HomeMy WebLinkAboutCOO-2020-346-CO - Certificate of OccupancyI
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O.1988 (M-19)
Santa Ana, CA 92702
(714) 647-s8ts
coo-2020-346-CO
OCCUPANCY INSPECTION
APPLICATION
BrN 1)5)) r
(D
C
9.z
maa
oonmo
U)k
lu
l,t
$
IN
l^
R
B,Ir
F---S
Uo-e
4[rs
^
o
E NO.t(NO.
I
&
SOUARE FEET AREAtr No (lF 2iloOF
1llOA/O
PHONE NO.EMERGENCY PHONE NO.
MANAGEMENT COMPANY ADDRESS
NER'S NAME
t
BUSINESS DESCRIPTION
tI MANUFACTURING
E OFACE
t6ro,r.o...
O WHOLESALE
O WAREHOUSE
tr GROUP ASSEMBLY
tr AUTO BODY(SEE ATTENTION BELOW)
tr WOODWORKING (SEE ATTENTION BELOW)
tr EATING ESTABLISHMENT (SEE PWA)
tr OTHER (DESCRIBE ABOVE)
tr AUTO REPAIR (NO WELDING, NO
FLAMES, NO SPRAY PAINTING
ff v", fi(ozruo. 1 Will you be storing and/or utilizing hazardous materials at
thisfacilitv? -/
!t ves HCNo. 2 Does )aour production process produce hazardous waste?
lf you have answered Yes to either question you musl contact Orange County
Fire Authority's Hazardous Material Oisclosure Section at (714) 573-6000.
lf YES, please describe
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 OR STR{JCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED.
0bJNqTITLE DATE1-t-9-o
,1YES NO Date of report:l.,l q,,t$*tDEPARTMEtrT USE ONLY
PRIOR APPROVED USE
fi""4,.1
PRIOR APPROVAL DATE
l0 / 0( 17.<t,t t
PRIOR OCCUPANCY GROUP
M
PRIOR CONSTRUCTION TYPE
v r',
PLANNING
L r{[rLL
ZONE CUP
6 l"ru,,A
APPROVED DENIED DATE
a/.t / 207.0
OCC. LOAD OCCUPANCY GROUP
/r)
CONSTRUCTION TYPE
yB lZ Ctslttto
APPROVED DENIED
3
DATE
7/, f /za LD
Note: One of the following must be checked by the C of O lnspector.
I I Yes [ ] No Has the inspector identified any hazardous materials at this facility?
NOTES: (LIMITATIONS OF APPROVED OCCUPANCY)
/
[ ] Yes [ ] No ls hazardous waste being generated at this site?
P/ease turn in this completed form with your Certificate of Occupancy application.
Company Name (Print):
Contact Name:cro .L
Address (business mailing address):( n . (. A' L+hee ei
City:a.a+lht nru<;d
Phone No.:E-mailAddress:
E Cnange of Property Owner W{^nn"of Occupant E Cnange of Use E ROOitional Occupant
The following best desclbes my operation:
E Orice Only {eetail Sales E Medical/Dental
n Warehouse/Manufacturing/Distribution n Restaurant/Take Out Food
E Otner (describe)
Please provide a brief description of how the business operates at this site
describe the general nature of the business, what activities occur on-site, the
open to the public). o Fd f*, (yoo ftrzl Ty I(ro:.ilfir2 -(o 7
o
-bt,l
1
2.
S: Planning\Clerical-Counter Forms\
CofO Questionnaire 08-27-1 8
(for example, please
, hours of ope
:oa trttA .
ration,lvl To
tro P A4
t^kt
or3. What was the former type of business or use of facilityZ (Please contact the leasing
owner to determine prior business use.,)
Le*tVantiq\/Ce ff-o<e
4. Has the building or space been vacant or is this a new building? Yes E No
lf vacant, for how long?
{*"o
a;,
9. How much of the space, which you lease, is office?
tr 1oo% tr soYo n 3oo/o
lf other than 100%, how is the remaining space used?
