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Home My WebLink About80422634 - Certificate of OccupancyPlanning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. 1988 (M-19) Santa Ana, CA 92702 (714) 647-s81s No.80422634 OCCUPANCY INSPECTION APPLICATION LZXnrx X TEC U)z maa oonmaa \ P \ w \ $oq 0 Qd+30 q> I u^kf 7s 1l Qrut'd"nV & TITLEOWNER'S & STATE \v BUSINESS DRIVERS 3 T0Z / (IF YES, NAME OF SUBLEASOR)DO YOU SUBLEASE?7 FLOOR AREA V EMERGENCY PHONE NO, ta- 0 >+Qt1 MA ADDRESS o PROPERTY ,S this I MANUFACTURING AT yiorrtce GROUP ASSEMBLY OTHER ( AUTO REPAIR o AUTO BODY(SEE NG, NO FLAMES, NO SPRAY PAINTING BELOW) BELOW)WOODWORKING(SEE EATING /FOOD SERVICE CONTACT PWA 7'l 4-647-3380. RETAIL SALES WHOLESALE WAREHOUSE No No. 1 Will you be storing and/or utilizing hazardous malerials at t/ No No. 2 Does your production process produce hazardous waste? have answered Yes to either question please contact the Orange County lf YES, please describe Authority (OCFA) 71 4-573-61 00 ATTENTION: ALL GROUP "H" OCC INCIDENTAL TO WELDING WITH ANY BUILDING OR S N IS LUDING,NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE tNG, CUTT|NG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED tN ROVED FIRE SPRINKLER SYSTEM INSTALLED. S.A.M.C. 14-7.2 SIGNATURE \s DEPARTMENT Y \t] YES PRIOR APPROVED USE1ff* o I PRIOR OCCUPANCY GROUP t) PRIOR CONSIRUCTION TYPEl// f Ptz l/ynPLANNING ZONElu I CUP m.nAPPROVED DENIED DATE /o- / k -// BLDG. SAFEW CONSTRUCTION TYPE APPROVED DENIED DATE I I Yes [ ] No ls hazardous waste being generated at this site? a OCCUPANCY)0{{i. (NOTES: (LIMITATIONS OF by the C of O lnspector. any hazardous matsrials at this faciliM Note: One of the following must be I I Yâ‚¬s [ ] No Has the inspector ,{LL J of.l- U<v w run ctI- OCCUPANCY "Y' ,'',*SA]\{TA Al,[A;liilfi Planning and Building Agency Building Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, CA92702 (714) 647-s800 www.santa-ana.org CERTIFICATE OF OCCUPANCY SUPPLEMENTAL QUESTIONNAIRE P/ease turn in this Company Name (Print): Contact Name form with Ceftificate of v application. tU +?D cql\e,O @ unih^lhornO .\ft\, \tt{ E. Dqo( [/. + 3 o I ailing address):Dq Ail^state: 0A zip: q*+05 phone N"., q.\q - 3S 1- tt ?tt E-mailAddress:\C) ! Cnange of Property Owner E Change of Occupant I Change of Use E Additional Occupant 1. The following best describes my operation: fi Ofice Only ! Retailsales ! Medical/Dental f] Warehouse/Manufacturing/Distribution n Restaurant/Take Out Food E Otner (describe) ease provide a brief description of how the business operates at this site (for example, please 3 4. Has the building or space been vacant or is this a new building? Yes El No E lf vacant, for how long?3 xpr. r( 5. Are you an independent contractor? Yes n 6. Location of the business and suite number: NoE F 1$ftoor tr 2dftoor fl _ftoor 7. Do you share the floor or business entrance with another business? Yes n ruo E 8. What is the amount of square footage leased?ruo\t D 9. How much of the space, which you lease, is office?t n so%tr 3oo/o100% lf other than 100%, how is the remaining space used? describe the general nature of the business, whal activities occur on-site, the hours of operation, open to the public). dOcy"rr.onf 0na-Oeaf Oh Oo gXrwQD"ng . Gnf SA Nr5S \ lr5 \oom tD \rtm tlo14ps$bnal o6u- $^+ uftn N @\;", What was the former type of business or use of facility? (Please contact the leasing agent or building owner to determine prior business use.) 'pgA6k cm\cntr-frm\Supp. Quest. 0712016 U n Less than 30% 10. ls the building sprinklered? Yes fl No E 11. Do you plan on making any improvements to the building such as: exterior painting, signage, interiortenantimprovements? Yes E *o F lf yes, please describe: 12. Will your business include a lobby or waiting area? Yes p No E lf yes, what will be the dimensions? 