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Home My WebLink About80417795 - Certificate of OccupancyPlanning & Building Agency B uilding S afety Divisio n 20 Civic Center Plaza P.O. 1988 (M-r9) SantaAna, CA 92702 (714) 647-s8rs No.804 17795 OCCUPANCY INSPECTION APPLICATION BTN j4b?,L1. @Caz m U)a ooTmaa rS (}O rt\ z ua H(l\I I ) UNIT OR SUITE ZIP CODEADDRESS D vt-C*'tctz,t u, r{0)o UL,(v4 k+V NGMAILI (4/\ NO. & STATEDRIVERS (IF YES, NAME OF SUBLEASOR)DO Yes o FLooRAREA II ooo LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NO. tt EMERGENCY PHONE NO. r.,":.r PHoNE No () EMERGENCY PHONE NO.PROPERTY OWNER'S NAME PROPERTY OWNER'S ADDRESS BUSINESS DESCRIPTION {,uanuracruntNc ATTENTI NG /nor-eser-e REPAIR (NO FLAMES, NO AUTO BODY NG ESTABLI OTHER OFFICE RETAIL SALES WAREHOUSE GROUP ASSEMBLY f4 veslQo No. 1 Will you be storing and/or utilizing hazardous materials at / this facility? t t ves ffi{e No. 2 Does your production process produce hazardous waste? lf you have answored Yes to either question you musl contac{ Santa Ana Firo Department Hazardous Material Disclosure Section at (714) 647-5700. lf YES, please BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN (r FLAME IS APPROVED FIRE SPRINKLER SYSTEM INSTALLED. S.A.M.C. 14-7.2 INCIDENTAL TO ORSANY P "H" OCC WITH ATTENTION: ALL TITLEU: ts DATE t-tG-rLJ DEPARTMEN SE LY $0" ri/OPEN PERMITS? YES PRIOR APPROVED USE Na4il4u/4 DATE PRIOR OCCUPANCY GROUP Usz PRIOR CONSTRUCTION TYPE lIL N CUP APPROVED A^J DENIED 'l'jru -SPLANNING tN? ZONE u-L BLDG. SAFEW CONSTRUCTION ryPE APPROVED DENIED DATE [ ] Yes [ ] No ls hazardous waste being generated at this site? I Note: One of the following must bâ‚¬ [ ] Yes [ ] No Has the inspector NOTES: (LIMITATIONS OF OCCUPANCY) by the C of O lnspector. any hazardous materials at this facility? lu lot^p @ 5 I CffiOISANTA AltA/riltffi Plannlng and Building Agency Plannlng Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, C492702 (714) 647-s804 www.santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Please turn in this completed form with your Certificate of Occupancy application. (r\Lnt):Company Name Contact Name: City: ^"tAddress (business mailing address):] State: Fax No. cm\cntr-frm\C of O quâ‚¬stionnaire 0712012 What was the previous use of the space you wish to lease? (Ptease contact the teasing agent or building owner to determine prior business use.) 4v^.r^^-b e &a [.r^rcJ, d-*\* Has the building or space been vacant or is this a new building? Yes ! *o K zip: t 1 2 3. 4. 5. 6. 7. 8. 9. lf vacant, for how long? Are you the primary tenant? v", S No E Do you sublease from an existing tenant? Yes E ruo K Are you an independent contractor? Yes E No E Location of the business and suite number: St" Roor tr 2nd floor ! - floor Do you share the floor or business entrance with another business? Yes E No E What is the amount of square footage leased? How much of the space, which you lease, is office? tr looo/o tr so% n 30% lf other than 100%, how is the remaining space used? Page 1 of4 F Less than 30% \^-\,,^*b--^,< + PhoneN".''l \\ ai-92- N3 z ? (A 10. 11 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). hob a-V--\ l" p*Vr[^, ,- %. lpt^oo'4',rlo 'P "i ^t'.^T ^. e-p? a). (z\ {- 54n+-* Will your business iHdude a lobby or waiting aiea? Yes E frfo .E lf yes, what will be the dimensions? Do you store equipment, materials, or products within the buildingZ Ves t' Will there be outdoor storage of equipment, materials, or products? Yes S lf yes, please describe: Ber1.<, , SU+,.f s 13. Do you manufacture a product at the site? Yes E No E ?rt4\, ,\^,^[> t prtF"rt 12 lf yes, please describe 14 15. ls the proposed use within the mental health profession, such as: Socialworker Applicable trtr Psychologist !Psychiatrist Other 16 ls counseling proposed as a part of your business operation? Yes E No Does your counseling business contract work with a public agency? Yes E lf yes, please describe: Page 2 of 4 cm\cntr-frm\C of O questionnaire 0712012 NoE NoE Do you plan on making any improvements to the buil{ing such as: exterior painting, signage, interior tenant improvements? Yes E ruo F lf yes, please describe: Does the proposed use involve a patient care profession, suc.h as doctor, dentist, chiropractor, acupuncturist, or physicaltherapist? Yes ! ruoF. A"p a a 17. Will your business be offering the following services: E Alcohol sales E Smoking Lounge E goOy piercing/ Ear piercing E Tattoos/ Permanent make-up -El-None of the above property? Yes E NoEl f], or orders to go/pick-up E? 18 19 20 21 22 Will your business be offering massages as part of your business operation? This includes massaqg as ancillary to pedicures, manicures, and other services. Yes E r.ro T1- ls medical marijuana stored or dispensed at your business? Yes E f.fo 6- Do you prepare or sell food for consumpti lf yes, do you provide sit down service E Please explain: Does your business servi vehicles? Yes E No lf yes, please explain: on on or off the , drive{hrough Does your business sell automobiles or motorcycles? Yes ! No lf yes, please explain: d-- cg or repair vehicles or install equipment and accessories intoF I DECLARE UNDER PENALry OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. (- (t -r4 Date Print Har c\.r-\ Title cm\cntr-ftm\C of O quâ‚¬stionnairâ‚¬ 07t20't2 Page 3 of 4 Planning & Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) santa Ana, cA 92702 (714) 667-2700 www.santa-ana.org 2 PLANNING DIVISION FEES Sheet 2 of 3 Efledive 7/1 /2O13 ADULT ENTERTAINMENT LAND USE PERMIT........... cERTtFTCATE OF COMP11ANCE....................... CHANGE OF ADDRESS REQUEST.......... HtSTORTC EXTERIOR MODIFICATTON (H HISTORIC PROPERTY PRESERVATION AGREEMENT... (Mills Act Application) HISTORIC RESOURCES COMMISSION ACTION (Historic Designation)... 5 HOME OCCUPATION PEI LAND USE CERTIFICATE Category'l Bazaars, Fiestas, Sidewalk 5ales, Outdoor Auctions, Child Care (8-14 children) and Ancilllary Massage Establishments... S Category 2 Carnival, Circus, Outdoor Music, Concert, Arcade and ABC Licenses........... ................. S Category 3 Antennas/Dishes........................ .................................. S Category 4 Exterior Telephones (Pay Phones) First Pay Phone............... ...,............... S Per Additional Pay Phone (Each)................ ............. 5 Category 5 Outdoor Vending Machine (Each Category 6 Small Collections (Recycling Facilities).............,............................... S OFF-PREMISE ADVERTISING (5IGN) PE .............................. s 1,414.06 1,065.35 1,030.59 1,949.49 3,935.87 5,015.05 247.92 S s s $ s s s s s s s s s 2/6/?lJl4 ID: comezcunS Jr(nsi: 11 I ai I ftef i : 20i:r131:rJ* ?/b/?oL4 9:17 fill350.43 628.41 6s2.67 545.77 159.90 S t s9.9o Ir'onsqEt l or s399 .79 PAUI. Cert i t' i cote of 0ccupcncg r-rt t l Alrft? s s_tJrT. L *3?9.'7?(:hecli 5789 s s s 910.39 4,808.29 51 I .65 3,620.45 439.92 495.78 't43.47 550.24 446.22 s s s s s s( s q 5 LANDSCAPE PLAN REVIEW Residential Projects............ 5 604.46 Non-Residential Projects....... S 1,352.39 Per lnspection after 2nd lnspection....... 5 451.49 oTHER.............. s_ s s s CERTIFICATE OF 5 399.79 s PROJECT ADDRESS DATE APPLICANT PHONE MAILING ADDRESS BY 2WHITE-FINANCE/YELLOW.APLLICANT/PINK.PLANNING TOTAL S q