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Home My WebLink About80415416 - Certificate of OccupancyPlanning & Building Agency B uilding Safe4t Division 20 Civic Center Plaza P.O. 1988 (M-te) Santa Ana, CA 92702 (714) 647-5815 N*-\t'f 'F<- 0" No. 804 15 416 OCCUPANCY INSPECTION APPLICATION TN lG'lo<J (D Caz maa Uovmaa CP ) r I FT N b-'S Ot =b c^ BUSINESS ADDRESS U tb r AunA q () E ENO 6 () EMERGENCY PHONE NO. ,S NA[,4E & TITLE I Be.IT/I^*^/ MAILI \-r rb 3* t\/trPe r ratrnrctr Nn l. qTATE QzzosNNA o\A/NtrR',S FLOOR AREADO YOU SUBLEASE? YesXNo (lF YES, NAME ERGENCY PHONELEASING AGENT RTY Au o CT' -6 lB5t e NG AGENT R PROPERTY MANAGEMENT e A PROPERTY OWNER'S NAME 5 NO. r03 PROPERTY t I Yes p(No No. 1 Will you be storing and/or utilizing hazardous materials at this facility? t lves (Ho No. 2 Does your production process produce hazardous waste? lf you ha\re ansurered Yes to either question you must contact Santa Ana Fire Depart nent Hazardous Material Disclosure Section al (714\ 647-5700. lf YES, please describe BUSINESS DESCRI MANUFACTURING GROUP ASSEMBLY 2,(rrrce RETAIL WAREHOUSE NO EST FLAMES,SPRAY (SEE TTE AUTO REPAIR (NO AUTO BELOW) ON BELOW) ANY BUILDING OR STRU INCIDENTAL TO WELDI ATTENTION: ALL H" OCC (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE WOODWORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN c.'t4-7-2INSTALLED.THERE IS AN APPROVED FIRE SPRINKLER TITLE DATE A(r-. t5 YES p{ro vDEARTMEONLYE USE PRIOR TYPEftgL 5 CUP DENIED DATE CONSTRUCTION TYPE APPROVED DENIED DATE [ ] Yes [ ] No ls hazardous waste being generated at this site? ONS OF APPROVED OCCUPANCY) Has the inspector identified any hazardous materials at this facility?[ ]Yes I NOTES *u I Note: One ol l/ i ) Planning and Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, C492702 17141il7-s804 www.santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE ;-,,SANTA NA,',rffit Please turn in this completed form with your Ceftificate of Occupancy application. Company Name (Print)l\t ru r. *T--- \^..l Contact Name:Ar*N Address (business mailing address):l85t r. FtrzeT 3r + lbt>c'.l City:5*Nr-N N State: CA Phone No.:Fax No. 1. What was the previous use of the space you wish to lease? (Please contact the leasing agent or building owner to determine pior business use.)l-r wAg N. SFEC . aut-r6. 2. Has the building or space been vacanl o, i. tni, * n#?rifeingZ Yes E lf vacant, for how long? 3. Are you the primary tenant? Yes E t\o E 4. Do you sublease from an existing tenant? yes E No E 5. Are you an independent contractor? Yes E ruo ,ftr 6 Location of the business and suite number:o NoE ) 7. ( 8., 9. tr 1't ftoor tr 2nd ftoor E ld'iroor Do you share the floor or business entrance with another business? Yes [I No E What is the amount of square footage leased?o 6+r t 5 How much of the space, which you lease, is office?-- ltl,b{ 6 3,F; To+J lQOo/o tr 5oo/o tr 30o/o lf other than 100%, how is the remaining space used? ^)â‚¬4' cm\cntr-frm\C of O questionnaire 1'U2009 Page 1 of4 ) zip: q2:7os t L 10 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) tt'l 11.