HomeMy WebLinkAboutCOO-2020-142-CO - Certificate of Occupancy{ qqr 6r
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. 1988 (M-19)
Santa Ana, CA 92702
(714) 647-s8r5
coo-2020-142-co
OCCUPANCY INSPECTION
APPLICATION
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BUSINESS NAME BUSINESS PHONE NO.
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EMERGENCY PHONE NO,
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INESS OWNER'S & TITLE
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B['SINFSS OWNFR'S DRIVERS LICENSE NO. & STATE
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DO YOU SUBLEASE? tr YCS d NO (IF YES, NAME OF SUBLEASOR)SQUAR€ FEEV
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LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME
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BUSINESS PHONE NO.
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EMERGENCY PHONE NO.
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LEASINgAGEN,T oR PRoPERTY MANAGEMENT CoMPANY ADDRESS r
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PROPERTY OWNER'S NAME BUSINESS PHONE NO.
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EMERGENCY PHONE NO.
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PROPERTY OWNER'S ADDRESS
H Yes Il No No. 1 Will you be storing and/or utilizing hazardous materials at
this facility?
ll Yes d No No. 2 Does your production process produce hazardous waste?
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 describe_
ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE
INCIDENTAL TO WELDING WITH OPEN FLAME, WOOOWORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN
ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED.
TITLE
,Dwner
DATE
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DEPARTMENT USE ONLY PERMTTS? \.toate ot rcport: U'i! .7E 7 D VVr YES
PRIOR APPROVED USE
.Jrcrsswr<- UIJSU h,"2o r\APPROVAL DATEPRIOR
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PRIOR CONSTRUCTION TYPESP\
PLANNING -
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ZONE
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APPROVED DENIED 'Tl ,ql zv?$
OCC. LOAD OCCUPANCY GROUPe CONSTRUCTION TYPEyb 5?K Ac tt*rr-q.
TiPPROVED DENIED DATE U
S/q/r.> ")Note: One of the following must be checked by the C of O lnspector.
[ ] Yes [ ] No Has the inspector identified any hazardous materials at this facility?
NOTES: (LIMITATIONS OF APPROVED OCCUPANCY)
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[ ] Yes [ ] No ls hazardous wasle being generated at this site?
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BUSTNESSDEScRTeToN l$l'qsr-,\. I Maay blAea
E MANUFACTURTNG tr AUTo neFlrn (ruo wElorruc/No opEr.r
E OFFICE FLAMES, NO SPRAY PAINTING
E RETAIL SALES tr AUTO BODY(SEE ATTENTION BELOW)
tr WHOLESALE O WOODWORKING (SEE ATTENTION BELOW)
tr WAREHOUSE tr EATING ESTABLISHMENT (SEE PWA)
tr GROUP ASSEMBLY ffTHER (DESCRIBE ABOVE)
PRIOR OCCUTvt
Please turn in this completed form with your Certificate of Occupancy application.
Company Name (Print)
Contact Name:36;
Address (business mailing address):)oll E hr"r. sr \U-7
City:S nnra Anrx state: fA zip: ?>-lot
phone ruo., 5)b - )l> - 9r!] E-maitAddress: Menarrra,q9ltl @ 4na; (,cuvt
UdChange of Property Owner E Cnange of Occupant ! Cnange of Use E Rooitional Occupant
1. The following best describes my operation:
E Orice only E Retai! Sales E Medical/Dental
E Warehouse/Manufacturing/Distribution E RestauranUTake Out Food
U otrrer (describe) l*y" I M,,,^c5 *?v\V
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).
ftwsry I hn^ct gerv\se lo,a Al^ - 7t]. Pnn Daity
3. What was the former type of business or use of facility? (Please contact the leasing agent or building
owner to determine prior business use.)
9rt.-
4. Has the building or space been vacant or is this a new building? Yes E ruo El'
5. Are you an independent contractor? Yes E tlo UI'
6. Location of the business and suite number: )a[1 b D^*C gf fla-l
g 1st floor tr 2nd floor E
-floor
V
7. Do you share the floor or business entrance with another business? Yes E Xo p|
8. What is the amount of square footage leased?
9. How much of the space, which you lease, is office?
tr 1oo% tr soo/o n 3oo/o
lf other than 100%, how is the remaining space used?
g Less than 30%
S:Planning\Clerical-Counter Forms\
CofO Questionnaire 08-27-18
J)-
*-SANTA
ANAJlilil[
Planning and Building Agency
Planning Division
20 Civic Center Plaza
P.O. Box 1988 (M-20)
Santa Ana, CA92702
(714) 647-s804
www.santa-ana.org
CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
lf vacant, for how long?
10. ls the building sprinklered? Yes E tto E
11. Do you plan on making any improvements to lhe building such as: exterior painting, signage,
interior tenant improvements? Yes E Uo M
lf yes, please describe:
12. Will your business include a lobby or waiting area? Yes I No n
lf yes, what will be the dimensions?
13. Do you store equipment, materials, or products within the building? Yes ! No M
a. Will there be outdoor storage of equipment, materials, or products? Yes E ruo M
lf yes, please describe:
b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in
height? Yes E No U[ (permit required for racks/shelving over 6', inquire with permit counterl
14. Do you manufacture a product at the site? Yes E ruo M
lf yes, please describe (including process and end product):
a. Wil! operations produce dust/wood shavings or similar materia!? Yes n No &Ib. Does the operation involve the use of welding or open flame? Yes E No E
15. Does the proposed use involve a patient care profesgion, such as doctor, dentist, chiropractor,
acupuncturist, or physical therapist? Yes E l,lo M
a. ls the proposed use within the mental health profession, such as:
E t',lo/tr,tot Applicable ! Psychologist E Psychiatrist
E Socialworker E Other
16. ls counseling proposed as a part of your business operation? Yes ! ruo [7
a. Does your counseling business contract work with a public agency? Yes E No M
lf yes, please describe:
17. Will your business be offering the following services:
! Alcohol sales ! Smoking Lounge ! Tattoos/ Permanent make-up
! AoOy piercing/ Ear piercing EJ 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 M No E
19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or
dispensed at your business? Yes E Uo M
20. Do you prepare or sell food for consumption on or off the property? Yes E No M
lf yes, do you provide sit down service !, drive-through f], or orders to go/pick-up !?
S: Planning\Clerical-Counter Forms\
CofO Questionnane 08-27 -18
Please explain:
21. Does your business sell automobiles or motorcycles? Yes E No M
lf yes, please explain:
22. Does your business service or repair vehicles or install equipment and accessories into vehicles?
Yes E No,E
lf yes, please explain:
23. I acknowledge that I have requested and received all zoning
requirements pertaining to my business and occupancy applicati
and Santa Ana Municipal Code
ion. lV,(initial)
I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
Itnom s|,ri o\l>+t >d.o
6sL Date
Print Name
[']wnetr
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, exceptWednesday 10:30a.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 af Q14) 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 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 Gode requirements.
S:Planning\Clerical-Counter Forms\
CofO Ouestionnate 08-27 -18
3\
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Er^pl"ye<-I es.rtor.,
1-b
City of SantaAna
Etfective: 0311712020
Expires: 0311712021
License No.: l7-22929
Fee: $ E7l.l0
Penalty: $ 0.00
Total Fee: $ 871.10
MASSAGE ESTABLISHMEI{T PERMIT
PURSUANT TO THE PROVISIONS OF CHAPTER 22 OF THE SANTA ANA MUNICIPAL CODE, THIS PERMIT IS GRANTEO FOR THE EUSINESS INOICATEO ON THE
CONOITION THAT THE PERSON, CORPORATION OR ENTITY MMED IN THE PERMIT WILL ENSURE THAT THE BUSINESS IS OPERAIEO IN COMPLIANCE WITH
THE LAWS, OROINANCES ANO REGULATIOI\S THAT ARE NOW OR MAY HEREAFTER BE IN FORCE BY THE UNITEO STATES GOVERNMENT, THE STATE OF
CALIFORNIA ANO THE CITY OF SANTA ANA PERTAINING TO SUCH EUSINESS, THIS PERMIT MUST BE RENEWEO ON OR BEFORE THE EXPIRAIOT{ DATE AS
SHOWT,I A8OVE. THIS PERMIT MAY BE SUSPENOED OR REVOKED BY THE CITY FOR CAUSE. THIS PERMIT IS }'IOT TRANSFERABLE OR REFUI{DABLE.
NAME:
D.B.A:
LOCATION:
CITY AND STATE:
TYPE OF BUSTNESS:
IVleng Shi
Palm lllassage Spa
2031 E. I't Street Unit A7
Santa Ana, CA 92705
rv-Iassage
SAPD FILE COPYI
TO: Finance & Management Services Agency
FROM: Planning and Building Agency
SUBJECT: Miscellaneous Cash Transaction
MCT #48992
Monday, February 24, 2020
-st
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.
ISSUED TO: Plam Massage Spa
ADDRESS: 2031E. 1st Street, Unit A-7
Santa Ana, CA 92705
I
ii
TOTAL M
Comments:
lssued By: Guevara, Jerry (Planning and Building Agency)
GL Account #
01 1 16002 51605
Total
$481.68
PROJECT NAME:
PROJECT ADDRESS:
C of O - Palm Massage Spa
2031 E First St Unit# A-7, Santa Ana, CA 92705-4018
MASTER tD#2020-157981
AP #400-082-05
Application # COO-2020-1 42-CO Permit #
ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO.
1.0000 $481.68 $481.68 01116002 516051 Certificate of Occupancy (Fee Purposes Only)
F,LAN NASSAGE SPA
$4S1 .
gsg6hi:54512 - 2/21/2t02fi I0: cntorale
Office: CTYH Tronsi: 134 I oi' ?Accti: Ref*: 48?9?
Rcpti:02901325 - ?/24/2t12(r l2:1.r7 F'll
Trsnsnction Totol t99?.6S
(:ertiticote of 0ccup0ncg
L'l I 16002- 516ll5l't00-
V iso
CC+: *rrrlrr*****6255 $999.
Authi:015940
$ 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.
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MEMORANDUM