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Home My WebLink AboutCOO-2020-450-CO - Certificate of Occupancyv */4t0fi Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. 19BB (t{.{e; m - Santa Ana, CA 92702 (714\ 647-sBts coo-2020-450-co OCCUPANCY INSPECTION APPLICATION O1,/ *\ [aD Brn'31b o5 toSrcvc:tc/-rs- -f4 A L,sa*t 0t wCaz maa oon maa tn N\ o \ \ 41 YJ â‚¬ [^ BUSINESS ADDRESS UNIT OR SUITE5z;\"d. I$t+. Sartt^ ani ZIP CODE727o9 BUSINESS NAME C 0 rn a ,L Cnulzh t ,/n. BUSINESS PHONE NO r ru;7/7 -9/ Q,\- EMERGENCY PHONE NO. v// /25- Ql z Y & /-( BUSINESS EMAIL ADDRESS /o go 9e0 e '4a c, 0, ADDRESSMAILING 4/NL DO YOU SUBLEASE? tr Yes q No 1rF VeS, ruelre Or SUulenSORl SQUARE FEET Fr.ocH AREA LEASING AGENT OR PROPERTY MANAGEI\,IENT COMPANY NAMEtIln () BUSINESS PHONE NO () EI\4ERGENCY PHONE NO. OPERTY MANAGEMENT COMPANY ADDRESS PROPERTY OWNER'S NAMEs.^tw- cr \ a\rnrr_tl BUSINESS PHONE NO.EN,IERGENCY PHONE NO. () PROPERTY OWNER'S ADDRESS BUSINESS DESCRIPTION E MANUFACTURING E OFFICE 6(nsraL sales O WHOLESALE OWAREHOUSE tr GROUP ASSEMBLY tr AUTO REPAIR (NO WELDING, NO OPEN FLAMES, NO SPRAY PAINTING E AUTO BODY (SEE ATTENTION BELOW) OWOODWORKING (SEE ATTENTION BELOW) E EATING ESTABLISHMENT (SEE PWA) E OTHER (OESCRIBE ABOVE) I Fl Yes tsl No No. 1 Will you be storing and/or utilizing hazardous materials at I this lacilih, t Fl Yes H No No. 2 Does your production process produce hazardous waste? lf you have answered Yes to either question you must contact Orange County , Hazardous Material Disclosure Section al (Z.C),573-@00. desc,,ne/f i o ?cof 9fuflon / Fire Authority's ll YES, please ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE TNCTDENTAL TO WELDTNG W|TH OPEN FLAME, WOODWORKTNG, CUTT|NG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED tN ANY BUILDINGAR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. SIG f Lf //fE , DATE I /t/t/aa DEPARTMEITHJSE oNLY YES Date of report: PRIOR OCCUPANCY GROUP YT PRIOR CONSTRUCTION TYPE \,R PRIOR APPROVED USE PRIOR APPROVAL DATE fviq ol I PLANNING ZONE CUP \GC C APPR DENIED DATE zlzv I r-^ OCC. LOAD OCCUPANCY GROUP lfl CONSTRUCTION TYPE //ts R IED DATE '7+t'zz Note: One ol lhe following nrust be checked by lhe C of O lnspector. [ ] Yes [ ] No Has the inspector identified any haz ardous materials at this facility?[ ] Yes [ ] No ls hazardous waste being generated al this site? NoTES: (LIMITATIONS OF APPROVED OCCUPANCY) -t Please turn in this completed form with your Certificate of Occupancy application. Company Name (Print):6P fi4 d, L Iorulan r, ,Jz<' /t1,ke //2y1,(, J -/v Contact Name Planning Division 20 Civic cenlgIl.laq P.O. Box 1988 (M-20)) Santa Ana, CW and ,,-SANTA ANA-"H# CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE www. santa-ana.org Address (business mailing add G869 zuL City:state: Cfr zip'a^ o/? phone No.,7/ 9 -of /E-mailAddress c, {.nung"of Property owner E Change of occupant E change of Use E Additional Occupant 1. The following best describes my operation: E ottice only @netaitSates ! ruedica!/Dental I Warehouse/ManufacturinglDistribution ! Restaurant/Take Out Food E other (describe) ottl fias s A lstfloor tr Znd tloor ! _ floor 7. Do you share the floor or business entrance with another business? Yes E *o @ 8. What is the amount of square footage leased? 9. How much of the space, which you lease, is office? tr Looo/o ! 5oo/o tr 3oo/o lf other than 100%, how is the remaining space used? tr Less than 300/o S:Planning\Clerical-Counter Forms\ Cofo Questionnaire 08-27-18 2. Please provide a brief description of how the business operates at this site (for example, please describe the general nature of the businqss, what activities occur on-site, the hours of operation, open to the [ubtic). 6ct S STQlt an U ,14 C . t?b fc Se /lt .okA ,r/Z No EI fzo/ d. Jtrs/,-fqaft 4rurt 2Z Z "3 3. What was the former type of business or use of facility? (Please contact the leasing agent or building owner to determine prior business use.) snme 4. Has the building or space been vacant or is this a new building? Yes fl No E lf vacant, for how long?6n il,h t lu, //t'r)v 5. Are you an independent contractor? Yes E 6. Location of the business and suite number: ,1 10. ls the buitding sprinklered? Yes fl ruo f/r 11. Do you plan on making any improvements to the building such as interior tenant improvements? Yes y' No E lf yes, please describe: 12. Will your business include a lobby or waiting area? Yes ! *o F lf yes, what will be the dimensions? 