE @ Scx pt-Q.e rn ov4(-- ( ta
fl Cnange of Property Owner I Cnrng" of Occupant ! Cnange of Use E ROOitional Occupant
1. The following best describes my operation:
E Omce Only ! Retail Sales fl ruedical/Dental
(yVaretr ouse/M an ufactu ri n g/D istri buti o n ! Restau ranUTake Out Food
,d otn"' (describe)o [(ret- 0^) ,s+-tzc h ^
rtg .1o-t5
.
2. Please provide a brief description of how the business operates at this site (for example, please
describe the general naturg of the business, what activities occur on-site, the hours of operation,
open to the public). Tlll b rr -( A L-c ?e31-r-z4rti.-r.z
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.) /. A f
g khce lrr' lu o-e- J n t--f -(
4. Has the building or space been vacant or is this a new building? Yes E( No E
lf vacant, for how long?A bnr*tL-t
5. Are you an independent contractor? Yes n No Ef
ber: U i/ ,Y C-
K 1.t floor tr 2nd floor fl _ floor
7. Do you share the floor or business entrance with another business? Yes n No d
8. What is the amount of square footage leased?l,>Vo S F
9. How much of the space, which you lease, is office?
d 100%tr soo/o tr 3oYo
lf other than 100%, how is the remaining space used?
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CofO Questionnaie 08-27 -1 8
Less than 30%
10. ls the building sprinklered? Yes tr ruo Ei
11. Do you plan on making any improvements to lhe building such as: exterior painting, signage,
interior tenant improvements? Yes fl *o F
lf yes, please describe:
12. Will your business include a lobby or waiting area? Yes E No B
lf yes, what will be the dimensions?
13. Do you store equipment, materials, or products within the building? Ves fl, No n
b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in
height? Yes E No F fn"r- it required for racks/shelving over 6', inquire with permit counterl
14. Doyou manufacture a product at the site? Yes E tlo d
a. Will there be outdoor storage of equipment, materials, or products? Yes E No
lf yes, please describe:
lf yes, please describe (including process and end product):
a. Will operations produce dusUwood shavings or similar material? Yes Eb. Does the operation involve the use of welding or open flame? Yes E No
4
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profes.;ti'on, such as doctor, dentist, chiropractor,
ruoE
15. Does the proposed use involve a patient care
acupuncturist, or physical therapist? Yes E
a. ls the proposed use within the mental health profession, such as:
dNo/Not Applicable I Psychologist f] Psychiatrist
E Sociatworker E Other_
16. ls counseling proposed as a part of your business operation? Yes E ruo d
a. Does your counseling business contract work with a public agency? Yes n No d
lf yes, please describe:
17. Will your business be offering the following services:
E Alcohol sales E Smoking Lounge ! -Tattoos/ Permanent make-up
E AoOy piercing/ Ear piercing Ef None of the above
18. Will your business be offering massages as part of your business operation? Tlis includes
massage as ancillary to pedicures, manicures, and other services. Yes E No E[
19. ls cannabis or cannabis related product store$ cultivated, distributed, tested, manufactured or
dispensed at your business? Yes n No EI
20. Do you prepare or sell food for consumption on or off the property? Yes E N" d
lf yes, do you provide sit down service f], drivethrough E, or orders to go/pick-up !?
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CofO Questionnate 08-27 -18
Please explain:
21. Does your business sell automobiles or motorcycles? Yes E No $
lf yes, please explain:
22. Doesyes
I
your businegs service or repair vehicles or install equipment and accessories into vehicles?tr No.F
lf yes, please explain:
23. I acknowledge that I have requested and received all zoning and Ana Municipal Codetrtrrequirements pertaining to my business and occupancy application (initial
I DECLARE UNDER PENALW OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF..4,-tl4 u,, -t ,,'-{ O.tl l l l Z I
Signature MBnTr-/q^/Date
Print Name C{o \wu? (L
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.
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CofO Questionnate 08-27 -18
I I
MEMORANDUM
TO:
FROM:
SUBJECT:
ISSUED TO:
ADDRESS:
Finance & Management Services Agenry
Planning and Building Agency
Miscellaneous Cash Transaction
Andre Abajian
Abajian Enterprise dba Socal Removal
2531 1 Hillary Lane
MCT# 54861
Tuesday, May 4,2021
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 al the time payment is made.
Laguna Hills, CA 92653
Comments:
lssued By: Gomez, Pedro (Planning and Builcting Agency)
TOTAL McT AMOUNT: $499.36
GL Account #
01 1 16002 51605
Total
$499.36
IH
PROJECT NAME:
PROJECT ADDRESS:
SoCal Removal COO
'1640 E Edinger Ave Unit# C, Santa Ana, CA 92705-5020
MASTER rD #2021-165896
AP #403-101-07
Application# COO.2021-300-CO Permit #
ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO.
1 Ceruficate ofOccupancy (Planning and lnspeclion)L0000 s{99.36 E499.36 0111600251605
P,obr:h*: i,uff r ce;
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50,. AL F:[.
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p.il
$ 4'7
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.
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