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Home My WebLink AboutCOO-2020-409-CO - Certificate of OccupancyPlanning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. r988 (M-19) Santa Ana, CA 92702 (714) 647-s8ts coo-2020-409-co OCCUPANCY INSPECTION APPLICATION BTN 3I5 LO Z ) (,^ (D Caz m CNa oonmaa |,..) \ w h1 (A ft N $i -\ \ k" = .l \ {s N \'h 2o1t kt l Shccl AL 4zz o.e UNIT OR SUITE ZIP CODEBUSINESS ADDRESS se BUSINESS PHONE NO. fttnrasZ- 38o4 EMERGENCY PHONE NO. il t+,./tz- 78t14Bzap 1taâ‚¬,BUSINESS NAME u2, TITLEBUSINESS OWNER'S NAME 2o oce&,4tc c4 ?--oS doblco rt NAME OF SUBLEASOR)DOYOUSUBLEASE? trYes (tF SQUARE FEET oo AREA NAME ESS PHONE NO zalT EMERGENCY PHONE NO. LEASING AGENT OR PROPERTY COMPANY ADDRESS o0 a o LEE ^J o /h BUSINESS DESCRIPTION O MANUFACTURING O OFFICE O AUTO REPAIR (NO WELDING, NO OPEN FLAMES, NO SPRAY PAINTING E AUTO BODY (SEE ATTENTION BELOW) tr WOODWORKING (SEE ATTENTION BELOW) tr EATING ESTABLISHMENT (SEE PWA) tr OTHER (DESCRIBE ABOVE) lnerlt sales tr WHOLESALE tr WAREHOUSE tr GROUP ASSEMBLY q ves )q No No. 1 Will you be storing and/or utilizing hazardous materials at this facility? E Ves [Ho No. 2 Does your production process produce hazardous waste? lf you have answered Yes to either queslion you must contact Orange County Fire Authority's Hazardous Material Disclosure Section at (714) 573-6000. lf YES, please describe ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE TNCTDENTAL TO WElaprNG W|TH OPEN FLAME, WOODWORKTNG, CUTTING, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED rN ANY BUII NING OR SIIRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED, O rrl or-'r-e- ( TITLE DATEI t<l zlzo=. DEPARTMENT USE ONLY sfJ5""m " BlllJil * o" n, \\t\f,o lrl PRIOR APPROVED USE ?erxu_ PLANNING -Y lr)(. ZONE6 CUP DATE I I Y 14 lTPto occ. LoAD OCCUPANCY GROUP,/z CONSTRUCTION TYPEla tn</t, DENIED DATE S-a-aao Note: One of lhe following must be checked by the C of O lnspector. ' [ ] Yes [ ] No Has the inspector identified any hazardous materials at this facility?[ ] Yes I I No ls hazardous waste being generated atthis site? ( NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) I Please turn in this completed form with your Certificate of Occupancy application. Company Name (Print):bzeAtc aruE Contact Name:Toa Ku aia ,,,*SAJ{TA NA-','1,[]ffi Planning and Building Agency Planning Division 20 Civic Genter Plaza P.O. Box 1988 (M-20) Santa Ana, CA92702 (7141647-5804 www.santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Address (business mailing address)Zo3 t E. l'4 S'trz^tEf unie A t City:Sanh Ano State: LA q21 Phone No q+4 353 360t+ E-maitAddress r E Cnange of Property Owner [[ Cnange of Occupant E Change of Use E nOOitional Occupant 1. The following best describes my operation: E orice only [l RetailSales E Medical/Dental ! Warehouse/Manufacturing/Distribution E Restaurant/Take Out Food E Ottrer (descrlbe) 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, opentothefublic). kail fulat o+ e4vâ‚¬n!â‚¬nt tt ,Q5 /ie .rrtu(Ft Eoda, Ciqarr;4f<5-4 ctr;is â‚¬to{ o-Pr.t.t? fr,c p,tbliol aad- ft< fioursfr ortta4w Will (at7'bt* rrroo{t, br4w4;7onana /o?*t WHat w6s the former type of buSiness or use of facility2 (Please contact the leasing agent'or building ownertodetermine prior business use.) Cen ucnte4f )]pt e (rCAil) Has the building or space been vacant or is this a new building? Yes X[ No n 2 3 4 lf vacant, for how long?5 rtto4ths 5. Are you an independent contractor? Yes ( No E 6. Location of the business and suite number: X 1",floor n 2ndfloor ! _floor.