13. Do you store equipment, materials, or products within the building? ves f; a. Will there be outdoor storage of equipment, materials, or products?Ye4 E Tattoos/ Permanent make-up F t',tone of the above operationLlhis includestr N{-7 ves@ ju s+ c->tbre 4ud g, srgnage, ruoE rr yes, please describe: f C/" , C So kS -c4'J2' b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in height? Ves F No f] (permitrequiredforracks/shelvingover6',inquirewith permitcounte4 14. Do you manufacture a product at the site? Yes E N6r lf yes, please describe (including process and end product): a. Will operations produce dust/wood shavings or similar materiat? Ve9 E ,)11Lhb. Does the operation involve the use of welding or open flame? Yes E ""(P - 15. Does the proposed use involve a patient care profepsion, such as doctor, dentist, chiropractor, acupuncturist, or physicaltherapist? Yes E f.lo @ t'to E ls the proposed use within the mental health profession, such as No/Not Applicable ! Psychologist I PsychiatristatrSocial worker E Other 16. ls counseling proposed as a part of your business operation? Yes E N, fl a. Does your counseling business contract work with a public agency? Yes n No E lf yes, please describe: a. 17. Will your business be offering the following services E Alcoholsales n Smoking Lounge ! aody piercing/ Ear piercing 18. Will your business be offering massages as part of your business massage as ancillary to pedicures, manicures, and other services. Yes 19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or dispensed at your business? Yes E No@ 20. Do you prepare or sell food for consumption on or off the ruoE lf yes, do you provide sit down service E, d rough [, or orders to go/pick-up !? S:Planninq\clerical-Counter Forms\ cofo Questionnaire 08-27-L8 ffd,aS Please explain: 21. Does your business sell automobiles or motorcycles? Yes E lf yes, please explain: your business service or repair vehicles or install equipment and accessories into vehicles?- *"@ lf yes, please explain 23. I acknowledge that I have requested and received all zoning and Ana Municipal Code '"q 22. Does Yes P itial) t1'1 I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORR TO THE BEST MY KNOWLEDGE AND BELIEF. ke 4 J ,r-- 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 (71,4) 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 industrial zone; medical, restaurant, laundromat, trade or technical schools, and automotive repair and seruice 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 Queslionnaire 08-27-18 requirements pertaining to my business and occupancyIfn fz7ue5lt n5 str{A' All fees are subject to change at any time and may also be affected by scheduled adjustmenls on July 1 of each year. The Payee must pay the prevailing rate at the time paymenl is made. MEMORANDUM ISSUED TO ADDRESS: Finance & Management Services Agency Planning and Building Agency Miscellaneous Cash Transaction Mike Heglund G&fvl Oil Comoanv lnc #160 '16868 A Lane MCT # 5't168 Wednesday, August 26, 2020 TOTAL MCT AMOUNT: $499.36 GL Account # 01 1 16002 51605 Total $499.36 Huntington Beach, CA 92647 Comments lssued By: Gomez, Pedro (Planning and Building Agency) 15 .36 .36 PROJECT NAME: PROJECT ADDRESS G&M Oil Company, lnc #160 COO 5201 W First St, Santa Ana, CA 92703 MASTER tD #2020-161079 AP #099-224-26 Application#. COO-2020450-CO Permit # ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. 1.0000 s499.36 $499.36 01 1 16002 516051 Certificate of Occupancy (Planning and lnspection) ri] KE HEGLUHT) $49 i49 Bstch*:56308 - g,/26l2(r2li I0: onorol office: CTYH Trnnsi: 22 I sfAccti: Ref*: 5116S Rcpti:03035743 - 9/26/2A20 l1:37 AH Tronsoct i on Tobol $499.36 Certif icote of 0ccuponcc 01116002- 51605U0r1- ICL Check 357912 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 Plannrng system. Page 2 of 3 TO: FROM: SUBJECT: