HomeMy WebLinkAbout80429257 - Certificate of OccupancyPlanning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. 1988 (M-19)
Santa Ana, CA 92702
(7r4) 647-s81s
No. 804 -29257
OCCUPANCY INSPECTION
APPLICATION
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BUSINESS OWNER'S MAILING ADDRESS EMAIL AL}DHESS
(IF YES, NAME OF SUBLEASOR)YOUSUBLEASE? I]Yes
BUSINESS NO.EMERGENCY PHONE NO.OR PBOPERTY MANAGEMENT COMPANY
D
LEASING NAME
BUSINESS NO.EMERGENCY PHONE NO.
4a2ru96 rFfre.E
I ] RETAIL SALES
LIWHOLESALE
I ] WAREHOUSE
I I GBOUP ASSEMBLY
L] AUTO REPAIR (NO WELDING, NO OPEN
FLAMES, NO SPRAY PAINTING
D AUTO BODY(SEE ATTENTION BELOW)
D WOODWORKING (SEE ATTENTION BELOW)
t] EATING ESTABLISHMENT (SEE PWA)
D OTHER (DESCRIBE ABOVE)
')'(grrrce
BUSINESS DESCRIPTION
I ] MANUFACTURING
t ] ves f4l.to No. 1 Will you be storing and/or utilizing hezadous materials at
this tacilitr?
t I Ves flNo No. 2 Does pur production proc€ss produce hazardous rvaste?
lf you hdve answered Yes lo either question you musl contacl Orange County
Fire Authori$s Hazardous Material Disclosure Seclion al (714) 573{OOO.
1l YES, please describe
ATTENTION: ALL GBOUP "H'O@UPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE
INCIDENTAL TO WELDING WITH OPEN FLAME, WOODIA'OBKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN
ANY BUILUNq,6F STRUoTURE UNLESSTHERE ISAN A,PRoVED FIRE SPRINKLER SYSTEM INSTALLEo. u
SIGNATURE TITLE DATE / /- /o,/s /run
P TMENT US LY L]YES Oate of report:
USEPqsz PPRoVED PRIOR APPROVAL DATE PRIOR oCCUPANCY GRoUP PRIOR CONSTRUCTION TYPE
M&DC
PLANNING
.rL
CUP
,S0ht/.qa
APPROVED DENIED
Loltl t4
DATE
OCC. LOAD GROUPoccuPA}E C(TBTRUCTION TYPE
V{-s ?t<5i:t**4 DENIED
)'floilt *
Note: One ol the following must b€ cfpcked by th€ C ot O lnspector.
[ ]Y€s [ ] No Has th€ insp€ctor identifi€d any hazardous materials at this facility?[ ] Yes [ ] No ls hazardous wast€ b€ing generated at lhis site?(Yat eNOTES: (LIMITATIONS OF APPROVED OCCUPANCY)
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Planning and Building Agency
Planning Division
20 Civic Center Plaza
P.O. Box 1988 (M-20)
Santa Ana, CA92702
(7141647-5804
www.santa-ana.org
CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
Please turn in this completed form with Ceftificate of Occupancy application.
Company Name
Contact Name:
City:
(Print):/u,'4n46 L
fz^rn .4ra state: /?4 zip, ?376i
Phone No ?':t,t J,{* t '' E-maitAddress: -fDgeaar*b,pz4uff:a,&,4-
E Cnange of Property Owner ( Cnung" of Occupant ! Change of Use E Additional Occupant
1. The following best describes my operation:
p-Ofrice Only E Retail Sales n Medical/Dental
E Warehouse/Manufacturing/Distribution E Restaurant/Take Out Food
fl Otfrer (describe)
lf vacant, for how long?
5. Are you an independent contractor? Yes E *o F
6. Location of the business and suite number: -/7t74
l15tA
E. DY€IL ?,V
F tottoor. tr 2ndfloor !
-ftoor7. Do you share the floor or business entrance with another business? Yes E ruo B
8. What is the amount of square footage leased?
/
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 actjyjties occur on-site, the hours of operation,
open to the public). AirZfflaZ*T ftlfat I rcrrf
3. What was the former type of business or use of facilityT (Please contact the leasing agent or building
owner to determine prior business use.) ,/o/^
4. Has the building or space been vacant or is this a new building? Yes E *oF
9. How much of the space, which you lease, is office?
* toow tr soYo tr 30%
lf other than 100%, how is the remaining space used?
