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Home My WebLink About80429254 - Certificate of Occupancytllâ‚¬ t{-'70Y T2-& 4gt ,(sg Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. 1988 (M-r9) Santa Ana, CA 92702 (714) 647-s8ts No. 804 -2925 4 OCCUPANCY INSPECTION APPLICATION BrN 37 Lt Ot t u,CIz m @ @ (](Eamoo J.s Vg s +>-T ZIP CODE BUSINESS PHONE NO. tp)() EMEHGENC\rPHONE NO. OWNER'S NAME & E[^,. / CYES ODO OF o BUSINESS PHONE NO.EMERGENCY NAME J{a (/PROPERTY OWNEFI'S ADDHESS BUSINESS DESCBIPTION . MANUFACTURING II OFFICE I RETAIL SALES t]AUTO REPAIR (NO WELDING, NO OPEN FLAMES, NO SPRAY PAINTING O AUTO BODY(SEE ATTENTION BELOW) D wooDli/oRKNqsEE ATTENToN BELOW) I] EATING ESTABLISHMENT (SEE PWA) U oTHER (DESCR|BE ABOVE) N&ro,-="o.. U WAREHOUSE I] GROUP ASSEMELY Disclosure Seclion at storing utilizing Jl to @r tI nN*matedatsat No.2 Does this taciliq2 s796000.honty's dease i"zaao* *"",", Orange County t tYes (No No. r witt ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT INCIDENTAL TO WELDING WITH OPEN FLAME, WOODWO ANY ILDI E MITED TO, WOOD) SHALL NOT BE @NDUCTED IN BODY R VE WORK OR STORAGE Oq:4a.r TTTLE DATE , //o/2/ DEPARTMENT U ONLY (a-UNO OaEorrsport: PRIOR APPROVED USE ;J{r4btlt}zn PRIOR APPROVAL DATE o K SPIE lrl DENIED GROUP CONSTBUCTION TYPE DENIED DATE [ ] Yes [ ] No Has the inspector identified any haardous materials at this facility? wlvlts-l tkl^;L-Specu RAc*s ottt?[ ] Yes I I No ls hazardous waste being gBnerated at this site? tfiU 2l4. musl bâ‚¬ cfEcked by the ol O lnspâ‚¬clor NOTES:.(LIMITATIONS OF APPHOVED Note:the / .t -76 ALnu?:rr.:*PH'NEn.L// Ptt(r{E No. TT EMERGENCY PRIOR OCCUPANCY GROUP . PRIOR CONSTRUCTION TYPE PLANIIING'La ( CUP DATE lo/>/rl OCC. LOAD I ( ,^-SAJ,{TA AltA,"'i[,]ffi Planning and Building Agency Planning Division 20 Givic Center Plaza P.O. Box 1988 (M-20) Santa Ana, Cn.92702 (7141il7-s804 www.santa-ana,org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Please turn in Company Name (Print) this form Occupancy Contact Name: Address (business mailing address): City:State: D Cnange of Property Owner E Cfrange of Occupant ! Change of Use E Additional Occupant 1. The following best describes my operation: E office Only ! Retail Sales n Medical/Denta! -fYW"r"nouse/Manufacturing/Distribution ! RestauranUTake Out Food d o,n", (describe) 2. 4. Has the building or space been vacant or is this a new building? Yes E No M lf vacant, for how long?yn a roth 5. Are you an independent contractor? Yes fl No El 6. Location of the business and suite number #ao( (.r. Qn#.(7, 'tq.r/q4nr. B lstfloor tr 2ndftoor f] _ftoor 7. Do you share the floor or business entrance with another business? Yes E No EI 8. What is the amount of square footage leased?7 ood e\E 9. How much of the space, which you lease, is office? tr 1oo% tr soYo tr 3oYo lf other than 100%, how is the remaining space used? S : Planning\Clerical-Counter Forms\ CofO Questionnane 08-27 -18 Please provide a brief description of how the business operates at this site (for example, please describe the general nature of the.business, what activ.itieqoccur on-pite, the hours of operation, open to the f ublic). who le SaJe d Q.fo, I"U,,,.*AU"io {^W 'frZr'/;'fi:,i op,o to pLl;c What was the former type of businesS or use of facility2 (Please contact the leasing agent or building owner to determine prior business use.) e.-. c4 t3 3. X Less than 30% Phone N"., 76 v eS / qz?Z-mairAddress: 10. lsthebuitdingsprinklered? YesEl tto E 11. Do you plan on making any improvements to the building such as: exterior painting, signage, interior tenant improvements? Yes E No E lf yes, please describe: 12. Will your business include a lobby or waiting area? Yes [[ No E lf yes, what will be the dimensions? 13. Do you store equipment, materials, or products within the building? Yes ffi No E a. Will there be outdoor storage of equipment, materials, or products? Yes n No E lf yes, please describe: b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes I No n (permit required for racks/shelving over 6', inquire with permit counterl 14. Do you manufacture a product at the site? Yes E No EI lf yes, please describe (including process and end product): a. Wil! operations produce dusUwood shavings or similar material? Yes E No Eb. Does the operation involve the use of welding or open ftame? Yes E No E 15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor, acupuncturist, or physical therapist? Yes E No E[ Etr ls the proposed use within the mental health profession, such as No/Not Applicable ! Psychologist ! Psychiatrist Socialworker E Other a. 16. ls counseling proposed as a part of your business operation? Yes E No El 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 Alcohol sales ! Smoking Lounge Body piercingl Ear piercing Tattoos/ Permanent make-up None of the above ntr '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 E 19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or dispensed at your business? Yes f] No E 20. Do you prepare or sell food for consumption on or off the property? Yes E No E lf yes, do you provide sit down service E, drive-through E, or orders to go/pick-up !? S :Planning\Clerical-Counter Forms\ CofO Questionnate 08-27 -1 8 trtr Please explain: 21. Does your business sell automobiles or motorcycles? Yes E No E lf yes, please explain: 22. Does your business service or repair vehicles or install equipment and accessories into vehicles?yesE NoF 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. LN (initial) I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. Signature Lr' i To- NauuLLt4 2 Date Print Name Out n4 / 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 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 Questionnate 08-27 -18 J-/ I *(-rf ,.,,- MEMORANDUM TO: Finance & Management Services Agency FROM: Planning and Building Agency SUBJECT: Miscellaneous Cash Transaction MCT # 46990 Thursday, October 3, 2019 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: Discount Spa & Salon Furniture 4906 W First St, Santa Ana, CA 92703-3110 MASTER lD # 2019-154890 AP # 108-741-04 Application # MISC-2019-825-CO Permit # ISSUED TO ADDRESS: Loi Tan Nguyen Discount Spa & Salon Furniture 13581 Springdale St Westminster, CA 92683 QTY UNIT RATE N 1.00001 Certificate of Occupancy (Fee Purposes Only) $ 491 0fl i OISCOUNT SPA & SALON FURNITURE Cerf if icote of OccuPoncY 01116002- 51605000- Cosh Chnnse t I I lLrrJ ( $17. $481 68 01 1 16002 51605 Acctl: Rcpt*:02770475 Tronsoct i on Tot H Comments: 80+29254 lssued By: Graham, Jeffery (Planning and Building Agency) TOTAL MCT AMOUNT $ 481.68 GL Account # 01 1 16002 51605 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 3 of 3 L r:r Total $481.68