HomeMy WebLinkAboutCOO-2020-303-CO - Certificate of OccupancyPlanning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. 1988 (M-19)
Santa Ana, CA 92702
(714) 647-s8ts
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coo-2020-303-CO
OCCUPANCY INSPECTION
APPLICATION
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d"BUSINESS ADDRESS UNIT OR SUITE ztP>T
LIusron 3an1c*- Ana LLcBUSINESS NAME BUSINESS PHONE NO.
&14t 6ib tro{EMERGENCY PHONE NO.
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ADDRESS EMAIL ADDRESSsli(ursrcn
Do YoU SUBLEASE? tr Yes Fqo (lF YES, NAME OF SUBLEASOR)SQUARE FEET
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FLOORIqREAl,qoo
BUSINESS PHONE NO.
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EMERGENCY PHONE NO.
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LEASING AGENT OR PROPEBTY MANAGEMENT COMPANY NAME
l'lo"vtc,.. t)tt.lor e LLC
LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESS
)oet\ g.cF.q,cr\crn huc + tLSh Or6,nsaq ch tl2:sg9
EMERGENCY PHONE NO.
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PROPERry OWNER'S NAME'T-ornn BUSINESS PHONE NO.
6t0$oo 3s \V
aq r-a.a 1} J Ctb Ct ,.-O
PROPERTY OWNER'S ADDRESS
tr AUTO REPAIR (NO WELDING, NO OPEN
FLAMES, NO SPRAY PAINTING
E AUTO BODY (SEE ATTENTION BELOW)
O WOODWORKING (SEE ATTENTION BELOW)
tr EATING ESTABLISHMENT (SEE PWA)
tr OTHER (DESCRIBE ABOVE)
r.teret seles
BUSINESS DESCRIPTION
E MANUFACTURING
E OFFICE
tr WHOLESALE
O WAREHOUSE
tr GROUP ASSEMBLY
El Yes{o No. 1 will you be storing and/or utilizing hazardous materials at
this facility?
!l Yes F! No No. 2 Does your production process produce hazardous waste?
lf you have answered Yes to either question you musl 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-)AIIIH OPEN FLAME, WOODWORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN
ANy BUTLDTNG orsrnudrunbuNlEss TllE:RE rs AN AppRovED FIRE SpRINKLER sysrEM TNSTALLED
SIGNATURE
\Dft! M r
lrLE
0 -22 -
DATE
DEPARTMENT USE ONLY PERMITS? I
Date of report: p TA 1/)YES
PRIOR OCCUPANCY GROUPg PRIOR CONSTRUCTbN TYPEvQPRIOR APPROVED USE
Ope- v Ce,
PRIOR APPROVAL DATE2o\ Z_
PLAUNINGbr LZ
ZONE CUP
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APPROVED DENIED DATE ,
h I Z>l2c'zc,
DENIED,A<DATE , \
74-loao
occ. LoAD OCCUPANCY GROUP
,/2
CONSTRUCTION TYPE/6
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)
\P
\I"
,
\IiPFROVED
EarEuA
completed form with your Ceftificate of Occupancy application.
Ilt-rsrovr LLC
contact Name: O,lr^ Go y176-tut-
Please turn in this
Company Name (Print):
.,-*SANTA
NA-'li'i}ffi
Planning and Building Agency
Planning Division
20 Civic Center Plaza
P.O. Box 1988 (M-20)
Santa Ana, CA92702
(7141il7-5804
www.santa-ana.org
CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
t
Address (business mailing address):1603 uJ 1{ StrecJ U, 'tw
Qtttce
A
Sc,-r^\c. An cACity:State:
Phone No E-mailAddress: I n
E Cfrange of Property Owner E Cnange of Occupant E Cnange of Use E Additional Occupant
1. The following best describes my operation:
E ottice only frRetail Sales E tuedical/Dental
E Warehouse/Manufacturing/Distribution n Restaurant/Take Out Food
E Otner (describe)
3
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,
opentothepubric)' Ctoth a, gVoes/ Wfdne) co3yyu116S,
What was the former type of business or use of facility2 (Please contact the leasing agent or building
owner to determine prior business use.,)
( on-
2
4. Has the building or space been vacant or is this a new building? Yes E ruo E
lf vacant, for how long?
