HomeMy WebLinkAbout6833 Warner Ave - CofO (8)< r
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY
020
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Address
Business Owners Name
Business NamE
Business Type
1nlj"
(3rd Floor — The Applicant Must Apply In -Person)
Date t 1- lS_ ( g
Zip Code ( 2a7
Telephone No. q,01— 01IS' .37aC
Bus. Phone
'� Property Owner Information (required) Tenant/Emergency Contact (required)
Name Name PP--J (
Address ,L Home Address 1q00 JAVe_ /�V-e
City 8rt State/Zip �� a�� City AA fD State/Zip 10 e615
Telephone No. Telephone o. 'go 3 M
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner EI/Change of Occupant Change of Use ❑ Additional Occupant
• Indicate former type of business 5a
• Are you requesting that the electricity be turned n? ❑Yes 9No �
• Will operations produce dust/wood shavings or similar material? Yes CtdNo
• Will operations involve the repair or replacement of automobile parts? ❑Yes No If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes No /
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 pers s? ❑ Yes M No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inche in height? Yes [ANo
• The following best describes my operation: ❑ Office Only Retail Sal ❑ Medical/Dental
❑ ❑ Restaurant/Take-Out Food I.e Other Ware Restaurant/Take Ou AI
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes o
If you answered yes, please proceed to the next question.
• Does your facility curreTnt,)� ave a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ �VYes v
Grease Interceptor Verified
For Official Use Only
Occ Group: lb
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials: i Date: �—
Inspected By Initials: Date:
Area:
Area:
Area:
No. of Stories: 1
Entitlement #:
Use Permitted: Y / N
Occ Load: 19-
Occ Load:
Occ Load:
TIF Review�l'/
Zoning: (f
IL
Parking Meets Code (for use): Y / N
Building Reviewed By Initials:�r��Date:I t
Conditions of Approval or Other Notes: �( (� / ✓ Iy)7j����, (,-�1�� '/Z ; %/1OJ
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 the South Coast Air Quality
Management District (AQMD).
Company Name:
Property Address
City: 14 a /14-M!� �oA 6 ao'kc h Zip Code:
Contact Person: PP"J ( EA-G e-C Title:
Type of Business: 11 i ;& 1 .4 C�5 Telephone:
�o�Jr►�
Fax Number: E-mail Address: gill 'k-rut fC-OO M�
Applicant (print name): Signature: Date: (-1 — Lei
1. Will the facility release air pollutants, including but of limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes No
2. Will the facility res of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑' Yes No
3. Will the facility result of hazardous materia , 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 MNo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes 21,410,
6. Will the facility result in the use of the equipment listed below? ❑Yes LgNo
(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/Afferbunner
❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extrud i 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).
Ot(b-;e-; �3
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
l Phone: (714) 536-5241 Fax: (714) 374-1647
CERTIFICATE OF OCCUPANCY
ANYI JIANG Cert. Number CO2014-004440
RELAX MASSAGE Date Printed 11/15/2018
6833 WARNER AVE
Huntington Beach CA 92647
Address:
6833 Warner Ave
Issue Date: 07/18/2014
Permit Number:
02014-004440
TCofO Issue Date:
Business Name:
RELAX MASSAGE
TCofO Expiration:
Business Type:
Professional / Other
Approved Sq Ft.: 1,200.00
Current Use:
SALON
# of Stories: 1
Occupant Groups-.7
I Description: Area:
Occupant Load:
B
SALON 1200
12
Conditions of Approval:
Contacts:
Contact Type: Name: ANYI JIANG Phone: (714) 848-9500
Business Owner Address: 6833 WARNER AVE Cell: ( )
City / State: Huntington Beach CA Fax:
Zip: 92647 Pager:
Contact Type: Name:
PACIFC WEST ASSET MGMT CORP
Phone: (714) 433-7300
Property Owner Address:
3191 AIRPORT LOOP #D
Cell: ( )
City / State:
COSTA MESA CA
Fax: ( )
Zip:
92626
Pager: ( ) -