Fillable CITY OF YORBA LINDA CERTIFICATE OF OCCUPANCY PERMIT (City of Yorba Linda)

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CITY OF YORBA LINDA CERTIFICATE OF OCCUPANCY PERMIT (City of Yorba Linda)

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CITY OF YORBA LINDA
4845 CASA LOMA, YORBA LINDA CA, 92886-3364
BUILDING DIVISION (714) 961-7120
Revised Date: 2/13/2020
CERTIFICATE OF OCCUPANCY PERMIT REQUIREMENTS
Applicants must obtain, complete and submit the following forms available at the Building Division front
counter:
1. Building Permit Application must be completed with all relevant information. A $191.00 inspection fee
is required for Certificate of Occupancy permits that do not involve tenant improvements. Once on
site, the inspectors will be observing for possible non-permitted construction, inconsistencies in the
application, any change in use, or a change in occupancy, exiting and the overall site for compliance.
2. Letter of Intent. Additional submittals and approvals may be required depending upon the nature of a
business and documentation provided.
3. Orange County Fire Authority “Plan Submittal Criteria for COMMERCIAL Projects.” Additional
approval(s) may be required depending on answers provided.
4. Site plan showing location of unit/suite, if the business is not located in a standalone building.
5. Floor plan showing current layout and square footage of unit/suite.
6. For Restaurants that do not involve tenant improvements: Current floor plan indicating square
footage and notation of fixed or movable seating.
Applicants must furnish a Letter of Intent, which includes the following information:
1. Explain in detail the nature of the business, products, clientele, distribution, number of employees,
square footage of office, warehouse or other uses separately etc.
2. State who you are, in relationship to the Business.
3. Print and sign your name, date and phone number.
4. Property owner's name, address and phone number.
5. Indicate the hours of operation.
6. Identify all hazardous materials used, stored or produced along with their quantities.
7. Identify all flammable liquids or chemicals stored or produced and their quantities.
8. Identify all toxic liquids or chemicals used, stored or produced and their quantities.
9. Identify waste materials stored or produced and their method of disposal.
10. Identify any dust produced and its removal method.
11. Identify the quantity of vehicles parked inside the building.
If foods are to be cooked, served, and or consumed, Orange County Health Care Agency's approval is required
prior to issuing a permit.
Business License applications must be obtained, completed and paid at the time of issuing the
Certificate of Occupancy permit.
Last revised March 24, 2016
City of Yorba Linda
4845 Casa Loma Avenue, Yorba Linda CA 92886
Building Division
Permit Counter 714-961-7120
Plan Check No: ______________
BUILDING PERMIT SUBMITTAL FORM
Applicant’s Name: _________________________________________________ Phone: __________________
Please fill in applicable information below, and return this form to Building Division staff. Please provide any additional information you believe will assist the
Building Division in processing your application, or ask for assistance.
Applicant to complete below (check appropriate box for applicant) Only Building Division to complete below
Job Site Address _______________________________________ Suite No. __________
Tract____________________ Lot________________ APN#_________________________
Owner’s Name
___________________________________________________________
Mailing Address _________________________________________________________
City, State, Zip
___________________________________________________________
Tel No ______________________________________
Type of permit(s) requested
□ Structural □ Plumbing □ Mechanical □ Electrical
(Be sure to fill in the work sheet for each permit discipline)
Occupancy ____________Type of Construction
_______________
Proposed Work ________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
Architect/Designer’s Name__________________________ License No. ___________
Address ________________________________________________________________
City, State, Zip
___________________________________________________________
Tel No _____________________________________
Special Conditions: N/A
□ Geological Condition □Post Tension Foundation
□Fuel Modification Area □ Methane Barrier
□Special Fire Protection Area □ Methane Mitigation
□Other_________________
Engineer’s Name _______________________________ License No. _____________
Address ________________________________________________________________
City, State, Zip
___________________________________________________________
Tel No ____________________________________
Tenant Improvement: N/A
Type of Business_______________________________________
Company Name
________________________________________
Contact Person of Company ______________________________
Tel No _______________________________________________
Contractor’s Company Name _____________________________________________
Contractor License No. ____________________ Lic. Expiration date _______________
Contractor License Class __________________________________________________
Address ________________________________________________________________
City, State Zip ___________________________________________________________
Tel No _____________________________________
Workers’ Comp Insurance Carrier
____________________________________________
Workers’ Comp Policy No. _________________________________________________
Expiration Date of Policy ___________________________________________________
City Business License No. ___________ City Business License Expire Date __________
Square footage:
Dwelling: _______________ Attached Garage: ______________
Addition: _______________ Alteration: ____________________
Deck: __________________ Attached Patio Cover: ___________
Reroof : ____________ (sq) Gazebo : _____________________
Detached Accessory structure: ____________________________
Pool / Spa: ____________________ / _____________________
Fence/Retaining wall : _________________________ (linear feet)
Tenant Improvement (existing/altered) ___________ / __________
Office: ____________________ Warehouse: _________________
Last revised March 24, 2016
Other:
________________________________________________
City Hall Staff use below only Submittal Checklist
Building Division Contact (714) 961-7120
Two sets of complete plans including site plan, architectural, structural, plumbing, mechanical, and electrical plans
One copy of site plan for Engineering Dept N/A
Two sets of Structural Calculations N/A
Two sets of Energy Documentation N/A
One copy of a Soil report N/A
One copy of an Asbestos report N/A
Two copies of Hazardous Material Report N/A
Three copies Letter of Intent
Site Plan with curb, gutter, sidewalk & sewer line shown
One copy Covenant and Agreement for Maintenance of side Yards for Oversized Buildings with a site plan (Notarized) N/A
Accessibility compliance form reproduced on the plans with signatures N/A
___________________________________________________________________________________________________
Planning Division Contact (714) 961-7130
Conditional Use Permit (C.U.P.) Required
□Yes □No
Variance Required
□Yes □No
Design Review (D.R.) Required
□Yes □No
Administrative Adjustment (A.A.) Required
□Yes □No
Located in Special Fire Protection or Conditionally Excluded Area
□Yes □No
Downtown Redevelopment Area
□Yes □No
Comments:
Planner's name and date
Public Works Department Contact (714) 961-7170
Located within a Special Flood Hazard Area
□Yes □No
Contact Engineering Division for requirements
Comments:
Engineering staff's name and date
AGENCY:
APPLICANT MUST CONTACT:
Department of Oil and Gas and Geo-thermal Resources
http://www.conservation.ca.gov/DOG/general_info/construction_site_review.htm
Review and approval required for oil well location
DOGGR (714) 816-6847
□Yes □No
Orange County Fire Department
Approval is required for Residential Site Review Methane Mitigation
OCFA (714) 573-6100
□Yes □No
South Coast Air Quality Management District / Asbestos Report
SCAQMD (909) 396-2001
□Yes □No
Orange County Health Department
OCHD (714) 433-6000
□Yes □No
Placentia-Yorba Linda School District
School Fees are required for 500 SF or more of additional square footage (not alterations)
PYLSD (714) 985-8440
□Yes □No
Yorba Linda Disposal
Approval required for new trash enclosure location/access
YLD (714) 630-8610
□Yes □No
Yorba Linda Water District
Approval required for New sewer line Other
YLWD (714) 701-3000
□Yes □No
Orange County Sanitation District
Approval required for Grease trap Sand or Oil Interceptor/Clarifier and/or Separator
OCSD (714) 962-2411
□Yes □No
Other:
OTHER
□Yes □No
Last revised March 24, 2016
Applicants MUST DIRECTLY CONTACT all above departments, divisions, agencies and districts
having jurisdiction in order to facilitate review, approval and fee assessment prior to the issuance of
a Building permit.
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Letter of Intent
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
  

