HomeMy WebLinkAboutCOO-2020-625-CO - Certificate of Occupancycoo-2020-625-co
Planntng & Bullding AgencY
Bullding Safetl Divlsion
20 Ciric Center Plezr
P.O. 198E (lll-19)
Sanla Ana, CA 92702
(714) 64?-5E15
OCCUPANCY INSPECTION
APPLICATION
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lf !!L have rnsdrad Yrs !o ertne' q',eslon @u musl:o'Ect Orange Countv
F,rc Authori/ i HaErdoes Ma'aear Drsc'a5!'e Seton at 7rl'.71{C'0C
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O REIAIL SALES
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OWAREHOUSE
O GROUP ASSEMBLY
E AUTO REPAIR (NO WELONG. NO OPEN
FLAMES. NO SPRAY PAINTING
O AUTO EODY SEE ATTENT]ON BiLOYJ
OWOOOtVOtu(lNG SEE ATENTTON BELCvt
E EANNG ESTABLISHMENT (SEE PV/A)
o orHER (DESCRIBE ABOVE)
BUSINESS OESCRIPTION
D MANUFACTURING
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NOrES (LtMTTATIONS OF APPROJEO OCCUPANCY)
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Plannlng and Bultdlno
Plannlng Dlvlslon
20 Clvic Contor pl.za
P.O. Box igAE (M-2ol
Santa Ana, Ce'gZlOi
(71.t) 847-sso4
WWU,.aantA.ana.Org
Agency
Phone No.+14 +t o3 E-mail Address:
d Change of property Owner ! Change of Occupant !Change of Use n Additionsl Occupant
Address (business mailing address):
state: p+ zip: Q? 1o{
,. The followlng best d€3cdbes my operatlon:
I office onty ! Rerail sates dmeo|cauDentatf) warehouse/Mrnufac{urlng/Drstrrburon ! Reatauranurake out Food! Omer (deecrtbe)
Please tum lnthis completed form wlth your of Occupancy
Company Name (print):
Contiact Name:
City:
CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
L30
3.
4. Hasthebuildingorsp€c6 been vacantoristhisa newbuilding? yes E Nod
lf vacant, for how long?
5. Are you an independent contractor? yes E No d
6. Location of the business and suite number:
! 1afloor d ,*roo,E _floor
Do you share the floor or business entrance with anolher business? yes I No d8. What is the amount of square footage leased?I l" OO
9. How mu-ch of lhe space, which you lease, is office?
{ ',oo"o tr soyo tr 30%
lf other than 100%, how is the remaining space used?
tr Less than 30%
S:Planning\Ctc@l.centgr Foms\
ColO Oucdiomaire O&27-.t g
of how the business operates at this
what activities theL.,',.1;4 h
o'.-l q-jformerof business or use of facilrty? (ptea-e
please
'F.;
ownor to determineDl,--il use.,)
contaq n€leasing agent or building
10. ls the building sprinklered? Ves p no [J
11. Do you plan on making any improv€ments tg]he building such as: extenor painting, signage,
interiortenantimprovements? Yes ! No E
lf yes, please describe.
"12. Will yourbusinessincludealobbyorwaitingarea? Yes ( No E
lf yes. what will be the dimensions? t0 f*4t f t > frrf
13. Do you store equipment, materials, or products within the buitding? Ves! No E
a. Will there be outdoor storage of equipment, materials, or products? yes E ruo F
lf yes, please describe:
b. Will there be storago recks, pallets and/or shelving exceeding 5 feet g inches in
height? Yes D No fl{fcmitrecuiredlorr.cks/shelvlngovcra',inquinwiahpomttcount.,rl
14. Do you manufacture a product at the site? Yes E N" (
No -ffN
15. Does the proposed use involve a patient.care profession, such as doclor, dentist, chiropractor,
acupuncturist, or physical therapist? Yes P No E
a. ls the proposed use within the mental health profession, such as:
! NolNot Applicable E Psychologiqt E Psychiakist
E Socral wort<er potner P 'to-da,"hll-
16. ls counseling proposed as a part of your business operation? yes p No fl
a. Does your counseling business contract work with a public agency? yes D ruo;E
lf yes, please describe.