5. Are you an independent contractor? Yes E No n
6. Location of the business and suite number:
f t't ftoor tr 2nd ftoor E
-
ftoor
7 . Do you share the floor or business entrance with another business? Yes E No IZ
8. What is the amount of square footage leased?
9. How much of the space, which you lease, is office?
tl 1oo% tr soo/o n 3oo/o
lf other than 100%, how is the remaining space used?
Less than 30%
S: Planning\Clerical-Counter Forms\
CofO Questionnaire 08-27-1 8
zip, q L+o 3
"t^l fito-" (()4
10. ls the building sprinklered? Yes I No E
11. Do you plan on making any improvements to tfe building such as: exterior painting, signage,
interior tenant improvements? Yes E ruoX
lf yes, please describe:
12. Will your business include a lobby or waiting area? Yes E ruo E
lf yes, what will be the dimensions?
13. Do you store equipment, materials, or products within the building? yes E., No E
a. Will there be outdoor storage of equipment, materials, or products? Yes E ruo B
lf yes, please describe:
b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in
height? Yes E No![fl"rm it required for racks/shelving over 6', inquire with permit counterl
14. Doyou manufacture a product at the site? Yes E UoE
lf yes, please describe (including process and end product):
a. Wil! operations produce dusUwood shavings or similar material? Yes f] No E(b. Does the operation involve the use of welding or open flame? Yes E No EL
15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor,
acupuncturist, or physical therapist? Yes E No E
a. ls the proposed use within the mental health profession, such as:
E t'toltlot Applicable ! Psychologist E Psychiatrist
n Socialworker E Ot,er_
16. ls counseling proposed as a part of your business operation? Yes E No\Ef
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:
NoE
tr\K
18. Will your business be offering massages as part of your business operation? This includes
massage as ancillary to pedicuies, manicures, and otheiservices. Yes E No&
19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or
dispensed at your business? Yes f] ruolR
20. Do you prepare or sell food for consumption on or off the property? Yes n NoDE
lf yes, do you provide sit down service E, drive-through E, or orders to go/pick-up !?
! Alcoholsales E Smoking Lounge
E AoOy piercing/ Ear piercing
Tattoos/ Permanent make-up
None of the above
S:Planning\Clerical-Counter Forms\
CofO Ouestionnate 08-27 -1 I
Please explain:
21. Does your business sell automobiles or motorcycles? Yes E ruo p(
lf yes, please explain:
22 Does your business service or repair vehicles or install equipment and accessories into vehicles?
Yes n ruo(
lf yes, please explain:
23. I acknowledge that I have requested and received all zoning and Santa Ana Mu nicipal Code
requirements pertaining to my business and occupancy application.nitial)
I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
6.Lz- 20
Date
PrintName C \.^-J Y\z(
Title
Information
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 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 Code requirements.
S:Planning\Clerical-Counter Forms\
CofO Ouestionnaire 08-27-18
MEMORANDUM
TO:
FROM:
SUBJECT
Finance & Management Services Agency
Planning and Building Agency
Miscellaneous Cash Transaction
MCT # 50133
Monday, June22,2020
-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:
llusion COO
1605 W First St Unit# B, Santa Ana, CA 92703-3613
MASTER tD # 2020-159589
AP #007-202-24
Application # COO-2020-303-CO Permit #
ISSUED TO
ADDRESS:
Rita Gonzalez
llusion
1605 W. First Street, Unit B
Santa Ana, CA 92703
ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO.
1 Certificate of Occupancy (Planning and lnspection)1 0000 $481.68 $481.68 01116002 51605
Comments:
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
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