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Home My WebLink AboutCOO-2020-473-CO - Certificate of OccupancyPlanning & Butlding Agency Building Safety Division 20 Civic Center Plaza P.O. re88 (M-r9) Santa Ana, CA 92702 (7r4) 647-5815 coo-2020-473-CO OCCUPANCY INSPECTION APPLICATION BTN 41"3 q, CLzmo @ oonmao J @(Jl .-a rn @ @,+ -loor @ o O)o) .P @of o) 5 .P o (o N){o(rl ,,\\ BUSINESS ADDRESS UNIT OR SUITE ZIP CODE 1851 E. 1st Street Suite 630 92705 BUSINESS NAME Pacific Counseling Solutions BUSINESS PHONE NO. o23\428 -1925 EMERGENCY PHONE NO. t714t730- 64,64 BUSINESS OWNER'S NAME & TITLE Stacey E. Cohn - President BUSINESS OWNER'S DRIVERS LICENSE NO. & STATE BUSINESS OWNER'S MAILING ADDRESS SAA EMAIL ADDRESS staceycohn. pcs@gmail.com DO YOU SUBLEASE? E Yes O No (lF YES, NAME OF SUBLEASOR) Cohn & Swartzon, PC SQUARE FEET 120 FLOOR AREA LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME Cohn & Swartzon, PC BUSINESS PHONE NO. (714\73O -6464 EMERGENCY PHONE NO. (714\547 -5100 LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESS 1851 E. 1st Street, Suite 630, Santa Ana, CA 92705 PROPERTY OWNER'S NAME BUSINESS PHONE NO. () EMERGENCY PHONE NO. () PROPERTY OWNER'S ADDRESS O MANUFACTURING E OFFICE E RETAIL SALES D WHOLESALE trWAREHOUSE E GROUP ASSEMBLY E AUTO REPAIR (NO WELDING, NO OPEN FLAMES, NO SPRAY PAINTING EAUTO BODY (SEE ATTENTION BELOW) tr WOODWORKING (SEE ATTENTION BELOW) tr EATING ESTABLISHMENT (SEE PWA) E OTHER (DESCRIBE ABOVE) ]l Yes ;d No No. 1 Will you be storing and/or utllilng hazadous materials al this facility? Jl Yes Jl No No.2 Does your produclion process producâ‚¬ hazsrdous waste? lf you have answered Yes to either question you musl contact Orange County Fire Authority's Hazardous Malerial Disclosure Sectron at (714) 573-6000. lf YES, please 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 AU(BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. TITLE Accountant DATE 08t17t2p20 DEPARTMENT USE ONLY irYES PERMITS? Dte of roeort f,{ I APPROVAL DATE 1 6 PRIOR OCCUPANCY GROUP R PRIOR CONSTRUCTION TYPE 7B ,S(t< PLANNING PA-t",s CUP APPROVED d ?n**, DENIED DATE Q /{/aat occ. LoAD a APPROVED ,4.C's'u DENIED;P1 DATE?-Z{Z)Zd Note: One of the following nrust be checked by lhe C of O lnspector. [ ] Yes [ ] No Has the inspector identified any hazardous materials at this facility? NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) [ ] Yes [ ] No ls hazardous wasle being generated at this site? BUSTNESS oescnrpror,r Behavioral Theraov Services J^^^;L^ ,,TI*SATITA A}trA Pltttlv; & Bt rL0tl(, {ct\0 Plannlng and Bulldlng Agency Plannlng Dfulslon 20 Clvlc Center Plaza P.O. Box 19E8 (M-20) Santa Ana, CA92702 (714) 647-s804 www.santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Please turn in thls completed form with your Certificate of Occupancy application. Company Name (Print):Pacific Counseling Solutions conract Name: Stacey E. Cohn Address (business mailing address):1851 E. 1st Street, Suite 630 City:Santa Ana State:CA 92705 Phone No.323-428-1925 E-mailAddress:staceycohn. pcs@gmail.com fl Cnange of Property Owner E Cnange of Occupant E Cnange of Use fl AOditional Occupant 1. The following best descrlbes my operatlon: E Oflce Only E Retail Sales ! ltledical/Dental E Warehouse/Manufacturing/Dlstrlbution f] RestauranUTake Out Food n Otner (descrlbe) 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 operatlon, open to the publlc)' Behavioral Therapy Services office - Mon - Fri 9AM-4PM, closed to public, appoinment only (if needed). 