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Home My WebLink About19671 Beach Blvd - CofO (89)• �J 0 HUNTINGTON BEACH Business Add Business Owr Business Nan Business Typ( CERTIFICATE OF OCCUPANCY 02019 - (i'0 (� CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor - The Applicant Must Apply In -Person) Date I I I �?e/l 61 Zip Code ,;? Telephone No, /p l ! 6e3-SW D Bus. Phone 7 t f 3-7 43d Y V " do y kPqA_e__.4? Property Owner Information (required) Tenant/Emergency Contact (required) Name 0 rJGCC(,A � �t ��5� � Name Address D Z, CP wc4, -N o,�s Home Address City S?121/I n State/Zip G R 6 City State/Zip Telephone No. 241 GI % zl - 9/7 / Telephone No. 7(q 7 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or 2rExisting Building IS THIS BUILDING FIRE SPRINKLERED? )2<es ❑ No CHECK ALL THAT APPLY: ❑ Change of Business Owner 4E-Change of O cupant ❑ Chan e of Use ❑ Additional Occupant • Indicate former type of business %0 • Are you requesting that the electricity be turned on? ❑Yes Z -No • Will operations produce dust/wood shavings or similar material? ❑ Yes EKE • Will operations involve the repair or replacement of automobile parts? ❑Yes E790- If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes -zQ__ o • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes ❑-Pde-- • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes E5-I117 • The following best describes my operation: ®'dffice Only ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes .9-14e If you answered yes, please proceed to the next question. • Does your facility currently ham a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes Grease Interceptor Verified Inspected By Initials: Date: For Official Use Onl Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning InitialslDate: Area: Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: Occ Load: Occ Load: TIF Review: Y/ N Zoning: Li r iq Parking Meets Code (for use): Y / N Building Reviewed By Initials: Date: Conditions of Approval or Other Notes: c<N_Gf-2Pi g2 x South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 http://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 he South Coast Air Quality Management District (AQMD). (� l Company Name: Propert Addres t ` City: Contact Person' - Type of Business:: Fax Number: Applicant (print name): 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 .2N75- 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes �� 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes �-_ 4. Will the facility have use of above or underground storage tank? ❑Yes [Dit6- 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 _. (Select all that apply) ❑Abrasive Blasting Cabinet/Room ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) ❑Air Conditioning System (containing > 50 Ibs of refrigerant) ❑Mixing/Blending of Liquids and/or Powders ❑Application of Paints/Adhesive/Resins ❑Molding /Extruding/Curing of Plastic ❑Baghouse/Dust Collector ❑Pharmaceutical/Nutraceutical ❑Bakery Oven (gas fired) ❑Plasma/Laser Cutter ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Printing/Coating/Drying ❑Charbroiler/Smoker ❑ Production of Fumes/Dust/Smoke/Odors ❑Coffee Roaster/Afterbunner ❑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 ❑Storage Silos (sugar, flour, etc.) ❑Gasoline Storage & Dispensing Equipment 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). t Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 19671 1 Beach Blvd 100 BEACH METn 19671 APN 025-191-51 -- Occupancy Application Certificate of Occupancy Application Biider Num Street Unit Bldg Job Address 19671 Beach Blvd �I APN 025-191-51 RD 3815 Zoning CG Lot 0000 Tract 00000 Block 0000 File Number Cofo? 81996-049485 No 81997-055402 Yes 81998-059771 Yes B1998-064904 No 82000-072318 Yes 82000-074551 No 82002-084680 No 62004-097527 No B2004-099704 Yes 82005-102418 Yes E1996-024649 No E1997-027313 No NOTE: Permit Type'COMBO' not available for Commercial projects. Entered By Hanawalt, Ginny Date Entered 05/20/1996 Default Inspector Santos, Gus Status lExpired Permit Type Building Issue Permit? M1 Date 05/20/1996 Origin Issued By I Building Use - City CM Commercial New Planner Building Use - County I pl 11 New Building? Plan Checker I Hanawalt, Ginny Description I I- KLMUVt LA S I INU UUUK H SINGLE DOOR, NEW COUNTER Internal Notes MIN. 2 NEW CofO Number Choose Print All CofO Type Fees and Payments _J Sheets to Issue Issued By Single C/O CofO Status Inspections F Date Issued Temp. CofO Issued Date Printed elease Date Temp. COFO Expiration License Number Business Name Business Type Business Phone Proposed Use Former Use Conditions Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A013090 CLARITY EYE GROUP A225036 ACCETTA INSTITUTE OF COSMETI A002326 TOWN & COUNTRY BARBER A191868 QUILT2000 Approved Occupied Area (Sq Ft) # of Change or Owner? Elec. Available? ❑ Drinking I Dining >'50 Occupants? �I Change of Use? Want Electricity On? Welling I Open Flame? Change of Occupant? n Sprinklered? 11, Automobile Repairs? �! Additional Occupant? Dust / Wood? Auto Parts Desc. 1 •.ncy Group/Load Group Description Area Construction Type Occupancy Load B 0 .. B 0 Group Definitio A building or structure, or a portion thereof, for office, professional or service -type transactions, including storage of re....rrlc �.,,� or•�n„n!o•_oosnn -A rlrin4inn ectnhliehmentc with an nrrunani Inad of lace than 5n._. WC Policy Number Exp. .. �Feesand Pa inents