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HomeMy WebLinkAbout17402 Beach Blvd - CofO (5)i; HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 L8 - I CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3`d Floor - The Applicant Must Apply In -Person) Business Address I ©ZC�� L--V D Business Owners Name / OJe-t__�" e-SS r--L Q- Business Name f\"I, W e-L.t-Na�sS Business Type fl �Q, S P /4 � \N cu N e-SS Date 0 k- a. Zip Code G Z & 404 Telephone No.r7 1A-3 0; ZS 3(­1 Bus. Phone 73 (E Property Owner Information (required) Tenant/Emergency Contact (required) Name %-. N -Pv-a 9 f k7 m r- Name V G- -`rn % -e N t2T-(/L Address 17,09 E . C; r - Home Address "l -1 Co _V 23--t-G �ZWST 0- , City L,o 11s G Rd"e. to State/Zip C A. q Z7 10 City \ ';—>\,fl N W State/Zip Q Z Cn 0 3 Telephone No. C.S� Z� `b - �] S� Telephone No. -7 (4 - 3 t - 3 THIS USE WOULD BE DESCRIBED AS- 0 Newly Constructed Building or ViExisting Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑No CHECK ALL THAT APPLY: Change of Business Owner ❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business '58ZM F- D 'z1,`: S P/A 't W 62-t- ^t �L--sS ■ Are you requesting that the electricity be turned on? ❑Yes Rio ■ Will operations produce dust/wood shavings or similar material? ❑ YesNo ■ Will operations involve the repair or replacement of automobile parts? ❑Yes'` -To 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 To ■ Will therAe storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes - S6 ■ The following best describes my operation: El Office Only ❑ Retail Sales ❑Mediiccal/ ental ❑ El. Warehouse [Manufacturing/Distribution Restaurant/Take-Out Food [Other ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes W70 If you answered yes, please proceed to the next question. • Does your facility curre tly 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: 7LAC;- Bldg. Permit # % Planning Initials�Date: < 1 ( f� Conditions of Approval or Other Notes: Area: �S Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: Occ Load: Occ Load: TIF Revie�� N Zoning: Parking Meets Code (for use): Y / N Building Reviewed By Initials: Date: Grease Interceptor Verified Inspected By Initials: Date: N South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 p D (909) 396-3529 • http:// www.aqmd.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: L j UV E C-L s L- L--- Property Address: ` -1 "A D 2t3 c t-1 J p City: �A 0 M —i 10 6 —0 dJ AB�0- 4 Zip Code: q Z0 Contact Person:y ROC 6' N i 'tt46e:y , � r Type of Business: 5-P4t W 6LL fi g-'I elephone: --I I r-k Fax Number: N I A e-mail address: Applicant (print name): VANW M (W 146 -Signature: ) Will the facility have any of the following equipment? Yes Charbroiler Dry cleaning machine `('(�G` ► CQ Date: 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❑ 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- as-g-- "73756- \' Department of Planning & Building A 'E' 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY KSO INTERNATIONAL, LLC Cert. Number CO2017-003767 BEAUTY SPA & WELLNESS Date Printed 11/02/2018 17402 BEACH BLVD HUNTINGTON BEACH CA 92647 Address: 17402 Beach Blvd Issue Date: 06/09/2017 Permit Number: 02017-003767 TCofO Issue Date: Business Name: BEAUTY SPA AND WELLNESS TCofO Expiration: Business Type: Professional / Other Approved Sq Ft.: 745.00 Current Use: BEAUTY SPA # of Stories: 1 Occupant Groups: Description: Area: Occupant Load: B SALON 745 8 Conditions of Approval: USE OK Contacts: Contact Type: Name: KSO INTERNATIONAL, LLC Phone: (949) 385-3274 Business Owner Address: 17402 BEACH BLVD Cell: ( ) - City / State: HUNTINGTON BEACH CA Fax: ( ) - Zip: 92647 Pager: Contact Type: Name: PHAN PROPETY MANAGEMENT Phone: (562) 218-7817 Property Owner Address: 1209 E. 7TH ST Cell: ( ) - City / State: LONG BEACH CA Fax: ( ) Zip: 90813 Pager: ( ) - 5