13. Do you store equipment, materials, or products within the building? Yes E No F a. Willthere be outdoor storage of equipment, materials, or products? Yes E *o Y lf yes, please describe: b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in height? Yes E No F[1perm it required for racks/shelving over 6', inquie with permit counter) 14. Do you manufacture a product at the site? Yes E *o F lf yes, please describe (including process and end product): a. Willoperations produce dusUwood shavings or similar material? Yes No b. Does the operation involve the use of welding or open flame? Yes No 15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor, acupuncturist, or physicaltherapist? Yes E No F a ls the proposed use within the mental health profession, such as No/Not Applicable ! Psychologist ! PsychiatristtrtrSocialworker E Other 16. ls counseling proposed as a part of your business operation? Yes f] *o F a. Does your counseling business contract work with a public agency? Yes tr No E lf yes, please describe: 17. Will your business be offering the following services: E Alcohol sales ! Smoking Lounge E Tattoos/ Permanent make-up E AoOy piercing/ Ear piercing B'tione 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 E No X 19. ls medical marijuana stored or dispensed at your business? Yes f] No F 20. Do you prepare or sell food for consumption on or off the property? Yes E No F lf yes, do you provide sit down service E, drive-through E, or orders to go/pick-up ! Please explain cm\cntr-frm\Supp. Quest. 0712016 21. Does your business sell automobiles or motorcycles? Yes f] No lf yes, please explain: q x 22. Does your busine_ss service or repair vehicles or install equipment and accessories into vehicles? Yes E No B-I lf yes, please explain I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. - /tr- Signature 0 Print Name a 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 10:00a.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 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. 07 t2016 /t'o11 Planning & Building Agency Planning Division 20 Civic Center Plaza P.O. Box 1988 (M-20) Santa Ana, C492702 714-667-2700 www.santa-ana.org PLANNING DIVISION FEES Sheet 2 of 3 Effective 7 l112076 2 6 CASE NUMBERAccount No.: 01 1 16002-5361 3 AMOUNTMISCELLANEOUS CHANGE HISTORIC PROPERTY PRESERVATION AGREEMENT (Mills Act Application).... HOME OCCUPATION PERM|T.................. LAND USE CERTIFICATE & ENTERTAINMENT PERMIT Category 1 & 2 LUC/ Category2 & 3 Entertainment Permits Bazaars, Fiestas, Sidewalk Sales, Outdoor Auctions, Child Care (8-14 children), Mobile Medical and Veterinary units, Outdoor Booths, ABC Licenses and Parking Lot Sales Category 3 LUC / Category 4 Entertainment Permits Camival, Circus, Outdoor Music, Concert, Arcade, 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-PREMtSE ADVERTTSING (BILLBOARD) PERMlT........ NEW SINGLE FAM. RESIDENCE OR MAJOR MOD. REVIEW NON.CONFORMING/ZONING VERI FICATION LETTER........ SECOND DWELLING UNIT REVIEW SIGN PERMIT REVIEW (on-premise)... SIGN PROGRAM REVIEW.... TEMPORARY SIGN PERMIT TEMPORARY TRAILER PERMIT........ ZONING INTERPRETATION LETTER.. $ $ $ $ $ $ 1,112.85 2,059.50 267.70 r:1, ' 378.40 HGARClof NA 35389 - LO/18/2016 ID:,.:lYH Trsnsi:61iD p6f!L nrt A 1 $ $ $" , 678.56 $ /2016 3:41 Pn t431.69 5ER6II704.76 $ RODRI6UEZ :] 589.32 $ v i+!6.as $ C(:+: *x*x*+rutffitffi t431 ,69 69 t*rtI*rf,O;lJI AMOUNT CASE NUMBERMISCELLANEOUSAccount No.: 01 1 16002-53605 LANDSCAPE PLAN REVIEW Residential Projects......... Non-Residential Projects.............. Per lnspection after 2nd lnspection. oTHER......... $ $ $ $ $ $ $ $ 652.71 1,460.33 487.53 AMOUNT CASE NUMBERTUISCELLANEOUSAccount No.: 0'l 1 1 6002-51605 AMOUNT CASE NUMBERINCLUSIONARY HOUSING PLAN Account No.: 41 71 8002-53902 SUBMITTAL AMOUNT CASE NUIVBERINCLUSIONARY HOUSING PLAN Account No.: 41 71 8002-57896 INCLUSIONARY HOUSING PLAN IN-LIEU FEE. TOTAL $ $$ PROJECT ADDRESS DATE PHONE BY APPLICANT MAILING ADDRESS I t 983.05 $ 5,192.03 $ 1,377 .17 $ 552.49 $ 2,093.35 $ 475.02 $ s3s.35 $1il.92 $ 594.15 $ 490.68 $