HomeMy WebLinkAbout80427719 - Certificate of OccupancyPlanning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. r988 (M-r9)
Santa Ana, CA 92702
(714') 647-5815
S Litog.< |
No.804-27 719
OCCUPANCY INSPECTION
APPLICAT!ON
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BUSINESS ADDRESS UNIT OB SUITE
*<vBUSINESS NAI\,1E BUSINESS PHONE NO.PHONE NO
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BUSIN EMAIL ADDRESS *l ltsMAILING
3o ellrs$E-
(IF YES, NAME OF SUBLEASOR)DO YOU ? Yes SOUARE FE AREA
LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME
A
BUSINESS PHONE NO.\#9?EMEFIGENCY PHONE NO
RTY MA
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PROPERTY OWNER'S NAME
()
BUSINESS PHoNE No.
()
EMERGENCY PHONE NO.
PROPERTY OWNER'S ADDRESS
RETAIL SALES
IWHOLESALE
. WAREHOUSE
GROUP ASSEMBLY
AUTO REPAIR (NO WELDING, NO OPEN
FLAMES, NO SPRAY PAINTING
i AUTO BODY (SEE ATTENTION BELOW)
L , WOODWORKING (SEE ATTENTION BELOw)
EATING ESTABLISHMENT (SEE PWA)
I OTHER (DESCRIBE ABOVE)
\orrrce
BUSINESS DESCHiPTIoN
MANUFACTURING
t I ves )( frfo No. 1 Will you be storing and/or utilizing hazardous materials at
this lacilitv?
1 1 Ves [(o No. 2 Does your production process produce hazardous waste?
lf you have answered Yes to either question you must contact Orange County
Fire Authority's Hazardous Material Disclosure Section at (714) 573-6000.
lf YES, please describe
ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE
TNCTDENTAL To wELDTNG wrrH gy'EN FLAME, wooDWoRKrNG, currNG, sHAprNG oR SANDTNG wooD) sHALL Nor BE coNDUCTED tN
ANY BUILDING OR STBUqI\UREI$ILNHERC IS AN APPROVED FIRE SPRINKLEB SYSTEM INSTALLED.
NATURE
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TITLE '^'3vlul.bg
DEPARTMflNT USE ONLY .EXPIRED/OPEN PERMITS?
,fllfEs No Date of report:
PRIOR APPRAVEQI USE
Cr1-tCC
PRIOR APPROVALr\.DATE
I c't PRIOR
",-iffi'UI DENIED DATE, I '
\.tl z" I t1
OCC. LOAD OCCUPANCY GROUP6 CONSIFIUCTION TYPE-{o *<IED
J^W\ria,rut'-
Nole: one ol the lollowing must be checked by the o ol o lnspector.
[ ] Yes [ ] No Has the inspector identified any hazardous materials at this facility?[ ] Yes [ ] No ls hazardous waste being generated at this site?
NOTES: (LIMITATIONS OF APPBOVED OCCUPANCY)
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BUSINESS OWNER'S DRIVERS LICENSE NO. & STATE
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Planning and Building Agency
Plannlng Dlvlsion
20 Clvlc Center Plaza
P.O. Box 1988 (M-20)
Santa Ana, C492702
(7141il7-5804
www.santa-ana.org
CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUEST!ONNAIRE
-,-SANTA
ANA,',iiiffi
your Ceftificate of Occupancy application.
contact Name: -\a.\^ ,u [ \ C"r.z- r
Address (business mailing address):t%tn Z t
So.-,.J*.^-- A r.--o.-.,r,"' tzt_ ,,r'Ql->O s*City:
Phone No.4q qr0o E-mailAddress:J nr (nz-l @- \,-Ao 0-,
E Ctrangeof Propertyo*n"r(changeofoccupant ! cnangeofUse E Rooitionaloccupant
1. The following best describes my operation:
F otti".only fl Retail sales f] Medical/Dental
E Warehouse/Manufacturing/Distribution E RestauranUTake Out Food
fl Otfrer (describe)
lf vacant, for how long?\)qs\o\D\-'-q- b \^-sJf.s
5. Are you an independent contractor? Yes E No
6. Location of the business and suite number: 5 V\,Lq-- SoC
tr 1st floor tr 2nd floor [ $"oor
7. Do you share the floor or business entrance with another business? Ves p No f]
8. What is the amount of square footage leased?<.
9. How much of the space, which you lease, is office?v 100%tr soo/o tl 3oo/o
lf other than 100%, how is the remaining space used?
S:Planning\Clerical€ounter Forms\
CofO Questionnate 08-27 -'l I
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,
open tothe nubtic)1flc=t\\tOw* SI"-.{f o^_- s b, oal0o_s.l"t wS1
$rt,w - sg,uu Uo'.^^s{ - Y-r,ilq oLL ue-
3. What was the former type of busrnesb or use of facility? (Ptease contact the teasing agent or buitding
owner to determinezirffffiry*, blp.o_a=_ u sq_-,
4. Has the building or space been vacant or is this a new building? Y"rX No fl
U
n Less than 300/o
10. ls the building sprinkleredZ Vesp'f,fo n
11. Do you plan on making any improyem
interior tenant improvements? Yes p ents to the building such as: exterior painting, signage,Non
lf ves' olease describe: ot\stc\a-- \t qvr'
'e- 't)q-Lql\\"-- \.\\p-.g , Olat'-c.- -b.-l{
12. Will your business include a lobby or waiting area? Yes M
rr*-\qJ lov fu*^nt t \rlg rl OU a,I^4^i(r
g.[,1u'e*O fqr\^A\\o u-q.r xvtA
No
lf yes, what will be the dimensions? Q: X tO +
13. Do you store equipment, materials, or products within the building? Yes
\ltL NoE
a. Will there be outdoor storage of equipment, materials, or products? Yes E *" X
lf yes, please describe:
b. Will there be..gtorage racks, pallets and/or shelving exceeding 5 feet 9 inches in
height? Yes I No f] (permit required lor racks/shelving over 6', inquire with permlt counterl//
14. Do you manufacture a product at the site? Yes f] ruo,Ei
lf yes, please describe (including process and end product):
*"Ktr
15. Does the proposed use involve a patient care profesy'on, such as doctor, dentist, chiropractor,
acupuncturist, or physicaltherapist? Yes E No,BI
a. ls the proposed use within the mental health profession, such as:
Vruolttot Applicable'E Socialworker D
a. Willoperations produce dusUwood shavings or similar material? Yes Eb. Does the operation involve the use of welding or open flame? Yes ! No
, flPsychologist E Psychiatrist
Other
16. ls counseling proposed as a part of your business operation? Yes E No
a. Does your counseling business contract work with a public agency? Yes n No
lf yes, please describe:
17. Will your business be offering the following services:
V
Alcoholsales E Smoking Lounge
Body piercingl Ear piercing
flTTattoos/ Permanent make-up
E None of the above
18. Will your business be offering massages as part of your business operation?. J4{is includes
massage as ancillary to pedicures, manicures, and other services. Yes E ruoA
19. ls cannabis or cannabis related product sto6e{./cultivated, distributed, tested, manufactured or
dispensed at your business? Yes E *o X /
20. Do you prepare or sell food for consumption on or off the property? Yes E *oA
lf yes, do you provide sit down service !, drive{hrough E, or orders to goipick-up !?
S:Planning\Clerical-Counter Forms\
CofO Questionnaie 08-27 -18
{
Please explain:
21. Does your business sell automobiles or motorcycles? Yes E
lf yes, please explain:
22. Does
Yes I
*"/
your busing(s service or repair vehicles or install equipment and accessories into vehicles?n NoE
1
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
I DECLARE UNDER PENALTY OF PERJURY , THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO OF MY KNOWLEDGE AND BELIEF.
o
Print Name
6uStvoSs r\p-rt-o-aer
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 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
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\
CofO Questionnaire 08-27-1 8
MEMORANDUM
To,
FRCM:
SUBJECT:
MCT #45180
Thursday, June 20, 2019Finance & 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:
KDOC-TV CofO
1820 E First St Unit# 500, Santa Ana, CA 92705-4009
MASTER tD #2019-152392
AP #402-211-08
Application # MISC-2019-525-CO Permit #
ISSUED TO
ADDRESS:
John Manzi
KDOC-ry
'1820 E. 1st Street Suite 500
Santa Ana, CA 92705
ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO.
1 Certificate of Occupancy (Fee Purposes Only)1 0000 $463.51 $463 51 01 1'16002 51605
P.nI.ch* :5t-t475 6/zlt/2t-tl9
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Comments:
Cofo#80427719
lsSued By: Gomez, Pedro (Planning and Building Agency)
TOTAL MCT AMOUNT $ 463.51
GL Account #
01 1 16002 51605
Total
$463.51
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
NOTES: