HomeMy WebLinkAbout80426032 - Certificate of OccupancyPlanning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. 1988 (M-re)
Santa Ana, CA 92702
(714) 647-S&ts
No.804-26032
OCCUPANCY !NSPECTION
APPLICAT!ON
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EMERGENCY PHONE NO.BUSINESS NAME" :i-.:{U Ns=$es so.\ \)s.q15
xu{s,.,\s LLSNER'&
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SQUARE FEET
oo3 3, ooo(IF YES, NAME OF SUBLEASOR)YOU SUBLEASE? Yes
BUSINESS PHONE NO.C\\NN
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PROPERTY OWNEH'S NAME
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BUSINESS PHONE NO.
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EMERGENCY PHONE NO.
PROPERTY OWNER'S ADDRESS
FLAMES, NO SPRAY PAINTING
IAUTO BODY (SEE ATTENTION BELOW)
r WOODWORKING (SEE ATTENTION BELOW)
'tr(qnrruc ESTABLTsHMENT (sEE pwA)
OTHER (DESCRIBE ABOVE)
BUSINESS DESCRIPTION
. MANUFACTURING
r_t oFFlcE
tr RETAIL SALES
! WHOLESALE
LT WAREHOUSE
I GROUP ASSEMBLY
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AUTO (NO WELOTNG, NO OPEN
1 1 Ves
't/{o
No. 1 Will you be storing and/or utilizing hazardous materials at
lhis lacility?
1 1 ves )fuo No. 2 Does your produclion process produce hazardous waste?
lf you have answered Yes to either queslion you must contacl Orange County
Fire Authority's Hazardous Material Disclosuro Section at (714) 573-6000.
It 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 FIBE SPRINKLER SYSTEM INSTALLED.
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TITLE
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SIGNATUREd*-*St O-,-g*^\.,
DEPARTMENT USE ONLT EXPIRED/oPEDTPERMITS? IyES re Dateorreport: lt ltlltf
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PRIOR APPROVED USE
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PBIOR APPROVAL DATE
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PRIOR OCCUPANCY GROUP
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PRIOR CONSTBUCTION TYPE
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PLANNIN(LJ
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ZONE CUP DENIED
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DATE
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OCCUPANCY GROUPA-z CONSTRUCTION TYPE
VB ^"f":w DENIED
1-15-2oza
DATE
Note: One ol the following must be checked by the C of O lnspector.
[ ] Yes [ ] No Has th€ inspoctor identilied any hazardous malsrials at this lacility?
trni t
[ ] Yes [ ] No ls hazardous waste b€ing generated at this site?
6
NOTES: (LIMITATIONS OF APPROVED OCCUPANCY)
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FLOOR AREA
LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME\u\\ Qqqst\s r.. \ \...rns\rrqq*s Qsr\
EMERGENCY PHONE NO.RR,I.s"\N\
,--SANTA
ANAEIil$
Planning and Building AgencY
Planning Division
20 Givic Genter Plaza
P.O. Box 1988 (M-20)
Santa Ana, CA92702
(711\ 647-3e04
www.santa-ana.org
CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
Please turn in this comPleted with
Company Name (Print):\
application.
\\
Contact Name ('.rln t.,,€h A-r44n*1.r^r-
Address (buslness mailing address):Zc1 ( -:<- sr- - 5-t+< lr 3t1
City 9c.rtlr-, Aqq
Phone N".' (N\\ \1'\\ E-mairAddress:
State: 4.fl Zig-
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EI Cnange of Property Owner(Change of Occupant D Change of Use E ROOitlonal Occupant
1. The following best describes my operation:
I omce Onty I Retailsates E Medical/Dental
I Wareho use/M an ufactu ri n g/D Istri bution p(n".t", ranUTake Out Food
E Ottrer (describe)
Z. 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).
3 What was the former type of business or use. of facility? (Please contact the leasing agent or building
owner to determine pior business use.) [YVdiCo{ OFf4t<
Has the building or space been vacant or is this a new building? V"ffi No I4
lf vacant, for how long?
5. Are you an independent contractor? Yes 'S No fI
6. Location of the business and suite number:
p(roooor. n 2dfloor fl
-floor7. Do you share the floor or business entrance with another business? Yes fl No
8. What is the amount of square footage leased?
9.How much of the space, which you lease, is office? N/n
n looo/o tr so% tr 3oo/o
lf other than 100%, how is the remaining space used?
S : Planning\Clerical-Counter Forms\
CofO Questionnaire 0&27-18
tl Less than 30%
'i
10. ts the buitdingsprinktered? yes fl fVo g
11. Do you plan on making any improver
i nte.ioi tJn"
"t i, p.r".L;iJz' i5!"fl "fito t'*n" b u ild i ns such as
lf yes, please describe:
12. Will yourbusiness includea lobbyorwaitingarea? yes ! *oE
lf yes, what will be the dimensions?
