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HomeMy WebLinkAboutCOO-2020-162-CO - Certificate of OccupancyPlanning & Building Agency Buildin g Safety Division 20 Civic Center Plaza P.O. 1e88 (M-le) Santa Ana, CA 92702 (7r.r) 647-s8rs ( coo-2020-162-CO OCCUPANCY INSPECTION APPLICATION 31 s231BTN q, CIz moa) Uo7m U)o c \\ a q CJ Nf- e, FLRST SI-(EET- J ftUNIT OR SUITE ZIP CPDE 0 zusrNEssNAME SvpER XJDs bE-ru.r*L LDOft\P?tu^trrc nr SuAr{6Al N-Tfln", DE^ITA/ T_Nla. BUSINESS PHONE NO. ,8W,,fl1"76X EMERGENCY PHOT.IE NO. ,trt?, 4q{ _q 6 q3 T,NE I H D & tl frH tf L N DnT BUSINESS C}I,V}IER'S DRIVERS LICENSE NO. & STATE _/t /116 El Rrto csleols,aat'l-co^tu€' GL€rvD*t cfi lrzo{ DO YOU SUBLEASE? OVesf,rrb 0F YES, NAME OF SUBLEASOR)SQUARE FEET 3,ooo 5F FLOOR AREA 3 oOO 5:F LEASING AGENT OR PROPERTY MANAGEMENT CO{i'PANY NAMERot-c BUSINESS PHONE NO. ,8sg2t - qlot EMERGENCY PHONE NO. ,fsfit'r4+ o?s1 LEASIT{G AGENT OR PROPERTY MAI{AGEi'ENT COMPANY ADDBESS/lL:;o El cftn{No REfr4?r'7rt^l DT€@r c-,4 ?8t3o R oTC Sfr l0fr NNfr , LI C_ PROPERTY O/VNER'S NAI\IE ,ts{ 5:- 1?o3 AUSINESS PHONE NO.EMERGENCY PHOI'IE NO. , ts* +y -o?t? t t Tso Et dnfiTyo KeA L *7tu flA,tr, DJECJI, ct+ ? Zuo PROPERTY o\/\NER'S ADDRESS BUSINESS DESCRIPTION UMANUFACTURING O OFFICE E RETAIL SALES EVWOLESALE OWAREHOUSE OGRqJP ASSEi/ELY trAUTO REPAIR (NOWELDING, NO OPEN FLAT'ES, NO SPRAY PAINI'IT.IG E AUTO BODY (SEE ATTENNON BELOT/V) Dr,\,ooDWoRKING (SEE ATTENTIOT{ BELOVV) O EAnNG ESTABLISI-Iil,ENT (SEE PWA) o orHER (DESC-R|BE ABO/E) U t* (* i.lo. 1 tMl yor be stodng and/or rnilzing hazadous matorhb at thb fadily?. 31 Vc fio No.2 Does your poductbn process prcduce hazardous uesie? lf you have anwrpred Y€6 lo either queslbn you musl contac.l Orange County Fke Authority's Hazadous Material Disclooure Sedion al (714) 57&dXD. lf YES, please ATTENTIoN: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BOOY, AUTOMOTIVE WORK OR STORAGE INCIDENTAL TO WELDING WTH OPEN FLAME, WOOO ,ORKING, CUTTING, SHAPING OR SANDING \ /OOD) SHALL NOT BE CONDUCTEO lN ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. T-DEffi/0wrteNTLE DATE :K dr2S1 Z-oD DEPARTMENT USE ONLY PERMITS? Date of report:W VJuNo PRIOR APPROVED USE M PRIOR APPROVAL DATE Nfl rlRroR occuPANcYGRot P NA PRIOR CdNSTRUCTION TYPE Nft PLANNING h?: DL fir.t-uc ZolrlE VA Nfl *" Nfi APPROVED w( ilru DENIED DATE 2 l, t f zozo OCC. LOAD b I DENIED DATElc-lz-uq l.lote: One of lhe follovdng mus{ be checked by the C of O lnspe<tor. I I Yes [ | ],lo l-las the inspec{or identifiod any hazardous naledals at this ls hazardous waste being generaled at thb site? iIOTES: (LIMITATIONS OF APPROVED OCCUPANCY) I IYes I [5e: t\ Planning and Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, CA927O2 (714) 6475804 www.santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Please tum in this complefcd form with your Ceftificate of Occupncy application. company Name (print): t, , pe < Vt>5 Dt-nTftt - PRAcTTC? oF 1t1frtfffi Df,ftfl TNC Contact Name hr?- 4HrcsTilE- (ttan DTfr/1/ Address (business mailing address)4nz E, FrRSi- 9TREtr-* Zft City:S,fttvT+ ^^r 1. The following best describes my operation: tr tr Ofiice Only E Retai! Sales MedicaUDental on E RestauranUTakeOut Food ! 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, opentothepublic). Deff+ otrFICeJ RL=tft7eD uSA-€ . ^.mr.T (lr ftt.t fu.Frr,n 1;o0an-/"oo/: t:h fr'tf"Te^3. What was the former type of business or use of facitily? (Please contact the leasing agent or building ownerto determine pior business usa.) P*y lEss 1iloe X4. Has the building or spare been vacant or is this a new building? Yes NoE lf vacant, for how long?nf 5. Are you an independent contractorZ Ves f,No fI 6. Location of the business and suite number:\/p\ lstfloor tr 2dfloor ! -floor-\ 7. Do you share the floor or business entrance with another business? Yes n No X' 8. What is the amount of square footage leased? 9. How much of the space, which you lease, is office? (100o/o tr so%tr 3oYo lf other than 100o/o, how is the remaining space used? S :Phnning\Clerixl'Counler Forms\ CofO Quedionnaire 0&27-1 8 Less than 30% ,,-SANTA NA,'iffii swe lft zip: ?)7A I Phone No., (Kt?) <23-76)( E-maitAddress: C<JerL{s. €t7 ,.na' l' Lc,.