  


  

  
 

Form B-140 Page 1 of2
Revised 0 1/04/08






       

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  












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

 
Note: 






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 


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

 


  


1












ORANGE COUNTY FIRE AUTHORITY

 
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COM

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
 to any pa 







YES NO
1

 
     
  

Q 



Q
Q

   

Q

  
Q  

 
 
            

        

7

s.oo



  


    
  
          
  
      
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  
         
 
        
         
 RJ  



  
  
  
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          

  
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

 
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I I
   
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CITY OF YORBA LINDA
4845 Casa Loma Avenue Yorba Linda, California 92886
BUILDING DIVISION (714) 961-7120
DISABILITY ACCESS REQUIREMENTS AND RESOURCES
NOTICE TO APPLICANTS FOR BUSINESS LICENSES AND
COMMERCIAL BUILDING PERMITS:
Under federal and state law, compliance with disability access laws is a serious and significant
responsibility that applies to all California building owners and tenants with buildings open to
the public. You may obtain information about your legal obligations and how to comply with
disability access laws at the following agencies:
DEPARTMENT OF
GENERAL SERVICES,
Division of the State
Architect, CASp Program
www.dgs.ca.gov/dsa
www.dgs.ca.gov/casp
DEPARTMENT OF
REHABILITATION
Disability Access Services
www.dor.ca.gov
www.rehab.cahwnet.gov/
disabilityaccessinfo
DEPARTMENT OF
GENERAL SERVICES,
California Commission on
Disability Access
www.ccda.ca.gov
www.ccda.ca.gov/resourc
es-menu/
CERTIFIED ACCESS SPECIALIST INSPECTION SERVICES
Compliance with state and federal construction-related accessibility standards ensures that
public places are accessible and available to individuals with disabilities. Whether your business
is moving into a newly constructed facility or you are planning an alteration to your current
facility, by engaging the services of a Certified Access Specialist (CASp) early in this process you
will benefit from the advantages of compliance and under the Construction-Related
Accessibility Standards Compliance Act (CRASCA, Civil Code 55.5155.545), also benefit from
legal protections.
Although your new facility may have already been permitted and approved by the building
department, it is important to obtain CASp inspection services after your move-in because
unintended access barriers and violations can be created. For example, placing your furniture
and equipment in areas required to be maintained clear of obstructions. For planned
alterations, a CASp can provide plan review of your improvement plans and an access
compliance evaluation of the public accommodation areas of your facility that may not be part
of the alteration.
A CASp is a professional who has been certified by the State of California to have specialized
knowledge regarding the applicability of accessibility standards. CASp inspection reports
prepared according to CRASCA entitle business and facility owners to specific legal benefits, in
the event that a construction-related accessibility claim is filed against them.
To find a CASp, visit www.apps2.dgs.ca.gov/DSA/casp/casp_certified_list.aspx.
CITY OF YORBA LINDA
4845 Casa Loma Avenue Yorba Linda, California 92886
BUILDING DIVISION (714) 961-7120
DISABILITY ACCESS REQUIREMENTS AND RESOURCES - CONTINUED
GOVERNMENT TAX CREDITS, TAX DEDUCTIONS AND FINANCING
State and federal programs to assist businesses with access compliance and access
expenditures are available:
Disabled Access Credit for Eligible Small Businesses
FEDERAL TAX CREDIT—Internal Revenue Code Section 44 provides a federal tax credit for small
businesses that incur expenditures for the purpose of providing access to persons with
disabilities. For more information, refer to Internal Revenue Service (IRS) Form 8826: Disabled
Access Credit at www.irs.gov.
STATE TAX CREDIT—Revenue and Taxation Code Sections 17053.42 and 23642 provide a state
tax credit similar to the federal Disabled Access Credit, with exceptions. For more information,
refer to Franchise Tax Board (FTB) Form 3548: Disabled Access Credit for Eligible Small
Businesses at www.ftb.ca.gov.
Architectural and Transportation Barrier Removal Deduction
FEDERAL TAX DEDUCTION—Internal Revenue Code Section 190 allows businesses of all sizes to
claim an annual deduction for qualified expenses incurred to remove physical, structural and
transportation barriers for persons with disabilities. For more information, refer to IRS
Publication 535: Business Expenses at www.irs.gov.
California Capital Access Financing Program
STATE FINANCE OPTION—The California Capital Access Program (CalCAP) Americans with
Disabilities Act (CalCAP/ADA) financing program assists small businesses with financing the
costs to alter or retrofit existing small business facilities to comply with the requirements of the
federal ADA. Learn more at www.treasurer.ca.gov/cpcfa/calcap/.
FEDERAL AND STATE LEGAL REQUIREMENTS ON ACCESSIBILITY
FOR INDIVIDUALS WITH DISABILITIES
AMERICANS WITH DISABILITIES ACT OF 1990 (ADA) — The ADA is a federal civil rights law that
prohibits discrimination against individuals with disabilities, and requires all public
accommodations and commercial facilities to be accessible to individuals with disabilities. Learn
more at www.ada.gov.
CALIFORNIA BUILDING CODE (CBC) — The CBC contains the construction-related accessibility
provisions that are the standards for compliant construction. A facility’s compliance is based on
the version of the CBC in place at the time of construction or alteration. Learn more at
www.bsc.ca.gov.
(Issued 12-28-18)
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CITY OF YORBA LINDA CERTIFICATE OF OCCUPANCY PERMIT (City of Yorba Linda)

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Completed 5 August 2020

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