17. Will your business b€ offering the following services:
E Alcohol sales E Smoking Lounge E Tattoos/ permanent make-upf] aoOy piercing/ Ear piercing ,F2on" 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 D
"o rR
19. ls cannabis or cannabis related product stored., cultivated, distributed, tested, manufactured or
drspensed at your business? Yes E No K
20. Do you prepare or sell food for consumption on or off the property? yes E *. (
lf yes, do you provide sit down service [. drive-through [, or orders to go/pick-up [?
lf yes, please describe (including process and end product):
a. Will operations produce dusUwood shavings or similar material? yes Eb. Does the operation involve the use of welding or open flame? yes ! No
S: Plannrne\Cleri€l.count€r Fms\
CotO Oucatonnarc 08-27-18
Please explain:
21. Ooes your business sell automobiles or motorcycles? Yes D No
lf yes, please explain:
/
22. Does your businesgdervic€ or repair vohicl€s or install equipment and accessories into v€hicles?
Yes E No El'
lf yes, please explain:
23. I acknowledge that I have requested and received all zoning and Santa l}na Municipal Code
requirements p€rtaining to my business and occupanry application. { /- ___-_=Jinniaq
I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO THE BEST MY KNOWLEDGE AND BELIEF,
l0- ??= 40?-o
Date
Name
Titlo
lnformation
Th6 Planning Division's Public Counter is open for walk-up customers from 8:00 a.m. to 4:00 p.m., Monday
through Friday, exc€pt 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 roquests for change of address, new businesses,
or expansions to ensure that th6 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 c€rtain location to determine the feasibility.
lf a nonconforming use is discontinued, or if a nonconforming building is vacanl, unused or unoccupied for
a period of 1 2 consecutive months, any subsequent use must conform in every respecl to the provisions of
the Municipal Zoning Code, and a nonconforming building may not thereafter be used or occupied until il
conforms in every respect to the provisions of the Code.
Generally, the followlng uses wlll require further documentation or an extended review and may or
may nol be permltted: offlce uses wlthln an lndustrial zone; medlcal, rostaurant, laundromat, trado
ortechnlcal schools, and automotlve repalr and servlce uses wlthin spaces that wor€ not proviously
used for such purposes; a building that does not moet the parklng demand for tho propotod use;
or a use whlch generates a hlgher parklng domand or adherence to development standards than
the pr€vious uaes.
You may need to provid€ floor plans, site plans, ol documont the prlor uge before obtalnlng a
Certlflcate of Occupancy to delermine tho grandparontod rlghts of a nonconformlng uso, or a use
which has addltlonal Codo roqulremonts.
SiPIannin9\Clcn@l"Counta. Fm!\
ColO Ouestonmir. 0&27- I I
Ar^:.rr-c-y'
MEMORANDUM
TO:
FROM:
SUBJECTI
ISSUED TO:
ADDRESS:
MCT # 52379
Monday, November 16, 2020Finance & Management Services Agency
Planning and Building Agency
Miscellaneous Cash Transaction
Ramyar Elyassian
Dental lmplanl & Laser Surgical Specialists
2010 E First Street, #230
.la
All fees are subject to change at any time and may also be affected by sctreduled adjustments on July 1 of each year. The Payee rnust
pay the prevailing rate at the time payment is made.
Santa Ana, CA 92705
ITEM DESCRIPTION OTY UNIT RATE AMOUNT FUND NO.
'l Certil'icate ol Occupancy (Planning and lnspection)1.0000 s499.36 s499 36 01116002 51605
TOTAL MCT AMOUNT: $499.36
Comments:
lsSued By: Arechiga, Liana (Planning and Building Agency)
GL Account #
011'16002 51605
Total
$499.36
PROJECT NAME:
PROJECT ADDRESS:
Dental lmplant & Laser Surgical Specialists
2010 E First St Unit# 230, Santa Ana, CA 92705-4006
|VIASTER tD # 2020-162694
AP #402-201-09
Application# COO-2020-625-CO Permit #
NOTES For payment to be considered complete, a
Mrscellaneous 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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