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Home My WebLink AboutCOO-2020-80-CO - Certificate of Occupancy6$l -bg t'coo-2020-80-co Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. 1988 (M-19) Santa Ana, CA 92702 (714) 647-s8ts OCCUPANCY INSPECTION APPLICATION BTN ru+qKO TDC @z ma C' vmo U) \? bV BUSINESS ADDRESS -Sarrtc* EMERGENoY PHoNE r.lo () !ME )t?tt /l nqcc, d? - BUSINESS PHONE NO. ,44i {,i{,11;*r( E? OYesDO F SQUARE 2 LEASING OR MANAG MENT NO. W ER'S NAME t n Yes d(o No. 1 Will you be storing and/or utilizing hazardous materials at ttris tacitlfi\ q ves {r,lo No. 2 Does your production process produce hazardous waste? ll you ha/e answered Yes to either question you must contact Orange County Fire Authority's Hazardous Material Disclosure Section at (7'14) 573-6000. lf YES, please descri BUSINESS DESCRIPTION O MANUFACTURING E OFFICE fiernt snles /o wnolesnle tr WAREHOUSE tr GROUP ASSEMBLY tr AUTO REPAIR (NO WELDING, NO OPEN FLAMES, NO SPRAY PAINTING O AUTO BODY (SEE ATTENTION BELOW) O WOODWORKING (SEE ATTENTION BELOW) O EATING ESTABLISHMENT (SEE PWA) O OTHER (DESCRIBE ABOVE) ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE INCIDENTAL TO WELDING WITH OPEN FLAME, WOODWORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. DATE ' / llzQ lzoTITLE I b 20 dvNO Date ofDEPARTMENT USE ONLY PRIOR APPROVED USE @{to1c ATEw{ffib DENIED '^-i/zqbz"PLAtrINING6(.(-/ ZONE DATE 7'2s-eoJo OCC. LOAD +q .TW:;L, DENIED 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?[ ] Yes [ ] No ls hazardous waste being generated at this site? NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) -/ ,,,SANTA A],{A,'[t]ffi Planning and Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, CA92702 (714) 6/-7-5804 www.santa-ana.org 't CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Please turn in this i:^it fi: f ;K* r' ff i;[ittfpU' o "ff ;' a p p t i c a'l i o n Company Name (Print): )Contact Name Address (mailing address) City:State: -) dl-n ((,1 'l ,8K *^aitAddress ,L.CqPhone No of Occupant E Cnange of Use E Rdditional Occupant 1. The following best describes my operation fl office Only Retai! Sales ! Medica!/Denta! ufacturing/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 busingsp, what-activities occur on-gite, tfre hoflrs of operation, opentothepubric) {^* PtltcxrUJY o,,aX bro,) l}rrassay 3. What was the former type of business or use of facility? (Please contact the leasing agent or building owner to determine prior business usg) (,,utrtciYt 9*bL N *"fl4. Has the building or space been vacant or is this a new building? Yes lf vacant, for how long? 5. Are you an independent contractor? Yes n 6. Location of the business and suite number: N"x 1st floor n 2nd floor ! _ floor 7 share the floor or business entrance with another Yes E *"f. 8. What is the amount of square footage leased? 9. How much of the space, which you lease, is office? { R 1oo% n so% tr 30% lf other than 100%, how is the remaining space used? S: Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27-1 8 Less than 30% I 10. !s the building sprinklered? Yes E tto 11. Do you plan on making any imp to the building such as: exterior painting, signage, interior tenant improvements? Yes NoE wiLL h^l tt "(lf yes, please describe 5iX fvovrt'4, ' c?\ 1 2 w ilffi [::i.:::::',-;:J,.,#j j]uu 13. Do you store equipment, materials, or products wittlin the bui ct i 4"4 r\ a Will there be outdoor storage of equipment, materials, or products? Y lf yes, please describe: -x es'E l{o b. Will there be gffragq r/cks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes |SNo fi(Rermitrequired for rackdshelving over 6', inquire with permit counterl /-' , ,/ 14. Do you manufacture a/product at the site? Yes fl No N /\ lf yes, please describe (including process and end pr6duct): a. Will operations produce dusUwood shavings or similar material? Yes E No Eb. Does the operation involve the use of welding or open flame? Yes E No E 15. Does acupu a. the proposed use involve a patient care profesfon, such! ruoI / ntal health profession, , as doctor, dentist, chiropractor, ncturist, or physical therapist? Yes s the proposed use within the me such as: ot Applicable E Psychologist E Psychiatrist Social worker Other 16. ls counseling proposed as a part of your business operation? Yes n N"K a. Does your counseling business