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Home My WebLink AboutCOO-2020-391-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-2020-391-CO OCCUPANCY INSPECTION APPLICATION [n t??v t qqq 3Q ) TDcaz maa oovm U)a \.Nc O H o3 UNIT OR SUITE N ztP M As9 nq Ttt INAME BUSINESS PHONE NO. ,bi' {ds- o77 )EMERGENCY PHONE NO. t,Ut >b- qq q1 L^ilnc'? BUSINFSS OWNER'S MAILING ADDRESS EMAIL ADDRESS Wefi Codna fc L BUSINESS ic,ertmua NO. & DO YOU SUBLEASE? tr YES fYt.IO (IF YES, NAME OF SUBLEASOR)SOUARE FEET / 0 ,,'() FLOOR AREA lort o () BUSINESS PHONE NO. () EMERGENCY PHONE NO.LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESS EMERGENCY PHONE NO, tK?ot 2b ???7'Dv*w D lt,n PROPERry OWNER'S NAME OWNER'S 00 cI BUSINESS DESCRIPTION O MANUFACTURING E OFFICE tr RETAIL SALES E WHOLESALE tr WAREHOUSE tr GROUP ASSEMBLY ' Af acaqc're Dcor[r, o orio REPATR t,/o *=.r,"6, No .PEN FLAMES, NO SPRAY PAINTING tr AUTO BODY (SEE ATTENTION BELOW) tr wooDwoRKrNG (sEE ATTENTION BELOW) O EATING ESTABLISHMENT (SEE PWA) x oTHER (DESCRTBE ABOVE) t- No. 1 Will you be storing and/or utilizing hazardous materials at this facility? p1 Ves /No No. 2 Does your production 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 p ves S/o 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.?- L^SIGNATURE 0 r1h?'r TITLE DATE, It/>sl>a DEPARTMENT USE ONLY PERMITS? Date of report:YES 1 DATEutqPRIOR q PRIOR POCCUPANCY GROUF PRIOR CONSTEOCTION TYPE VB I STFPRIOR APPROVED USE M6SS qa)LTU"evt1|1 PLANNING Ct) ZONE CUP APPROV VN,='lt t DENIED DATE I I llZSlUttn OCCUPANCY GROUP3 CONSTRUCTION TYPE t/6 ?K APPROVED - \ B c t5nt*i DENIED S DATEI a-azzocc. LoAD Note: One of the following must be checked by the C of O lnspector. ' [ ) Yes [ ] No Has the inspector identified any hazardous materials at this [ ] Yes [ ] No ls hazardous waste being generated at this site? ss(t/M U facilitv? Vt/111[,(50,NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) ^\fl ( 1 t Please turn in this Company Name (Print) Contact Name: form with Certificate of application. kc /-^ ,--SANTA NA-"'iilffi Planning and Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, CA92702 (7141647-5804 www.santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE 't Address (business mailing address):,uo N lfi <T ul'ltT ] City:IAIJTA AlJA state: CA zip, ?t7 o) Phone No./>/ iUS ,772 E-mairAddress: '4,r)4 a ?8 @]ratrtw/ &d conn E Change of Prope(y Owner flCnange of Occupant ! Change of Use E nddltional Occupant 1. The following best describes my operation: E orice only n Retait Sales E ruedical/Dental n Warehouse/Manufacturing/Distribution E RestauranUTake Out Food er otner (describe) lyh Cl /\ &L fa-r l* r 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, open to the public). / / filA - I P/q Al ou't I&7 " Ctw i.AY C Lo sE 3. What was the former type of business or use of facilityZ (Please contact the leasing agent or building owner to determine prior business use.) /UA|1A 6L Thera Y y 4. Has the building or space been vacant or is this a new building? Yes E ruo 7 lf vacant, for how long? noV 9z tu Lu l1T 9l , I/,UJ f, J .gfuv7,@n 5. Are you an independent contractor? Yes E 6. Location of the business and suite number: ts i.tfloor tr 2ndfloor [ _floor 7. Do you share the floor or business entrance with another business? Yes E 8. What is the amount of square footage leased?goo 9. How much of the space, which you lease, is office? /g looo/o tl SoYo tr 3oYo lf other than 100%, how is the remaining space used? ?>/,3 *o E/ tr Less than 30% S:Planning\Clerical-Counter Forms\ CofO Ouestionnate 08-27 -18 I 10. lsthebuildingsprinklered? Yesp lo n 11. Do you plan on making any improvements tg the building such as: exterior painting, signage, interior tenant improvements? Yes n *o ,P lf yes, please describe: 12. Will your business include a lobby or waiting areaZ Yes 'S No E lf yes, what will be the dimensions? 13. Do you store equipment, materials, or products within the building? Yes E Uo K a. Will there be outdoor storage of equipment, materials, or products? Yes f] *o F lf yes, please describe: b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes E No $ fnerm it required for racks/shelving over 6', inquire with permit counterl 14. Do you manufacture a product at the site? Yes E ruo N 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 E 15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor, acupuncturist, or physicaltherapist? Yes E No R' a. ls the proposed use within the mental health profession, such as: 5l'trtoltrtotApplicable ! Psychologist ! Psychiatrist -fl Social worker E Otner_ 16. ls counseling proposed as a part of your business operation? Yes E ruo K a. Does your counseling business contract work with a public agency? Yes n No,,E lf yes, please describe: 17. Will your business be offering the following services: E Alcoholsales E Smoking Lounge E eoOy piercing/ Ear piercing E Tattoos/ Permanent make-up [l ruone of the above 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 K No E 19. ls cannabis or cannabis related product storgd, cultivated, distributed, tested, manufactured or dispensed at your business? yes n *o.8 20. Do you prepare or sell food for consumption on or off the property? Yes E to.E lf yes, do you provide sit down service fl, drive{hrough fl, or orders to go/pick-up !? S: Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27-1 8 I Please explain: 2'1. Does your business sell automobiles or motorcycles? Yes E No lf yes, please explain: r 22. Does Yes your busiqess service or repair vehicles or install equipment and accessories into vehicles?n ruoH lf yes, please explain 23. I acknowledge that I have requested and received all zoning and nta Ana Mu nicipal Code requirements pertaining to my business and occupancy application.initial) I DECLARE UNDER PENALW OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. tl (,.t .1 tr] lt" LU. , KT Dafe------l- PrintName owNEP- I 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 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, 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 additional Code requirements. S: Planning\Clerical-Counter Forms\ CofO Questionnaire 08-27-1 8 Signature TO: Finance & Management Services Agency