HomeMy WebLinkAbout21128 Beach Blvd - CofO (7)r C
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor — The Applicant Must Apply In -Person)
Business Address 2l1 Zg Bec�cln &V44 Nunes: hg.+on CA gZ6tg Date
Business Owners Name % n &' V00 fpa rp-' Zip Code
Business Name Rca,k Cl&c o e r-S Telephone No.
Business Type Pr Y Cl en n e r Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name F--r-K SCh L'I NnP(/r Name Yng� (Noo Bb,I,<
Address 31611 —Q Airpo►"ti �op Dr: ►•� Home Address /4--D7 &rrlerQd _
City Cosf-A P'1 pSc, State/Zip C-A (�i 24 2-6 Cit La M; rc A State/Zip Q I `IO,� A
Telephone No. 2, 3 Telephone No. a, -700 "q Z 23
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? 0 Yes ❑ No
CHECK ALL -THAT APPLY:
trIC-hange 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 ❑ No
• Will operations produce dust/wood shavings or similar material? ❑ Yes p'No
• Will operations involve the repair or replacement of automobile parts? ❑Yes If]do' 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 persons,? ❑ Yes ti-No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes b'60
• The following best describes my operation: El Office Only W4ail Sales ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food 110 aer
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? yes0<0
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 ❑No
Grease Interceptor Verified
For Official Use On/y
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: lN0�
Bldg. Permit #
Inspected By Initials:
Planning Initials:�Date: [1 6
Conditions of Approval or Other Notes:
Area: �t 0
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
ate:
Occ Load: 1 y
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning:
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: J(Z Date: %/ /r l°0
X1 1. 0.3S (a Ao,-'(- % -me
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: Bec,c atoor p t-
Property Address: ?U/ 2-8 &elek 13/VlG ,
City: Hun -b:neo n 1�pr"k Zip Code: Gj 26 �- Z
Contact Person: (ono) [ Voo PC, Title: OWP& !`
Type of Business: rhoe, nN r Telephone: r7 / �_ q6 q
Fax Number: E-mail Address: YDynA ZI
Applicant (print name): YP o 12110o Pry, K. Sig natur : _ Date:11/16/1
1. Will the facility release air pollutants, including b t n9trimited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes ENO
2. Will the facility rLsylt of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes IV No
3. Will the facility result of hazardous mat Wo
cluding 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 No
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 No
(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/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).
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647
J
CERTIFICATE OF OCCUPANCY
SUZANNE KO Cert. Number CO2007-007314
BEACH CLEANERS Date Printed 11/15/2018
21128 BEACH BLVD
HUNTINGTON BEACH CA 92648
Address:
21128 Beach Blvd
Permit Number:
02007-007314
Business Name:
BEACH CLEANERS
Business Type:
Professional / Other
Current Use:
DRY CLEANERS
Issue Date: 07/28/2015
TCofO Issue Date:
TCofO Expiration:
Approved Sq Ft.: 1,400.00
# of Stories: 1
[Occupant Groups: Description: Area: Occupant Load:
B DRY CLEANERS 1400 14
Conditions of Approval:
Contacts:
Contact Type: Name:
SUZANNE KO
Phone:
(714) 969-4773
Business Owner Address:
21128 BEACH BLVD
Cell:
( ) -
City / State:
HUNTINGTON BEACH CA
Fax:
( ) -
Zip:
92648
Pager:
( )
Contact Type: Name: SIGNA ENTERPRISES INC Phone: (714) 671-2125
Property Owner Address: 111 S. KRAZMER BLVD. Cell: ( )
City / State: BREA CA Fax: ( )
Zip: 92821 Pager: ( )