HomeMy WebLinkAbout80426024 - Certificate of OccupancyPlanning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. 1988 (M-19)
Santa Ana, CA 92702
(714) 647-s8ts
No. 804-26024
OCCUPANCY INSPECTION
APPLICATION
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BUSINESS ADDHESS
EMERGENCY PHONE NO.
a$ 35t 1lo1A).,.rhoo< BrJ- Ldor i(tBUSINESS NAME BUSINESS PHONE NO.
(111 qL5 65-.) t
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DOYOUSUBLEASE? l'Yes L No(lFYES, NAMEOFSUBLEASOR)SOUARE FEETzlooo AREA
cM pr-la€J sa- 3itL
PHONE NO.
LEASING AGENT ORPROPERTY MANAGEMENT COMPANY ADDRESS
q33 o5 ?-^ f+ Jf.. ?-o' tu)hi4*ie'C A' fo6o-'
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PROPERTY OWNEB'S NAME BUSINESS PHONE NO.
Trt,4t 461 1,361 ()
EMERGENCY PHONE NO.
PROPERTY OWNER'S ADDRESS
BUSINESS DESCRIPTION
MANUFACTURING
OFFICE
r ] RETAIL SALES
WHOLESALE
i i WAREHOUSE
I GROUP ASSEMBLY
II AUTO REPAIR (NO WELDING, NO OPEN
FLAMES, NO SPRAY PAINTING
(nuro BoDY (sEE ATTENTToN BELow)
WOODWORKING (SEE ATTENTION BELOW)
I ]EATING ESTABLISHMENT (SEE PWA)
OTHER (DESCRIBE ABOVE)
tllVes t I No No. 1 Will you be storing and/or utilizing hazardous materials at
this facility?
fi1Ves t I No No. 2 Does your production process produco hazardous wasts?
ll you havs answsrod Yos to either qusstion you must contact Orange County
Hazardous SectionFir€ Authority's
lf YES, please r
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 STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPBINKLEB SYSTEM INSTALLED.
SIGNATUR H'5,L+'it/r f rr
DEPARTMENT USE ONLY EXPIRED/OPEN PERMITS?
I YES I NO Oate ol report:
PRIOR APPROVED USE
I
A)1D -E|rla€:
PRIOR APPROVAL DATE
4lulp
PRIOR OCCUPANCY GROUP6'l PRIOR CONSTRUCTION TYPE
VB
PLANNING
o'1-
ZONE CUP APPROVED
c\.a
DENIED DATE t t\\l6lh
OCC. LOAD OCCUPANCY GROUP*t CONSTRUCTION TYPE
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APPROVED
Dc to*+,
DENIED
?,<
DATE
Y-6 4sz\
Note: One of the lollowing must be checked by the C o, O lnspector.
[ ] Yes [ ] No Has the inspector identified any hazardous materials at this lacility?[ ] Yes [ ] No ls hazardous waste being genorated at this site?
J
NOTES: (LIMITATIONS OF APPROVED OCCUPANCY)/{'Sfo .aeull,A
,^-SAJ,[TA
ANAJ{ilffi
Planning and Building Agency
Planning Division
20 Civic Center Plaza
P.O. Box 1988 (M-20)
Santa Ana, CA92702
(714) il7-5804
www.santa-ana.org
CERTIFICATE OF OCCUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
P/ease turn in this form with
Company Name (Print)c,b"
Contact Name: Da^^-t bpn'-
of Occupancy appl ication.
Address (business rr;;.n "oor".(;,
/6 lo /t/u)
City:..-1 state: CA' zip t'Z 7o3
Change of occupant E Cnange of Use fl Additional occupant
Phone N"., 'l /4 t'/ 6 t' 65 7 I E-mail Address: r,-l''ptb-/1 *nl4o @ n'-'ilrcrp=-
E Cnange of Property owner (
1. The following best describes my operation:
! Ofice Only ! Retail Sales n Medical/Dental
E Warehouse/Manufacturing/Distribution E RestauranUTake Out Food
Q other (describe) bo\ f,l'y
I
2. Please provide a brief description of how the business operates at this site (for example, please
describe the general natqre of the bpliness, w-hat acttyities occur on-site, the hours of operation,
open to the [ubtic). l"rl, Jl"p 8n*, / f""-,l(
3. What was the former type of business or use of f4ility? (Please contact the leasing agent or building
owner to determine prior business use.) b_J7J lV
4. Has the building or space been vacant or is this a new building? Yes fr NoE
lf vacant, for how long?OPr O,*c. I r.
