HomeMy WebLinkAboutCOO-2021-188-CO - Certificate of Occupancyi
Planning & Building AgencY
Building Safety* Divisio n
20 Civic Center Plaza
P.O. 1988 (M-19)
Santa Ana, CA 92702
(714) 647-sEts
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OCCUPANCY INSPECTION
APPLICATION
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ADDP.ESS
5407 W. 1ST STREET
3USIN 92',703
ZIPUNIT
etvileROrNcV PHONE NO
r714 t-722-9639
BUSINESS PHONE NO.
fit4',723 -4029MOON CAFE
EI\,1A.IL ADDRESS
IMOONCAFE12821 GMAIL,COMJL,NNIFER N TRIEU, OWNER
OWNER'S
l2(182 KATHY LANE, GARDEN GROVE,cA 92840
BUSIN MAI
SOUARE FEET
774
NAME OFueLEeEEr trYes ENo (lFDO YOU
114 373 -4622
NO.AffiEss pxoue uo.
fl14 1373 -4622
@NAGEMENTCOMPANYNAME
P&DINVESTMENTCO.
AVE,92CAGEN 84+ROVGARD E,TERTMINS981IWES
INESS
gft,(EuOW
Cjtrt)
4tt t4
ll Yes E No No. 1 Will you be storing ancuor utilizing hazardous materials at
this facility?
f,l Yes !l No No. 2 Does your production process produce hazardous waste?
lf you have a!''swerEd Yes to eiL'ler question ycu rnust contac-t Orange Collnty
Fire Authority:s Hazardous Material Disclosure Sectton at (714) 5736000'
!f YES, please describe
TT MANUFACTURING
g CFFICE
E RETAIL SALES
E WHOLESALE
g WAREHOUSE
tr GROUP ASSEMBLY
tr AUTO REPAIR (NO WELDING' NO OPEN
FLAMES, NO SPRAY PAINTING
tr AUTO BODY (SEE AfiENTION BELOW)
EI WOODWORKING (SEE ATTENTION BELOW)
I EAT|NC ESTABLISHMENT (SEE PWA)
E OTHER (DESCR|BE AtsOVE)
BUSINESS DESCRIPTION
ORK STORAGEWORAUTOI\,'IOTIVEBODYAUTOLit/'llNCT TEDBUTSNCLUDiNG.OCCUPANCiE il"HGROUP NCN,TTENTI CONDUCTEDNOTBESHALLSANDINGCRuJooD)SiI{PINGCUTTING.ooD,t,ORKING.FLAI'/E.OPENU/ITHENT,!,VELDINGTO FIREAPPNJGOR
oz
TE
TURE
'lr{ @)YES Date of rePort:
q
DEPARTMENT USE O
APPROVEDP
NLY
DATEcuP
pto
-ZZtePLOAD
C of C lnspector.checked bYolving mustoi tho
i I Yes [ ] No ls hazardouswaste being genemted atthissite?Noie
[ ] Yes [ ] No Has the inspectoi identiied any hazardils materials at this facilitv?
NOTES: (LIMITATIONS OF APPROVED OCCUPANCY)
\
COFFEE SHOP
a
Pianning and 3ui;clng Agen;';
PlanninE Division
20 Civic Center Plaza
F.C. Box 1988 ii$-2S)
Santa Ana, CA 9278:
t714\ 647-58A4
www.santa-ana.arg
CERTIFICATE OF CCGUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
Fiease'iurn in tf;is completeC larm vtitil your Certi{icate of Accupancy application.
Cci'npany Nane (P;'int):I\4CCN CAFE
^^ ^j- -r X l^- ^'uU: iraut l\Jiiii
JTNNIFER N TRifU
Acclrass (cusiness rnaiiing aciciress):
SA\iI-A ANA
5107 IV. .i ST STREET
uli\':state: cA zir.927}3
[fr oo N cAF E @G tUAl L. C C I\47 ^,4-723'4A29
S :Pl311Iring\aieiioal- Ccunief ;oi'rT S\
Cc:C Questionna :r e X2'27' a' I
Prcre hc.
l--l Cnarqe cr pioperly, Crvner @ Change of Occupant J Ctrange oi Use i-l ,qdCitionai Occupar:
The:'allcu-slng best describes my operation:
ll office only I Retail sales I MedicaiiDental
I WarehouseiManufactr.:ringlDistribution I Restaurant/Take Out Food
E Other (describe)
Z. PIease prcrride a biief desci'iprion cf horru the busrness operates at inis site (for exarnpie, please
sescrioe the geireral nature o: the nus:ness, wnat activlties cccur on-site, the hours of operation,
open to the public). COFFEE Sr-iOp: SELL;NG COFFEE, SMOOTHIES, JUICE
DRINK FROII 8:00AIv'l - lCPi\4, SEVEN DAYS PER \ iEEK
3. !y'ha:',vas tl':e rormer type of b.usiriess oi use cl iacrlity? (F/ease ccntact the leasing agent or building
cv.,ner to determ;ne pricr business use.i
CCFFEE SHCP
4. Ha:-r the buildirrg o; space beet-: vacanl oi is thls a ne\v i:uilcling? Yes I No E
lf vacant, for" hcw iong?
5. A.re .i'cu an inciepencient contractoi"? \.'es I No E
E-ir,ai: Accress
3. Locailon of the br-;siness an'i suire r",umber:
E lsifioor [ 2'cfiaor
7. Do you slare the i'icor ci' buslness entrance rvith another business? Yes [l No E[
8. V'./hat is the amount of square footage ieaseo?717
9. How much of the space, v;hich you lease, is cffice?
I lcoo/o D 5ac/o I 3a%
lf other than '10C%, how is tl':e iemaining space used?
IiUU!
E Less than 3C%
i0. is the buikiing sprinklerec? Yes I fUo iE
1i. Dc you plan on making any ii'nprovements tc the building such as: extericr painting, signage,
lnreiior*,enant irnprovei'nents? Yes I No E
:i ires, please iescribe:
^,2. Vlfiiyoui'business include a lobby or rvaiting area? Yes tr ruo E
if yes, what will be the dimensions?
13. Do )/oi.: store equicment, materials, or products within the building? Yes I No E
z. Wiil ther"e be outdoor storage of equipment, rnaterials, or proCucts? Yes f] lio E
if yes, oiease oescribe:
b. Wil! there be storage racks, pailets andior sheiving exceeding 5 feet 9 inches in
height? YeS I NO E (permit reguired for racks/shelving over 6', inquire vrith permit counter)
14. Do you :nanufacture a product at the site? Yes f No E
lf yes, piease clescribe (inciuding cro;ess and end product):
a. Wilt operations produce dusUwood shavings or similarnnaterial? V": I ryg I
b. Does the operation inryolve the use of welding or open flame? Yes n No U
1S. Dces tne proposec use invoive a patient care profession, such as doctor' dentist, chiropractcr,
acupuicturist, or physicalther"apist? \'es I ruo E
a. ls the prooosed use within the mentai health professicn, such as:
I Noltr:ot Appiicable [l Psycholcgist f Psychiatrist
I Sociaiworker I cther-
16. ls counseiing proposed as a part of your business operation? Yes I No E
a. Does your counseling ousiness coniract work with a public agency? yes I No tr
lf yes, Please describe:
17. Will your business be ot'ering the foliowing seruices:
Aicchol sales f Smoking Lounge
Bocy piercing/ Ear Piercing
I Tattoosi Permanent make-uP
E None ofthe above
ig. r,r/iii your business be cffering massages as par"t of your business operation? This includes
!-nasoage a0 anc,iilary to peciicures, ,r...t.ro", and other services- Yas il No nI]
i9. ls cannabis or ca:'rnabis related proiuct stor-ed, ct.:ltivated, Cistributed, tested, manufactured or
oispensed at youi'business? yes f] t'tc E
20. Dc you prepare or sell foo6 for consumotion on or off the property? Yes D No E
lf yes, oc you provide sit dow'r servics I, di'ive-tnrough I, cr orders to go/plck-up E?
S: Planning\,Cieri3al-CoJnie: Forms\
Co{O Ques:lonnake A&27 -1 6
ri
!
