HomeMy WebLinkAboutCOO-2021-48-CO - Certificate of Occupancyt
coo-2021-48-CO
Plrunlng & Bu0dlng Agcncy
Bulldlng Safcty Divrton
20 Clvlc Ccntcr PIrz.
P.O. re88 (M-tr)
Sgntn Ans, CA 92102
(7r{) 6{7.581S
OCCUPANCY INSPECTION
APPLICATION
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!WARE'.IOUSE
O GNOUP ASSET'8LY
FI,AMES. NO SPRAY PAINTTNG
OAUIO SOOY (SEE ATTENTION BELOW)
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O EATNG EBTABLFHI,ENT (See P,VA)
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ll you havt roserlcd Yes lo stnG, qlcslion ,u,, must co tcct Osngt County
Fr.a Aurhorivr l{otar6al,r f.la,srial DlEdorsro S6cto.1 ar (7la) 97,}8000.
U YES, plerrodarcribo.
El Yet No, 1 Wtl ypu ba rtor[tg rtud/or utilrho h.s.rdqr msbrtals Et
ATTENnO& ALt GROUP .}l'OCCUPAIICIES (INCLUDI.\G, BUT NOT LliilTED TO. AUTO BODY. AJTOMoTTVE WORK OR SIORAGE
INC|OENTAL TO WELOING WIIH OPEN FI,AME. WOODI.,Ofr(ING. CUTTING, 8}I{PING OR SA^IDING WOOO) S}hLL NOT 8E CONOUCTED IN
+Il!.B_utLpr}l€ oR srRucr URE UryLFSS THERE tS AN
^PPBOVEO
FnE S?B![K].ER SysrErvl INSTALED.
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DE TMENT U$E
PRICR APPROVED USE Pq!OR OSCUP,I,ICY GR6 JPB
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I lYor I I No HB6 Oc intpecb, kt ntifiGd any hrzudouc mrLride .t 0l.t f.ciilM INo h hsardoer $,9BE D.im gancrrtcd rt 0& Ce?
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NOTES: (tlMlTATlONS OF APPROVEO OCCUPANCY)
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EUaE{ESS CTWNEES qtrh,ERsl LTENSE NO, t STATE
at-L
LEASING AGI
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Please lurn ln thls wlth
Company Name
Contacl Name:
Addroes (h.lskwss address):
City;Wfrl SEte:zrq:
Phone No.:0 E-rnailAddress:
4. Has the building or space been vacant or is thls a new building? yes [ *o {
lf vacant, lor how long? .-_-
5. Are you an lndcpcndent contraclor? yes E
^o {
3tD
of
,,..I-
E Ctrange ot Property Owner E Change ot Occupant E Ctrange ot Use deOditionsl Oocupant
1, The followlng best descrlbes my operallon:
fl Office Onty f] Retal Sater E Modtcat Denrrt
I wa rehoucc/Manufactgrlng/Dlctrlbutlon I Rectluranurake out Food
M otner {dercrrbe) ftflrr4 O[f*
?. Please provlda a brief desuiption of how the buslness operates at thls slte (for exampte, please
fi '"T',T,'H3iltflHtfr $qEa&ffi fl'Uttrq;';5#:;ll"ffilffi ffi
3' Whslwsstheformertypeof buslnessoruseof fac{llty? (P,ea6e contactthaleasingagentorbuilding
Owner to delermine pior business Usc.)
6. Location of the business and suite number:
t] 1E(floor n 2dfloor
S:Ptanning\Clericel.co!.tg( Fo.mr\
ColO Ourstlonnrlrc 08.21-18
d&"*&"7. Do you share the flooror business entrance with another businegs? yes
8. What is the amount of square footage leased??7 T
S. How muc[gl the space, which you leasc, is offico?,/ff rcov" tr 5oYo tr 30%
ll other than 10070, how is the remalning space used?
Less than 30%
,,--SANTA
ANA;{lfi
Plrnnlng and Bulldlng Agency
Plrnnlng Dlvlrlon
20 Clvlc Gentcr Plarr
P.O. Bor 19EE (M.20)
Santr Aru, CA 92702
{714} 6{7.5804
www.Etnt!{nt.org
CERTIFICATE OF OCCUPANGY
SUPPLETUIENTAL
QUESTIONNAIRE
,/
10. ls the bullding rprlnklered? Ves druo fl
11. Oo you plan on making any improvcm ents Wlfruilding such as: exterior palnting. slgnage,
interior lenant improvemenls? Vee E No EI
lf yes, please descrlbel ,/
12. \Mll your buslness include e tobby or wailir€ anea? yes g/ ffo tr
ll yos, what will bs the dimensions? l00$f
13. Do you storo equipm€nt, materlals, or products within the bullding? Ves fl No d
b, Wllt there Aa gpraga3lldpalatl andlor shctvlng arceedlng 5 faet g Inchee tn
helght? Ye * [ No E[ (Fnn rtqtdtl,d tbt nc*lthcvlngl ovtr a', hqutrr *tth p.nni] aount 4
14. Do you manufacture a prcductanhe sits? ves El *o {
a. Wttl thor6 be outdoor storage of equipment, materials, or products? yes D No
lf yes, please describe:
lf yes, please descrlbe (induding p/Dcoss end end prcdrcl):
a. Wll operatlons produco duaUwood rhavlngr or Cmllar matcrlal? Ycs ! No Eb- Does the operatlon lnvolve the ugc of wcldlng ot op€n ftarne? Yer f] No E
15. Does the proposed use involve a patienl ggrre professignlsuch Bs dodor, d€ntist, chhopractor,
acupuncturist, or phpical lhsrapist? yes E] no V
health profession, such as:
I Psychiatrlst
'16. ls counsoling proposad a6 a part of your buslness opera$on? Yes E No {
a. Does your counsellng businoss conlracl work with a public agency? Yes E No E
lf yes. please describe:
17. Wlll your buslness E offering lhe fotlowlng services:
E Alcohol salos f] smoking Lounge E lattoosl psrmsnenr make-upE eoOy pierclng/ Earpiercing fi/nonc of lhe above
18. Will lour buslness bo offerlng massages as pfll of your business operation? Thiq;fludes
massage as ancillary to pedicures, ,nanicures, and olher servlces. yes E No V
'19. ls cannabis or cannabis rslatsd product stored, gt*l9ated, distributed, tested, manufaclurod or
dispensed at your business? Yss E No V
20, Do you prepare or sell food forconsurnpllon on or ofl the propertf yes E no f
lf yes, do you provlde sit down ssrvlce [, drive-through n, or orders to go/pick-up e?