5. Are you an independent contractor? Ves ft No E
6. Location of the business and suite numbe ,, d. C
N lstftoor tr 2ndftoor !
-floor7. Do you share the floor or business entrance with another busi ness? Yes
+F NoE
8. What is the amount of square footage leased?
9. How much of the space, which you lease, is office?
tr 1oo% tr so% tr 3oYo
lf other than 100%, how is the remaining space used?
S:Planning\Clerical-Counter Forms\
CofO Questionnate 08-27 -18
x Less than 30%
I
or
10. ls the building sprinklered? Yes n ruo ryl
11. Do you plan on making any improvements to -the building such as: exterior painting, signage,
interior tenant improvements? Yes E No EI
lf yes, please describe:
12. Will your business include a lobby or waiting area? Yes f] *o E
lf yes, what will be the dimensions?
13. Do you store equipment, materials, or products within the building? Yes E *o F
a. Will there be outdoor storage of equipment, materials, or products? Yes E *o F
lf yes, please describe:
b. Will there be storage- racks, pallets and/or shelving exceeding 5 feet 9 inches in
height? Yes E No E (permit required for racks/shelving over 6', inquire with permit counter)
14. Do you manufacture a product at the site? Yes n ruo ffi
lf yes, please describe (including process and end product):
a. Wilt operations produce dusUwood shavings or similar material? Yes E fto ,hb. Does the operation involve the use of welding or open flame? Yes p No E
15. Does the proposed use involve a patient care profe.sgion, such as doctor, dentist, chiropractor,
acupuncturist, or physical therapist? Yes ! *o X
a. ls the proposed use within the mental health profession, such as:
Ktr
No/Not Applicable ! Psychologist ! Psychiatrist
Tattoos/ Permanent make-up
None of the above
Socialworker E Other
16. ls counseling proposed as a part of your business operation? Yes E *o F
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:
F
trn Alcohol sales I Smoking Lounge
Body piercingl Ear piercing E
,ion? This includes
No ,K
19. ls cannabis or cannabis related product stoled, cultivated, distributed, tested, manufactured or
dispensed at your business? Yes fl *o W
20. Do you prepare or sell food for consumption on or off the property? Yes E ruo #
lf yes, do you provide sit down service E, drive{hrough [, or orders to go/pick-up !?
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CofO Questionnate 08-27 -1 8
18. Will your business be offering massages as part of your business
massage as ancillary to pedicures, manicures, and other services. Yes
operat
tr
1
Please explain:
21. Does your business sell automobiles or motorcycles? Yes E No
lf yes, please explain:
22
.1
{
Does vour
ves ft
business service or repair vehicles or install equipment and accessories into vehicles?
NoE
lf yes, please explain hl uJ,- E
1
23. I acknowledge that I have requested and received all zoning and S4rf\a fna Municipal Code
requirements pertaining to my business and occupancy application. -UL_(initial)
I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO THE BES F MY KNOWLEDGE AND BELIEF
/r r (7
a
Print Name^//.or
Tiile
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.
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CofO Oueslionnaire 08-27 -1 I
MEMORANDUM
TO: Finance & Management Services Agency
FROM: Planning and Building Agency
SUBJECT: Miscellaneous Cash Transaction
MCT #41727
Monday, November 5, 2018
I st
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:
Newhope BodyWorks CofO
1610 N Newhope St Unit# C, Santa Ana, CA 92703-1221
MASTER tD #2018-147453
AP # 100-190-36
Application # MISC-2018-130-CO Permit #
ISSUED TO: Danny Lopez
Newhope Body Works
ADDRESS: 631S Center St.
Santa Ana, CA 92703
ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO.
1 Certificate of Occupancy (Fee Purposes Only)1.0000 s463.51 $463.51 01 1 16002 51 605
Bot,:h t
0ff r re
lll-LL!.
Rcpt::r'Irqn sq
6767 - tl/i/z0tg IDr J((:TYH Trons+3 139 I
Ref i: +172",
43777t - ll/1/2(tt8 2?34
ion Totol t1r8,:t1
P,OOYUORI(S (:OFO
ote ol Occuponcc- 5160t000
1
r+x* *****3l(r4 Auth*: Lrl
I'lEHH0F'E
Cert i I
01 1 160
V iss
cc+: *
Comments:
80426022
lssued By: Arabe, Jill (Planning and Building Agency)
TOTAL AMOUNT RECEIVED $ 463.51
GL Account #
01116002 5'1605
Total
$463.51
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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