Piease exPiain:
2i. Does your business sellautonrobiles or motorcycles? Yes D trto E
if yes, Please exPiain:
22. Dces
Yes
yo
L_i
ur business service or repair vehicles or install equipment and accessories into vehicies?
t'to E
if yes. please exPlain:
23. I acknowledge that I have requesteo and receil'ed ali zoning an
requirementi per.,raining to nny business and occupancy application.
d Santa Ana i'v4uniciPal CoCe
(initiai)
i DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE Ai'iD BELIEF'
Srgnaiu re Da:e
Frinl i'iame
Ti1le
infcrmation
S:Planning\Cle;icaFCounter Forms\
Cof3 Quesl,onna re CU27-1,E
The Flanlring Divlsicn's Public Counter is operr for walk-up customers from 8:00 a.m. tc 4:00 p'm', tvlonday
througn Friday, "r""riWednesday'10:30a.m.:o
4:CC p.rn' The Planning Divrsion is located within City
Haii - Ross Annex, 20 Civic Centlr plaza, First Floor. Additionally, you nnay call us at (714) 647-5804
shouid you i'equire any generai infci'mation"
The plannir,g Division reviews Ce,iificate cf OccuDa:lcy reqJesls'ior change of acidress, new businesses,
c,- expansions to ensure that the propcsed use is coisistent with the estabiisheci zoning regulaticns. of
Santa Ana. please check with the Flanning Dlvrsion's Public Counter prior to signing a lease or committing
ycur business tc a certain location to detei'mine the feasibitity.
lf a nonconfoi"ming use is disconiinr-ieC, or if a ;ronconfcrming building is vacant, unused or unoccupied for
a pei.iod cf 12 ccnsecuti,re rncnths, any subsequent use must conform in every respect to the provisions of
the lr4unicipai ZoninE coJ", and a nonconforminE buiiding may not thereafter be used or occupied until it
confoi'ms irr every respect to the provisions of the Code'
Gene:.ally. .rhe foliowing uses wili require fuither documentation or an extended review and may or
niay not be perrnitteo: iffice uses within an industriai zone; rnedicat, restaurant, laundrornat, trade
or technicai schools, and automotive repair and service uses within spaces that were not previously
used for such purF,oses; a building that does not meet the parkinE demand for the proposgd use;
or a use which generates a higher parking demand or adherence to development standards than
the previcus uses.
You may need tO provicie floor ptans, site plans, or document the prior use before obtaining a
Certificate of Occupancy to Oeteimine the giandparented rights of a nonconforming use' or a use
which has additional Code requirements'
MeruonANDUM
TO: Finance & Management Services Agency
FROM: Planning and Building Agency
SUBJECT: Miscellaneous Cash Transactlon
MCT # 54146
Wednesday, March 17, 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:
Moon Cafe COO
5407 W First St, Santa Ana, CA92703-3047
MASTER tD #2021-164958
AP #099-232-39
Application # COO-2021-188-CO Permit #
ISSUED TO
ADDRESS:
Jennifer Trieu
12682 Kathy Lane
Garden Grove, CA 92840
ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO.
1 Certificate of Occupancy (Planning and lnspection)'1 .0000 $499 36 $499 36 01 1 16002 51605
IENHIFER TRIEU
(:entif icote of 0ccuponcs
01 I l6u(r2- 5 16115[r]r:r-
(:ash
Chanse
Comments.
lssued By: Enriquez, Gissel (Planning and Building Agency)
TOTAL MCT AMOUNI $ 499.36
GL Account #
01 1 16002 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 1 of 3
GREASE INTERCEPTOR MEMORANDUM
To:Robert Cisneros - Planning & Building Date: March fith,2O2l
From: Hector Medina - Assistant Water Engineer
Location: 5407 W lsr STREET, SANTA ANA, CA92703- MOON CAFE
The above referenced food service establishment (FSE) must comply with the FOG Control Program
Rules and Regulations as identified in Ordinance NS-2921 and as follows:
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 will not likely cause a significant
impact to the sewer system, or;
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 kitchenarea,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 equipment, or
This is an existing FSE involving a change of ownership that will not result in an increase of FOG
discharged to the sewer system.
S pecial com ments/conditions:
The Developer/owner acknowledges 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 waiver to
install a grease interceptor.
Clc: Water Resources Division
Planning & Building Agency
OC Health Care Agency
Public Works Agency (Development)
EEC Environmental
Applicant
Y:\Water OperstionslEngineering\Development\FOG Progrm\FsEs\876\Memomdum - 5407 W lst Street (Moon Cafe).docx