- 7. Do you share the floor or business entrance with another business? Yes E f.lo 4 8. What is the amount of square footage leased? I Z CZ 9. How much of the space, which you lease, is office? tr 1oo% tr 50% tr 3oYo tr Lessthan3o% v lf other than 100%, how is the remaining space used? Fo' Dartl tV râ‚¬ca?l {Tleak^Jk'' S: Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27-1 8 ZoZt E.t,'+rcct&otq' ,uorf AI 10. ls the 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 I No E lf yes, please describe: l+*Criot /Z ratana /rr(totarttanB 12. Will your business include a lobby or waiting area? Yes E No fi, lf yes, what will be the dimensions? 13. Do you store equipment, materials, or products within the building? Yes [t No n a. Will there be outdoor storage of equipment, materials, or products? Yes E No 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 E (permit rcquired for racks/shelving over 6', inquire with permit counterl 14. Do you manufacture a product at the site? Yes E No El lf yes, please describe (including process and end product): a. Will operations produce dust/wood shavings or simitar material? Yes n No E[b. Does the operation involve the use of welding or open flame? Yes E No EI 15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor, acupuncturist, or physical therapist? Yes E No El a. trtr ls the proposed use within the mental health profession, such as: No/Not Applicable ! Psychologist ! Psychiatrist Socialworker E Otner 16. ls counseling proposed as a part of your business operation? Yes E No 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: No El trn S: Planning\Clerical-Counter Forms\ CofO Questionnate 08-27 -18 Alcoholsales E Smoking Lounge Body piercingl Ear piercing E Tattoos/ Permanent make-up ,[l None 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 El 19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or dispensed at your business? Yes E No El. 20. Do you prepare or sell food for consumption on or off the property? Yes E No El lf yes, do you provide sit down service E, drive+hrough E, or orders to go/pick-up E? Please explain: 21. Does your business sell automobiles or motorcycles? Yes E No E lf yes, please explain: 22. Does your business service or repair vehicles or install equipment and accessories into vehicles? Yes E No El lf yes, please explain: I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO BEST OF MY KNOWLEDGE AND BELIEF. 23. I acknowledge that I have requested and received all zoning and Santa Ana Municipal Code requirementJ pertaining to my business and occupancy applicaiion. tk (initialj 01" loqluza Signaturg clO b Kuera Date Print Name f)toner 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, except Wednesday 10:30 a.m. to 4:00 p.m. The Planning Division is located within City Hall - Ross Annex, 20 Civlc 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 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 industrialzone; 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 Gertificate 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 Ouestionnane 08-27 -18 MEMORANDUM TO: FROM: SUBJECT Finance & Management Services Agency Planning and Building Agency Miscellaneous Cash Transaction MCT # 50750 Monday, August 3,202C All fees are subject to change at any time and may also be affected by scheduled adjustments on July I of each year. The Payee must pay the prevailing rate at the time payment is made. ISSUED TO: Job Kuria COO - Break Time ADDRESS: 2031 E. 1st Street A-1 Santa Ana, CA 92705 TOTAL MCT AMOUNT $ 499.36 Comments. COO - Break Time lssued By: Orozco, lvan (Planning and Building Agency) GL Account # 01 1 16002 51605 Total $499.36 PROJECT NAME: PROJECT ADDRESS: COO - Break Time 2031 E First St Unit# A-1, Santa Ana, CA 92705-4018 MASTER tD#2020-160527 AP #400-082-05 Application # COO-202O-409-CO Permit # ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. 'l Certificate of Occupancy (Planning and lnspection)1.0000 $499.36 $499.36 01 1 16002 51605 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 ta t,:h i ,:il 1 - 'l Tot0l JUFi I (:ert if icnte of 0ccupcirris r-r 1 I I 6rJr:r?- 515LrliLr[rrr- (:nsh ,l:hcln s e