HomeMy WebLinkAboutCOO-2020-456-CO - Certificate of OccupancyOCCUPANCY INSPECTION
APPLICATION
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II,ICLUD|}.IG, BUT NOT UMITED TO. AUTO BOOY, AUTOMONVE \'VORK OR STORAGE
urooor,lroR(t{G, CUTnNG, SMPING OR SANDII'IG \'\,OOD) SI{ALL NOT BE CONOUCTED lNATTE mOX: All GROTP'lf OCCTPANCES (
IrcIDEIVTAL TO VIGLDI{G wlTH OPEN FIIME
APPROVED FIRE SPRINKLER SYSTEM INSTALLEO.UNLESSAERE ISAIANY BUILO{NG OR STRIrcTUBE
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PRIOR CONSTRUCNON TYPEt/4?oD-
PRIOR OCCUPAT{CY GROUPoPRIORlppROrmD USe,e146 v<e DATE r r9/1t l>o
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Srrtr Am, CA 92702
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Plannlng and Bulldlng Agpncy
Plennlng DMrlon
20 Clvlo Contrr Pleze
P.O.Box rOEt (t-20)
S.nt An , CA927O2
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CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
Please tum ln tlts cotnpre[ed Jonn wlfri yow Cer1dfrc.le ol Occuprrcy appllcttton.
@rnpany Narp (Print):
Contad Narne:A1v4L fuL h
Address (business rnailirp ddress),4t N M<f
Citr hh'lLA^L steb: lA a: 1t7a I
Phorrc No.E<nailAddress:
O Ctrangeof PmpertyOrner I Cnangeof Ocanpant E Ctrangeof Usa E aoOitionalOccupant
U?DAT6 bulv*s NAtd6 + auNEA -l. Tho iollowing bcst dcscrlbs my opcretion:
! omcr onry El R.trlt srhs E ucauet Dontel
fl tflarrtrousr/tanuft cturing/DlBtrlbution E] nosaunnUTekr Out Food
fl OOrr (dcscrtbo) 1e*'l ,16 \rt€,
2. Please provirle a brief descriptbn of how the business operates at thb site (for example, please
describe the general naturc of the business, s,hat activitbs o@uron-site, the hourt of oporetlon,
op.ntothrpubllc)- ttt, uc o hafi1 f4*. \ytc+t I lny * Ahr-L
tl- 73. WhatwastrCbrmerty?eof businessoruseof facility? (Plaase orttadtrrabEsi?g agcntubdfldlrg
owprto btetmincprbrDusiness us.) [?f f*t1_
ttr\kttu4.
4. Has the buikling or spaoe been rracant or is this a nerr building? Yes E
!f vacant br how long?N1/\
5. Are you an independent conbactorlr yes D No H
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No d.
6. Locatbn of the business and suite number:
g/ r" noor tr 2'd lloor'ttr.\
wcl,"?
-7/\g r"/ 3 ry si-
floor
7. Do you strarc thc fr@r or business ertrancc with another business? Yes E No E
E. What b the arnount of square fuGge leased?6r0
9. How mucfr of the spaoe, wttidt you lease, is office?
tr roo% El so% tr 30%
lf other than 100%, how'ts the remaining space used?
S:Pbriptr4anrbr Fomr\
h Lessthan 30%
lll,t t 47- 4ll
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lO. 11th.bulldlngeprlnklrrrd? Yol[ X" tr
li. Do you p13n m maklng any_improvcmcs tti.Ut" buikling such as: c)(Erlor palnting, s0na0c'
ant"rix tenant amPrcvtmcnts? Yos lJ No L)
It yts, PLasc describe:
12. Will your hlsincss anclutb a lobby or waiUng arca? Yes E no ,E
lf ycs, what wlll bG the dimensions?
