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Home My WebLink About80424525 - Certificate of OccupancyPlanning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. r988 (M-19) Santa Ana, CA 92702 (714) 647-s8ts No. 804-245 2 5 OCCUPANCY INSPECTION APPLICATION BrN e b1 a=a (D C @zm @a ooD m U' U' orC -a E -lf e\, VPD ST. Sfrtrf* ftT\)ft 9>7olUNIT OR SUITE P h PHONE NO. %tz 77-7L MDIO B fts Y bv<Vâ‚¬l-kEUSINESS NAME \oa/e OUVft<-6 NAME &BUSINESS OWNER'S DRIVERS LICENSE NO. & STATE s crbf )li 010 u / OWNER'S MAILING ADDRESS EMAIL ADDRESS AREA(IF YES, NAME OF SUBLEASOR)DO YOU SUBLEASE? Yes I 5u) nl'77)NO.COMPANY NAME 0 k (* 4e1qLEASINGORP L EMEBGENCY PHONE NO. () PEOPEBIY OW,TE8.:.M!dEAVru UCnt,t-r L,LrL tn lcwP u+ q)8V t I Ves2XNo No. 1 Will you be storing and/or ulilizing hazardous matorials at this lacility? t I vesXno No. 2 Does your production process produce hazardous waste? ll you have answered Yes to either question you must contact Orange County Fire Authority's Hazardous Matâ‚¬rial Disclosure Seclion at (714) 573-6000. lf YES, please describe BUSINESS DESCRIPTION I ] MANUFACTURING I OFFICE RETAIL SALES t ] WHOLESALE tI WAREHOUSE r GROUPASSEMBLY L] AUTO REPAIR (NO WELDING, NO OPEN FLAMES, NO SPRAY PAINTING I] AUTo BoDY (SEE ATTENTION BELOW) i J WOODWORKING (SEE ATTENTION BELOW) |lerrlro ESTABLTsHMENT (sEE pwA) OTHER (DESCRIBE ABOVE) 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 ORS]IRUCTUREUNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. DATE / Il0/t2//TTURETITLE (y/n Lto- EXPIRED/OPEN PERMITS? r r YES I I NO Date ol report:DEPARTME{T USE ONLY PRIOR APPROVAL DATEent 3 11 lL( PRIOB OCCUPANCY GROUP f) PRIOH CONSTRUCTION TYPE Vh PRIOR APPROVED USE â‚¬alinq e{rablithrr CUP APPROVED DENIED DATE lD. Lu-11 PLANNINGlv DC-agq I ZONE occ. LoAD CONSTRUCTION TYPEtb DENIED 0-L, DATE/ 24-a?D Note: One of the lollowing must be checked by the C ol O lnspector. [ ] Yes [ ] No Has the inspector identilied any hazardous materials at this lacility?[ ] Yes [ ] No ls hazardous wast6 being generated at this site? e NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) a.b lr oco ! 7-- \. 1 SOUARE FEET APPFIOVEDOCCI. -E CN*SANIA ANArll,ilfi Planning and Building Agency Building Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, Cp.92702 (714) 647-s800 www.santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE form with your Certificate of Occupancy application. 00rkr\hs 1 Wrulq.fr'Com City: Phone contact Name: 08C{tP ,[ UUVnt6 Address NESS M ailing address):h\q N bPo sr state: W zip q71pl '1ry15 =-,,,* vlindabv+tvtrts Y unitdQ ..,, ! Change of Property Owner fr "n"nn" of Occupant ! Cnange of Use E Additional occupant 1. The following best describes my operation: ! Ofice Only ! Retailsales ! Medical/Dental E Warehouse/Manufacturing/Distribution ff RestauranUTake Out Food E Otfrer (describe) 4. Has the building or space been vacant or is this a new building? Yes n No X lf vacant, for how long? wt""tMl 2. Please provide a brief description of how the business operates at this site (for example, please describe the general nature of the busilress,.what activities ogcur on-site, the hours of operation, open to tne puutic; fuSOU,eA,{Y(lft/t0ilA,f frS b)' owner to determine prior business use.) p;il;,a,v( (vtfu ottnt t' \ 3. What was the former type of business or use of facility? (Please contact the leasing agent or building 5. Are you an independent contractor? Yes fl 6.of the business and suite numbert ? 1tt floor tr 2nd floor ! _ floor 7. Do you share the floor or business entrance with another business? Yes n *" ts 8. What is the amount of square footage leased?)50D L How much of the space, which you lease, is office? tltHru,l tr looo/o tr soo/o tr 30% lf other than 100%, how is the remaining space used? cm\cntr-frm\Supp. Quest. N"K O4 t ^l Y { S0.nfu"d+YreQ^qrlDl 07t2016 X Less than 30% 12. Will your business include a lobby or waiting area? Yes ! lf yes, what will be the dimensions? 