The URL can be used to link to this page

Home My WebLink AboutCOO-2020-472-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 coo-2020-472-CO OCCUPANCY INSPECTION APPLICATION BTN 4 O2L1 @CLz maa oo7m @a N\- \S\+ , -.>(A { CNt' i'i;'1'tiT-?ir gt g,^k A n* t[""4i+ot ZIP CODE ,?rq'9m- ;$9 EMERGENCY PHONE Ngz.r A-r0'm 4 91 5 BUSINESS PHONE NO. lTA'd'l.T,rU- Ve 009 TNC/ BUSINESS OWNER'S NAME & TITLE I-l-Ao ANI',L t-E 0rS L^q/ffieoonrss o,uv@ r.cl DO YOU SUBLEASE? tr Yes FNo (lF YES, NAME OF SUBLEASOR)FLOOR AREA J BUSINESS PHONE NO. *01, Z 9S- Yill EMERGENCY PHONE NO. () COMPANY NAME 'L c-^ 4 foi- zv3 e TBUSINE6S PHONE NO. ' ,40 { ,\fF r gct )EMERGENCY PHONE NO. ()I( 0 a, cA (5orr ?-u.-e BUSINESS OESCRIPTION tr MANUFACTURING dorrce , tr RETAIL SALES tr WHOLESALE tr WAREHOUSE tr GROUP ASSEMBLY FLAMES, NO SPRAY PAINTING tr AUTO BODY(SEE ATTENTION BELOW) E WOODWORKING (SEE ATTENTION BELOW) tr EATING ESTABLISHMENT (SEE PWA) tr OTHER (DESCRIBE ABOVE) tr AUTO REPAIR (NO OPEN p v"" [no No. 1 Will you be storing and/or utilizing hazardous materials at ii:***:;:::::,r;:j::::',il;:fiT,::"":::T:il::ril"' Fire Authority's Hazardous Material Disclosure Section at (714) 573-6000. lf YES, please describe ATTENTTON: ArffiU" "H" OCCUPANCT9S (TNCLUDTNG, BUT NOT LTMTTED TO, AUrO BODY, AUTOMOTTVE WORK OR STORAGE INCIDENTAL TOMIGLIIING WITH OPEru-TtAME, WOODWORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED ANy BUTLDING 6*blftucrune uu.6s rHERE rs AN AppRovED FIRE spRTNKLER sysrEM TNSTALLED T I IN SIGNATURE '"vls 'El ( lla DEPARTMEruT USE ONLY PERMITS? Date of qYES ? Derta I AL DATE'nlg\s PRIOR OCCUPANCY GROUPvL PRIOR COT.ISTRUCTI ON TYPE V N- SPtr PLANNING ZONE Lc) CUP ,1ftlfAr APPROVED DENIED '^"1W ltmo CONSTRUCTION TYPEt/B ,?(/2, aupuro APPROVED DENIED t DATE )-2;^S) occ. LoAD OCCUPANCY GROUP6 materials at this facilitv? COrto.u'ed [ ] Yes I I No Has the inspector identified any hazardous NOTES: (LIMITATIONS OF APPROVED OCCUPANCY)2 Cllquts Note: One of the following must be checked by the C of O lnspector. [ ]Yes [ ] No lshazardouswastebeing generatedatthissite?dfftce d6-f- il( I SOUARE FEET740 UQtuthcl *-,.-^ z( ,--SANTA NA-"i'ilffi Planning and Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, CA92702 (714) 647-s804 www.santa-ana.org CERTIFICATE OF OCCUPANCY : SUPPLEMENTAL QUESTIONNAIRE Please turn in this form with your Certificate of application. Company Name ( Contact Name: mailing ress)th< I 4 \r./{ City:State r;o phone r.ro., ?t q - L9q t9?9 e-mairAddress , Cto ffi Cnrng" of Prope(y Owner E Cnange of Occupant E Cnange of Use E Additional Occu T 1. The following best describes my operation: n omce only ! Retait sales (ueaicatl E Warehouse/Manufacturi ng/Distribution E Otner (describe) ranUTake Out Food 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, 3-;;[Ut4 N4,au-, Fn' ,9'ff 1e-{ 3. What was the fo;mer/tlpe of business or use of facility? (Please contact the leasing agent or building'v';::'fri:rr';:uessuse) ,4. Has the building or.O$" been vacant or is this a new building? Yes E -of, lf vacant, for how long? 5. Are you an independent contractor? Yes E N" A 6. Location of the business and suite numberJEklstfloor tr 2ndfloorr\ 7. Do you share the floor or business entrance with another business? Yes tr No H 8. What is the amount of square footage leased?4 'D 9. How much of the space, which you lease, is office? F.1O0o/o n soo/o tr 3oo/o lf other than 100%, how is the remaining space used? S:Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27-1 I Less than 30% _ floor tr 10. ls the building sprinkleredZ ve"f ruo tr ,K building such as: exterior painting, signage, 12. Will your business include a lobby or waiting area? Yes fi ruo tr- n-tL lf yes, what will be the dimensions? I 0 L' 1'\t 13. Do you store equipment, materials, or products within ihe building? Yes E N" H. a. Will there be outdoor storage of equipment, materials, or products? Yes E No fI lf yes, please describe: b. Will there be storagqqacks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes E No P.{per- it required for racks/shelving over 6', inquire with permit counterl 14. Doyou manufacture a product at the site? Yes E No A ,# 11. Do you plan on making any improvements interior tenant improvements? Yes n No lf yes, please describe: 15. Does the proposed use i acupuncturist, or physical a. ls the proposed u I 2$No/Not Applicable"E Socialworker E Alcoholsales E Smoking Lounge Body piercing/ Ear piercing iropractor, 16. ls counseling proposed as a part of your business operation? Yes E No F 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: x trtr ntr 18. Will your business be offering massages as part of your business operation? T,fris includes massage as ancillary to pedicures, manicures, and other services. Yes n *"4 19. ls cannabis or cannabis related product stor.efl cultivated, distributed, tested, manufactured or dispensed at your business? Yes n "" A 20. Do you prepare or sell food for consumption on or off the property? Yes E NoA lf yes, do you provide sit down service E, drive-through E, or orders to go/pick-up !? lf yes, please describe (including process and end product): a. Wi!! operations produce dusUwood shavings or similar material? Yes Eb. Does the operation involve the use of welding or open flame? Yes E No involve a patient cpre profession, such ". Oo"rorffi)n therapist? vesK 'f.ro tr \J rse within the mental health profession, such as: ! Psychologist ! Psychiatrist Other Tattoos/ Permanent make-up None of the above S:Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27-1 8 Please explain t, 21. Does your business sell automobiles or mgtorcycles? Yes E lfyes,pleaseexplain: N/k /,, ?::'5"fl:'K No d 0q ZD service or repair vehicles or install equipment and accessories into vehicles? lf yes, please explain:A) 23. I acknowledge that I have requested and received all zoning and Ana Municipal Code requirements pertaining to my business and occupancy application.initial) I DEC Print R PENAL F PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND E MY KNOWLEDGE AND BELIEF. 0t D Sig Date e 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 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 industrialzone; medical, restaurant, Iaundromat, 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! Gode requirements. S: Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27-1 8 MEMORANDUM TO: FROM: SUBJECT MCT # 51324 Tuesday, September 8, 2020Finance & Management Services Agency Planning and Building Agency Miscellaneous Cash Transaction 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: HAO ANH DDS lnc COO 4514W First St, Santa Ana, CA92703-3102 MASTER tD#2020-161327 AP # 108-102-38 Application # COO-2020-472-CO Permit # ISSUED TO: HAO ANH LE HAO ANH LE DDS lnc ADDRESS: 4514W First St Santa Ana, CA 92703 ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. 1 Certificate of Occupancy (Planning and lnspection)1 0000 $499.36 $499.36 01 1 16002 51605 r onSq Comments: lssued By: Arias, Fernanda (Planning and Building Agency) TOTAL MCT AMOUNT $ 499.36 GL Account # 01116002 51605 Total $499.36 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 3 of 3 HAIJ ANH (:ert if icote of 0ccup0n,-y ul 1 l6LlLt2- 5l6LrililjrJ- V isn (:(.i : ***x**** r * * r5346 flUL NOTES: