The URL can be used to link to this page

Home My WebLink AboutCOO-2020-23-CO - Certificate of Occupancy4 a coo-2020-23-cO Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. le88 (M-19) Santa Ana, CA 92702 (7r4) 647-58r 5 occuPA*"lpf"!5:+i8il BrN 3-l't6zb @C 9.z m @ U) oonm(,a B9 q +1 5+ (n *+tI:O VoJ< a$ 5! '(Aot t2, â‚¬rcs(<*1.- A-ra AA 4eruZIP CODE NO. (, EMERGENCY PHONE NO. = fic-BUSINESS NAME hil, OWNER'S NAME & ca R- I ICENSE NO. & STATE OWNER'S MAILING ADDRESS nooRess 0Jr tz. â‚¬*to S^J*- a,lgk kIt4 NO. .-??? EMERGENCY PHONE NO.OR PROPERTY MANAGEMENT COMPANY NAI\,IE (IF YES, NAME OF SUBLEASOR) LEASING DO YOU SUBLEASE? Yes LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESSlq"lL lwr LuLr qu/. * tt> 7*y;*, ltt 4zun- trUSINESS PHoNE No. d,/ ?lrt - fr3?() EMERGENCY PHONE NO. dr v'rtt ltL ArrtL PROPERTY OWNER'S NAME pnopenrvowdlilnsnoonesst44" tUrrnt+t,r/ tsbr/.# tOn l* 4?*n- n ves )fNo No. 1 Will you be storing and/or utilizing hazardous materials at this facility? !| ves }f{o No. 2 Does yourproduclion procâ‚¬ss produce hazardous wast6? It you nale answered Yes to either question you must contact Orange County Fire Authority's Hazardous Material Disclosu16 Section at (714) 573-6000. lf YES, please BUSINESS OESCRIPTION U ivAllUrAU r UKlr\u {oretce) E RETAIL SALES O WHOLESALE EWAREHOUSE tr GROUP ASSEMBLY il AUTO FEPATR (iiC WELDING, NO OPEN FLAMES. NO SPRAY PAINTING E AUTO BODY (SEE ATTENTION BELOW) E WOODWORKING (SEE ATTENTION BELO\rv) tr EATING ESTABLISHMENT (SEE PWA) tr OTHER (DESCRIBE ABOVE) (INCLUDING, BUT NOT LIMITED TO. AUTO BODY, AUTOMOTIVE WORK OR STORAGE WOODWORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN THERE IS AN APPROVED FIRE SPRINKLER SYSTEN| INSTALLED, INCIDENTAL TO WELDI ATTENTION: ALL GROUP TITLE7r{r*}DATE , ft/ro EXPIRED/OPEN PERMITS? YES NO Date of report:DEPA(TMENT USE ONLY PRIOR OCCUPANCY GROUPv PRIOR TYPE !J[slnucrtor't PRIOR APPROVED USE ofPiG PRIOR APPROVAL DATE lo lzz\ 1.\ PLANNING WL\ZONE CUP .)r.l11r ' APPROVED DENIED DATE 3l4Y>oLc) occ. LoAD OCCUPANCY GROUPa CONSTRUCTION TYPE o16 fL t--st-ttl APPROVED !S DENIED 5-/ L-?/zct DATE Note: One of the following must be checked by the C o{ O lnspector. I I Yes I I No Has the inspeclor identified any hazardous materials at this facility?I I Yes I I No ls hazardous waste being generated at this site? NOTES: (LIMITATIONS OF APPROVED OCCUPANCY)6{tcL qse -Mc(intnqrrr SQUARE FEET FLOOR AREA tt ,--SANTA ANA-"'t'[,]ffi rA Planning and Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, CA92702 (7141647-5804 www. sa nta-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Please turn in this completed form with your Certificate of Occupancy application. Company Name (Print)-4- n ,t'7r.^ o2i'a^ r Z/,Aa- c r, .Z^c-7- 7 U_ Contact Name:r ,/ Address (business mailing address); -/i7zo/ D, 7,7(l (+4tta cnv, Sarzh / t state: CA zip: 4L%f Phone N".,@fi) L/? '3CZ? E-mairAddre ss: ?/qt,n 4 -Tfz/LnCUl- btt't- ! Change of Property O*n"r. ,( Cnange of Occupant ! Change of Use n Additional Occupant 1. The following best describes my operation: fl Oti."Only ! Retailsales f] Medica!/Dentat ! Warehouse/Manufacturing/Distribution ! RestauranUTake Out Food E Ottrer (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).' fiO t*itvt gc*nle - Br t*1* t (-ot [aA' on S 4. Has the building or space been vacant or is this a new buildingZ Ves ff No E lf vacant, for how long? 3. What was the former type of business owner to determine prior busrness use.) 5. Are you an independent contractor? Yes E 6. Location of the business and suite number: 1st floor tr 2nd floor or use of facility2 (Please contact the leasing agent or building W,r?rooAt crt*.< No fl _ ftoor Ana, & 4z+of tr o il7. Do you share the floor or business entrance with another business? Yes n No E 8. What is the amount of square footage leased? 