13' Do you store equipment, materiars, or products within the buirding? yes f] No Ea' wi' there be outdoor storage of equipment, materials, or products? yes E
lf yes, please describe:
NoE
bHlHl;'? j""f "r,Tffi :*#ffi ,T,irJjl::::"::z?,T:x:_il",""T,,,:j:.;,"
14. Do you manufacture a product at the site? yes D *"R
lf yes, please describe (incrudingprocess and end product):
a' will operations produce dusuwood shavings or simitar material? yerb' ooqs ihe operation invotveirre use of *"roi"g oiopen ftame? yes ;] F"Hry
15. Does the proposed use involve a patir
acupuncturist, or physicar tnerapistil;:t fft" Rtffi'on' such as doctor, dentist, chiropractor,
a- ls the proposed use within the mentar hearth profession, such as:
! tttolttot Appticabte n psychotogist fJ psychiatrist
L,l Social worker n Otf,E ' '-'-e'vr u ' e'v'Irqtrli
16. ls counseling proposed as a part of your business operation? yes f] *"H
a' Does your counsering business contract work with a pubric agency? yes fJ No I
lf yes, please describe:
17. Will your business be offering the following services:
H:*i"",:,;, =F,ilif s Lou nse
18' Will your busine:" b." offering massages as part of your businessmassage as ancirary to pedicures, manicures,
"nJ o*,"i".-ices. yes operation? ThisD rvoffi
exterior painting, signage,
I Tattoos/ permanent make_upLl None of the above
includes
19. ls cannabis or cannabis related product
dispensed at your business? yes' !,ilH cultivated, distributed, tested, manufactured or
20. Do you prepare or seil food for consumption on or off the property? ves f No D
lf yeo, do yeu provtoe stt oown service{drivethrough E, or. orders to go/pick_up [?
S:Planning\Clerical{ounter Forms\
Corc Questionnaire 08-27-1 8
-
Pleagc cxplain:
21. Does your business sell automobiles or motorcycles? Yes E *oF
lf yes, please explain:
22. Does
Yes l
11our busip;s service or repair vehicles or install equipment and accessories into vehicles?U *otA
lf yes, please explain:
23. I acknowledge that I have requested and received all zoning and Sqnta Ana Municipal Code
requirements pertaining to my business and occupancy application. &\tt (initial)
I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO THE F MY KNOWLEDGE AND BELIEF.
Date
Print Name
ffi|,ru>r1E[.-
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 Plazz, 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 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€ounter Forms\
CofO Questionnake 0&27-18
GREASE INTERCEPTOR
q
ftat*i'a;
MEMORANDUM
To:Tonia Zerba,&Date: November 15,2018
From: Behrooz Sarlak - Assistant Engineer II
Location: 307 E IST sT, #1-C -ACAPULCO WITH WINGS
The above referenced food service establishment (FSE) must comply with ordinance NS-26-70 asfollows:
X A gravity grease interceptor is required at this FSE for the following reason(s):
X This is a new FSE.
This is an existing FSE undergoing remodeling.
This is an existing _FSE involving a change of ownership that will result in anincrease of FoG discharged to the r"*er systan or is likely io continue discharging ahigh level of FOG.
C/c: Taig Higgins, pWA
Allissa Zuniga, p&BA
David Chavez, p&BA
Julie Amsden, p&BA
Tonia Zerba, p&BA
Joe Jenkins, EEC Inc.
Rudy Rosas, pWA
Ali Pezeshkpour, p&BA
Naomi Tesfamichael, OCHCA
Kiki Cason, OCHCA
Kraig Kiker, p&BA
Kathy Hemandez, p&BA
Alondra Aguirre, p&BA
Roberto Cisneros, p&BA
C:\Uffi\b6eh&\D6krop\FOC\GI _ yEs.doc
IT4EMORANDUM
TO:
FROM:
SUBJECT
Finance & Management Services Agency
Planning and Building Agency
Miscellaneous Cash Transaction
MCT #42131
Monday, December 3, 2018
-st
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
ADDRESS:
Consuelo Arredondo
Jugos Acapulco with Wings
307 E 1st Street,l-A
Santa Ana, CA 92701
TOTAL AMOUNT RECEIVED $ 463.51
Comments:
C of O No. 80426032
lssued By: Guevara, Jerry (Planning and Building Agency)
GL Account #
01116002 51605
Total
$463.51
PROJECT NAME:
PROJECT ADDRESS:
C of O - Jugos Acapulco with Wings
307 E First St Unit# 1-A, Santa Ana, CA 92701
MASTER tD # 2018-148039
AP #398-516-16
Application # MISC-2018-198-CO Permit #
ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUNO NO.
1 Certificate of Occupancy (Fee Purposes Only)1.0000 $463.51 $463.5'l 01 1 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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