FROM: Planning and Building Agency SUBJECT: Miscellaneous Cash Transaction MCT # 50621 Thursday, July 23,2020 I 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: NYMPH Massage lnc. C of O 5210 W First St Unit# l, Santa Ana, CA 92703-3000 MASTER rD #2020-160334 AP # 108-392-24 Application # COO-2020-391-CO Permit # ISSUED TO ADDRESS: Ke Lu NYMPH Massage lnc. 801 E. Greenville Drive West Covina, CA 91790 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 Comments: Phone: 62G.66s.0772 lssued By: Khang, Kathy (Planning and Building Agency) TOTAL MCT AMOUNT $ 499.36 GL Account # 01 1 16002 51605 Total $499.36 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 MEMORANDUM City of SantaAna [:ft'ective: 1012612020 Expires: 1012612021 l-icense No: l7- 18897 NAME: D.B.A: LOCATION: CITY AND STATE: TYPE OF BUSINESS: Ke Lu Nymph Massage 5210 w. l'. st., #I Santa Ana, CA 92703 M assage MASSAGE ESTABLISHMENT PERMIT Fee: Penalty: Total Fee: $ e03.07 $ 0.00 $ 903.07 Chief of Police PURSUANT TO THE PROVISIONS OF CHAPTER 22 OF THE SAMA Al.lA MUNICIPAL C@E. THIS PERMIT IS GRANTEO FOR IHE BUSINESS INDICATED ON THE COIIOITION THAT THE PERSON, CORPORATION OR ENTITY I.I,AMED IN THE PERMIT WILL ENSURE THAT THE BUSINESS IS OPERATED IN COi,IPLIANCE I1ITH THE LAWS, ORDINANCES ANO REGULATIONS THAT ARE NOW OR MAY HEREAFTER 8E IN FORCE BY THE UNITEO STATES GOVERNMEM, THE STATE OF CALIFORNIA AND THE CTY OF SANTA ANA PERTAINING TO SUCH BUSINESS- IHIS PERf,IT TUST BE RE}TEUTED OI{ OR BEFORE THE EXPIRATOTI DAIE AS SHOWII ABOVE. THIS PERMIT MAY BE SUSPENOEO OR REVO(ED BY THE CITY FOR CAUSE, TH]S PERT]T IS I{OT TRAIISFERAELE OR REFU}IDABLE. MUST BE POSTED IN A PROMINENT LOCATION City of SantaAna Effective: 1012612020 Expires: 101261202l License No.: l7-18897 Fee: $ 903.07 Penalty: $ 0.00 Total Fee: $ 903.07 MASSAGE ESTABLISHMENT PERMIT PURSUANT TO THE PROVISIONS OF CHAPTER 22 OF THE SANTA ANA MUNICIPAL C@E, THIS PERMIT IS GRANTED FOR THE BUSINESS INDICATEO ON THE CoNDITION THAT THE PERSON, CORPORATION OR ENTITY NAI,ED lN THE PERMIT WILL ENSURE THAT THE BUSINESS tS OPERATED tN COIiPL|ANCE W|TH THE UWS, OROINANCES AND REGULATIONS THAT ARE NOW OR MAY HEREAFTER BE IN FORCE BY THE UNITED STAIES GOVERNMENT, THE STATE OF CALIFORNIA AND THE CITY OF SANTA ANA PERTAINING TO SUCH BUSINESS. IHIS PERTIIT TT.,ST 8E REIEIIED OX OR BEFORE THE EXPEAIIOII DATE AS SHOWII ABO\G. THIS PERMIT i,/l^Y BE SUSPENOED OR REVOKED BY THE CIW FOR CAUSE. TH]S PERtrT IS IIOT TRAT{Sf ERAELE OR REFUilDABLE. NAME: Ke Lu D.B.A: Nymph IVIassage LOCATION: 5210 W. l" St., #I CITY AND STATE: Santa Ana, CA 92703 TYPE OF BUSINESS: Massage SAPD FILE COPYI coo-2020-391_CO City of Santa Ana Effcctivc Expires License No: I,/t7 t2022 I t/ t7 n023 l7-t8lt97 $ s15.00 $ 0.00 $ 935.00 MASSAGE ESTABLISHM ENT PERMIT PURSUANT TO THE PROVISIONS OF CHAPTER 22 OF THE SANTA AM MUNICiPAL COOE, THIS PERMIT IS GRANTEO FOR THE EUSINESS INDICATEO ON THE CON]ITION THAT THE PERSOI] CORPORATION OR ENTITY NAMED N THE PERMIT WILL ENSURE THAT THE EUSINESS IS OPâ‚¬RAIEO IN COiIPLIANCE WTH THE LAWS, OROINANCES ANO RESULATICNS THAT ARE NOW OR MAY HEREAFTER BE IN