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Home My WebLink About9038 Adams Ave - CofO (3)0 e "W.- y J� 0 HUNTINGTON BEACH Business Business Business Business CERTIFICATE OF OCCUPANCY 020 _L.� I5 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor — The Applicant Must Apply In-Pe son) Date Ia ��o Zip Code �'/ 2� V4� Telephone No. ��rg 3 — 77/ y � Bus. Phone y IV -3ZS -63S 1 IAA "e //D/-1142, 6, e I Property Owner Information (required) Tenant/Emergency Contact (required) Name _ f__ _ _ _ %) Name "�7 / Let, Address r %�G%-F Home Address City JZ JtU L% State/Zip ity LW6 q Telephone No. / V 9— V 7CY 9600 Telephone No. 7/ Z6 —" ; � THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or ly!tlisting Building IS THIS BUILDING FIRE SPRINKLERED? - CHECK ALL THAT APPLY: Yes ❑ No ❑ Change of Business Owner ❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business��tiP • Are you requesting that the electricity be turned on? ❑Yes rX! O • Will operations produce dust/wood shavings or similar material? ❑ Yes 'f5il�o • Will operations involve the repair or replacement of automobile parts? ❑Yes 16�0 If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes o • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes j5Sldo • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes 9N0 • The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical Dental ❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food �t er • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes °e.J If you answered yes, please proceed to the next question. GG�� • Does your facility current) ave a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes o Grease Interceptor7erif�ied Inspected By Initials: Date: For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials:LD_Date: Conditions of Approval or Other Notes: Area: 34;L3 % Area: Area: No. of Stories: Entitlement #: Use Permitted:N QC'S Occ Load: 39 Occ Load: Occ Load: TIF Review:. Y./ N Zoning- 1 T Parking Meets Code (for use): Y / N Building Reviewed By Initials:V - Date: i4 44 I, e,6 t4; South Coast Air Quality Management District ` 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 http://www.agmd.gov rc Air Quality Permit Checklist California State Law Code 65850.2 prohibits cities from issuing an occupancy permit to a business without clearance from the local air quality agency. This checklist will determine if you need to obtain clearance from the South Coast Air Quality Management District (AQMD). Company Name: _ Property Address: City: Zip Code: Contact Person: Title: Type of Business: Fax Number: Telephone: -mail Address: Applicant (print name): Signature: Date: 1. Will the facility release air pollutants, including but not limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes ❑No 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes ❑No 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes ❑No 4. Will the facility have use of above or underground storage tank? ❑Yes ❑No 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes ❑No 6. Will the facility result in the use of the equipment listed below? ❑Yes ❑No (Select all that apply) ❑Abrasive Blasting Cabinet/Room ❑Air Conditioning System (containing > 50 Ibs of refrigerant) ❑Application of Paints/Adhesive/Resins ❑Baghouse/Dust Collector ❑Bakery Oven (gas fired) ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Charbroiler/Smoker ❑Coffee Roaster/Afterbunner ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) ❑Mixing/Blending of Liquids and/or Powders ❑Molding /Extrudi ng/Cu ring of Plastic ❑ Pharmaceutical/N utraceutical ❑Plasma/Laser Cutter ❑ Printing/Coating/Drying ❑ Production of Fumes/Dust/Smoke/Odors ❑Refrigeration Systems (containing > 50 Ibs of refrigeration ❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven ❑Dry Cleaning Equipment ❑Spray Booth ❑Electrostatic Precipitator ❑Storage of Acids/Solvents/Organics Liquids/Fuels ❑Fermentation ❑Gasoline Storage & Dispensing Equipment ❑Storage Silos (sugar, flour, etc.) If you answered "No" to any of the above questions and your facility will not have the following equipment listed, this checklist is your clearance from AQMD. If you answered "Yes" to either question, you must contact AQMD to determine if air quality permits are required. If permits are needed, AQMD will assist you in submitting permit application(s) and then provide you with a clearance letter. You can call AQMD at their Small Business Assistance Office at 1-800-CUT-SMOG (1-800-288-7664). I A of& -, llgs South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 hftp://www.agmd.gov Air Quality Permit Checklist California State Law Code 65850.2 prohibits cities from issuing an occupancy permit to a business without clearance from the local air quality agency. This checklist will determine if you need to obtain clearance from the South Coast Air Quality Management District (AQMD). Company Name: Property Address: �JUOV /3AAff!Z� / NK, City: Zip Code: - 1UR Contact Person:Title: Type of Business: Telephone: Fax Number: Its-01koro�D�i2- 1, E-mail Address: Applicant (print name): 1%A C�e"1 Signature: Date: to -30 D 1. Will the facility release air pollutants, including but not limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes Ao 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes RN 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes EOVo 4. Will the facility have use of above or underground storage tank? ❑Yes `0 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes JAfVo 6. Will the facility result in the use of the equipment listed below? ❑Yes %4o (Select all that apply) ❑Abrasive Blasting Cabinet/Room ❑Air Conditioning System (containing > 50 Ibs of refrigerant) ❑Application of Paints/Adhesive/Resins ❑Baghouse/Dust Collector ❑Bakery Oven (gas fired) ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Charbroiler/Smoker ❑Coffee Roaster/Afterbunner ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) ❑Mixing/Blending of Liquids and/or Powders []Molding /Extruding/Curing of Plastic ❑ Pharmaceutical/Nutraceutical ❑Plasma/Laser Cutter ❑Printing/Coating/Drying ❑ Production of Fumes/Dust/Smoke/Odors ❑Refrigeration Systems (containing > 50 Ibs of refrigeration ❑Deep Fryer (excluding equipment located at eating establishment) []Soldering Oven ❑Dry Cleaning Equipment ❑Spray Booth ❑Electrostatic Precipitator []Storage of Acids/Solvents/Organics Liquids/Fuels ❑Fermentation ❑Gasoline Storage & Dispensing Equipment ❑Storage Silos (sugar, flour, etc.) If you answered "No" to any of the above questions and your facility will not have the following equipment listed, this checklist is your clearance from AQMD. If you answered "Yes' to either question, you must contact AQMD to determine if air quality permits are required. If permits are needed, AQMD will assist you in submitting permit application(s) and then provide you with a clearance letter. You can call AQMD at their Small Business Assistance Office at 1-800-CUT-SMOG (1-800-288-7664). � 4a�pSlHstQy$ �n O Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY KATHY COAKLEY COAST CRYO 9038 ADAMS AVE. Huntington Beach CA 92646 Cert. Number CO2016-005153 Date Printed 11/27/2018 Address: 9038 Adams Ave Issue Date: 10/13/2016 Permit Number: B2016-005153 TCofO Issue Date: Business Name: TCof0 Expiration: Business Type: Approved Sq Ft.: 3,238.00 Current Use: RETAIL/THERAPY # of Stories: 1 Occupant Groups: Description: 1 Area: Occupant Load: B 3238 38 - RETAIL/THERAPY Conditions of Approval: Contacts: Contact Type: Name: KATHY COAKLEY Phone: (714)965-0012 Business Owner Address: 9038 ADAMS AVE. Cell: ( ) City / State: Huntington Beach CA Fax: ( ) Zip: 92646 Pager: ( ) Contact Type: Name: BUSINESS PROPERTIES Phone: (949) 474-8900 Property Owner Address: 17631 FITCH Cell: ( ) - City / State: IRVINE CA Fax: ( ) - Zip: 92614 Pager: ( ) -