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Home My WebLink AboutCOO-2020-123-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 -A , t/)r ./ /) coo-2020-123-C) | OCCUPANCY INSPECTION APPLICATION BrN 3-l5ro-l TDCIz moa oonmoa -\w\rt E F s. ts\f) I BUSz I r35 w l,\t ,v[Uhrl Lv:q2lqlUNIT OR SUITENESS ADDRESS ZIP CODE OinaS ftm \\lfuvzrnce tlqvuice s BUSINESS NAME BUSINESS PHONE NO. ,k),'?ll LtoH EMERGENCY PHONE NO. c46l\,"*1 q3b BIJSIINESS OWNER'S NAME & TITLE U\ ADDRESS 2 o C \ IowNtrP'e nPr\/trPQ r TCENSE DO YOU OF t+ M V I ( 1l-lo\ric atr No (lF YES, NAME sq{. \lo ?t^'o1.hrr"n EMERGENCY PHONE NO. FLOOR AREA LOY () LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESSl4ot W lst S+. St i't<- \o t Sqrt{ra Af'a, Cl+ qalos PROPERW OWNER'S NAME F^ev'\di t llaqhorh BUSINESS PHONE NO. r1l4rt0l2-QttO () EMERGENCY PHONE NO. PROPERTY OWNER'S ADDRESY BUSINESS DESCRIPTION O MANUFACTURING dorrrc;e tr RETAIL SALES O WHOLESALE O WAREHOUSE tr GROUP ASSEMBLY tr AUTO REPAIR (NO WELDING, NO OPEN FLAMES, NO SPRAY PAINTING E AUTO BODY (SEE ATTENTION BELOW) O WOODWORKING (SEE ATTENTION BELOW) O EATING ESTABLISHMENT (SEE PWA) O OTHER (OESCRIBE ABOVE) El Yes I1 No No. 1 Will you be storing and/or utilizing hazardous materials at this facility?. ll Yes ![No No. 2 Does yourproduction 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 TNCTDENTAL TO WELDTNG W|TH OPEN FLAME, WOODWORKING, CUTTTNG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED rN ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. SIGNATURE (eoTITLE DATE*/rE/Je DEPARTMENT USE ONLY w VYESDate of report: PRIOR APPROVED USE N(,,p PRIOR APPROVAL DATE @Fa/ra PRIOR OCOUPANCY GROUP b PR|DR CONSTRUCTION TYPE t/6 PLANNING Cc olZONE CUP DENIED OATE*/t/+e OCC. LOAD GROUP TYPE DENIED Note: One of the following musi be checked by the C of O Inspeclor v?r( I I Yes [ ] No ls hazardous waste being generated at this site?[ ] Yes [ ] No Has the inspector identified any hazardous NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) materials at this facilitv? Atfr"o , \_ \\s,vmts BYbt:-â‚¬v\ Com of Occupancy application. (iA\ Vi(-oJ ,--SANTA NA-',lt[,]ffi Planning and Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, C492702 (714) 647-5804 www.santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Contact Name: Address (business mailing address)q city: \2(!P {Cicd4/ state: t-ft zip, QL9DI Phone No., ff<tl 8L4 zbL+E-mair Address: tntug g\rVttt n.R}OrnC o CU, E Change of Property Owner fl Cnange of Occupant ! Change of Use E ROOitional Occupant 1. The following best describes my operation: {onr..only E Retail Sales E Medical/Dental n Warehouse/Manufacturing/Distribution n Restaurantffake Out Food E Otner (describe) 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, opentothepublic). \n5\Jfa\\Ce_ \CvUV-Ofg ta\UN,Yloyrnr<_t Gfrnq.re.(Cra\) t.ton- Sq+'. lo qrn--lp^., , o pâ‚¬v"\ tD +\1e pJvc\ iC . 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 E *o VZ lf vacant, for how long? 5. Are you an independent contractor? Yes E ruo M/ o. Locationof thebusinessandsuitenumber, 143= W \St (t Uftit 2O5 tr lstftoor glznoftoor ! -ftoorDo you share the floor or business entrance with another business? y". N/ruo E 8. What is the amount of square footage leased? 9. How much of the space, which you lease, is office? S looo/o tr soYo { ro*tr Less than 30% lf other than '100%, how is the remaining space used? Loa\l o+firâ‚¬- S:Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27-18 2 3 7 Please turn in this completed form with â‚¬hi na .R\anco . t fi. r,l.e O / 10. ts the building sprinklered? Yes E tto E 11. Do you plan on making any improvements to tfe building such as: exterior painting, signage, interior tenant improvements? Yes ! No El' lf yes, please describe: 12. Will your business include a lobby or waiting area? Yes E No M lf yes, what will be the dimensions? 13. Do you store equipment, materials, or products within the building? Yes E *o d a. Will there be outdoor storage of equipment, materials, or products? Yes ! No n lf yes, please describe: b. Will there be storage rgcks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes E No E[ (perm it required for rackdshelving over 6', inquire with permit counterl 14. Doyou manufacture a product at the site? Yes E N" { lf yes, please describe (including process and end product): a. Will operations produce dusUwood shavings or similar materia!? Yes E No Eb. Does the operation involve the use of welding or open flame? Yes E No E 15. Does the proposed use involve a patient care profesglon, such as doctor, dentist, chiropractor, acupuncturist, or physical therapist? Yes E No EI ls the proposed use within the mental health profession, such as: No/Not Applicable I Psychologist ! Psychiatrist a. trtr Socialworker n Other 16. ls counseling proposed as a part of your business operation? Yes n No d a. Does your counseling business contract work with a public agency? Yes E No E lf yes, please describe: 17. Will your business be offering the following services: E Alcohol sales E Smoking Lounge E Tattoos/ Permanent make-up E Body piercing/ Ear piercing El'None of the above 18. Will your business be offering massages as part of your business operation? Th_is includes massage as ancillary to pedicuies, manicures, and otheiservices. Yes E No E/ 19. ls cannabis or cannabis related product stored,gultivated, distributed, tested, manufactured or dispensed at your business? Yes E No Nl- 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 E, drivethrough [, or orders to go/pick-up !? S: Planning\Clerical-Counter Forms\ CofO Ouestionnate 08-27 -18 Please explain: 21. Does your business sell automobiles or motorcycles? Yes n No lf yes, please explain: 22. Does Yes { lf yes, please explain 23. I acknowledge that I have requested and received all zoning and Santa Ana Mun icipal Code requirements pertaining to my business and occupancy application./..7 (initial I DECLARE UNDER PENALW OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. your businq/s service or repair vehicles or install equipment and accessories into vehicles?tr NoM z\13\2a-o Date Print Name 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 Certificate 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 Ouestionnane 08-27 -18 MEMORANDUM TO: Finance & Management Services Agency FROM: Planning and Building Agency SUBJECT: Miscellaneous Cash Transaction MCT #48873 Thursday, February 13, 2020 I -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: Gina Blanco Gina's Auto lnsurance Services ADDRESS: 4280 Lantham St Suite C Riverside, CA 92501 TOTAL MCT AMOUNT $ 481.68 Comments: 202G157756 GL Account # 01 1 16002 51605 Total $481.68 PROJECT NAME: PROJECT ADDRESS: Gina's Auto lnsurance Services 1435 W First St Unit# 205, Santa Ana, CA 92703 MASTER tD#2020-157756 AP #OO7-191-17 Application # COO-2020-1 23-CO Permit # ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. 1.0000 $481.68 $481.68 01116002 516051 Certificate of Occupancy (Fee Purposes Only) GII'lA P,LAH{:t) $4S1. $999. Bstch*:54S91 - 2/lJ/2U20 ID: N6Ali(:IA Ulfice: CTYH Trnns*: 43 I s{' ?Acctt: Ref *: 4SS7.l Itcpt+:[289305r:t - 2/13/2it2lr 1Lr:43 Al1 Trqnsact ion Totai $?9?.t13 (.ert, if icate of 0ccupctncg Lll I 16tru2- 51,105t-rt-ttt- I (:L Chech Ll(197 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 lssued By: Graham, Jeffery (Planning and Building Agency)