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Home My WebLink AboutCOO-2020-215-CO - Certificate of OccupancyI , . ^ , ,^ I Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. 1988 (M-19) Santa Ana, CA 92702 (714) 647-s8ts coo-2020-21s-CO OCCUPANCY INSPECTION APPLICATION BTN 3-l<r I U TDC @z ma U) Io7m @ CN t33.t t, FrnFst Se^\aa\q G Ql-to3 BUSINESS ADDRESS UNIT OR SUITE ZIP CODE BUSINESS NAME C,, ..r^ D,, r,.{a,, t o I Sd^+1 Cl ncn BUSINESS PHONE NO. rll"1.I9l oB1+ EMERGENCY PHONE NO. nqft 6A\ :J -t 1-l EMAIL ADDRESS BUS BUS Yrs \*r* (^Ja\rj , nlC-r^L l.^1t c DO YOU SUBLEASE? tr Ye7trJ,lo (rF YES, NAME OF SUBLEASOR)SQUARE FEET \$ oo FLOOR AREA LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME P.,\- 01,',. rr?V BUSINESS PHONE NO. r?tYrfvz- - L,Cz.C () EMERGENCY PHONE NO. LEASING AGENT'R PROPERTY MANAGEMENT COMPANY ADDRESS B') o 9 l r\- s.t-<.,+ (r,^*2, Ctnc^ G cl t--l ot' BUSINESS PHONE NO. ())( EMERGENCY PHONE NO.PROPERry OWNER S NAi\,,|E PROPERry OWNER'S ADDRESS BUSINESS DESCRIPTION E MANUFACTURING E OFFICE E RETAIL SALES ]I WHOLESALE tr WAREHOUSE tr GROUP ASSEMBLY O AUTO REPAIR (NO WELDING, NO OPEN FLAMES, NO SPRAY PAINTING E AUTO BODY (SEE ATTENTION BELOW) tr WOODWORKING (SEE ATTENTION BELOW) tr EATING ESTABLISHMENT (SEE PWA) E OTHER (DESCRIBE ABOVE) D,, ,",i4' I o C-$,i, ., tI Yes If,No No. 1 Will you be storing and/or utilizing hazardous materials at this facilily? El Yes fLNc No. 2 Does your production process produce hazardous waste? I 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, WOODWORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. l-4 6 r,lnXo.- SIGNATURE Or" "...rr TITLE ll ll ll---* DATE DEPARTMENT,USE ONLY PERMITS? Date of report:. YES NO ) PRIOR APPROVED USE ltulr'u^l 0(froz PRIOR APPROVAL DATE lV rq/b PRIOR OCCUPANCY GROUP B PRif R CdNSTRUCTIOM TYPE UR CONSTRUCTION TYPEv DENIEDOCC. LOAD OCCUPANCY GROUP [ ] Yes I I No Has the inspector identified any hazardous materials at this facility?[ ] Yes [ ] No ls hazardous waste being generated atthis site? Dnul o(Ua/ Note: One of the following be checked by the NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) nspector I Planning and Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, CA92702 (7141 647-s804 www.santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Please turn in this completed form with your Cerlificate of Occupancy application. Company Name (Print): ContactName: hcnnc.,,n EH+vtsD- â‚¬a y\ \,,.,',J i\rrr',r) Address (business mailing address) \-l1r1!4 tu t sa- s-Fr__""* City:Cz-',.V Cl nn Starc: G^ Zip lutot Phone tto.:'lt'1-Sq\^o CI3 L E-mail Address: Yh,n {- Ao.nlr!(d arn",,l,o,-.-, { "n"nn" of Property Owner E Changeof Occupant I Change of Use E 1. The following best describes my operation: E otlceonly E Retail Sales'tr"o,""l/Dental fl Warehor"gnr"nrr"cturingloi;if'ution E Restaurant/Take Out Food E Ottrer (describe) 3 4. Has the building or space been vacant or is this a new building? Yes E lf vacant, for how long? -------!- Additional Occupant 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 o! operation, opentothepubtic). C-,Pt,r fi,T,rr, T , S^f-V c?2n f {-)u'b}'c What was the former type of business or use of faci[ty? (Please contact the leasing agent or building owner to determine prior business use.,) !6 ,.lrJ *"F\ 5. Are you an independent contractor? Yes ( *" O fi-,,,,, 6. Location of the business and suite number: S--tottoo,. tr 2ndftoor !-ftoor 7. Do you share the floor or business entrance with another business? Yes E No 8. What is the amount of square footage leased?t(bc, '- [ a c'o S(v-T 9. How much of the space, which you lease, is office? n 5oo/o tr 3oo/o lf other than 100%, how is the remaining space used? S:Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27-1 8 Less than 30% ,--SANTA NA*',[li]ffi tr 12. Wil your business include a lobby or waiting area? Yes lf yes, what will be the dimensions? 13. Do you store equipment, materials, or products within the building? ye.{ /' a. Will there be outdoor storage of equipment, materials, or products? Yes E lf yes, please describe: b. Will th , pallets and/or shelving exceeding 5 feet 9 inches in height?required for racks/shelving over 6', inquire with permit counterl 10. !s the building sprinklered? Yes fruo n 11. Do you plan on making any imprgve;ne interior tenant improvements? Yes SI lf yes, please describe: )ELNo/Not Appticabte/ E Socialworker E fl NoE NoE n N"'\-- ""/ 14. Do you manufacture a product at the site? Yes lf yes, please describe (including process and end product): 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 n 15. Does the proposed use involve a patient cqre profession, such as doctor, dentist, chiropractor, acupuncturist, or physicaltherapist? YesEI No fI a. ls the proposed use within the mental health profession, such as: n o tr Psychologist n Psychiatrist Other 16. ls counseling proposed as a part of your business operation? Yes E NoA 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: ! Alcohol sales E Smoking Lounge n Tattoos/ Permanent make-up ! Body piercing/ Ear piercing )K ruone of the above 18. Will your business be offering massages as part of your business operationQ Trhis includes massage as ancillary to pedicures, manicures, and other services. Yes E ruo A 19. ls cannabis or cannabis related product stq(qd, cultivated, distributed, tested, manufactured or dispensed atyourbusiness? Yes E ruo F-.- \/ 20. Do you prepare or sell food for consumption on or off the property? Yes E *" F lf yes, do you provide sit down service n, drivethrough E, or orders to go/pick-up !? S :Planning\Clerical-Counter Forms\ CofO Questionnate 08-27 -18 building such as: exterior painting, signage, ruoE Please explain: 21. Does your business sell automobiles or motorcycles? Yes E No lf yes, please explain: s 22. Does your businpss service or repair vehicles or install equipment and accessories into vehicles? Yes E ruo\ J lf yes, please explain: 23. I acknowledge that I have requested and received all zoning and Santa Ana Municipal Code requirements pertaining to my business and occupancy application.MY: (in itial) I DECLARE UNDER PENALW OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. Nl E^,- 1", f--?l . /-',--ffi'hr,^o,n C-,lhr*ir* Datd I Print NameJ 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 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 Gertificate of Occupancy to determine the grandparented rights of a nonconforming use, or a use which has additiona! Code requirements. S :Planning\Clerical-Counter Forms\ CofO Questionnate 08-27 -18 I Or.r^\ i I- ) I D MEMORANDUM TO: Finance & Management Services Agency FROM: Planning and Building Agency SUBJECT: Miscellaneous Cash Transaction MCT # 49308 Tuesday, March 17,2024 -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; Maryam Farshidpour Casa Dental of Santa Ana ADDRESS: 1334W1st St Santa Ana, CA 92703 TOTAL MCT AMOUNT $ 481.68 Comments: 202G158464 lssued By. Graham, Jeffery (Planning and Building Agency) GL Account # 01 1 16002 51605 Total $481.68 PROJECT NAME: PROJECT ADDRESS: Casa Dental of Santa Ana 1334 W First St, Santa Ana, C492703-3723 MASTER tD#2020-158464 AP #007-211-40 Application # COO-2020-21 s-CO Permit # ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. 1 Certificate of Occupancy (Fee Purposes Only)1.0000 $481.68 $481.68 01116002 51605 cpt+:rr2916936 " 3/17l2U2Lr :li rnnso,.:t ior' Totnl $Su F ARliH] DF'UUH (:ert if icot,e of 0ccupttncc tt1I I6tltl?- I'l6tli tltltl*tiiso (:{:+ : r***tt*xti*tt*r ?3gI 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