HomeMy WebLinkAboutCOO-2020-302-CO - Certificate of OccupancyPlanning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O.1988 (M-1e)
Santa Ana, CA 92702
(714) 647-s8ts
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coo-2020-302_CO
OCCUPANCY INSPECTION
APPLICATION
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UNIT OR SUITE ZIP CODE
BUSINESS NAME
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BUSINESS PHONE NO.
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Ei,ERGENCY PHONE NO.
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DO YOU SUBLEASE? trYes Pilo (lFYES, NAME OF SUBLEASOR)
EMAIL
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FLOOR AREA
PANY NAME
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BUSINESS PHONE NO.EMERGENCY PHONE NO
COMPANY ADDRESS
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BUSINESS DESCRIPTION
E MANUFACTURING
E OFFICE
E RETAIL SALES
tr WHOLESALE
tr WAREHOUSE
tr GROUP ASSEMBLY
tr AUTO REPAIR (NO WELDING, NO OPEN
FLAMES, NO SPRAY PAINTING
tr AUTO BODY (SEE ATTENTION BELOW)
O WOODWORKING (SEE ATTENTION BELOW)
tr EATING ESTABLISHMENT (SEE PWA)
idrxen (oescRrBE ABovE)
!l Yes (No No. 1 Will you be storing and/or utilizing hazardous materials at
this facility? -/
El Yes fNo No. 2 Does your production process produce hazardous waste?
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
SAraru 0e Cot<re ge orct
ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO 8ODY, 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 FIRE SPRINKLER SYSTEM INSTALLED.
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TITLE
r{ 22-?-13
DATESIGNA,yb
bYES NO Date ofreport:44DEPARMENT USE ONLY
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ZONE CUP APPROVED DENIED DATE
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[ ] Yes [ ] No Has the inspector identified any hazardous materials at this facility?[ ] Yes I I No ls hazardous waste being generated at this site?
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must be checked by C of O lnspector
NOTES: (LIMITATIONS OF APPROVED OCCUPANCY)
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BUSINESS PHONE NO.EMERGENCY PHONE NO.
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PRIOR OCCUPANCY GROUP
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PRIOR CONSTRUCTION TYPEPRIOR APPROVED USE
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APTROVED
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DATEOCC. LOAD
Please turn in this completed form with your Ceftificate of Occupancy application.
Company Name (Print):
*-SANTA
ANAJII}ffi
Planning and Building Agency
Planning Division
20 Civic Center Plaza
P.O. Box 1988 (M-20)
Santa Ana, CA92702
(714) 647-s804
www.santa-ana.org
CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
Contact Name
Address (business mailing address):
City:1o,'tl, A
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state: OA zip: c4'L1 A I
Phoner'to.: 7 I t-f 5'76'3 6 / 7 E-mailAddress:
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ftoor
7. Do you share the floor or business entrance with another business? Yes E N" {
8. What is the amount of square footage leased? 6 eL
fl Cnangeof PropertyOwner WCn ng"of Occupant n Cnangeof Use E AdditionalOccupant
1. The following best describes my operation:
! Ottlce Only ! RetailSales E Medica!/Dental
E Warehouse/Manufacturing/Distribution E RestauranUTake Out Food
Ef ottrer (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,
opentothepubliQ. -q bUSl4C)J \.b h7't. CUt.finj balonOten 1,'OO An cto)e giofM
3. What was the former type of business or use of facility? (Please.contact the leasing agent or building
owner to determine prior business use.) t 5 h Ui r ggl { i n3 Sa lo n
4. Has the building or space been vacant or is this a new building? Yes E N"{
lf vacant, for how long?
5. Are you an independent contract orZ yes d No n
6. Location of thebusinessandsuitenumber, l6?.o € I s(<'T un i+T 'anlq
qrl a
. cor^
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9. How much of the space, which you lease, is office?
tr looo/o n 5oo/o tr 3oo/o
lf other than 100%, how is the remaining space used?