9. How much of the space, which you lease, is office? ,/-n looo/o tr so% tr 3oo/o lf other than 100%, how is the remaining space used? Less than 30% S: Planning\Clerical-Counter Forms\ Cofo Questionnairc 0*27 -18 ,/' 0 ruoa.tLl tr .1 10. lsthe building sprinklered? Yesp No E 11. Do you plan on making any improvements to the building such as: exterior painting, signage, interior tenant improvements? Yes f] No F lf yes, please describe: 12. Will your business include a lobby or waiting area? Yes f] *. W lf yes, what will be the dimensions? 13. Do you store equipment, materials, or products within the building? Yes E ruo F a. Will there be outdoor storage of equipment, materials, or products? Yes E ruo E lf yes, please describe: b. Will there be storage.racks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes E No $tnermit required for racks/shelving over 6', inquire with permit counterl 14. Do you manufacture a product at the site? Yes E ruo F lf yes, please describe (including process and end product): a. Will operations produce dusUwood shavings or similar materia!? Yes E N.o hb. Does the operation invotve the use of welding or open flame? Yes E No E ' 15. Does the proposed use involve a patient care profe.sgion, such as doctor, dentist, chiropractor, acupuncturist, or physicaltherapist? Yes fl No ffi ls the proposed use within the mental health profession, such as: No/Not Applicable ! Psychologist E Psychiatrist Social worker !Other 16. ls counseling proposed as a part of your business operation? Yes f] ruo E 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 w operation?,This includestr NO[E 19. ls cannabis or cannabis related product storq(, cultivated, distributed, tested, manufactured or dispensed at your business? Yes E *" F 20. Do you prepare or sell food for consumption on or off the property? Yes E ruo E lf yes, do you provide sit down service E, drive{hrough E, or orders to go/pick-up [? d. ! Alcoholsales f] Smoking Lounge ! aoOy 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 OuestionnaiIe 08-27- 18 trtr ,. Please explain: 21. Does your business sell automobiles or motorcycles? Yes E lf yes, please explain: No M Pri 22. Does your busgrgss service or repair vehicles or install equipment and accessories into vehicles?YesE ruoF lf yes, please explain: 23. I acknowledge that I have requested and received all zoning and a Municipal Code requirements pertaining to my business and occupancy application itial) I DECLARE UN OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT E MY KNOWLEDGE AND BELIEF Date Title lnforrnation 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 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 Questionnair e 08-27 - 1 I MEMORANDUM TO: Finance & Management Services Agency FROM: Planning and Building Agency SUBJECT: Miscellaneous Cash Transaction MCT #49145 Wednesday, March 4, 2020 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: Lawrence Miller MD CofO 2001 E First St Unit# 110, Santa Ana, CA 92705-4020 MASTER rD #2020-156935 AP #400-081-06 Application# COO-2020-23-CO Permit # ISSUED TO: Lawrence Miller lniury Physicians Alliance ADDRESS: 2001E First St Ste 1 10 Santa Ana, CA 92705 ITEM DESGRIPTION QTY UNIT RATE AMOUNT FUND NO. 1 Certificate of Occupancy (Fee Purposes Only)1.0000 $481.68 01116002 51605 Botch* :54668 - 3/ 4/ )t-r2tt Uf f ice: (:TYH TronE*: 26 Acr:t*: Refi: Rcpt+: (129118449 ^ 3/ 4/2it2ll TrnnEoct i on Totnl LAIIRAI'ICE HI LLER ill 491 ?!1tl t4ti I Cert i t' icote ol 0ccupnncs Lrl 1 161t02- 516tr5tr0Lr- I(:L (:heck l lSS Comments: C of O202G23 lssued By: Arabe, Jill (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 $481.68 ii i)