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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 BrN ?r t$07'f @Cq.z maa oovmaa -)e f- 2 ? ./_ -A 5 O BUSINESS ADDRESS Circle UNIT OR SUITE 927051702 N Unit O ztP 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 \Ni) 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. Page I of 3