S:Planning\Clerical-Counter Forms\
CofO Ouestionnate 08-27 -18
{ ,"rrthan 3o%
10. ts the building sprinklered? Yes tr ruo d
11. Do you plan on making any improvements to the building such as: exterior painting, signage,
interior tenant improvements? Yes E No EZ
lf yes, please describe:
? 12. Will your business include a lobby orwaiting area?.Yes E *"#
lf yes, what will be the dimensions? - IL'f 5.{ ; Vi'
13. Do you store equipment, materials, or products within the building? Yes E No E
a. Will there be outdoor storage of equipment, materials, or products? yes d No n
lf yes, please describe: 0n/Y hair /y e5
b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in
height? Yes n No W@ermit required for racks/shelving over 6', inquire with permit counterl
14. Do you manufacture a product at the site? Yes f] Xo d
lf yes, please describe (including process and end product):
a. Will operations produce dust/wood shavings or similar material? Yes E No nb. Does the operation involve the use of welding or open flame? Yes E No E
15. Does the proposed use involve a patient care profesgJon, such as doctor, dentist, chiropractor,
acupuncturist, or physical therapist? Yes E No [Z
a. ls the proposed use within the mental health profession, such as:
f] llolruot Applicable ! Psychologist E Psychiatrist
E Socialworker E Other /
16. ls counseling proposed as a part of your business operation? Yes E ruo d
a. Does your counseling business contract work with a public agency? Yes f] No E
lf yes, please describe:
17. Will your business be offering the following services:
E Alcohol sales ! Smoking Lounge n Tattoos/ Permanent make-up
! Body piercing/ Ear piercing El't,lone of the above
18. Will your business be offering massages as part of your business operation? T,his includes
massage as ancillary to pedicures, manicures, and other services. Yes ! No Z
19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or
dispensed at your business? Yes E No 7
20. Do you prepare or sell food for consumption on or off the property? Yes fl N" il
lf yes, do you provide sit down service E, drive{hrough E, or orders to go/pick-up E?
S:Planning\Clerical-Counter Forms\
CofO Questionnaire 08-27-1 8
Please explain:
21. Does your business sell automobiles or motorcycles? Yes E *o d
lf yes, please explain:
22. Does you
Yes E
r busi
No
ners service or repair vehicles or install equipment and accessories into vehicles?
V
23. I acknowledge that I have requested and received all zoning and Santa.Ana Municipal Code
requirements pertaining to my business and occupancy application. (initial)
I DECLARE UNDER PENALry OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
' QF 06- zz- zczzO
lf yes, please explain
Signature Date
Print Name
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, exceptWednesday 10:30a.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 al (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 wil! require further documentation or an extended review and may or
may not be permitted: office uses within an industrialzone; 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
Gertificate of Occupancy to determine the grandparented rights of a nonconforming use, or a use
which has additional Code requirements.
S:Planning\Clerical-Counter Forms\
CofO Questionnane 08-27 -18
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Title
.MEMORANDUM
TO:
FROM:
SUBJECT
Finance & Management Services Agency
Planning and Building Agency
Miscellaneous Cash Transaction
MCT # 50131
Monday, June22,2020
sa
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:
C of O - Ruby Beauty Salon
1620 E First St Unit# F, Santa Ana, CA92701-1617
MASTER lD #2020-159588
AP # 01 1-154-32
Application # COO-202O-302-CO Permit #
ISSUED TO: Ruby Beauty Salon
ADDRESS: 1620 E. 1st Street
Santa Ana, CA 92702
ITEM DESCRIPTION OTY UNIT RATE AMOUNT FUND NO.
1 Certificate of Occupancy (Planning and lnspection)1 0000 $481.68 $481.68 01 1 16002 51605
Comments:
lssued By: Guevara, Jerry (Planning and Building Agency)
TOTAL MCT AMOUNT $ 481.68
GL Account #
01116002 51605
Total
$481.68
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 3 of 3
NOTES: