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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 nrN )-J5 rrX (D Caz m ct)a oUvmaa t-o Pnun hngsam. sPA BUSINESS NAME BUSINESS PHONE NO. 156> r2?8 - b>Yx EMERGENCY PHONE NO, rhLr)D _tr)r3 INESS OWNER'S & TITLE I B['SINFSS OWNFR'S DRIVERS LICENSE NO. & STATE IN (. Crrn L ADDRESS Wn DO YOU SUBLEASE? tr YCS d NO (IF YES, NAME OF SUBLEASOR)SQUAR€ FEEV Iq"l /FLooR AREA(\fl LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME kuma So.ah I .a At Rca- BUSINESS PHONE NO. (91> 6t)- Dl> EMERGENCY PHONE NO. ,ilJ,,>D ()f\ LEASINgAGEN,T oR PRoPERTY MANAGEMENT CoMPANY ADDRESS r k-vuts Soon l"ee ArRcR PROPERTY OWNER'S NAME BUSINESS PHONE NO. ,ib>, All Af ?, EMERGENCY PHONE NO. [6] , frt 5l?> Ito4\ Gl€noa3, P,ld . Po,oirno,. ile 1t'>l t 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 d/ >+ t >e).o DEPARTMENT USE ONLY PERMTTS? \.toate ot rcport: U'i! .7E 7 D VVr YES PRIOR APPROVED USE .Jrcrsswr<- UIJSU h,"2o r\APPROVAL DATEPRIOR ,n\ PRIOR CONSTRUCTION TYPESP\ PLANNING - DC ZONE GS CUP (tU^.L ,rmn 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) /7 [ ] Yes [ ] No ls hazardous wasle being generated at this site? \ v o \ ( 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\ +{L t b 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. Page 1 of 3 MEMORANDUM