5. Are you an independent contractor? Yes l
6. Location of the business and suite number
tr lstfloor tr 2ndfloor
7. Do you share the floor or business entrance with another business? Yes E *o {
8. What is the amount of square footage leased?
Less than 30%
Planning and Building Agency
Planning Division
20 Civic Center Plaza
P.O. Box 1988 (M-20)
Santa Ana, C492702
(714) 647-s804
www.santa-ana.org
CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
{
2-4.oC
,--SANTA
A}IAJIII}ffi
10. ls the building sprinklered? Yes E tlo
11. Do you plan on making any improvements to.t{Oularng such as: exterior painting, signage,
interior tenant improvements? Yes E No El'
b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in
height? Yes f] Ho ! (permit required for racks/shelvinyter 6', inquire with permit counterl
14. Do you manufacture a product at the site? Yes E *o t
lf yes, please describe:
,/
12. Will yourbusinessincludealobbyorwaitingarea? Yes E No W
lf yes, what will be the dimensions?
13. Do you store equipment, materials, or products within the building? Yes f] No
a. Will there be outdoor storage of equipment, materials, or products? Yes E No
lf yes, please describe:
lf yes, please describe (including process and end product):
a. Will operations produce dusUwood shavings or similar material? Yes E No
b. Does the operation involve the use of welding or open flame? Yes E No
E Socialworker E Other
16. ls counseling proposed as a part of your business operation? Yes E No
a. Does your counseling business contract work with a public agency? Yes E No
lf yes, please describe:
17. Will your business be offering the following services:
n Alcohol sales E Smoking Lounge I y'dtooslPermanent make-up
E goOy piercing/ Ear piercing @/None 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 n
19. ls cannabis or cannabis related prod uct stored , distributed, tested, manufactured or
dispensed at your business? Yes E No
20. Do you prepare or sell food for consumption on or off the property? Yes E Xo Y
lf yes, do you provide sit down service E, drivethrough E, or orders to go/pick-up [?
15. Does the proposed use involve a patient care profes r:rg(ru"nas doctor, dentist, chiropractor,
acupuncturist, or physicaltherapist? Yes n No El'
a. lslhe proposed use within the mental health profession, such as:
/
El'ruo/ruot Applicable fl Psychologist ! Psychiatrist
S: Planning\Clerical-Counter Forms\
CofO Ouestionnaire 08-27-1 I
Please explain:
21. Does your business sell automobiles or motorcycles? Yes n No
lf yes, please explain:
22. Does your busi
Yes E No
../ip6service or repair vehicles or install equipment and accessories into vehicles?
lf yes, please explain
23. I acknowledge that I have requested and received all zoning and Ana Municipal Code
requirements pertaining to my business and occupancy application.initial)
I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.l- ar w
Date
Print Name
"un1aLTitle
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 al (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.lvlunicipal 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 Questionnaire 08-27-18
MEMORANDUM
TO:
FROM:
SUBJECT:
ISSUED TO
ADDRESS:
Finance & Management Services Agency
Planning and Building Agency
Miscellaneous Cash Transaction
L0\)
MCT# 50420
Thursday, July 9, 2020
ri on I St
All fees are sublect 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.
Dan
620 S Newhope St
Santa Ana, CA 92704
ITEM DESCRIPTION OTY UNIT RATE AMOUNT FUNO NO.
1 Certificate of Occupanry (Planning and lnspection)1 0000 $499 36 s499.36 01116002 51605
TOTAL MCT AMOUNT: $499.36
Comments
lssued By: Enriquez, Gissel (Planning and Building Agency)
GL Account #
01 I 16002 51605
Total
$499.36
PROJECT NAME:
PROJECT ADDRESS
COO for Budget Mart
620 S Newhope St, Santa Ana, CA 92704-2156
MASTER tD#2020-160038
AP # 108-131-27
Application # COO-2020-346-CO
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 2 of 3
I
Permit #