13. Do you store equipment, materials, or products within the building? V", !Non Will there be outdoor storage of equipment, materials, or products? Yes E No lf yes, please describe: ls the proposed use within the mental health profession, such as: No/Not Applicable ! Psychologist ! Psychiatrist a trtr Socialworker E Other ''16. ls counseling proposed as a part of your business operation? Yes E Nd)â‚¬ a. Does your counseling business contract work with a public agency? Yes tr No lf yes, please describe: 17. Will your business be offering the following services: A Alcoholsales E Smoking Lounge Body piercingl Ear piercing n Tattoos/ Permanent make-up n None of the above 10. ls the building sprinklered? Yes E N" & 11. Do you plan on making any improvements interior tenant improvements? Yes E No lf yes, please describe: lf yes, do you provide sit down r"rri"9\ building such as: exterior painting, signage, t"x. d A b. Will there b{storage racks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes E NOA (permit required for racks/shelving over 6', inquire with permit counter) 14. Doyou manufacture a product at the site? Yes E N" K lf yes, please describe (including process and end product): a. Will operations produce dust/wood shavings or similar material? Yes E No Xb. Does the operation involve the use of welding or open flame? Yes ! No X 15. Does the proposed use involve a patient care profe\sion, such as doctor, dentist, chiropractor, acupuncturist, or physicaltherapist? Yes n Noz-D 18. Will your business be offering massages as part of your business massage as ancillary to pedicures, manicures, and other services. Yes ope tr t This &- ration No includes 19. ls medical marijuana stored or dispensed at your business? Yes E No h 20. Do you prepare or sell food for consumption on or off the property? Yes NoE , drive-through E, or orders to go/pick-up ! Prease "*or"i$ptylt\ wphlzltl ftas r cm\cnrrrrm\supp euesr CS*, * ft&y, (t&A 0lh0/f [ \ 21. Does your business sell automobiles or motorcycles? Yes n No lf yes, please explain: K P/p-/l? rbu or repair vehicles or install equipment and accessories into vehicles? lf yes, please explain ! DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND T E BEST OF MY KNOWLEDGE AND BELIEF 22. Does you Yes E ftr' Qlstu-l Date Print Name 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 10:00 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 locatron 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 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. cm\cntr-frm\Supp. Quest. 07t2016 GREASE INTERCEPTOR MEMORANDUM To:Datc:October 26,2017 From: Phillip Vakili- Assistant Engineer [,OCiTtiON: 309 WEST 3RD STREET - EL INDIO BOTANAS Y CERVEZA RESTAURANT The above referenced food service establishment (FSE) must comply with Ordinance NS-26-70 as follows: X A gravity grease interceptor is not required at this FSE for the following reason(s): The proposed FSE FOG discharges are projected to be negligible and will not likely cause a significant impact to the sewer system. A grease interceptor cannot be installed due to physical site limitations or inadequate slope between the interceptor and private and/or public sewer lines. The proposed remodeling work does not increase the current amount of FOG generated. The proposed remodeling work does not require: 1) under the slab plumbing in the kitchen area,2) an increase in the net public seating area, 3) an increase in the size of the kitchen area, or 4) any change in the size or type of food preparation equipment. x This is an existing FSE involving a change of ownership that will not result in an increase of FOG discharged to the sewer system. S pecial comments/conditions : The developer/owner shall install a Hydro-mechanical Grease Interceptor (HGI), in accordance with the UPC and with the Orange County Health Care Agency requirements. The developer/owner shall contact Nabil Saba; FOG Control Program Manager at (714) 647 -3320 after construction is complete for a FOG permitting inspection to be completed prior to opening the FSE for business. The Developer/owner acknowledges that no tenant improvements that include change of plumbing in the kitchen area, change of kitchen equipment, expansion of dining area, and or change in type of operations or use, are being performed at this time. The developer/owner has been notified that any improvements, that include that which is mentioned above, will result in the revocation of this waiver to install a grease interceptor. Glen West, Senior Plumbing/Mechanical Systems Specialist Y: Wattr Op6atio6 Enginming Delelopmdt Wats Enginsing Creoe lntrceptor 2017 CREASE INTERCEPTOR CREASE INTERCEPTOR- -109 W. IRD ST. - EL INDIO BOTANAS Y CERVEZA.doc FY't7-18 Planning & Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, CA92702 714-667 -2700 www.santa-ana.org 2 4801 PLANN!NG DIVISION FEES Sheet 2 of 3 Effective luly L,2OL7 Account No.: 01 1 16002-53613 AMOUNT CASE NUMBERMISCELLANEOUS ACCESSORY DWELLING UNIT R CHANGE OF ADDRESS REQUEST..,,, CONCEPTUAL REVIEW "FIRST LOOK" FEE..,. HISTORIC PROPERTY PRESERVATION AGREEMENT (Mills Act Application).... HOME OCCUPATTON PERM1T.................. LAND USE CERTIFICATE & ENTERTAINMENT PERMIT Category 1 & 2 LUC/Category 2 & 3 Entertainment Permits Bazaars, Fiestas, Sidewalk Sales, Outdoor Auctions, Child Care (8-14 children), Ancillary Massage Establishments, Mobile Medical and Veterinary units, Outdoor Booths, and Parking Lot Sales. Category 3 LUC / Category 4 Entertainment Permits Carnival, Circus, Outdoor Music, Concert, Arcade, and Temporary ABC Licenses. Category 4 LUC Antennas/Dishes................. Category 5 LUC Exterior Telephones (Pay Phones) First Pay Phone........... Per Additional Pay Phone (Each)........... Category 6 LUC Small Collections (Recycling Facilities)....... OFF-PREMISE ADVERTISING (Billboard) PERM|T......... NEW SINGLE FAM. RESIDENCE OR MAJOR MOD. REVIEW NON-CONFORMING/ZONING VERIFICATION LETTER........ SIGN PERMIT REVIEW (on-premise)... SIGN PROGRAM REVIEW.. TEMPORARY SIGN PERMIT TEMPORARY TRAILER PERMIT,........ ZONING INTERPRETATION LETTER.. $ $ $ $ $ 2,163.68 1,150.24 486.90 4,257.40 276,70 61PQ$st2 (: ,'tLr.. L ? . Bntch*:4f:r69Lr - Lt-t/26/21-117 ID: HGAR(:IA $T$H 'Ir.qil Ref 0 1af I+: ?4Sr:U $ $ Rcpt*:[12r-117602 - tlt/26/21t17 3:Lr9 Pn Trnts<rtti ioc Totnl i446.2t-t 0i;(:AR UfIVAI{LS 728.44 $ $ $ $ $ $ $ $ $ $ $ $ Certif icate of 0ccupnncv i4+6.2A *t#.)tj r}*++*+ttâ‚¬ii-4.'E r:r l. lffi$P- T1 6Lr5rrril:r- 'i&'*1&**f,r***.*6r% 1 ,016.08 5,366.48 1,423.45 571.05 490.98 553.34 1 60.1 3 6't4.12 507.11 AMOUNT CASE NUMBERMISCELLANEOUSAccount No.: 01 1 1 6002-53605 LANDSCAPE PLAN OTHER Single Family or Duplex................ Triplex, Townhouse, or Multi-Family Mixed-Use or Non-residential......... Per lnspection after 2nd lnspection. $ $ $ $ $ 335.71 620.68 882.84 503.91 AMOUNT CASE NUMBERMISCELLANEOUSAccount No.: 01 1 1 6002-51 605 CERTIFI ,TE $446.20 $ (r i AMOUNT CASE NUMBERINCLUSIONARY HOUSING PLAN Account No.: 41 718002-53902 INC RY AL $250.00 $ AMOUNI CASE NUMBERINCLUSIONARY HOUSING PLAN Account No.: 41 71 8002-57896 INCLUSIONARY HOUSING PLAN IN LIEU $$ TOTAL $ V PROJECT ADDRESS i I I ;)v 't I APPLICANT DATE PHONE BYMAILING ADDRESS I White - Finance; Yellow - Applicant; Pink - Planning $ $ $ $