-\n*r'll your business include a lobby or?ois or<- lf yes, what.urillbe the dimensions? waiting area? Yes fl NoE , -l1,,l-,rx 12 Do you store equipment, materials, or products within the building? Yes E N9X Willthere be outdoor storage of equipment, materials, or products? Yes E No E[ 13. Do you manufacture a product at the site? Yes E ruo F lf yes, please describe: 14 Do you plan on making any improvements to the building such as: exterior painting, signage, interior tenant improvements3 Yes E No E lf yes, please describe:rb 15 Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor, acupuncturist, or physical therapist? Yes E No ,E ls the proposed use within the mental health profession, such as: NO E Socialworker fl Psychologist E Psychiatrist tr Other 16 ls counseling proposed as a part of your business operation? Yes f] ryg- tr Does your counseling business contract work with a public agency? Yes E- No EI lf yes, please describe: cm\cntr-frm\C of O questionnaire 11t2009 Page 2 ol 4 lf yes, please describe: I l 17. Will your business be offering the following services: f] Alcohol sales fl Smoking Lounge ls medical marijuana stored or dispensed at your business? Yes E No El Do you prepare or sell food for consumption on or off the property? Yes E No E] lf yes, do you provide sit down service E, drive-through E, or orders to go/pick-up E? 0 E Tattoos/ Permanent make-up E AoOy piercing/ Ear piercing 18 19 Please explain: 20 Does your business sell automobiles or motorcycles? Yes E No E lf yes, please explain 21.Does your business service or repair vehicles or install equipment and accessories into vehicles? Yes E No E lf yes, please explain: I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. Date nt NameINTER'roR DfrtG\e*/rer.s*tof ur A Doil Title cm\cntrJrm\C of O questionnaire 't112009 Page 3 of 4 AuGoaf ,3. Lol3 2 PLANNING DIVISION FEES Sheet 2 of 3 Elfective 7 l'l /201 3 1116002-53613 AMOUNT ADULT ENTERTAINMENT LAND U5E PERMIT............, CERTIFICATE OF COMPL CHANGE OF ADDRESS REQUEST.......... HTSTORTC EXTERIOR MODIFICATION (H HISTORIC PROPERTY PRESERVATION (Mills Act Application) HISTORIC RESOURCES COMMISSION ACTION (Historic Designation)... HOME OCCUPATION LAND USE CERTIFICATE Category i Bazaars, Fiestas, Sidewalk Sales, Outdoor Auctions, Child Care (8-14 children) and Ancilllary Massage Establishments... Category 2 Carnival, Circus, Outdoor Music, Concert, Arcade and ABC Licenses........... Category 3 Antennas/Dishes........................ Category 4 Exterior Telephones (Pay Phones) First Pay Phone............... Per Additional Pay Phone (Each Category 5 Outdoor Vending Machine (Each)................ Category 6 Small Collections (Recycling Facilities).......... OFF-PREMISE ADVERTISING (SIGN) PERM NON.CONFORMING/ZONING VERIFICATION 1ETTER...,......... RE5 I DE NTI AL R ELOCATION.. SIGN PERMIT REVIEW (on-premise).. SIGN PROGRAM REVIEW........ TEMPORARY SIGN PERM TEMPORARY TRAI1ER.............. UNDERGROUND UTILITY WAIVER.................... 51,414.06 s 1,06s.3s s 1,030.s9 51,949.49 s 3,93s.87 s s 5 s s s 5 s 5 s S s 5 5 5 s s s S 350.43 628.41 6s2.67 545.77 159.90 159.90 s s ( Irqns*:143 RUBEl,llofl rjrlrlg64 f714S2t-rti l:29 PHs-_-- q- I 5 $399. '79 s3e9. '79 s 910.39 4,808.29 5 t 1.65 3,620.45 439.92 495.78 143.47 550.24 446.22 s s 5 s s s q s_s s EOUS 01 1 16002-5360s AMOUNT LANDSCAPE PLAN REVIEW Residential Projects............ ..................... S Non-Residential Projects....... ................ S Per lnspection after 2nd lnspection....... ....................... 5 604.46 1,352.39 451.49 s s s s NEOUS 011r6002-sr60s cERTtFICATE OF OCCUPANCY................5 399.79 s PRoJECTADDRESS DATE APPLICANT PHONE 2WHITE-FINANCE/YELLOW-APLLICANT/PINK-PLANNING TOTAL S Planning & Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, CA 92702 (714) 667-2700 www.santa-ana.org 5,015.05 247.92 q q q A,tAlLlNG ADDRESS BY