contract work with a public agency? Yes E No lf yes, please describe: 17. Will your business be offering the following services ntr Alcoholsales E Smoking Lounge Body piercingl Ear piercing Tattoos/ Permanent m ake-up None of the above 18. Will your business be offering massages as part your business o n? This includes massage as ancillary to pedicures, manicures, and other services. Yes NoE 19. ls cannabis or cannabis related product ivx cultivated, distri , tested, manufactured or dispensed at your business? Yes 20. Do you prepare or sell food for consumption on or off the property? Yes tr lf yes, do you provide sit down service S:Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27-1 8 tr drive-through n , or orders to -"4 go/pick-up fl ? Y r Please explain: 21. Does your business sell automobiles or motorcycles? Yes f] No lf yes, please explain: 22. Does yow i:. ff service or repair vehicles or install equipment and accessories into vehicles? lf yes, pleaJe explain: 23. I acknowledge that I have requested and received all zoning and Santa Municipal Code requirements pertaining to my business and occupancy application initial) I DECLARE UNDER AT THE FOREGOING STATEMENTS ARE TRUE AND AND BELIEF.CORRECT TO TH PENALW OF PERJURY, TH BEST OF MY TqffiIEOCE -1 Print Tifle 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 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 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 Questionnaire 08-27-1 I X City of SantaAna ElTective: 0t10412020 Expires: 0U04n021 License No.: 20-13292 NAME: D.B.A: LOCATION: CITY AND STATE: TYPE OF BUSINESS: Fee: $ E7l.l0 Penalty: S 0.00 Total Fee: $ t7l.l0 MASSAGE ESTABLISHMEI{T PERMIT PURSUANT TO THE PROVISIONS OF CHAPTER 22 Of IHE SANTA At'lA If,JNICIPAL COOE, THIS PERMIT IS GRANTEO FOR THE BUSINESS INOICATEO ON THE COl.lDlTlON THAT THE PERSON, CORPORATIOI.J OR ENTITY MilGD lN THE PERMIT WILL ENSURE Tl-liAT TtlE zuSINESS lS OPERAIED lN COiTPLIANCE wlTH IHE UwS, ORDINANCES ANO REGUL nOTiS THAT ARE NOw 0R lvlAY HEREAFTER BE lN FORCE 8Y THE UNIED STATES GOVERNMENT, THE STATE OF CALIFORNIA AND THE CtrY Of SANTA ANA PERTAINING TO SUCH BUSINESS, IHIS PERffiT IUST BE RETIEITED OX OR BEFORE IHE EXPNAIOX DATE AS SHOW}I A8OVE. THIS PERMIT [,IAY BE SUSPENDED OR REVOrcD BY THE CITY FOR CAUSE, THIS PERTIT IS }IOI IRAITSFERABTE OR REFUIIOAELE. Qiaoli Jiao end Li Zhang Wellness Messrge 1055 W First St Suite I) Santa Ana, CA 92703 Massage l-----:- Chief of Police MUST BE POSTED IN A PROMINENT LOCATION City of SantaAna Effective: 0E10412020 Expires: 0E10412021 License No.: 20-05757 Fee: $ t7l.l0 Penalty: $ 0.00 Total Fee: S E7l.l0 MASSAGE ESTABLISHMENT PERMIT PURSIJANT T0 THE PROVISIONS OF CHAPTER 22 OF THE SAMIA ANA iiUNICIPAL COoâ‚¬, THIS PERMIT lS GR{NTEo FOR THE BUSINESS ll.lDlCATED ON THE CONOITIO}I THAT THâ‚¬ PERSO.I, CORPORATIOI.I OR EiTIITY MI,EO IN IHE PERMIT WLt ENSURE Ttt^I THE zuSINESS IS @ERATEO IN COI,PLIAI{CE WITH THE |..AWS, OROIMNCES AND REGULATIO}IS THAT ARE NOIV OR MAY HEREAFTER 8E IN FORCE BY TIâ‚¬ UNTEO STATES @VERNTENT, THE STATE OF CALIFORNIA AND THE CITY OF SidNTA AM PERTAINING TO SUCH EUSINESS. IHIS PEilT IUSI BE RENEIIED ON OR 8â‚¬FORE THE EXPfi Tlox DATE AS SI.IOWI{ A8O/E. THIS PERMIT MAY BE SUSPENOEO OR REVOIGO BY THâ‚¬ CITY FOR CAUSE. IHIS PERST lsIOI IMXSfERABLE OR REFUT{DA8LE. NAME: D.B.A: LOCATION: CITY AND STATE: TYPE OF BUSINESS: Qiroli Jiro end Li Zhrng Wellners lVlassage 1055 W First St Suite D Sente Ana, CA 92703 Massage SAPD FILE COPYI 11- .MEMORANDUM MCT #48576 Wednesday, January 29, 2020 I sl' 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. TO: FROM: SUBJECT Finance & Management Services Agency Planning and Building Agency Miscellaneous Cash Transaction PROJECT NAME: PROJECT ADDRESS: Massage Establishment, Tl 1055 W First St Unit# D, Santa Ana, CA 92703-3987 MASTER tD#2019-155762 AP # 008-1 41-63 Application # COO-2O20-80-CO Permit # ISSUED TO: QiaoliJiao Wellness Massage ADDRESS: 13682 Onkayla Circle lrvine, CA 92620 ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. 1 Certificate of Occupancy (Fee Purposes Only)1 0000 $481.68 $481 68 01116002 5'1605 I I D; T:T:UEL a -61 Lrt +B I / i: '! r rd r,Fl-1r.-r7 t''J I-t-r .,O; HT */r81. Comments: coo-202G8GCO lssued By: Orozco, lvan (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 i1 '!,'1ftrt