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Home My WebLink About20052 Brookhurst St - CofO (61)I • HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020- Z CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION 41ZP - (3rd Floor - The Applicant Must Apply In -Person) Business Address oCUU D o. rJY001��N�rt' �1• . 1'1V+`t\11Y1�1\y�t`X� Business Owners Name M\ R oy-x.� \At Lko, Business Name ��/\� N00\y-. Business Type �AgN Y 50g\o 1 Date \k I \00 �b Zip Code OVD.4N (J Telephone No.LkaO gH-QS Bus. Phone Property Owner Information (required) Tenant/Emergency Contact (required) Name_ - C�`_&k -Pi L-C, Name YID 1AzdVotrV Addres., 1_ jS Cps O°�hu'�S, .� �, Home Address �lPal AZriken�Y. City_'WeSr�` ln4S+,State/Zip C�� City G�'1�flC��.� State/Zip �7 �3sab Telephone No._ Telephone No. L� So % 5LIO Sat) C\ THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or OExisting Building IS THIS BUILDING FIRE SPRINKLERED? WYes ❑ No CHECK ALL THAT APPLY: ❑ Change of Business Owner ❑ Change of Occupant ❑ Change of Use Additional Occupant • Indicate former type of business • Are you requesting that the electricity be turned on? ❑Yes Pa:No • Will operations produce dust/wood shavings or similar material? ❑ Yes NNo • Will operations involve the repair or replacement of automobile parts? ❑Yes �2No If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes &lo • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes E�11\lo • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes Flo • The following best describes my operation: ❑ Office Only ❑ Retail Sales 11 Medical/Dental ❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food 0 Other 0 • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes A*O If you answered yes, please proceed to the next question. • Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes PIM Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only D Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: 3 Bldg. Permit # Planning Initia Date: la b Conditions of Approval or Other Notes: Of I J(,&0, f N^A QCIVA A Lo � � Area: 43R� Area: Area: No. of Stories: _ t Entitlement #: Use Permitted: (Y J N Occ Load: -44 Occ Load: Occ Load: TIF Review: Y/ N Zoning: Parking Meets Code (for use): Y N Building Reviewed By Initials: Dater I� (I 6�t Ab yhuk� L7 � South Coast Air Quality Management District ` 21865 Copley Drive, Diamond Bar, CA 91765-4182 y .t k _ 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 the South Coast Air Quality Management District (AQMD). Company Name: 1 Y ' �\)WL Property Address: _ 2000 SQ, RYG�� (lUfi City: Zip Code: C�Q.lp (,P Contact Person: Title: �� ►� Type of Business: 6aTelephone: q80 Ll 9 L4410 Fax Number: E-mail Address: J!� ke,C� �k�o� S4(A�l i-In Q lA� Applicant (print name): Signature: �_Vjj Date:JJ U 1. Will the facility release air pollutants, including b t of limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes [4lo 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes PDlo 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes 9No 4. Will the facility have use of above or underground storage tank? ❑Yes �4No 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes U�bo 6. Will the facility result in the use of the equipment listed below? ❑Yes [ 0 (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). C --'� z 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: ML �\iook— Start Date: b y 11 Business Address: 200 S a Number Street Unit Zip Code Billing Address: Pgame as business , 1 Business Contact: �1-o-►�— t'1e�4=-�✓�' ��03(-i� ��iaS G�G�✓� DO .�p�y Emergency Contact: Ehxvr UbO 5 q Q Sa o q ►- CSC,, (24-hour) e Phone Email Description of Business: tjckll- �G\I bY\ Will there be any of the following uses on the premise? ❑ Storage >6 feet If yes, describe: _ ❑ Welding ❑ Special amusements (escape room or similar) ❑ Motor vehicle repair 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 COz 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) EE✓ Sprinkler system IE% Fire alarm system Other fire suppression system _ 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 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: OWPvt r 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. 3 c — r?cz Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY MARCELLA & MICHAEL MCCLANE PHENIX SALON SUITES OF HB, LLC 20052 BROOKHURST ST. #120 Huntington Beach CA 92646 Cert. Number CO2015-004498 Date Printed 11/19/2018 Address: 20052 Brookhurst St 120 Issue Date: 07/20/2016 Permit Number: B2015-004498 TCofO Issue Date: 11/17/2015 Business Name: TCofO Expiration: 01/17/2016 Business Type: Approved Sq Ft.: 4,373.00 Current Use: SALON # of Stories: 1 Occupant Groups: Description: Area: Occupant Load: B SALON 4373 44 Conditions of Approval: Contacts: I Contact Type: Name: MARCELLA & MICHAEL MCCLANE Phone: (610) 442-3971 Business Owner Address: 20052 BROOKHURST ST. #120 Cell: ( ) City / State: Huntington Beach CA Fax: ( ) - Zip: 92646 Pager: Contact Type: Name: MICHAEL, MCCLANE Phone: (208) 938-0797 Property Owner Address: 2173 W STANSBURY DR Cell: ( ) - City / State: EAGLE ID Fax: ( ) - Zip: 83616 Pager: ( ) -