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HomeMy WebLinkAbout80428238 - Certificate of Occupancy^-'{> Planning & Building Agency Building Safety Divlsion 20 Civic Center Plaza P.O. 1988 (M-r9) Santa Ana, CA 92702 (714) 647-581s No. 804-28238 OCCUPANCY INSPECTION APPLICATION BTN Za'+ qol ?_ @CIzm CN @ o.c6F,rl m U' @ ,+ $O BUSINESS ADDRESS UNIT OR SUITE3r CODE L, M Lollcl t Eil r BUSINESS NAME BUSINESS PHONE NO. iVlV\b3" -zgDa EMERGENCY PHONE NO. 86 6tzJtlo Dt*t- & oI NO. & STATE BUSINESS OWNER'S MAILING ADDRESS EMAIL AI]DRESS t'7,3 This DO YOU SUBLEASE? r Yestillo (lF YES, NAME OF SUBLEASOR)SOUARE FEETSsz 9aPr' FLOOR AREAShPAo*- LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAMEPA* ?4- 5nn* /w* 6?u'ce LLe- BUSINESS PHONE NO. A/q qqL-g/)EMEBGENCY PHONE NO. -,?+11 - 2Zr-5k 14 >eL A4*+ Afuru-w /K, tzL,nite, Q qltu >6 N V*q.fu"t-b NAME PHONE NO. VYt-, EMERGENCY PHONE NO. PROPERTY OWNER'S ADDRESStq?+ n/t<-Hra+/Lr/w fl f. szr',ie, ,tx ?rA- BUSTNESS DES.RTPT.N WPg/. I J RETAIL SALES TWHOLESALE LT WAREHOUSE r I GROUP ASSEMBLY D AUTO REPAIH (NO WELDING, NO OPEN FLAMES, NO SPRAY PAINTING I] AUTO BODY(SEE ATTENTION BELOW) L wooDwoRKlNG(sEE ATTENTON BELOW) D EATING ESTABLISHME}.IT (SEE PWA) L OTHER (DESCRIBE ABOVE) I ] MANUFACTURING yArr,". t t Ves Mdo No. 1 Will you bs storing andor utilizing hazardous materials at lirj:: |ft No.2 ooos llour prcducrion procsss produc€ heTanrous wasts? lf you have answered Yes lo eilher question you must contact Orange County Fire Authori!y's Hazardous Material Disclosure Seclion at (714) 57&6000. lf YES, please ATTENTION: ALL GBOUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE TNCTDENTAL rO WELDTNG WlrH OPEN FLAME, WOODWORKTNG, CUTTTNG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED tN ANY BUILDING OR STRUCIURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. tAr.LA cSSIGNATURETITLE p/az,/tqDATE DEPARTTVGNT USE ONLY YES t I NO Dato of report:4 l PRIOR APPROVED USEP/n PRIOR APPROVAL DATEtv/<PRIOR OCCUPANCY GROUPA PRIOR CONSTRUCTION TYPE// A, ePK PLANNINGDc ctZONE VA CUP APPROVED NP DENIED tzy'>1rtDATE occ. LoAD OCCUPANCY GROUP 13 CONSTHUCTION TYPEE* *c Z.&9^-?, APPROVED DENIED 'o->lo-4-ZrDDATE Not€: One of the ,ollowing mfst be checked by the C ot O lnsp€ctor. [ ] Yes I I No Has th€ inspoctor identified any hazardous mat€rials at this [ ] Yes [ ] No ls hazardous waste being generated at this site? NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) t Please turn in this completed form with your Certificate of Occupancy application. Company Name (Print)UL ffi67a,zz/c . Contact Name: h" ,,-SAI,[TA ANA-"'i,[]ffi Planning and Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, C492702 (7141il7-5804 www.santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Address (business mailing address):ttz- e . ts 5r ta;rfl sn c,tv,OhtA W* state: U zip lzh( Phone No *V- L9" -2<va E-maitAddress: A*q-,frRa P ryl6r'A+. ArTD6 E Cnange of Property Ownerrfr Change of Occupant ! Change of Use E Rdditional Occupant 1. The following best describes my operation: ,toor..only ! Retail Sales n ueaicat/Dental E Warehouse/Manufacturing/Distribution fl Restaurant/Take Out Food E Other (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, open to the public). Dle t41z"4*z- h*-**f _ M _p - g _ { .*tfant-e DAYEZ{/ruflT Socur-a . 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.)9tn/ue . 4. Has the building or space been vacant or is this a new building? y", d No"E lf vacant, for how long?b - ovh\. 5. Are you an independent contractor? Yes n Noud 9?-o6. Location of the business and suite number: tr l stfloor tr 2nd floor ,ff,16rtoo, 7. Do you share the floor or business entrance with another business? yesd No E 8. What is the amount of square footage leased?