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Home My WebLink AboutCOO-2020-181-CO - Certificate of Occupancyr I coo-2020-181-co Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. 1988 (M-19) Santa Ana, CA 92702 (714) 647-581s OCCUPANCY INSPECTION APPLICATION BTN 3?L/53 O ulCaz m U) CN oonm @a INtslot- Itr Ir Irt\l.- l6' l- t$ lp N *S \) iJ $ 1 &5+.#4BUSINESS ADDRESS I "2(u 371 r.lwtBUSINESS NAME MD OWNER'S NAME & TITLE l/. EMAIL AODRESS 5e4ru/ Aiob+BUSINESS OWNER'S MAILING IF YES, NAMnsAtEo t\ YOU r un(g lnc (r F SUBLEASOR)FEET l, FLOOR AREA a, tot'k LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME BUSINESS PHONE NO. /a 4z*n-COMPANY ADDRESS NAME - e)r.a OWNER'S PH ADDRESS / O RETAIL SALES E WHOLESALE E WAREHOUSE O GROUP ASSEMBLY tr,A.UTO REPAIR (I.!O WELDING, NO OPEN FLAMES, NO SPRAY PAINTING E AUTO BODY (SEE ATTENTION BELOW) O WOODWORKING (SEE ATTENTION BELOW) tr EATING ESTABLISHMENT (SEE PWA) O OTHER (DESCRIBE ABOVE) G BUSINESS DESCRIPTION OFFICE n v"srt'o No. 1 Will you be storing and/or utilizing hazardous materials at this facility?. H ves dNo No. 2 Do6s your production process produce hazardous wasto? 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 ATTENTION: ALL GROUP "N" OfiSEATICYS IIT.TCI-YAfiC, BUT NOT LIMITED TO. AUTO BODY, AUTOMOTIVE WORK OR STORAGE INCIDENTAL TO WELDING WIff/OPEN F6ME, W6@WORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN ANY BUILDING oR STRUCT/Bâ‚¬ uI.II.F65 TnTBts,gAN APPROVED FIRE SPRINKLER SYSTEM INSTATLED, DATE I , /t /a-', SIGNATURE (l_eoTITLE DEPAR{ME(TETSE OruIY EXPIRED/OPEN PERMITS? YES NO Date of report: PRIOR APPROVED USE o(f\ce PRIOR APPROVAL DATE tolzz | 1{ PRIOR OCCUPANCY GROUP TB PRIOR CONSTRUCTION TYPE \JB OATE3)\lzotPPLANNING U){'z\ ZONE CUP )hlt* , APPROVED DENTEO , CONSTRUCTION TYPEtlB L C,rlvtkAPPROVED DENIED I DATEâ‚¬f z&>zoOCC. LOAD OCCUPANCY GROUPa Note: One of the following n)ust be checked by the C of O lnspector. I lYes I lNo Hastheinspectoridentiliedanyhazardousmaterialsatthisfacility? [ lYes I lNo lshazardouswastebeinggeneratedatthissite? NorES:(LrMrrAroNSoFAppRovEDoccupANcyr rqed r cql O(Ttcg uSg -orld rtlcnor\ to Cof O )o2{, - 23 BUSINESS PHONE NO.EI\.4ERGENCY PHONE NO. EMERGENCY PHONE NO. 1t1t*. Qnl (ntr,.rt.)tl r4r4r?,t t- T?j? EMERGENCY PHONE NO. () ,--SANTA ANA,',lilIffi ,,I Planning and Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, CA.92702 (7141 647-5804 www. santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE P/ease turn in Company Name (Print) this completed form with yo u r. Certifi cate of O cc u pa n cy a p pl icatio n. I or-r/.-.-, Q l,/fuContact Name Address (business mailing address): City: Phone No.: 4 S:Planning\Clerical-Counter Forms\ CofO Ouestionnairc 08-27 - 1 I # xate: (4 zip: 4OZl / 14 ' trt ' 1@8,' t', /E-mail Address 1 2 3 change of Property o*n", A(cnange of occupant E Change of Use Additional Occupant lf vacant, for how long?4'L w*4,1 5. Are you an independent contractor? Yes E *o V/ The following best describes my operation: E ottice only I Retail Sates {Medical/Dentat E Warehouse/Manufacturing/Distribution E RestauranUTakeOutFood E Ottrer (describe) Please provide a brief description of how the business operates at this site (for example, please describe the general nature of the business, what activitieE occur on-site, the hours of operation, open to the public). -flwficiax |n4r.z ( ?*^ flzua6aar4) What was the former type of business or use of facility? (Please co-ntact the leasing agent or building owner to determine pior business use.) (birOpf"r_h-C OM aZ Has the building or space been vacant or is this a new building? Yes ff ruo tr 6. Location of the business and suite number: 8. What is the amount of square footage leased?t asb* A. I u0 lro, & 4z+or[-X 1ofloor. tr 2ndfloor n floorI- 7. Do you share the floor or business entrance with another business? Yes E No n 9. How much of the space, which you lease, is office? tr 1oo% tr so% F 3oo/o lf other than 100%, how is the remaining space used? d*Xiry n/a, @ /7ta_ tr Less than 30% t) f@ t, ;) l cl)rz- 33 / t T 11. Do you plan on making any improvements interior tenant improvements? Yes E No 10. ls the building sprinklered? Ves p tlo E tp jhe building such as: exterior painting, signage, F lf yes, please describe: '12. Will your business include a lobby or waiting areaZ Ves ffi No E lf yes, what will be the dimensions? 9aC SO k 13. Do you store equipment, materials, or products within the building? Yes E to 6 a. Will there be outdoor storage of equipment, materials, or products? Yes E *o B lf yes, please describe: b. Will there be storage r3cks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes E No \4 (permit rcquired for racks/shelving over 6', inquire with permit counterl 14. Do you manufacture a product at the site? Yes E No g[ lf yes, please describe (including process and end product): a. Will operations produce dusUwood shavings or similar materia!? Yes E ruo Mb. Does the operation involve the use of wetding or open flame? Yes E to F ' 15. Does the proposed use involve a patient acupuncturist, or physical therapist? Yes profession, such as doctor, dentist, chiropractor, NoEF," a. ls the proposed use within the mental health profession, such as: X*or*o, Applicable E Sociatworker E fl Psychologist E Psychiatrist Other 16. ls counseling proposed as a part of your business operation? yes E No F a. Does your counseling business contract work with a public agency? Yes E No E lf yes, please describe: 17. Will your business be offering the following services: E Alcohol sales E Smoking Lounge ,E Jattoos/ Permanent make-up E aooy piercing/ Ear piercing p-tlon" of the above 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 E No F 19. ls cannabis or cannabis related product storef, cultivated, distributed, tested, manufactured or dispensed at your business? Yes E No E 20. Do you prepare or sell food for consumption on or off the property? Yes E *o F lf yes, do you provide sit down service !, drive+hrough E, or orders to go/pick-up !? S: Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27- 1 8 ,,t Please explain: 21. Does your business sell automobiles or motorcycles? Yes ! trJo X lf yes, please explain: ,, ?::tffrt [:.,ffi". service or repair vehicles or install equipment and accessories into vehicles? lf yes, please explain: / 23. I acknowledge that I have requested and received all zoning and Sanlr ffna Municipal Code requirements pertaining to my business and occupancy application. #_(initial) I DECLARE UNDER OF , THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO OWLEDGE AND BELIEF. Signature e Date Print Name Title inforination 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 industrial zone; medical, restaurant, laundromat, trade or technica! 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 Ouestionnairc 0*27 - 1 I MEMORANDUM TO: Finance & Management Services Agency FROM: Planning and Building Agency SUBJECT: Miscellaneous Cash Transaction MCT #49146 Wednesday, March 4, 2020 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 - Lawrence B Miller MD 2001 E First St Unit# 110, Santa Ana, CA 92705-4020 MASTER lD#2020-158254 AP #400-081-06 Application # COO-2020-181-CO Permit # ISSUED TO: Lawrence Miller ADDRESS: 8500 Wilshire Blvd Ste 1018 Beverly Hills, CA 90211 ITEM DESCRIPTION OTY UNIT RATE AMOUNT FUND NO. 1 Certificate of Occupancy (Fee Purposes Only)1 0000 $481.68 $481.68 01 1 16002 51605 Batch*:54663 - 3/4/2u2tt ID: 0lf ice: CTYH lpgtnEi: 27Acct*: Rel*: 4'l Rcpt+ : Ll19trg449 - 3/ 4 /:itt?tt 2t I Tronsnct i sn Tolttl $48 LAIIRAH(:E I1ILLLTR (.ert if icaIe ol 0ccup(tncv rrl I 16Cr02- 5161151100- I(:L (:hecll LlU0ttLt[?419 Comments: c of o 202G181 lssued By: Arabe, Jill (Planning and Building Agency) TOTAL MCT AMOUNT: $ 481.68 GL Account # 01116002 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