The URL can be used to link to this page

Home My WebLink AboutCOO-2020-36-CO - Certificate of Occupancy!\ I $, Lr$ 64) coo-2020-36-CO Planning & Building Agency' Building Safety Division 20 Civic Center Plaza P.O. 1e88 (M-r9) Santa Ana, CA 92702 (714) 647-s8ts OCCUPANCY INSPECTION APPLICATION BTN 7A1 ?Pl @Caz ma(t oonm @a Ws \ th S \+r lat I V ii 3o+ E \" t+)-\ BUSINESS AODRESS UNIT OR SUITE ZIP CODE 1z l<'l -1-"*g,^..Jr. -L--,L \^". BUSINESS NAME BUSINESS PHONE NO. t'(Wfi zt7- R.,J) EMERGENCY PHONE NO. () BUSINESS OWNER'S NAME & TITLE;{'rrY J.-.^r'J NER'S LICENSE NO. & STATE EMAIL ADDRESS d (i9lll4-, c"*^Qt-v Lt,tâ‚¬(h f1fi..\l*... 59 YOU SUBLEASE? tr Yes lNo (lF YES, NAME oF SUBLEASoR) aso AREA "'.toLEASING AGENTG+rl -ll OR PROPERTY MANAGEMENT CO BUSINESS PHONE NO. ais - /f'rS EMERGENCY PHONE NO. F.* \,,".,o c.* frl gztrc PROPERTY OWNER'S NAME BUSINESS PHONE NCT ()() EMERGENCY PHONE NO. PROPERTY OWNER'S ADDRESS E AUTO REPAIR (NO WELDING, NO OPEN FLAMES, NO SPRAY PAINTING E AUTO BODY (SEE ATTENTION BELOW) O WOODWORKING (SEE ATTENTION BELOW) O EATING ESTABLISHMENT (SEE PWA) tr OTHER (DESCRIBE ABOVE) ?t *f.n-c-t llJqernt snles BUSINESS DESCRIPTION E IVIANUFACTURING O OFFICE E WHOLESALE EWAREHOUSE O GROUP ASSEMBLY El Yes [No No. 1 Will you be storing and/or utilizing hazardous materials at this facility? El Yes INo No. 2 Does your production process produca hazardous wast6? 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 ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO. AUTO BODY, AUTOI\,IOTIVE WORK OR STORAGE INCIDENTAL TO WELDING WITH OPEN FLAME, WOODWORKTNG, CUTTTNG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED tN AI'IY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEIU INSTALLED-VU-, .G.*,*f TITLE C-LC "^',].f r, DEPARTMENT USE ONLY PERMITS? Date of report ot 7-o \/vI YES EXP PRIOR APPROVEO USE f4rt'v I PRIOR APPROVAL OATE o6/r/ nff PRIOR OCCUPANCY GROUP A PRffirsrnucrloN rYPE PLANNING Dc/ ZONE tPtry CUP DENIED DATE vq /)c occ. LoAD cwcrtoN\YPE /APPROVED'krslut DENIED 6 DATE /e/4 -zn>d this facility? [ I Yes [ ] No ls hazardous waste being generated at this site?I lYes [ ]No Hasthe NOTES: (LIMITATIONS Noto: One of the following must be checked by the C of O lnspector SQUARE FEET ,--SANTA ANAqHffi a I Planning and Building Agency Planning Division 20 Civic Center Plaza CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE P.O. Box 1988 Santa Ana, CA (7141 647-s804 (M-20) 92702 www. sa nta-ana.org application. Com Contact Name ..d Address (business mailing address):3cT Lt r* t* ta;k /^L City:f-*+- A*.^State: c'A Zip 1:-1. I Phone No.:E-mail Address: I Change of Property Owner E Change of Occupant ! Change of Use E Additional occupant 1. The following best describes my operation: E ottice only p Retail Sates E Medical/Dental ! Warehouse/Manufacturing/Distribution E RestauranUTake Out Food n Otner (describe) 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, . - - r. open tothe public). P.\*i\ )r^.{.r'*.r1- F'\1a:f f.5<fi7r}r"s''5, fettic5 G'TC r'^(J\ f,\o'r - ii'|- 1-6;'-" ( hSP13i S'-'l-7 3. What was the former type of business or use of facility? (Please contact the leasing agent or building ownerto determine pior business use.) C \-;6= S+.le 4. Has the building or space been vacant or is this a new building? Yes [[ frlo E lf vacant, for how long?(. 9*<,*|\n-! 5.Are you an independent contractor? Yes E No E Jvl lc , -S Location of the business and suite number, 3a* E \si 5)- J**l.* 4{.r- (' }4 ?L f t"ttoor tr 2ndfloor E __ftoor 7. Do you share the floor or business entrance with another business? Yes E ruo E 8. What is the amount of square footage leased?\ >5c 9. How much of the space, which you lease, is office? tr loOo/o tr 50% tr 30Yo F Lessthan 30% lf other than 100%, how is the remaining space used? ?.F,, fy,, , 5 l*,cae, (e*5.1 [-ftc w' 5le )<r l 6 S: Planning\Clerical-Counter Forms\ Cofo Questionnai r e 08-27 - 1 I Please turn in this form with n 10. ls the building sprinklered? Yes p No E 11. Do you plan on making any improvements to the building such as: exterior painting, signage, interior tenant improvements? Yes I No E lf yes, please describe: hrl)"'^j tlf^1i ' I.,t AAt\ c'-Li'rcf-s 12. Will yourbusinessincludealobbyorwaitingarea? Yes ! No B lf yes, what will be the dimensions? 13. Doyoustoreequipment,materials,orproductswithinthebuilding? Ves S No E a. Will there be outdoor storage of equipment, materials, or products? Yes f] *o F lf yes, please describe: b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes E No flfrerm it required for racks/shelving over 6', inquire with permit counte) 14. Do you manufacture a product at the site? Yes E No EI lf yes, please describe (including process and end product). a. Will operations produce dusUwood shavings or similar material? Yes ! No Eb. Does the operation involve the use of welding or open flame? Yes E No E 15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor, acupuncturist, or physical therapist? Yes E No EI a. ls the proposed use within the mental health profession, such as: Etr No/Not Applicable ! Psychologist E Psychiatrist Social worker !Other 16. ls counseling proposed as a part of your business operation? Ves p. ruo E a. Does your counseling business contract work with a public agency? yes E lf yes, please describe: '17. Will your business be offering the following services: No DK E Tattoos/ Permanent make-up p- trtone of the above 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 E No E 19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or dispensed at your business? Yes E No EF 20. Do you prepare or sell food for consumption on or off the property? Yes f] No E lf yes, do you provide sit down service !, drive{hrough f], or orders to go/pick-up !? Alcoholsales E Smoking Lounge Body piercing/ Ear piercing S:Planning\ClericaFcounter Forms\ CofO Questionnaire 08-27- 1 8 trtr t, Please explain: 21. Does your business sell automobiles or motorcycles? Yes E lf yes, please explain: No # lrf 22. Does your business service or repair vehicles or install equipment and accessories into vehicles? Yes fl ruo EI-I lf yes, please explain: 23. I acknowledge that I have requested and received all zoning and Ana 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 TO THE BEST OF MY KNOWLEDGE AND BELIEF. N.*,7 T:--,.â‚¬. Sig <-l Date Print Name 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 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 fufther documentation or an extended review and may or may not be permitted: office uses within an industrial zone; 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: Planning\Clerical-Counter Forms\ Cof O Questionnai t e 08-27 -'l I MEMORANDUM TO: Finance & Management Services Agency FROM: Planning and Building Agency SUBJECT: Miscellaneous Cash Transaction MCT #48310 Thursday, January 9, 2020 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. ISSUED TO: Nasry Jawad Farmacia Santa Ana ADDRESS: 1 1250 Meridian St Corona, CA 92880 TOTAL MCT AMOUNT $ 481.68 Comments: coo-202G3GCO lssued By: Graham, Jeffery (Planning and Building Agency) GL Account # 01 1 16002 51605 Total $481.68 PROJECT NAME: PROJECT ADDRESS: Farmacia Santa Ana 307 E First St Unit# 1-D, Santa Ana, CA 92701 MASTER tD#2020-157010 AP #398-516-16 Application# COO-2020-36-CO Permit # ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. 1 Certificate of Occupancy (Fee Purposes Only)1.0000 $481.68 $481.68 01116002 5160s 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