*soo. 9a Pi 9. How much of the space, which you lease, is office? tr looo/o ilv"r" tr 3oo/o lf other than 100%, how is the remaining space used? n Less than 30% fuValA- dfut+ttt- tht'l'nt q5-E S : Planning\Clerical-Counter Forms\ CofO Questionnare 08-27 -1 8 10. ts the building sprinklered z vesll/No z 11. Do you plan on making any improverg,ents to the building such as: exterior painting, signage, interior tenant improvements? Yes EI No ! lf yes, please describe: AuLlarL' zd/'ra*'"' 2aaT On*n* 9V'z-7c' 12. Will your business include a lobby or waiting area? Yes E No d lf yes, what will be the dimensions? 13" Do you store equipment, materials, or products within the building? Yes n No { a. Will there be outdoor storage of equipment, materials, or products? Yes f] Noril lf yes, please describe: b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes E NM @ermit required for rackdshelving over 6', inquire with permit counterl 14. Doyou manufacture a product at the site? Yes E Nord lf yes, please describe (including process and end product): a. Will operations produce dusUwood shavings or similar material? Yes E N" {b. Does the operation involve the use of welding or open ftame? Yes n No E!- 15. Does the proposed use involve a patient care profess,len, such as doctor, dentist, chiropractor, acupuncturist, or physical therapist? Yes ! No EI a. ls the proposed use within the mental health profession, such as: druolruot Applicable ! Psychologist E Psychiatrist n Socialworker f] Ot'er_ 16. ls counseling proposed as a part of your business operation? Yes E *rd a. Does your counseling business contract work with a public agency? Yes E *" d lf yes, please describe: 17. Will your business be offering the following services fl Alcoholsales fl Smoking Lounge E goOy piercing/ Ear piercing Tattoos/ Permanent make-up None of the above 18. Will your business be offering massages as part of your business massage as ancillary to pedicures, manicures, and other services. Yes S: Planning\Clerical-Counter Forms\ CofO Questaonnate 08-27 -1 I n,E operation? Tlis includestr ruOZI 19. ls cannabis or cannabis related product sloreQ/ cultivated, distributed, tested, manufactured or dispensed at your business? Yes E No.Z 20. Do you prepare or sell food for consumption on or off the property? Yes E *od lf yes, do you provide sit down service E, drive-through E, or orders to go/pick-up !? Please explain: 21. Does your business sell automobiles or motorcycles? Yes E lf yes, please explain: N",r/ 22. Does your busineyserviceYesE NoE lf yes, please explain: or repair vehicles or install equipment and accessories into vehicles? 23. I acknowledge that I have requested and received all zoning and Sa4ta Ana Municipal Code requirements pertaining to my business and occupancy application. W (initial) A-" Print Name i. -Ozzae+te fLtz-4;o1*rt fi*VAa I DECLARE NDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND THE BEST OF MY KNOWLEDGE AND BELIEF \a qzf-,q I Signature Date 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 Questionnane 08-27 -18 MEMORANDUM TO: Finance & Management Services Agency FROM: Planning and Building Agency SUBJECT: Miscellaneous Cash Transaction MCT # 47777 Monday, December 2, 2019 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: coo 80428238 1820 E First St Unit# 520, Santa Ana, CA 92705-4009 MASTER tD#2019-156224 AP #402-211-08 Application # MISC-201 9-952-CO Permit # Santa Ana, CA 92705 ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. 'l Certificate of Occupancy (Fee Purposes Only)1 0000 $481.68 $481.68 01 1 16002 51605 Botchi:53231 - 1?/2/20190tfice: {:TYH Trone*: 4[tAcr:ti; Refi: Frcpti:tt?S27?11 - l?/?/?lttq Transnct i on TotctlAI,IEER JAFRI ID: (:CllEl.l..At 4777'/ 1 I?? PH r4s1 .68 (:ertif icqte of 0ccupnncg L'l I 1601r?- 51605fltr11- llnster'(:ard CC+: *****x*xr*tt4437 (tl.e l $481 . Auth+ :585?:?C t,n (} Comments: coo 80428238 lssued By: Pezeshkpour, Ali (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 1 of 3 ISSUED TO: Ameer Jafri MLogica, lnc. ADDRESS: 1820 E. First Street Suite 520