S : Planning\Clerical-Counter Forms\
CofO Questionnaire 08-27-'1 8
%
n Less than 30%
,,-SANTA
ANA-'iiNJffi
Address (business mailing address):
I
10. ls the buitding sprinkteredZ VesF,No E
11. Do you plan on making any improvements to the building such as: exterior painting, signage,
interior tenant improvements? Yes f] No F-
lf yes, please describe:
12. Will your business include a lobby or waiting area? Yes E NoF
lf yes, what will be the dimensions?
13. Do you store equipment, materials, or products within the building? Yes E *oF
a. Will there be outdoor storage of equipment, materials, or products? Yes n No B.
lf yes, please describe:
b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in
height? Yes E No @Yo"rm it required for racks/shelving over 6', inquire with permit counterl
14. Do you manufacture a product at the site? Yes E ruo p.
lf yes, please describe (including process and end product):
a. Will operations produce dusUwood shavings or similar material? Yes E fto Ef-b. Does the operation involve the use of welding or open flame? Yes E ru" p.'
15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor,
acupuncturist, or physical therapist? Yes E No E
ls the proposed use within the mental health profession, such as
No/Not Applicable ! Psychologist fl Psychiatrist
a.
E Socialworker n Other
16. ls counseling proposed as a part of your business operation? Yes f] No B
a. Does your counseling business contract work with a public agency? Yes E No E
^%.
lf yes, please describe:
17. Will your business be offering the following services:
fl Alcohol sales ! Smoking Lounge E Tattoos/ Permanent make-up
fl AoOy piercing/ Ear piercing [} tlone 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 B.
19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or
dispensed at your business? Yes E No E
20. Do you prepare or sell food for consumption on or off the property? Yes E No EL
lf yes, do you provide sit down service E, drive-through !, or orders to go/pick-u
S:Planning\Clerical-Counter Forms\
CofO Questionnaire 08-27-1 8
Please explain:
21. Does your business sell automobiles or motorcycles? Yes E No E
lf yes, please explain:
business service or repair vehicles or install equipment and accessories into vehicles?
No tr
lf yes, please explain:
23. I acknowledge that I have requested and received all zoning and Municipal Code
requirements pertaining to my business and occupancy application initial)
I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGO!NG MENTS ARE TRUE AND
co TO THE BEST OF MY OWLEDGE AND BELIEF.
22. Does
Yes I
your
tr
,a/fi,,
Date
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, exceptWednesday 10:30a.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 Questionnare 08-27 -18
P
MEMOR/TNDUM
TO: Finance & Management Services Agency
FROM: Planning and Building Agency
-SUBJECT: Miscellaneous Cash Transaction
MCT #46968
Thursday, October 3, 2019
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.
PROJECT NAME:
PROJECT ADDRESS:
Arden - Leasing Office for Heritage
1951 E Dyer Rd Unit# A, Santa Ana, CA 92705-5726
MASTER tD #2019-154862
AP #430-221-28
Application # MISC-201 9-822-CO Permit #
ISSUED TO: Julian Stephens
ADDRESS: 450 Newport Center Dr., 550
Newport Beach, CA 92660
ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO.
1 Certificate of Occupancy (Fee Purposes Only)1.0000 $481 68 $481 68 01 1 16002 51605
Botchi:52332 - lu/3/21719 I0: ELIZABE'
6f f igs: CTYH f pnnsi! 110 I rrl" 2Accti: Ref*r 4696S
Rcpti:02770556 - tO/3/2019 2:54 F'll
Tnonsact i on Totol t9g2.6g
ARDEil LEASING OFFICE FOR HEFIT
Centif icote of 0ccupnncv
0l I 1600!- 516L150trtr-
V iss
(:(:+ : **rrr***x***5[t I 4
$4S1
$982
Auth+:0351 1 (:
Comments:
C of O: 80429257
lssued By: Soto, Ricardo (Planning and Building Agency)
TOTAL MCT AMOUNT $ 481.68
GL Account #
01 1 16002 51605
Total
$481.68
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.
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