HomeMy WebLinkAbout18051 Beach Blvd - CofO (7)T
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H t)ail iINGTUN BEACH
CERTIFICATE OF OCCUPANCY 1120 1
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor — The Applicant Must Apply In -Person)
Business Address +r � 03-1 s'IJ, ' v �-r"� 4-"' �`6VVDate 7-l311 1
Business Owners Name ?--e-ag ULe. � a � i � Zip Code 9 y F�
Business Name 31tk-r.'Bco... ����.r�or�S � t+LC Telephone No.
Business Type Fc>tA Sey,"v Bus. Phone (.7lY-) V-7G
Property Owner Information (required) Tenant/Emergency Contact (required)
Name'vFrLt4 i-0-e-44 �i//aq r_ LLC Marne "1�aq�� S v/C��
Address 13 C) Home Address /44 a y i-S o
City iyood- 1 ,4 State/Zip CA�- , 13 6? City i Je 4 �V State/Zip Cif i 3 tip
Telephone No. C`d� G z_ 5'3 0 9 Telephone No.
THIS USE WOULD BE DESCRIBED .AS:
El Newly Constructed Building or ER Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ELNo
CHECK ALL THAT APPLY:
® Change of Business Owner EjChange of Occupant a Change of Use ❑ Additional Occupant
• Indicate former type of business_ Uo-Pz- / 1 -�'e
• Are you requesting that the electricity be turned on? ❑Yes A No
• Will operations produce dust/wood shavings or similar material? ❑ Yes gNo
• Will operations involve the repair or replacement of automobile parts? []Yes ANo If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes T No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes Z No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? Cj Yes Z No
• The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution CK Restaurant/Take-Out Food ❑ Other_
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes X No
It 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 Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occ led: 2
Bldg. Permit —# 2
Planning Initials#k. Date: 221
Inspected By Initials: Date:
Area: 8'L
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: I N
Conditions of. Approval or Other Notes: MA?Q, 12, Jco,
Occ Load: 20
Occ Load:
Occ Load:
TIF Revie : YI
Zoning:
Parking Meets Code (for use):6/ N
Building Reviewed By Initialsz�� --Date: �/f,/' 1 0
r c�
South Coast
�2 Air Quality Management District
Jg� 21865 Copley Drive, Diamond Bar, CA 91765-4182
°
Phone Number (909) 396-3529 http://www.agmd.gov
j �
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: 5.e ,�>o w l s� - j.LC
Property Address: / `b 0 5-1 e.acl"
City: ff ��-E-� e�f-i�, C Pr Zip Code: / z 6 � 9
Contact Person: �e �°,ue a v ! } C�ii Title:
Type of Business: i� e �-c�L` �o s R-J J t 2 Telephone: (SO
Fax Number: E-mail Address: i t,-P0(2,LAA_y
Applicant (print name): eAtee. S a v � iCt,, Signature:
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 J,No
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? []Yes ONo
3. Wili the facility result of hazardous materials, 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 ONo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes ON
6. Will the facility result in the use of the equipment listed below? ❑Yes pjNo
(Select all that apply)
❑Abrasive Blasting Cabinet/Room
❑Air Conditioning System (containing > 50 lbs 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
❑Intemal 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
❑Coffee Roaster/Atterbunner ❑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 ALtMD. 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 thoir Rmnll Ri minacc Acci�,tnnra nffira nt 1-80O-CLIT-SMOG i1-8D0-288-76641-