\U E Change of Property Oruner EI Cnange of Occupant fl Cnange of Use E ROoitional Occupant 10. ts the building sprinklered? Yes tr frf. fi 11. Do you plan on making any improyg;nents to the building such as: exterior painting, signage, interiortenant improvements? Yes A Xo E ff yes, please describe: Zlfeffo e TTtrtnTAPt@VErreNT frR 12. Wllyour business include a tobby orwaiting area? Yes E No lf yes, what will be the dimensions? 13. Do you store equipment, materials, or produds within the building? Yes D *" ( a. \Mll there be outdoor storage of equipment, materials, or products? Yes E lf yes, please describe: a. Will operations produce dust/wood shavings or similar materiat? Yes Db. Does the operation involve the use of welding or open flame? Yes E No DETJTrtLr-T$cP '"F b. Will there be storage qcks, pallets and/or shetving exceeding 5 feet 9 inches in height? Yes n No Xerzrftrcqulrcdfornds/shdingovu6',tnqulrcwtthpemltoounterf 14. Do you manufacture a product at the site? Yes E N" ( lf yes, please describe (including procrass and enO proaua\1: R5 15. Does the proposed use involve a patientpqye profegsion, such as doctor, dentist, chiropractor, acupuncturist, or physicaltherapist? VesA No fl a. ls the proposed use wilhin the mental health profession, such as: E6o/Not Applicable fl Psychologist ! Psychiatrist E Socialworker ! Otner_ 16. ls counseling proposed as a partofyourbusiness operation? Yes E No A ( cuftivated, d istributed, tested, manufactured or tr a. Does your counseling business contract work with a public agency? Yes n ruo)/',/\ lf yes, please describe: 17. Willyour business be offering the following seMces: E Alcoholsales E Smoking Lounge E Jattoos/ Permanent makeup fJ eooy piercing/ Ear piercing -,EKruon" of the above 18. Wll your business be offering massages as part of your business operation?, fhis includes massage as ancillaryto pedicures, manicures, and otherseMces. Yes E *",( 19. ls cannabis or cannabis related product stopg, dispensed at your business? Yes fl No Xa 20. Do you prepare or sell food for consumption on or off the property? Yes E No lf yes, do you provide sit down seMce E, drive-through E, or orders to go/pick-up f]? S:Phnning\Cbrical-Counler Forms\ CofO Quegionnaire 0&27-18 Please explain: 21. Does your business sell automobiles or motorcycles? Yes fl No lf yes, please explain: x, 22. Doesgtrt i:tq service or repair vehicles or install equipment and accessories into rehicles? lf yes, please explain 23. I acknourledge that I have requested and received all zoning and Santa Ana Municipal Code requirements pertaining to my business and occupancy application (initial) I DECI.ARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF KNOWLEDGE AND BELIEF. rl Date Print lnformation The Planning Division's Public Counter is open forwalk-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 wilhin 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 priorto 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 requirc 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 rcpair and service uses within spaces that werc 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 phns, 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:Pbnning\Clerixl-Counler Forrns\ CofO Quedbnnahe 0&27-18 I MEMORANDUM TO: FROM: SUBJECT: MCT #49077 Thursday, February 27, 2020Finance & Management Services Agency Planning and Building Agency Miscellaneous Cash Transaction 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. PROJECT NAME: PROJECT ADDRESS: Super Kids Dental-Certificate of Occupancy 407 E First St Unit# 2-A, Santa Ana, CA 92701-5334 MASTER tD #2020-158114 AP # 398-516-12 Application # COO-202O-1 62-CO Permit # ISSUED TO ADDRESS: Christine Shangaldian Super Kids Dental 1526 El Rito Ave. Glendale, CA 91208 ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. 1 Certificate of Occupancy (Fee Purposes Only)1.0000 $481.68 $481.68 01116002 51605 llosLer (:(:+ ! I Comments: lssued By: Khang, Kathy (Planning and Building Agency) TOTAL MCT AMOUNT $ 481.68 GL Account # 01 1 16002 51605 Total $481.68 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 Botch*:54599 - 2/27/21:t2t-t I0: nPINEDA 0f f ice: (:TYH 1r0nsi: 61 2 al 2 Acct*: Refi: 49A77 Rrpt+: r:1291:13651 - 2/27 /?lt2tt 1 :29 F',H Tronsncb i on To[al t929.6S chr i st i ne shonsnl i nn !aol t929 Authi: 93ii1rJtl 58 6S