13. Do lrou silorE cquipment rnaterials, or products within thc builcting? Yes fl Nfu
a. wilt thcrc be outrloor sto,age of equipment, matcrials, or products? Ycs 0 No m
lf yes, Pleasc clescribc:
L tylll tlrorr bo rtorego IrGb, palleB endlor $olvlng rrcoodlng 6 l..t ! lnclrc ln
holghf Yrs fl ;;fgl 1n.r-6rq*A tu n.54tgng o'r C',,n'.1,t tttt ptn';1t @
14. Oo you manufacturc a product at thc site? Yes E N06
lf yes, please describe (inctuding process and end producl):
a. WItt oporrffons producr dusilyvood shevlngo orslmlter mrLrltl? Yq
-tr- Ig h
b. Doc thr opomdon lnvolyr tho trso olwoElng or op.n ftenr? Ves El No Etr
15. Does 61c proposed use inrrolvc a patient cqrc prolg;bn, sucfi as doctor. dentist' cfiiropracbr,
acupuncturist or physicaltheraflst? Yes LI No El
a. ls the popced usc within thc mentalhealth proEssion, such as:
I
SHoru"tAppllcable EPsychologist EPsyctiarist
I Soaa worker Ll ofier-
16. !s counseling PtoPo6ed as a Part of your business opcratbn? Yes El *o ts
a. Does your counscllng business oontract uroft with a publ'n agcncy? Ves E N" d
lf yes, Plcasc describe:
17. Willyour busincss bc ofiering thc bllrwing servbes:
E AcohdEdes E SnrotirU Lourpe f! fatoool Pennanent maklup
E gody pindng/ Ear piercing - El Nonc otthe aborc
lE. W$ }lour hrsitcss be orffcrirn tnasseees a5 Pert { yo.,t.brtsqg* PftttP?ilthts indud6
rndage as amilary t9 pcdfxt6, mani:urcs. and otrer scrvi-s. Yes Ll No El
ig. ts cannabb or cannabb 1ghEd produd sbjefl, qrttiEEd, dtsffibuH, EsEd, rnatufacfumtl or
dispcnsed at your bursiness? Ves E] t{o E
rc. Do !q, pr€pap or sdl bod br cons,mflbn on or off the propcrtf Yes E No S
tf yes, do you provido sfr tbuvn scruiE E, dritre{rrough [, or orders b gp'Pi*{p EIZ
SPbrr*rgEh'lcc€ou,tb. Farnr\
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2i. Do6yourburlncesrcllanbmotlbe orrnotorcfdc.Z Ycc Et Xo d
lf yle, Pl€ec clpleln:
ZZ. Oocr6ourfff rdlcc c npeF whldca q hdrll cqrlpmcnt mrl mtsorbs ffi wlftbe?
lf 1rcs, plcetc cxPlaln:
23. I acknqdc<rge that I lravc requesDd and rccehrcd all zonirp and Ana Municipel Codc
rcquircrncnts pcrtrlning b my buslncss end ocatpancy apdf$on.
! OECTARE UI{DER PEilALTY OF PER.'URY, THAT THE FOREOOINO STATEIETT! ARE TRUE AND
CORRECT TO THE BEST OF [Y KNOITLEDOE AND BEUEF.
,{,rflA dnlnt*$ffi \ 4L qdGfb Datc r
Priflt ltlrrr Dn'1-
Tide I
lnformaton
The Planning Division's Public CounEr is open brwalk-up cusbmers frorn 8:fi) a.m. b 4:(X) p.m., llon<lay
through Friday, except Wednesday 10:30 a.m. b 4:@ p.m. The Planning Divisirn is lebd udthin Clty
Hall- Ross Annex, 20 Civic @nEr Plaze, First Floor. Mdifnnally, you may call us at (714) 0tl7€804
slrould you requirc any gener:llinbrmatftm.
The Phnning Divisbn rwierc CertificaE of Ocorpancy roquests br cfiangc of ddress, nc\r busincsscs,
or expansbns to ensure fiat the proposed use is consistent with thc cstablished zoning rcguhtions of
Santa Ana. Pbase ched( with the Planning Divisbn's PuHlc CounEr priorb sqnirtg a leasc or oornmltEng
your hrsiness b a certain locatilm b dctenninc hc fcasitility.
lf a nonconbrming use is discontinued, or if a nonconbrming building is vacant, unused or unocatpled br
a pcrbd of 12 conseq.rtirrc months, any s,rbscquent use must conbrm in aery respect b the prwisbns of
the MunkipalZoning Codc, and a nonconforming fuilding may not thereafter be uscd or occupied until it
conbrms in arery resped to thc provisbns of the Code.
Gon rrlly, tlr.lUtowlng rtr s witl nquln furttr documontrtton or rn oxtrndod rwlow md rney or
mly not br permltbd: ofllcr usrs rrd6ln en lndustrlel:ono; m.dlcrl, rrstrurent, hundromrt tredo
or bcfinhrl schoots, md lrbrnotlvo npolr end sorvlor usc wlthln sp.cG thrt wrtr nof plrvhrly
usrd for such purpcc; e bullllng Otat .loc not ntod tlro partlng dornand ior thr propcod ur;
o7. ll8. whbh gon rrtos e hlghcr p.tklng domend or edhcrrncc b dovolopmrnt stenderds then
tho prwlors us.a.
You mry tr.d b povldo lloor phns, slb phns, or documont th. prlor usa b.iorr ohlnlng I
Codtlclb ol Occrtpncy b d0rmlno tto grendplnntrd ,lehts ol e nonconiormlng us., or r ur.
ufrlclr hrs.ddUqnl Codo nqulrunonte
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