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Home My WebLink About80426537 - Certificate of OccupancyPlanning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. 1e88 (M-19) Santa Ana, CA 92702 (714) 647-s8ts No. 804 -265 3 7 OCCUPANCY INSPECTION APPLICATION nbTA 70 Z o BUSINESS PHONE NO. I, E E79LA f^{ BUSINESS OWNER'S NAME & TITLE 3TEt/â‚¬ EMAIL ADDRESS O tr<.VtNg o -21 q SOUAHE FEET b AREAYES, NAME OF SUBLEASOR)Yes LEASING AGENT - zoll PHONE NO 5zz- AIJ.JUT-qtADDRESS fr 'ltt.-l Evtgp*9 ?(AA PROPERTY OWNER'S NAME () BUSINESS PHONE NO () EMERGENCY PHONE NO ? o got 4'L1 wAutJw (A qflAPRoPERTY owNER,S ADDAESS t lYes ffio No. 1 Will you be storing and/or utilizing hazardous malerials at this tacility? t ! Yes f{.No No. 2 Does your production process produce hazardous waste? ll you havs answered Yes to either question you must conlact Orangâ‚¬ County Fire Authority's Hazadous Material Disclosure Seclion at (714) 573-6000. lf YES, olease dâ‚¬scribe BUSINESS DESCRIPTION MANUFACTURING yI?FFrcE i J RETAIL SALES i,.J WHOLESALE WAREHOUSE t GROUP ASSEMBLY AUTO REPAIR (NO WELDING, NO OPEN FLAMES, NO SPBAY PAINTING AUTO BODY (SEE ATTENTION BELOW) r r WOODWORKING (SEE ATTENTION BELOW) r EATING ESTABLISHMENT (SEE PWA) r, OTHER (DESCRIBE ABOVE) lL-l-CIVIL Ettlr-t ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE TNCTDENTAL To wELqNG wtr1 opEN tl26nE, wooDwoRKrNG, currNG, sHAprNG oR SANDTNG wooD) SHALL Nor BE coNDUcrED rN ANY BUILU,ING oR g,fiUcqtaE UNE6S THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. I - PzI N(-\"AL nt(c,ttcr \NO Date of report:D E USE ONLY PBIOR APPROVED USE P 2 D CUP APPROVED DENIED DATE 6 ZONE [ ] Yes [ ] No Has the inspector identilied any hazardous materials at this facility? * ran {r nvn{}oo t* {1orn r cn0ar(Yi. o n. [ ]Yes waste being generated at this site? rI \P CIVO' <-o J NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) One o, the ,ollowing must be checked by the C ol 7-l 7 s N {o 0\ .a V/n-tt Ar ?rzt>eaTâ‚¬-<- tn, C-r PLANNING AA \i\) C '^'1 I rll rr, OCC. LOAD occuP4 t -,-SANTA AI,[A,'liilffi ) Planning and Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, CA92702 (714) 647-5804 www.santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE Please turn in this completd form with your Certificate of Occupancy application. Company Name (Print) contactName: 3tVVâ‚¬ LAVI@ Address (business mailing address): +-|qO lZVltJ= E'LVD , qt â‚¬ PE. ZL? City:lz-t/lt'E State: Cl. zip: 4%?D 4reEL@-?gA,blZPhone No., %b'1 14-1 6+L E-mail Address E Cnange of Property Owner I Cnrng" of Occupant ! Change of Use E ndditional Occupant 1. The following best describes my operation: K Ofice Only E Retail Sales n Medical/Dental ! Warehouse/Manufacturing/Distribution fl Restaurant/Take Out Food ff Ottrer (describe) 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 pubtic). CopEULfArJf OiltL_ l=t JLrF{'=ff. | ;VarrAy 3 S: Planning\Clerical-Counter Forms\ CofO Questionnane 08-27 -18 9. How much of the space, which you lease, is office? K rcov" n 5oo/o tr 3oo/o lf other than 100%, how is the remaining space used? (Please contact the leasing agent or building o%e' e_ What was the former type of business or use of facility?i owner to determine prior business use.) - VpYggDN / / 4. Has the building or space been vacant or is this a new building? yes K No n lf vacant, for how long? UAr(+fOtl..)I-l 5. Are you an independent contractor? Yes E ruo E 6. Location of the business and suite number: Kt"noo,. B2"oftoo, !_ftoor 7. Do you share the floor or business entrance with another business? Yes E ruo K. 8. What is the amount of square footage leased? Less than 30% { 10. ls the building sprinktered? Yesfr No E 11. Do you plan on making any improverpents to the building such as: exterior painting, signage, . interior tenant improvements? Yes I No E rf yes, prease describe: ff, vP4rLl?+ TD AOO Ot4& 4 r= @oorn)' 12. Will your business include a lobby or waiting area? Yesp No E lf yes, what will be the dimensions? lb'-lO" v- Z4 - Z'' 13. Do you store equipment, materials, or products within the building? Yes E ffo (, a. Will there be outdoor storage of equipment, materials, or products? Yes E ruo & lf yes, please describe: b. Will there be storage r-acks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes E No El(perm it required for racks/shelving over 6', inguire with pemit counter) 14. Do you manufacture a product at the site? Yes n Uo K lf yes, please describe (including process and end product): a. Wil! operations produce dusUwood shavings or similar material? Vel E tlg EX.b. Does the operation involve the use of welding or open flame? Yes E No rEL 15. Does the proposed use involve a patient care profesgion, such as doctor, dentist, chiropractor, acupuncturist, or physical therapist? Yes E No K a. ls the proposed use within the mental health profession, such as: ENo/Not Applicable ! Psychologist E Psychiatrist E Socialworker E Otn"r- 16. ls counseling proposed as a part of your business operation? Yes fl *o ,(. a. Does your counseling business contract work with a public agency? Yes E ruoE- lf yes, please describe: 17. Will your business be offering the following services: tr,g 18. Will your business be offering massages as part of your business operation? This includes massage as ancillaryto pedicuies, manicures, and otherservices. Yes fl ruozK 19. ls cannabis or cannabis related product store{, cultivated, distributed, tested, manufactured or dispensed at your business? yes' n f'lo XL 20. Do you prepare or sell food for consumption on or off the property? Yes E ruo K lf yes, do you provide sit down service E, drive+hrough !, or orders to go/pick-up [? Alcoholsales E Smoking Lounge Body piercing/ Ear piercing Tattoos/ Permanent make-up None of the above S : Planning\Clerical-Counter Forms\ CofO Questionnate 08-27 -1 I Please explain: 21. Does your business sell automobiles or motorcycles? Yes E ruo K lf yes, please explain: 22. Doesyes I your businqFs service or repair vehicles or install equipment and accessories into vehicles?tr NoK t ltE ln lf yes, please explain: 23. I acknowledge that I have requested and received all zoning and Sa Ana pal Code requirements pertaining to my business and occupancy application nitial) I DECLARE UNDER TY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND OF MY KNOWLEDGE AND BELIEF (Evl @ Date Print Name ffirzrAtA=sT 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 (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 Ouestionnate 08-27 -1 I MEMORANDUM TO: FROM: SUBJECT Finance & Management Services Agency Planning and Building Agency Miscellaneous Cash Transaction MCT # 42681 Wednesday, January 16, 2019 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. ISSUED TO ADDRESS: Steve Levisee PBLA Engineering, lnc 4790lrvine Blvd, Suite 10s262 lrvine, CA 92620 ii Ti TOTAL AMOUNT RECEIVED $ 463.51 Comments: C of O No. 80426537 lssued By: Guevara, Jerry (Planning and Building Agency) GL Account # 01 1 16002 51605 Total $463.51 PROJECT NAME: PROJECT ADDRESS: C of O for PBLA Engineering, lnc 1809 E Dyer Rd Unit# 301, Santa Ana, CA 92705-5731 MASTER tD #2019-148817 AP #430-032-19 Application # MISC-2019-54-CO Permit # ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. 1 Certificate of Occupancy (Fee Purposes Only)1.0000 $463.51 $463.51 01 1 16002 51605 Botchi:i7970 - iiiai20il i0: i.i.iiEi.i.A Olf ice: iTr'ii Transi; 2i i oi ? Acct i: Ref i: +2ri8iRcpt*:B25uin53''tiio.iiuil ii:ii ttti Tronsoction Toini i67o.it PitLA ENGiiiEErttii,ir iiit. Cert i f icote of [r],ruPollce 0l 1 16002- iiotriuiru- ICL Check ti2a3 !+oJ i,67c) 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 1 of3