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./ Legal offices 4. Has the building or space been vacant or is this a new building? Yes f] trto E lf vacant, for how long? 5. Are you an independent contractor? Yes E ruo fl 6. Location of the business and suite number' 6th Floor - Suite 630 tr lstfloor n 2dfloor [ _floor 7. Do you share the floor or business entrance with another business? Yes E No E L What is the amount of square footage leased?120 9. How much of the space, which you lease, is office? E 1oo% tr soo/o tl so% lf other than 100%, how is the remaining space used? S:Planning\Clerical-Counter Forms\ CofO Ouestionnai e O8-27 - 1 I tr Less than 30% 10. ls the buitding sprinklered? Yes Eil No E 11. Do you plan on making any improvements to the building such as: exterior painting, signage, interior tenant improvements? Yes ! No E lf yes, please describe: 12. Will your business include a lobby or waiting area? Yes E No E lf yes, what will be the dimensions? 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 n No E lf yes, please describe: b. Wlll there be storage racks, pallets and/or shelvlng exceedlng 5 feet 9 lnches ln helght? Yes f] No E (permttrequiredforracks/shelvingover6',inguirewithpermitcounbll 14. Do you manufacture a product at the site? Yes f] No El lf yes, please describe (including process and end product): a. Wlll operatlons produce dusUwood shavings or slmllar materlal? Yes E No Eb. Does the operation involve the use of welding or open flame? Yes f] No E 15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor, acupuncturist, or physical therapist? Yes E No E a. ls the proposed use within the mental health profession, such as: I Psychologist E Psychiatrist Q[fi g1 Behavloral Thorapist 16. ls counseling proposed as a part of your business operation? Yes E No n a. Does your counseling business contract work with a public agency? Yes E lf yes, please describe: 17. Will your business be offering the following services: NoE tru Alcoholsales I Smoking Lounge Body piercing/ Ear piercing u E Tattoos/ Permanent make-up None of the above fl ruolruot Applicable Elsocialworker E 18. Will your business be offering massages as part of your business operation? This includes massage as ancillary to pedicures, manicures, and other services. Yes n No E 19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or dispensed at your business? Yes n No E 20. Do you prepare or sell food for consumption on or off the property? Yes f] No El lf yes, do you provide sit down service fl, drive-through n, or orders to go/pick-up !? S:Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27- 1 8 Please explain: 21. Does your business sell automobiles or motorcycles? Yes E No E lf yes, please explain: 22. Does Yes I your business service or repair vehicles or install equipment and accessories into vehicles?N NoU Title lf yes, please explain: 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 PENALW OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. oan7l20 Date lron6 Martin Print Name Ac@uotant 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 P)aza, 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 whlch has addltlonal Code requlrements. S:Planning\Clerical-Counter Forms\ CofO Questionnaire 0&27-18 MEMORANDUM TO: FROM: SUBJECT MCT # 51329 Tuesday, September 8, 2020Finance & Management Services Agency Planning and Building Agency Miscellaneous Cash Transaction I 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 of Pacific Counseling Solutions 1851 E First St Unit# 630, Santa Ana, CA92705-4017 MASTER tD#2020-161329 AP #400-071-02 Application # COO-2020-473-CO Permit # ISSUED TO: Stacey Cohn ADDRESS: 1851E 1st Street Santa Ana, CA 92705 ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. 1 Certificate of Occupancy (Planning and lnspection)1.0000 $499 36 $499.36 01 1 16002 51605 Comments: lssued By: Enriquez, Gissel (Planning and Building Agency) TOTAL MCT AMOUNT $ 499.36 GL Account # 01 1 16002 51605 Total $499.36 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 3 of 3