HomeMy WebLinkAboutCOO-2021-333-CO - Certificate of Occupancy.P
coo-2021-333-CO
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O.1988 (M-19)
Santa Ana, CA 92702
(714) 647-s813
OCCUPANCY INSPECTION
APPLICATION
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SUITE ZIP CODE
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BUSINESSNAME
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BUSINESS PHONE NO.EMERGENCY PHONE NO.
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L ADDRESSBUSIN
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MAILING ADDRESS
(IF YES, NAME OF SUBLEASOR)DO YOU SUBI.
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BUSINESS PHONE NO EMERGENCY PHONE NO,AGENT OR PROPERTY MANAGEMENT COMPANY NAME
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BUSINESS PHONE NO.PROPERTY OWNER'S NAME 6
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PROPERW OWNER'S ADDRESS
ll Yes f,(No No. 1 Will you be storing and/or utilizing hazardous materials at
this facility?
tsl Yes Er,,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_
BUSINESS DESCRIPTION
tr MANUFACTURING
O OFFICE
tr RETAIL SALES
tr WHOLESALE
tr WAREHOUSE
tr GROUP ASSEMBLY
O AUTO REPAIR (NO WELDING, NO OPEN
FLAMES, NO SPRAY PAINTING
O AUTO BODY (SEE ATTENTION BELOW)
tr WOODWORKING (SEE ATTENTION EELOW)
tr EATING ESTABLISHMENT (SEE PWA)
}(erxen (oescRrBE ABovE)
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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.
TITLE
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DATE
o.r- I e-2 I
Date of report: Q2 lt lzt v r+YES NOE ONLYDE
PRIOR APPROVED USE
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I I Yes [ ] No ls hazardous waste being generated at this site?
NOTES: (LIMITATIONS OF APPROVED OCCUPANCY)
[ ] Yes [ ] No Has the inspector identified any hazardous materials at this
must be checked by the C of O lnspector
I
7
,,,*SANTA
NA-"'i[Ifi
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Planning and Building Agency
Planning Division
20 Civic Center Plaza
P.O. Box 1988 (M-20)
Santa Ana, C492702
(714) 647-s804
www.santa-ana.org
CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
Please turn in this completed form with your Ceftificate of Occupancy application.
Company Name (Print)
contacrName: /1Zfz- E1/vtE<ALDk Roiz-
Address (business mailing address)boo v/ lptf* AlAt E/,4, -f,td7
City:4 f, a srate:4 ()
, ?1? lVo' fu-7 t E-maitAddress: Fsrne ay cr(Ogt'no: I . Ctwn
ange of Property O*ne, fr Change of Occupant ! Cnange of Use ! Rdditional Occupant
1. The following best describes my operation:
E Ottice Only E Retai! Sales ! ttledical/Dental
Phone No.
E cn,
n Warehouse/Manufactu ri ng/Distri bution
E Otner (describe)
S: Planning\Clerical-Counter Forms\
CofO Questionnaire 08-27-18
\n"","rranUTake Out Food
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). Cl€ 0-O /no/?DA/- FKtOny'
3. What was the former type of business or use of facility2 (Please contact the leasing agent or building
owner to determine prior business use.) C*ff
4. Has the building or space been vacant or is this a new building? Yes n No E
lf vacant, for how long?C ,o?o,,r'r//g
5. Are you an independent contractor? Yes E No E
6. Location of the business and suite numbe r, /OO
\ 1",floor tr 2ndfloor ! _ftoor
7. Do you share the floor or business entrance with another business? Yes E
8. What is the amount of square footage leased?blo,rgr
9. How much of the space, which you lease, is office?
n looo/o tr soo/o tr 30%
lf other than 100%, how is the remaining space used?
*"\
f, r-"tt than 3o%
+
,
10. ls the building sprinklered, """\ No n
11. Do you plan on making any improvements !o the building such as: exterior painting, signage,
interior tenant improvements? Yes n ruo R
lf yes, please describe:
12. Will your business include a lobby or waiting area? Yes f] *o \
lf yes, what will be the dimensions?
13. Do you store equipment, materials, or products within the building? Yes \ No E
a. Will there be outdoor storage of equipment, materials, or products? Yes E ruo N
lf yes, please describe:
b. Will there be^r-torage racks, pallets and/or shelving exceeding 5 feet 9 inches in
height? Yes No
\fnerm
it required for racks/shelving over 6', inquire with permit counterl
14. Do you manufacture a product at the site? Yes E f.lo N
lf yes, please describe (including process and end product):
a. Will operations produce dust/wood shavings or similar material? Yes E *o\
b. Does the operation involve the use of welding or open flame? Yes E No El.
15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor,
acupuncturist, or physicaltherapist? Yes ! t{o Er
a. ls the proposed use within the mental health profession, such as:
\E
tr No/Not Applicable ! Psychologist ! Psychiatrist
Socialworker !Other
16. ls counseling proposed as a part of your business operation? Yes E N;-EI
a. Does your counseling business contract work with a public agency? Yes !
lf yes, please describe:
'17. Will your business be offering the following services:
ilN
tr
\
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 n No \
19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or
dispensed at your business? Yes E No E}.
20. Do you prepare or sell food for consumption on or off the property? yes\ No n
lf yes, do you provide sit down serviclN, drive{hrough !, or orders to go/pick-upN?
E Alcoholsales n Smoking Lounge
E AoOy piercing/ Ear piercing
Tattoos/ Permanent make-up
None of the above
S: Planning\Clerical-Counter Forms\
CofO Questionnaire 08-27-1 8
t
Please explain:
21. Does your business sell automobiles or motorcycles? Yes E N.t\
lf yes, please explain:
,, ?::tffrt R:H." service or repair vehicles or install equipment and accessories into vehicles?
lf yes, please explain
23. I acknowledge that I have requested and received all zoning and Santa Ana Municipal Code
requirements pertaining to my business and occupancy application. T @_ (initial)
I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
o5/ta/,2(
Date-a-tfru E- . Ru\L
Print Name
O.!v.o rr-
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, except Wednesday 10:30 a.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 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 industrialzone; medical, restaurant, Iaundromat, 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
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
MEMORANDUM
TO: Finance & Management Services Agency
FROM: Planning and Building Agency
SUBJECT: Miscellaneous Cash Transaction
MCT # 55037
Thursday, May 13,2021
tion I .sa
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.
ISSUED TO: Lagoon Juice & Cocktail
ADDRESS: 600 W Santa Ana Blvd
#1 03
Santa Ana, CA 92701
TOTAL MCT AMOUNT $ 499.36
Comments:
lssued By: Graham, Jeffery (Planning and Building Agency)
GL Account #
01 1 16002 51605
Total
$499.36
PROJECT NAME:
PROJECT ADDRESS:
Lagoon Juice & Cocktail
600 W Santa Ana Blvd Unit# 103, Santa Ana, CA 92701-4558
MASTER tD #2021-166141
AP #398-221-24
Application # COO-2021-333-CO Permit #
ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO.
'I Certificate of Occupancy (Planning and lnspection)1 0000 $499 36 $499 36 01 'r 16002 51605
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 1 of 3
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I
GREASE INTERCEPTOR MEMORANDUM
To:Robert Cisneros - Planning & Building Date: June 2. 2021
From: Irene Yoo - Assistant Water Engineer
Location: 600 W. SANTA ANA BLVD. SUITE 103 (LAGOON JUICE & COCKTAIL )
The above referenced food service establishment (FSE) mLrst comply with the FOG Control Program
Rules and Regulations as identified in Ordinance N5-2921 and as fbllows:
No improvements are required at this time. This FSE qualifies for at least one of the following
condition(s):
The proposed FSE FOG discharges are projected to be negligible and w'ill not likely cause a significant
impact to the sewer system, on
The proposed remodeling work does not increase the current amount of FOG generated, or:
The proposed remodeling work does not require: l) under the slab plumbing in the kitchen area, 2) an
increase in the net public seating area, 3) an increase in the size of the kitchen area, or 4) any change in
the size or type of food preparation ecluipment, or
This is an existing FSE involving a change of ownership that will not result in an increase of FOC
discharged to the sewer system.
Special comments/conditions:
The Developer/owner ackrrowledges that no tenant improvements that include change of plumbing in
the kitchen area. change of kitchen equipments. expansion of dining area, and or change in type of
operations or use. are being performed at this time. The developer/owner has been notified that any
improvements, that include that which is mentioned above" will result in the revocation of this waiverto
install a grease interceptor.
Clc Water Resources Division
Planning & Building Agency
OC Health Care Agency
Public Works Agency (Development)
EEC Environmental
Applicant
Y\WaterOperanons,,Engineenns\Developmenl\FocProgranr\FsEs\25|\Menrcrmdunr-ComplereWaiver-600W SdtaAnaBlvd Suirel0l(Lag@nJurce&Cockrail)docx