HomeMy WebLinkAboutCOO-2020-598-CO - Certificate of Occupancycoo-2020-598-CO
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. 1e88 (M-le)
Santa Ana, CA 92702
(714) 647-58t5
OCCUPANCY INSPECTION
APPLICATION
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BUSINESS ADDRESS
Circle
UNIT OR SUITE
927051702 N Unit O
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Accutech Dental Studio
NAME
7t4 668 -0433 949 254- 6686
Hyung Ju Kim, CEO
DRIVERS LICENSE NO, & STATE
1702 Newport Circle, Unit O, Santa Ana CA92705
BUSINESS OWNER'S I\,,1AILING ADDRESS EMAIL ADDRESS
info@accutechds.com
DO YOU SUBLEASE? trYes E No (lF YES, NAME OF SUBLEASOR)
600
NAMELEASING AGENT OR PROPERTY MENT
N Partners
BUSINESS PHONE
7t4 979 -2020
LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESS
l7l2 Newport Circle #A, Santa Ana CA 92705
Richard Adams
PROPERTY OWNER'S NAME BUSINESS PHONE NO.
t7lAt979 -2020
EMERGENCY PHONE NO.
(714 \883 -440e
l7l2 Newport Circle #A, Santa Ana CA 92705
PROPERTY OWNER'S ADDRESS
BUsTNESS DES6RrploN Dental Laboratorv
S MANUFACTURING
E OFFICE
O RETAIL SALES
tr WHOLESALE
tr WAREHOUSE
O GROUP ASSEMBLY
tr AUTO REPAIR (NO WELDING, NO OPEN
FLAMES, NO SPRAY PAINTING
tr AUTO BODY (SEE ATTENTION BELOW)
O WOODWORKING (SEE ATTENTION BELOW)
tr EATING ESTABLISHMENT (SEE PWA)
tr OTHER (DESCRIBE ABOVE)
H Yes E[ No No. 1 Will you be storing and/or utilizing hazardous materials at
this facility?
El Yes E4 No No. 2 Ooes your production process produce hazardous waste?
lf you have answered Yes to either question you must contact Orange County
Fire Authority's Hazardous Material Disclosure Section at (7'14) 573-6000.
lf YES, please descri
ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE
TNCTDENTAL TO WELDTNG WrTH OPEN FLAME, WOODWORKTNG, CUTTTNG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED rN
ANY BUILOING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED.
SIGNATURE- - HYung Ju Kimfi-r:Hi#::r.'*
TITLE
CEO
DATE
rq-26-2W0
DEPARTMENT USE ONLY YES
PERMITS?
oate of report:.U)YdA
PRIOR APPROVED USE
\dhrt\\\,rw
PRIOR APPROVAL DATE
It - l-r -u,r {
PRIOR OCCUPANCY GROUP
R-.L
PRIOR CONSMUCTION TYPE
V
PLAN
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ZONE
l^\
CUP APPROVED
[, p1(t,nri1i
DENIED
tiili'"\tu
OCC. LOAD OCCUPANCY GROUP6. fl CTION TYPE/6 trK
APPROVED
B Cc,'t
DENIED DATE//-u-a p
Note: One of the following mustte checlEd by the C of O lnspector.
[ ] Yes I I No Has the inspector identified any hazardous materials at this facility?
hur*ru f[tvfU0na wl rrtfirf. 14\ tAny..llurl ui(
I I Yes [ ] No ls hazardous waste being generated atthis site?
NOTES: (LlMlTATlpNS OF APPROVED OCCUPANCY)
\rc.,i(uA Cc, 10 I
rr\$
EI\,4ERGENCY PHONE NO.BUSINESS PHONE NO,
tsUSINESS OWNER'S NAME & TITLE
EMERGENCY PHONE NO.
(714 \883 -4409
Please turn in this completed form with your Ceftificate of Occupancy application.
Company Name (Print):Accutech Dental Studio
contact Name: HYung Ju Kim
Planning and Building Agency
Planning Division
20 Civic Center Plaza
P.O. Box 1988 (M-20)
Santa Ana, CA92702
(7141il7-5804
www.santa-ana.org
CERTIFICATE OF OCGUPANCY
SUPPLEMENTAL
QUESTIONNAIRE
Address (business mailing address):1702 Newport Circle Unit O
City:Santa Ana state, CA zip 92705
phoneruo., 714-668-0433 E_maitAddress: info@accutechds.com
E Change of Property Owner E Change of Occupant ! Change of Use E Additional Occupant
1. The following best describes my operation:
! Ofice Only ! Retailsales n Medical/Dental
E Warehouse/Manufacturing/Distribution E RestauranUTake Out Food
E 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 public)' office and light industrial manufacturing of dental prosthetics.
3. What was the former type of business or use of facility2 (Please contact the leasing agent or building
owner to determine prior business use.)
Office Space.
4. Has the building or space been vacant or is this a new building? Yes ! No E
lf vacant, for how long?
