HomeMy WebLinkAbout80427133 - Certificate of OccupancyPlanning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. 1988 (M-19)
Santa Ana, CA 92702
(714) 647-581s
No.804-27 133
OCCUPANCY INSPECTION
APPLICATION
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BUSINESS ADDRESS UNIT OB SUITE ZIP CODE
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BUSINESS NAME BUSINESS PHONE NO,
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EMERGENCY PHONE NO.
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BUSII.IESS OWNEB'S NAME & TITLEAl^. Bru4,-u,^ /)r--ti J.e-I
DO YOU SUBLEASE? Yes {o (rF YEs, NAME OF SUBLEASOR)S.OUABE FEET
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FLOOB AREA
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LEASING AGENT OR PHOPERTY MANAGEMENT COMPANY NAME
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BUSINESS PHONE NO.
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EMERGENCY PHONE NO.
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DRESSA^ . cA qLa-iLEASING AGENT OR PBOPEBTY MANAoEMENT COMPANY AD
lfrq t h'+ 6*l Sftrts Aw-$ry tt/-PROPERTY OWNER'S NAME BUSINESS PHONE NO.
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EMERGENCY PHONE NO.
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eA Q u?z,tPROPERTY OWNER'S ADDRESS
BUSINESS DESCRIPTION
L MANUFACTURING
/()FFtcE
FIETAIL SALES
WHOLESALE
r WAREHOUSE
GROUP ASSEMBLY
FLAMES, NO SPRAY PAINTING
: AUTO BODY(SEE ATTENTION BELOW)
, WooDWoRKING (SEE ATTENTION BELOW)
EATING ESTABLISHMENT (SEE PWA)
] OTHER (DESCRIBE ABOVE)
rAUTO REPAIR (NO NO OPEN
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t I Ves {ruo No. 1 Will you be storing and/or utilizing hazardous materials at
this facility?
t I Yes (No No. 2 Does your production process produce hazardous waste?
lf you have answered Yes to either question you must contact Orange County
Fire Authorily's Hazardous Material Disclosure Section at (714) 573-6000.
ll YES, please describe
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
ANy BUTLDTNG on srnucry'hE UNLESS THERE rs4ll AppRovED FrRE SeRTNKLER sysrEM TNSTALLED.
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TITLE
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DATE
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DEPARTffiNT USE ONLY EXPIRED/OPEN PERMITS?
YES NO Date of report:
PRIOB APPROVED USE
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PRIOR APPROVAL DATE2oo 9
PRroR occuPANcfftRouP PRIOR CONSTFIUCTION TYPET+, S9X
PLANNING
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ZONE
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CUP DENIED
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DATE
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OCC. LOAD occuPdYGBouP CONSTRUCTION TYPE
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Note: One ol the tollowing must be checked by the C of O lnspector-,
[ ] Yes [ ] No Has the inspector identilied any hazardous materials at this facility?
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[ ] Yes [ ] No ls hazardous waste being generated at this site?
NOTES: (LIMITATIONS OF APPROVED OCCUPANCY)
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,,-SANTA
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Planning and Building Agency
Planning Division
20 Civic Center Plaza
P.O. Box 1988 (M-20)
Santa Ana, CA92702
(71416/.7-s804
www.santa-ana.org
CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
Please turn in this completed form with your Ceftificate of Occupancy application.
Company Name (Print):
Contact Name AI /+t lif ol**...
Address (business mailing address):lrtl e. tf + 9t,, J..,i{.- [,-ot
City:5'^+ 1\-State:Ct[ zip, q L+z,i
Phone ruo.' ?l'( - 8)Q - tl4o E-maitAddress
! Cnange of Property Owner ts, Cnung" of Occupant I Cnange of Use ! Additional Occupant
{rfl4yl-irUe.o .( E+,lsT6ir S fftE-1. The following best describes my operation:
fi[ Onice Only ! Retail Sales ! Meaical/Dental
E Warehouse/Manufacturing/Distribution f] Restaurant/Take Out Food
E Otner (describe)
owner to determine prior business use.,)6(q'.-, . /r"L*t4,.(r*t\*-.-^s=
4. Has the building or space been vacant or is this a new building? Yes (
lf vacant, for how long?
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 activitie5 occur on-site, the hours of operation,
open to the public). ADf - - AttaZ*A:,..- /Csre.k- p.*-t -fi",
'
&..2\t.-$Lrn 1 A#/lrtnly^ Sfu^ - *r--, 14- F
3. What was the former type of bdsiness or use of facility2 (Please contact the leasing agent or building
5. Are you an independent contractor? Yes E
6. Location of the business and suite number:
NoE
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,+(,^,..-. -g^.+^. 4".
No &.
n lstftoor tr 2nd ftoor fl 1[ rroo.
7. Do you share the floor or business entrance with another business? Yes A[ No E
8. What is the amount of square footage leased?z
9. How much of the space, which you lease, is office?
fu toou tr soYo tr 3oYo
lf other than 100%, how is the remaining space used?
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S:Planning\Clerical-Counter Forms\
CofO Questionnaire 08-27 -1 I
tr Less than 30%
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I
10. lsthe buildingsprinklered? YesE fto n
11. Do you plan on making any improvements to the building such as: exterior painting, signage,
interior tenant improvements? Yes Q No E
lf yes, please describe: /ft,"cr*k {aru'^*b c Urc-*e7 /U';\
12. Will your business include a lobby or waiting area? Yes ( No n
rf yes, what wil be the dimensions? c-i\g\ " t.--*a 3 b o t8 , 6Ll6 < (
'13. Do you store equipment, materials, or products within the building? Yes E f,lo K
a. Will there be outdoor storage of equipment, materials, or products? Yes E No €
lf yes, please describe:
b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in
height? Yes fl No KT lperm it required for racks/shelving over 6', inquire with permit counter)
14. Do you manufacture a product at the site? Yes E No4.
lf yes, please describe (including process and end product):
a. Will operations produce dust/wood shavings or similar material? Yes E No E}b. Does the operation involve the use of welding or open flame? Yes f] N" E
15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor,
acupuncturist, or physical therapist? Yes E No El_
a. ls the proposed use within the mental health profession, such as:
ENollttot Applicable
E Socialworker ! ,
! Psychologist ! Psychiatrist
Other
16. ls counseling proposed as a part of your business operation? Yes E ruo (.
a. Does your counseling business contract work with a public agency? Yes n
lf yes, please describe:
17. Will your business be offering the following services:
toE
fl Tattoos/ Permanent make-up
Q ruone ofthe above
ration? This includesope
tr uo &-
19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or
dispensed at your business? Yes E t{o &
20. Do you prepare or sell food for consumption on or off the property? Yes E No EI
lf yes, do you provide sit down service !, drive-through E, or orders to go/pick-up !?
S : Planning\Clerical-Counter Forms\
CofO Questionnate 08-27 -1 I
trtr
Alcohol sales E Smoking Lounge
Body piercingl Ear piercing
18. Will your business be offering massages as part of your business
massage as ancillary to pedicures, manicures, and other services. Yes
Please explain:
21. Does your business sell automobiles or motorcycles? Yes E No A
lf yes, please explain:
lf yes, please explain:
23. I acknowledge that I have requested and received all zoning and Qqlif,)f'a tvlunicipal Code
requirementJpertainingtomybusinessandoccupancyapplicaiion.+(initialj
I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO BEST OF MY KNOWLEDGE AND BELIEF.
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Signature DateT*f eJta \,r)SI
Print Name
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, 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 Plannlng 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 Questionnate 08-27 -18
22. Does your busingss service or repair vehicles or install equipment and accessories into vehicles?
Yes E No KL
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MEMORANDUM
TO:
.FROM:
SUBJEGT:
MCT #43207
Monday, February 25, 2019Finance & 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:
C of O for Judicate West
1851 E First St Unit# 1600, Santa Ana, CA92705-4017
tvlASTE R tD # 20 1 I -1 4967 3
AP #400-071-02
Application # MISC-2019-184-CO Permit #
ISSUED TO: Alan Brutman
Judicate West
ADDRESS: 1851E 1st Street, Unit 1600
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
Bet
0ff
Acc
Rcp
Trc
- 2/21/2t119 t0:
Trons*; 88Ref*: 43?
7S - 2/23/2{19 fl.To[uI t463
F: ]U(.I( ATE i,IES1
' 0r:r:UP(lnCY
501r0-
****6177 At-tthi
Comments:
C ofO No. 80427133
lssued By: Guevara, Jerry (Planning and Building Agency)
TOTAL AMOUNT RECEIVED $ 463.51
GL Account #
01116002 51605
Total
$463.51
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.
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