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Home My WebLink About714 Adams Ave - CofO (79)•t • 0 J� HUNTINGTON BEACH Business CERTIFICATE OF OCCUPANCY 020 l l S CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION Business Owners Name Business Name Business Type (3rd Floor - The Applicant Must Apply In -Person) Date // - /(v -1E Zip Code q,�,i (,o 4 Telephone Now % szo Y Bus. Phoned�� q - 1 `f b Property Owner Information (required) Tenant/EmergencyTenant/Emergency Contact equired) Name L, Eta Name Address `` III l �9'� Home' Address i b Zn a ' c� 4 �� City P-Y , State/Zi"— . o.)-tp`j City 4.6 - State/Zip 4, � - Telephone No. ` % 1 , 2 11 j Sb I Telephone No. f-{ QQ-C( _C-(k 4 c) THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or fisting Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No CHECK ALL THAT APPLY: ❑ Change of Business Owner ❑ Change of Occupant ❑ Change of Use /( dditional Occupant • Indicate former type of business v • Are you requesting that the electricity be turned on? ❑Yes o • Will operations produce dust/wood shavings or similar material? ❑ Yes &1 No • Will operations involve the repair or replacement of automobile parts? ❑Yes �o If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes Flo • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes t No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes t -w • The following best describes my operation: El Off ice Only El Retail Sales LOJ'dical/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 Li-H6 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 o Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only pp Occ Group: t5 Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: Date: Area: food Area: Area: No. of Stories: Z Entitlement #: Use Permitted: Y / N Occ Load: Ko Occ Load: Occ Load: TIF Review: Y/ N Zoning: Parking Meets 6ode (for use : Y N Building Reviewed By Initials: L-'15 Date: (I (b Conditions of Approval or Other Notes: ��'�t �'� f1w-rFc {tb✓� gytc,( %tcu 1' C�w1Sc <<n Ac UE111'flNa I ocx-,- brAi.—, 'Ib R,49cad,t,%ncr' S,oc:t 4c^c.-L..4- -h, 3-p0 SF v( Socr.c e . - South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 ` Phone Number (909) 396-3529 http:Uwww.agmd.gov M G 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: e11 er, I 'ZZ 0\6u - Property' ddress Q v City: I Y n RY r) �J2c�c�— Zip Code: Ci Contact Person3o �r-m"n Title: Type of Business: 0 t Z� GlJ ✓ -2� .Telephone: I Q. — CFIC� Fax Number: -�^ E-mail Address:I r a -t . C Applicant (print name): �S 1--�� n S"en 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 V4 2. Will the facility r suit fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes LUNo 3. Will the facility result of hazardous materials jAeluding but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes o 4. Will the facility have use of above or underground storage tank? ❑Yes EVo 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes 6. Will the facility result in the use of the equipment listed below? ❑Yes Ld o (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 ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) ❑Mixing/Blending of Liquids and/or Powders ❑Molding /Extruding/Curing of Plastic ❑ Pharmaceutical/N utraceutical ❑Plasma/Laser Cutter ❑ Printing/Coating/Drying ❑ 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 ❑Electrostatic Precipitator ❑Fermentation ❑Gasoline Storage & Dispensing Equipment ❑Spray Booth ❑Storage of Acids/Solvents/Organics Liquids/Fuels ❑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). pt(b .- 0 IS W Department of Planning & Building 2000 Main Street 1 Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY MICHELLE HICKOK Cert. Number CO2018-006911 ENERGIZE YOUR LIFE HB. Date Printed 11/16/2018 714 ADAMS AVE #206 HUNTINGTON BEACH CA 92648 Address: 714 Adams Ave 206 Issue Date: 10/15/2018 Permit Number: 02018-006911 TCofO Issue Date: Business Name: TCofO Expiration: Business Type: Approved Sq Ft.: 4,000.00 Current Use: HEALTH AND WELLNESS # of Stories: 2 Occupant Groups: Description: Area: I joccupant Load: B SALON 4000 40 Conditions of Approval: OFFICE FOR NUTRITION + HEALTH COUNSELING; ADDITIONAL OCCUPANT TO BROADMOOR SPA Contacts: Contact Type: Name: MICHELLE HICKOK Phone: (714) 654-9664 Business Owner Address: 714 ADAMS AVE #206 Cell: ( ) City / State: HUNTINGTON BEACH CA Fax: ( ) Zip: 92648 Pager: Contact Type: Name: MANIZHEH YOMTOUBIAN Phone: (714) 717-1501 Property Owner Address: 16611 LANDAU LN Cell: ( ) - City / State: HUNTINGTON BEACH CA Fax: ( ) - Zip: 92647 Pager: ( ) -