5. Are you an independent contractor? Yes f] No E
6. Location of the business and suite numbe r' 1702 Newport Circle unit O
E 1'tfloor tr 2ndfloor E _floor
7. Do you share the floor or business entrance with another business? Yes E No E
8. What is the amount of square footage leased?600
9. How much of the space, which you lease, is office?
tr looo/o tr sooh tr 3oo/o
lf other than 100%, how is the remaining space used?
Dental Laboratory
En Less than 30%
S:Planning\Clerical-Counter Forms\
Cofo Questionnaire 08-27-18
,,,-SAI,{TA
ANAqilffi
10. ts the building sprinklered? Yes p No E
11. Do you plan on making any improvements to the building such as: exterior painting, signage,
interior tenant improvements? Yes D No E
lf yes, please describe:
12. Will your business include a lobby or waiting area? Yes E No E
lf yes, what will be the dimensions?
13. Do you store equipment, materials, or products within the building? Yes E No E
a. Will there be outdoor storage of equipment, materials, or products? Yes E No E
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 @ermit required for racks/shelving over 6', inquire with permit counter)
14. Do you manufacture a product at the site? Yes E No D
lf yes, please describe (including process and end product):
Computer aided manufacturing of dental crowns and bridges.a. Will operations produce dusUwood shavings or similar material? Yes
b. Does the operation involve the use of welding or open flame? Yes E
15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor,
acupuncturist, or physical therapist? Yes f] No E
a. ls the proposed use within the mental health profession, such as:
INoEtto E
16. ls counseling proposed as a part of your business operation? Yes ! No E
a. Does your counseling business contract work with a public agency? Yes fI
lf yes, please describe:
17. Will your business be offering the following services:
E ruoruot Applicable
E Socialworker E fl Psychologist ! Psychiatrist
Other
tr
E
f.lo E
E Alcoholsales E Smoking Lounge
E aoOy piercing/ Ear piercing
Tattoos/ Permanent make-up
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 E
19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or
dispensed at your business? Yes ! No E
20. Do you prepare or sell food for consumption on or off the property? Yes E No E
lf yes, do you provide sit down service E, drive{hrough E, or orders to go/pick-up !?
S:Planning\Clerical-Counter Forms\
Coo Questionnaire 08-27-'l 8
Please explain:
21. Does your business sell automobiles or motorcycles? Yes E No E
lf yes, please explain:
22. Does your business service or repair vehicles or install equipment and accessories into vehicles?
ves fl ruo E
lf yes, please explain:
23. I acknowledge that I have requested and received all zoning and Santa Ana Muni cipal Code
requirements pertaining to my business and occupancy applicatio nitial)nHyung J!
I DECLARE UNDER PENALW OF PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
Hyung Ju Kim
Title
10-26-2020
Signature Date
Hyung Ju Krm
Print Name
cEo
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 't 2 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 industria! zone; medica!, 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 additiona! Code requirements.
S:Planning\Clerical-Counter Forms\
Cofo Ouestionnaire 08-27-1 8
MEMORANDUM
TO:
FROM:
SUBJECT:
ISSUED TO:
ADDRESS:
Finance & Management Services Agency
Planning and Building Agency
Miscellaneous Cash Transaclion
Hyung Ju Kim
Accutech Dental Studio
'1702 Newport Cirde
Santa Ana. CA 92705
Comments:
lssued By: Arecfiiga, Liana (Planning and Building Agency)
MCT # 52100
Wednesday, October 28. 2020
TOTAL MCT AMOUNT: 3499.36
GL Account #
01 1 16002 51605
Total
$499.36
,
All fees are subject to change at any time and may also be affecled by scheduled adiustmenls on July I of each year. The Payee must
pay the prevailing rate at the time payment is made.
36
J6
PROJECT NAME:
PROJECT ADDRESS
Aca.rlech Dental Studio COO
1702 E Newport Cir Unit#@ Santa Ana. CA 9270$5109
MASTER tO*2020-1624U
AP #403-071-10
Applicationil COO.2020-598-CO Permit #
ITEM DESCRIPTION OTY UNIT RATE AUOUNT FUNO NO.
1 Cortlicato ot Occupancy (Planmng and lnsp€cton)1.0000 s499 36 3499.36 01116002 51605
Bolchi:57u(ri - 1t-rz lBz2ttltr I0: Lli0SAt
Ofrice: CIYH Tronst: 2 I ol'Accl*: Refi: 5i1LrL1
Rcptir03ltt24l1 - lur2Sr2lt?tr 2:55 FH
Ironsacb iorr lottrl t49i.36
HYUHG K I 11
(:er'iif icoie or 0ccuponcc
0l I l6utr:- 516u5(l0tt-
Viso
C(:i : rr*r*I***rrr? /46
$+9
t1?l
Authir9 7Lr48G
NOTES:For payment to be considered complete, a
Miscellaneous Cash Transaction (MCT) must be paid
rn full. Applicant must return to Planning with
stamped cashier validation of the paid MCT for
closure in the Planning system.
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