FCRCE BY TIIE UNITEO STATES GOVERNMEM, THE STATE Of CALIFORNIA ANO THE CTTY OF SANTA ANA PERTAINING IO SUCH EUSINESS THIS PERIIIT ruST BE RE}IEIVEO ON OR EEIORE THE EXPIRAIIOIT DATE AS SHOWN A8OVE, THIS PERMIT MAY 8E SUSPENDEO OR REVOKEO BY THE CITY FOR CAUSE THIS PERTIIT IS NOI IRANSFERASLE OR REFUTIOABLE. NAME: D.B.A: I-OCA'f ION: CITY AND STATE: TYPE OF BUSINESS: Ke Lu Nl nrph IVlassagc, lnc. 5210 w. I" st., unit I Sa nts Ana, CA 92703 Ilassage -- icf of I'olice i\ILISI' BE POSTED IN A PROMINENT LOCATION City of Santa Ana Eflective Expircs Licen^se No: lt n7 /2027 I I 7 t7023 t 7- 18897 Fec: $ 935.00 l'enalty: $ 0.{10 Total Fce: $935.00 MASSAGE ESTABLISHMENT PERMIT NAME: D.B.A: LOCATION: CITY AND STATE: TYPE OF BUSINESS: Kc l,u N1 mph ltassage, I nc. 5210 W. t'r Sr., Unit I Santa A na, CA 92703 Nlassage SAPD FILE C]OP\'/ Fee: Penalty: Total Feer ) PURSUANT 'TO THE PROVISIONS OF CHAPTER 22 OF THE SAI.TIA ANA MUNICiPAL CODE THIS PERMIT IS GRANTEO FOR THE EUSINESS INOICATED ON THE COI.JOIT ON THAT THE PERSON, CORPORATION OR ENTITY NAMEO N THE PERMIT WILL ENSURE THAT THE BUSINESS IS OPERCTEO IN COMPLIANCE WIIH TIIE LAWS, ORDINANCES ANO REGULAI OI'iS THAT ARE NOId OR MAY HEREAFTER BE IN FORCE 8Y THE UNITED STATES GOIIRNMENT THE STATE OF CALIFORNIA AND THE C TY OF MNTA ANA PERTAINING TO SUCH BUSINESS THIS PERIiI ruSI BE REIEIYED OX OR EEFORE THE EXPNATON OATE AS SIOWN ABOVE. THIS PERII1IT MAY BE SUSPENOEO OR REVOKEO BY TNE CITY FOR CAUSE IHIS PERXII IS iIOT TRANSFERABLE OR REFI'IIDABLE. Planning & Building ABency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 547-s800 www.santa-ana.or8 (cr) a(}.}o ?r1\ SPEC|AL TNSPECTTON/COMPLATNT INVESTIGATION FORM Commercial / lndustrial L tf4rr\ac @<- mo --{ oon m o) @ SUBJECT ADDRESS: ! Purpose of lnspection: Residential Requested by:! owner Vre Lrr E city oniciat ( otn"/;gyg Name: Address: Phone: ACTION TAKEN: E None Required ! Correction Notice INSTRUCTIONS: ! OK Subject to Field ! Plan Check Required PERMITS REQUIRED: ! Builoing ! Electrical fl Plumbing ! Mechanical PLANS REQUIRED: ! Site Plan ! Floor Plan ! Roof Plan ! Elevations ! Elect. Plan ! Plumbing E Mechanical FEES: n Regular Fees ! Penalty Fee n lnvestigation Fee NOTE: Building Permits for unpermitted room additions require a site plan, floor plan, roof plan, framing plan and elevation Remarks: ?Z**-X at cnC =m Date' t/-8-22- Time ln:Time Out: I L:. t/D lnspectortu.!-04t\ lnspector Office Hours: Monday - Thursday 4:00pm - 4:30pm and Friday 3:00pm - 3:30pm Permits may be obtained Monday, Tuesday, Thursday and Friday 8:00am - 4:00pm ;Wednesday 10:30am - 4:00pm rrackins #<EEBUhb\- OFFICE USE Amount Paid:Receipt # Received by Address tagged by 0istribution: White lnspector - Yellow Applicant surre l Da)o 66 1tI r\ * \ ))4-t l7 ''a r Date: Date: (E 4-: Glfljra^|{9I - lE) SrOiE FFaf{r Nroa ,ti . 9lO TT $lx4.5. !14:l{ig -:: 6 { -t l h Gl-faAiAA4E:t * fE }b ir II 1l .,t'j g: -t--'-l g ? }F o -_1"H+I il !'li -sj--L\Et:q t ---l\ I o I e,a o o I-.1--i a -1' l -?+_..,,... rEl l4'-2 FLOOR PLAN 1-1', l-I i' li -Yl li t: ii il i :l ,l it ll il ti li il il .t I.-li I 1 I ; ! I I Cd ro