HomeMy WebLinkAboutCOO-2020-66-CO - Certificate of Occupancya
Planning & Building Agency
Building Safety Division
20 Civic Ccnter Plaza
P.O. 1988 (Nr-re)
Santa Ana, CA 92702
(714) 647-581s
coo-2020-66-CO
OCCUPANCY INSPEGTION
APPLICATION
BrN 3?qnot-
@C
9.z
mo
@
(]o7m(/)
U)
\q
\
I c 5t til fr .* [/4,'f tr 4L'7 al
ZIP CODEBUSINESS AODRESS UNIT OR SUITE
BUSINESS PHONE NO.
0ti\qbb' 2t LL
EMERGENCY PHONE NO.
oti ful1 - 8,3'tl
BUSINESS NAME
& i,.. L^rnLr,r
\(l14,
RS LICENSE NO. & STATE
Po. B"* sDg }r'n L q7't8\NESS EMAIL ADDRESS
DO YOU SUBLEASE? trYes ENo (lF YES,OF SUBLEASOR)
8cr)\\N
BUSINESS PHONE NO.LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME
5he Ao-
PROPERTYLEASING AGENT
20L
BUSINESS PHONE NO.
\ t\\.,".\
\L Az-Ae< Af .,',..< Lf 4ZUzn
PROPERTY OWNER'S AODRESS
EI Yes f,No No. 1 Will you be storing and/or utilizing hazardous materials at
this facility? ,
Jt Yes [No No.2 Does your production process produce hazardous waste?
lf you have answered Yes to eilher question you must conlact Orange County
Fire Authority's Hazardous Malerial Disclosure Section at (714) 573-6000.
lf YES, please describe
fo.^ Lar,',\ rqBUSINESS DESCRIPTION
E MANUFACTURING
O OFFICE
E RETAIL SALES
O WHOLESALE
EWAREHOUSE
g GROUP ASSEMBLY
O AUTO REPAIR (NO WELDING, NO OPEN
FLAMES, NO SPRAY PAINTING
OAUTO BODY(SEE ATTENTION BELOW)
E WOODWORKING (SEE ATTENTION BELOW)
O EATING ESTABLISHMENT (SEE PWA)
tr 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 BUILqNG OR STRUC-TURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED,
SIGNATU it^be/TITLE DATE
tlzz\zo zo
DEPARTMENT USE ONLY EXPIRE
YES
PERMITS?
Datc of report:\
PRIOR OCC1.,'PANCY GROUP
A
PRIOR COI]STRUCTION TYPEVBPRIOR APPROVAL DATE
4,/tr /t7
DENIED DATE//zz-./z .,
PLANNING6c CIZONE CUP o"""2517
OCC. LOAD CONSTRUCTION TYPE
VB
DENIED 1-6-adATE ,
Noter One of the following must be checked by the C of O lnspector.
[ ] Yes [ ] No Has the inspector identified any hazardous materials at this
(J
lity? t I
NOTES: (LIMITATIONS OF APPROVED OCCUPANCY)
[ ] No ls hazardous waste being generated at this site?
APPROVEkwKt))
-,-SANTA
ANA-'ql}ffi
I
Planning and Building Agency
Planning Division
20 Civic Center Plaza
P.O. Box 1988 (M-20)
Santa Ana, CA.92702
(7141647-s804
www.sa nta € na.org
CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
P/ease turn in this completed form with your Certificate of Occupancy application.
Company Name (Print):5 Ls L^vrLr..r C"e^\lo.,s LtoiJ
City:
Contact Name \r
Address (business mailing address):
4s\i^,,
9. How much of the space, which you lease, is office?
n fio% n so% tr 3oYo
lf other than 100%, how is the remaining space used?
S:Planning\Clerical4ounter Forms\
State: Ch 710 qz"7g\
E-mailAddress: a,rco-,1\ € I a./nAr,(.^6 anq,tr,{e"'tl, uS
il
fft""rthan 30%
Phone No.: 7/&/ - flt"V - LbLZ
fr Cnange of Property Owner E Change of Occupant ! Change of Use E Additional Occupant
1. The following best describes my operation:
! Orice Only E Retailsales ! ruealcat/Dental
! Warehouse/Manufacturing/Distribution ! Restaurant/Take Out Food
ffotner (describe) Lar n\., ,-r a 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 6lublic).- Saif- inr.rtre \a'"n [ro",n'^\ ' ^{--S
17 - 1l30
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.)
4. Has the building or space been vacant or is this a new building? Yes ! No {
lf vacant, for how long?
5. Are you an independent contractor? Yes E No V
6. Location of the business and suite number U".,1 *
-/[ 1.,floor tr 2ndfloor ! _floor
7. Do you share the floor or business entrance with another business? Yes E No
8. What is the amount of square footage leased?2, 860
CofO Ouestionnaire 08-27-1 8
10. ts the building sprinklered? Yes Z No V(
11. Do you plan on making any improvements to tle building such as: exterior painting, signage,
interior tenant improvements? Yes E No Z[
lf yes, please describe:
12. Will your business include a lobby or waiting area? Yes ! No
E Psychologist E Psychiatrist
Other
{
lf yes, what will be the dimensions?
13. Do you store equipment, materials, or products within the building? Ves t No E
a. Willthere be outdoor storage of equipment, materials, or products? Yes E No il
lf yes, please describe: (1\ eani,.y S",g7\ I eS
b. Will there be storage ragks, pallets and/or shelving exceeding 5 feet 9 inches in
height? Yes E No ff{e.r-it required for racks/shetving over 6', inquire with permit counterl
14. Do you manufacture a product at the site? Yes E No V
lf yes, please describe (including process and end product):
a. Will operations produce dusUwood shavings or similar material? Yes E No {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 physicaltherapist? Yes E No Y
a. ls the proposed use within the mental health profession, such as
W{r*orAppticabten Sociatworker E
16. ls counseling proposed as a part of your business operation? Yes E *o {
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:
trtr
Alcoholsales E Smoking Lounge
Body piercingl Ear piercing
E Tattoos/ Permanent make-up
Ehone of the above
*o{
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 Zl--
19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or
dispensed at your business? Yes n No EF
20. Do you prepare or sellfood for consumption on or off the property? Yes E No {
lf yes, do you provide sit down service E, drive-through E, or orders to go/pick-up E?
S:Planning\Clerical€ounler Forms\
CofO Questionnaire 08-27-18
Please explain:
21. Does your business sell automobiles or motorcycles? yes E ruo Z-
lf yes, please explain:
your businesgservice or repair vehicles or install equipment and accessories into vehicles?tr No [E'
lf yes, please explain
.2?7o z-o
\'.
Date
Print Name \rV\e,y.\e
22. Doesyes
I
I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT THE MY KNOWLEDGE AND BELIEF
23. I acknowledge that I have requested and received all zoning and Santa Ana Municipal Code
requirements pertaining to my business and occupancy application. <p (initial)
I
Signature
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 Civic 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 industrial zone; 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 Code requirements.
S:Planning\Clerical4ounler Forms\
CofO Questionnaire 08-27-1 8
rueruonaNDUM
TO: Finance & Management Services Agency
FROU: Planning and Building Agency
SUBJECT: Miscellaneous Cash Transaction
MCT # 48480
Wednesday, January 22, 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.
PROJECT NAME:
PROJECT ADDRESS:
Coin Laundry COO
1055 W First St Unit# F, Santa Ana, CA 92703-3987
MASTER tD#2020-157278
AP #008-141-63
Application # COO-2020-66-CO Permit #
ISSUED TO: Sean Phillips
SLS Laundry Creations
ADDRESS: 32l l Maple Street
Santa Ana, CA 92707
ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO.
1 Certificate of Occupancy (Fee Purposes Only)1.0000 $481.68 $481.68 01116002 51605
t:
I,
cpt+:Lr2g7U?93 - 1r
r0nsnct i on TotnlEAH PHILT
L5 LAUNDRY (:REATIJI,
t if icnte of' 0ccup0n':
16[t|2- 5l6l:t5t:[Jr]-
(*r+ x**rf **r* 1
Comments:
lssued By: Pezeshkpour, Ali (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 2 of 3