HomeMy WebLinkAbout17610 Beach Blvd - CofO (149)H
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 _ o- -7s" 7
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor — The Applicant Must Apply In -Person)
Business Address 1 �D ��Ct(Gj Rod _-tt �j
Business Owners Name M 0 6 r'! c� .
Business Name 61 c) ()a on 1 /YID �b ✓'-
Business Type & 4'�:>
Date II —1 _� 4
Zip Code( ZG L/ -7
Telephone No. c1 k g 6 q 0- Z 7 5 `]
Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name (0A4?!L4i y Name � Le
Address 1-76 (O Pe'Wl 111 i �Home Address E=, r-t
City 1:1 State/Zip 1Z6Li 7City Lt-j State/Zip v _
Telephone No. Telephone No. If '5- / Z qe) Zy
THIS USE WOULD BE DESCRIBED AS: �
O Newly Constructed Building or 4-fx-fisting Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes RNo
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 A-lQbo
■ Will operations produce dust/wood shavings or similar material? ❑ Yes
■ Will operations involve the repair or replacement of automobile parts? ❑Yes Cho If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes o
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes EJ o
■ Will there be storage racks, gondolas, or shelving exceeding 5feett 9 ides in height? ❑Yes LNo
■ The following best describes my operation: ❑ Office Only ET Retail Sales ❑Medical/Dental
❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other
■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes EPNO
If you answered yes, please proceed to the next question.
• Does your facility currentlyy-have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes o
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials:Date:�8
Conditions of Approval or Other Notes:
Area: 9-ND
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning: A
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: C _(_ 2ate:
Grease Interceptor Verified Inspected. By Initials: Date:
South Coast
Air Quality Management District
w21865 Copley Drive, Diamond Bar, CA 91765-4182
(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: (D / OVa
I
Property Address: Z%6/0 _t�_ 3
City: /l &7 t-1 Zip Code: 41
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Contact Person: G✓1 G� Title: O�,.C�/�-
Type of Business: ,�y SPf' Telephone:
V
Fax Number: e-mail address: 61e6lq17P i 6 %�'��� r5�� 10 4A
Applicant (print name): &M GV M60[(� , Signature: Date: (� —(3 _ (9
• Will the facility have any of the following equipment? Yes ❑ No ❑--
Charbroiler
Dry cleaning machine
Spray booth
Printing press (screen/lithographic/flexographic)
Internal combustion engine greater than 50 HP (excluding motor vehicles)
Boiler/combustion equipment (greater than 1 million BTU/hr. maximum input)
Abrasive blasting cabinet/room
Baghouse/cartridge-type dust filter/scrubber
Motor fuel storage and dispensing equipment
• Will any of the following operations be performed? Yes❑ Non ---
Application of paints or adhesives
Etching, plating, casting, or melting of metals
Molding, extruding, or curing of plastics
Mixing and blending of liquids and/or powders
Storage of acids, solvents, organic liquids, or fuels
Production of fumes, dust, smoke, or strong odors
If you answered "No" to both questions, 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).
-2-
O 1 G - ;7��l T
Department of Planning & Building
.. 2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647
CERTIFICATE OF OCCUPANCY
CHRISTOPHER GOLDEN Cert. Number CO2017-003855
GOLDEN CREATIONS Date Printed 11/13/2018
17610 BEACH BLVD STE 37
HUNTINGTON BEACH CA 92647
Address:
Permit Number:
Business Name:
Business Type:
Current Use:
17610 Beach Blvd 37
02017-003855
UNISEX SALON
Issue Date: 06/14/2017
TCofO Issue Date:
TCofO Expiration:
Approved Sq Ft.: 500.00
# of Stories: 1
Occupant Groups: Description: Area: Occupant Load:
B SALON 500 5
Conditions of Approval:
PERSONAL SERVICE UN PERSONAL SERVICE
Contacts:
Contact Type: Name: CHRISTOPHER GOLDEN Phone: (949) 531-2351
Business Owner Address: 17610 BEACH BLVD STE 37 Cell: ( )
City / State: HUNTINGTON BEACH CA Fax: ( )
Zip: 92647 Pager: ( )
Contact Type: Name: THE HOUSER GROUP Phone: (949) 531-2351
Property Owner Address: 17610 BEACH BLVD Cell: ( )
City / State: HUNTINGTON BEACH CA Fax: ( )
Zip: 92647 Pager: ( )