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HomeMy WebLinkAbout20052 Brookhurst St - CofO (60)+► HUNTINGTON BEACH FIRE DEPARTMENT FIRE PREVENTION DIVISION Fire Only 2000 MAIN STREET • HUNTINGTON BEACH, CA 92648 File #: (714) 536-5676 • FAX (714) 374-1551 FP: FIRE PREVENTION - BUSINESS DATA SHEET /+ For new Certificates of Occupancy Business Name: Start Date: % �Q Business Address: SUSS Opp-A/cA Avg Number Street Unit Zip Code Billing Address: Kame as business �+ Business Contact: Emergency Contact: ZA�7 e.— '7 (24-hour) Name Phone Email Description of Business: Will there be any of the following uses on the premise? ❑ Storage >6 feet ❑ Welding ❑ Special amusements (escape room or similar) ❑ Motor vehicle repair If yes, describe: Will there be any of the following equipment (E =existing equipment, A = adding or new equipment) Dry cleaning — list solvent _ Industrial oven — list fuel Propane patio heaters — # of heaters, # of spares _ Cooking equipment (fryers, ovens, pizza conveyor, etc.) Backup generators — list fuel _ Walk in refrigerators or coolers — list size, refrigerant Spray booth or dipping tank _ Tents or air supported structure _ Grinding/milling equipment that creates _ Fuel dispensing (including storage tanks) combustible dust _ Carbonated beverage system — list total pounds of CO2 If yes, provide details (e.g., number, fuel, size, etc.) Does the building have any of the following features (E =existing feature, A = adding feature) Sprinkler system _ Other fire suppression system Fire alarm system C Smoke detectors Other detectors (e.g, methane) _ Other alarm system Private fire hydrants _ Battery systems _ Fire pump _ Methane barrier or other methane control installed If yes, provide details filnA c►�L� Does the business handle any of the following: YES NO 55 gallons or more of a liquid hazardous material or hazardous waste. ❑ Compressed gas (or liquid/cryogenic equivalent) of 200 cubic feet or more ❑ Inert compressed gas (e.g., argon, nitrogen, helium) of 1,000 cubic feet or ❑ more. 500 pounds or more of a solid hazardous material or hazardous waste. ❑ Extremely hazardous material or radioactive material ❑ I certify, under the penalty of perjury, that the above information is true and correct to the best of my knowledge. Signature: Title: mil_ Date: HUNTINGTON BEACH FIRE DEPARTMENT FIRE PREVENTION DIVISION Fire Only 2000 MAIN STREET • HUNTINGTON BEACH, CA 92648 File #: (714) 536-5676 • FAX (714) 374-1551 FP: IMPORTANT INFORMATION ABOUT HAZARDOUS MATERIAL DISCLOSURE If you are subject to hazardous material disclosure there are important steps you need to take. We encourage you to reduce your hazardous material inventory below disclosure amounts to avoid fees and inspections. However, if your business requires hazardous materials equal to or in excess of disclosure amounts, you must comply. A Fire Department representative will contact you to verify the information you submitted for your Business License. If you are subject to this program, you will need to: ❑ Disclose online, Businesses must disclose on-line either through either (but not both): o Orange County ESubmit portal (https://www.esubmit.ocgov.com/home/) o California Environmental Reporting System (CERS) (http://cers.calepa.ca.gov/) Business must disclose information on the following forms: o Business Activities o Business Owner/Operator o Chemical Description o An Annotated Site Map Identification o Emergency Plan. You are encouraged to proceed directly to either online disclosure system and begin the disclosure process. Failure to disclose is a violation and subject to significant fines and penalties. ❑ Annually review and certify your online disclosure. ❑ Update your Business Emergency Plan every three years. ❑ Pay an annual HMDP fee. The fee is determined based on number and quantity of hazardous materials handled at your facility. ❑ Inform your landlord if you operate in a leased or rental property that you are subject to hazardous material disclosure. These are done in writing and sample forms are available on our web site. ❑ Receive an inspection by the Fire Department's Hazardous Materials Program Specialist, at a minimum of once every three years. If you have question or are unsure whether you need to disclose please call (714) 536-5469 or (714) 536-5676. You can also obtain additional information on the City's website at www.surfcity-hb.org on the Fire Department page under the section Fire Prevention. Departrnent of Planning & Building 2000 Main Street Huntington Beach, CA 42648 Phone: (714) 536-5241 Fax: (714) 374-1647 5075 IwarnerAve 101� JOSLYN RICHARD H 5075 APN 146-601-26 Occupancy Application Certificate of Occupancy Application Application Binder Num Street Unit Bld _ Job Address 5075 Warner Ave 201 APN 146-601-26 RD 3210 Zoning CG Lot 4� Tract 86 Block File Number Cofo? B2008-005662 Yes P2008-005664 No M2008-005665 No E2008-005666 No 02009-000038 Yes B2009-002151 No I 02010-002284 Yes 02010-002734 Yes 02010-006988 Yes 02011-00352T Yes E2012-006377 No 02012-007144 Yes Entered By Watson, Daniel Date Entered 11/28/2012 Default Inspector ]Dean, Mike Status Pending Permit Type Certificate of Occupancy ` Issue Permit? Date Origin Counter Issued By-�� Building Use - City Planner Arabe, Jill Ann Building Use - County New Building? Plan Checker Description Internal Notes CofO Number CO2012-007144 Choose PRntAll CofO Type Permanent Fees and Payments _._ Sheets to Issue Issued By Single C/O CofO Status Pending Inspections Cofo Date Issued Temp. CofO Issued Date Printed Utility Release Date_ Temp. COFO Expiration License Number A285226 Business Name LUXURY SPA Business Type Professional / Other Business Phone ( ) - Proposed Use Former Use Conditions NAL SERVICE SERVICE Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A154224 P R P HAIR STUDIO A161728 SUBNICK BONNIE A197962 CAMACHO ENTERPRISES A163660 LINK & COMPANY INC Approved Occupied Area (Scl Ft) : 980.00 # of Stories DChange of Owner? D Elec. Available? Q Drinking I Dining > 50 Occupants? Dj Change of Use? 11 Want Electricity On? n, Welding I Open Flame? ®� Change of Occupant? al Sprinklered? �'i Automobile Repairs? Additional Occupant? Dust I Wood? Auto Parts Desc. �loccupailcy lGro-up/Load Group Description Area Construction Type Occupancy Load B SALON 10 B SALON 10 Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions, WC Policy Number C� Exp. Date Carrier' �i