S;Plrilinglclerlcal.Countor Forms\
CoO QuesdonnCr. 08.22t8
{
a, ls
Social
Please oxplain:
21. Ooes your business sell autornobiles or molorcycles? yes E No
lf yos, please axplainT
22' Does$our ouosiS26rvice or repair vehlcles or instai eguirment and Ecce.sorias into vehlcles?
lf yes, please explainl
23, I acknowledge that I have requested and received all zonlng and Santa Ana Municipal Coderequirements portaining to my buslness and occupancy applicaiion.
-**(tnitialiCORR
S:PlannirpilClarical-Countar Fo,,nrt
Colo Clumlionnrho 03-27.18
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UNOER PENALWOF PERJURY, THATTHE FOREGOING STATEMENTS ARE TRUE AND
THE BEgT KNOWLEDGE AND AELIEF
{
Print
Date
lnformatlon
The Planning Division's PuUic Counterls open forwalk-up customer8 frorn E:00 a.m. to 4:00 p.m,, Monday
through Friday, excopt {ednqsdey 10:30 a.m. to 4:00 p.m. The Planning Olvislon is located withln City
Hall - Ross Anner(, 20 Civic Center Plaza, First Floor. Additionally, you rnay call us at (714) 647.5804
should you requira any general lnformatlon.
The Planning Oivision rsviews Cortificate of Ocarpancy requesls for change of address, new businesses,
or expansions lo ensure that the proposed uso is conelstsnt wilh the sstablishsd zonlng regulalions oi
Santa Ana. Please check with lhe Plannlng Division's Pubtb Counter prior to eigning a leasi or-commlttlngyour buslness lo a c€rlain locatlon to detcrmine lhe feaslbl[ty.
lf a nonconformhg use is dlscontinuod. or lf a nonconformlng building iB vacsnt. unusad or unoccupicd for
a poriod of 12 consecutive monlhs, any subsequsnl use muJt conform ln every respect to he provislons ofthe Municipal Zonlng Codo, and a nonconforming bullrtlng may not thereafter be ussd or ociupied untll ltconforms an overy respect lo lhe provlslons of the Code. -
Ganerally, the followlng uecr wlll requirc furthcr docum.ntatlon or an Gxtondod revhw and mey ormay not be permltted: ofllca uses wlthln an lnduslrlal tonc: medlcal, rastaurant, laundromat, liadaor tecbnical cchools, and automollvc rupalr and serulce uocs wlthln tpacos lhat were not prcviourly
used lor such purposes; a bulldlng that doce not moet thc parklng demand tor the prodosea use;ot a u8B whlch generatet a hlgher parklng demand or ldherence to dcvelopment ritandardg thanthe prsvlouS uses.
You rnay nood to providc floor plant. altG planc. or document tho prlg, use b€fore obtalnlng aCertlficate of occupancy-lo delermlne lhc grandpuontcd rlghk of a ironconformlnj uie, or a u",whlch has addillonal Code requlrcmentt.
I
MEMORANDUM
TO:
FROM:
SUBJECT
Finance & Management Services Agency
Planning and Building Agency
Mrscellaneous Cash Transaction
MCT # 5321'l
Tuesday, January 19 2021
All fees are sublect 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 rs made.
ISSUED TO:
ADDRESS:
Kristi Maya
Beverly Radiology Medical Group
1820 E 1st St #310
Santa Ana, CA 92705
s15
.36
.36
TOTAL MCT AMOUNT: $499.36
Comments.
lssued By: Arias, Fernanda (Planning and Building Agency)
GL Account #
01 1 16002 51605
Total
$499.36
PROJECT NAME,
PROJECT ADDRESS,
Beverly Radiology Medical COO
1820 E First St Unit# 310. Santa Ana. CA 92705-4009
MASTER rD #2021-163812
AP #402-21 1-08
Application# COO-202148-CO Permit #
ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO.
1 Cartrficate ot Occupancy (Planning and lnspecton)1.0000 $499 36 $499.36 01 116002 51605
Bofch*rI?426 ' 6i4i2u21 ID: rlnor$l
61y' i r:s: (:IYH Trons+: itlT 1 oiAccti: Ret i: i3! I 1
Rcpti:0331?453 - a/+;?lril l:37 Pfi
Tronsnct ion 'Iota I i4??.36
IIEVERLY RADIOI..ii6T
(:ert it'icnte of 0ccupcnrc
ll1 1 16110?- SlSUFtr(rlr"
llasber (:nr'd
(:i:+ : xx*******xx*7+[r?
i49
i+?
Authi: l?5?62
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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