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HomeMy WebLinkAbout10116 Adams Ave - CofO (4)�a 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 Date l Business Owners Name Zip Code ?la-EK6 Business Name t924ccr-C. ' Telephone No. 76-606/"/V Business Type 1;4ysI,[- J-n-t"Iv Bus. Phone , 7n -y�tl ///7 Property Owner Information (required) Tenant/Emerpencv Contact (required) Name A *2Lo6e�c= GE I' dig Name 6--cc t,.V_- Address K/'7/ ZeAl//�det P/j I.v-' Sct IC4ome Address � �� -�n.a �i1` !XA_1_1 City 1 /� State/Zip �- c/S�(3 7City S� �cn,cni� State/Zip �- Telephone No. L115-362, 2-02 Telephone No. 774--ago= 7wr 5 � )��Nokc Goroeo vA- THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or xisting Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No CHECK ALL THAT APPLY: p-1.-5hange of Business Owner Change o Occupan ness Gl� t Change of Use ❑ Additional Occupant © Indicate former type of busioyp ® Are you requesting that the electricity be tur d on? ❑Yes M,113 0 Will operations produce dust/wood shavings or similar material? ❑ Yes CaNa- ® Will operations involve the repair or replacement of automobile parts? ❑Yes MN6- If yes: Describe the components repaired or replaced. 0 Does the operation involve the use of welding or open flame? ❑ Yes ❑-11�0 ® Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes p-No ® Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes EJNo © The following best describes my operation: ❑ Office Only D etail Sales ❑ Medical/Dental ❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other 0 Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes U.Pd6 if you answered yes, please proceed to the next question. 0 Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes ®Add Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only Occ Group: Occ Group: IN Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: Pate: iq-;1l t Conditions of Approval or Other Notes: Area: «-,=> Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: I Occ Load: Occ Load: TIF Review: / N Zoning: L Parking Meets Code (for use): Y / N Building Reviewed By Initials: _D9 Date: iZ�2_-,o n (If 1 V) vw South Coast orQj-3��' 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: Z—E IyL_ � z� i izv .i c ;C�✓�3 S". pT Property Address: / O r' `,t; A-aAYK X Ave — City: -_ r�,u ! I Ns �N �� Zip Code: _ /�(� Contact Person:_ ; �� / I,G,,v�;,� Title: R-e_ Type of Business: 7`J�9ir S, cn� Telephone: 7/ 6 -- 22-- 7K S s— Fax Number:_ A114 E-mail Address: Applicant (print name): L'uy .z Signature: Date: 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 Qo 2. Will the facility result o -fuel-burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes OW6 3. Will the facility result of hazardous materials, including 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 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes �o 6. Will the facility result in the use of the equipment listed below? ❑Yes ©Ko (Select all that apply) ❑Abrasive Blasting Cabinet/Room ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) []Air Conditioning System (containing > 50 Ibs of refrigerant) ❑Mixing/Blending of Liquids and/or Powders []Application of Paints/Adhesive/Resins ❑Molding /Extruding/Curing of Plastic ❑Baghouse/Dust Collector ❑Pharmaceutical/Nutraceutical ❑Bakery Oven (gas fired) ❑Plasma/Laser Cutter ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Printing/Coating/Drying ❑Charbroiler/Smoker ❑ Production of Fumes/Dust/Smoke/Odors ❑Coffee Roaster/Afterbunner []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 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 - Occupancy Application 10084 Adams Ave 100441 _._......_.._............._._.._._......... APN 155-181-28 Certificate of Occupancy A• • • ADolication Binder Num Street Unit Bld Job AddressFA 0116 Adams Ave APN 155-181-28 RD 3920 Zoning CG-FP2 Lot E::::] Tract Block 0� File Number CofO? B2001-082878 Yes B2002-084260 No B2002-084263 No B2002-084264 No B2002-084265 No 82002-084266 No 82002-084267 No B2002-084268 No B2002-084428 No 62002-085219 No 82002-085797 No B2002-086239 Yes NOTE: Permit Type 'COMBO' not available for Commercial projects. Entered By Date Entered 07/16/2002 Default Inspector Solorzano, Ruben Status Finaled Permit Type Building Issue Permit? Date 11/01/2002 Origin Issued By Ortega, Robin Building Use City C MISC Commercial Misc Planner Building Use - County 34.1 New Building? Plan Checker Description ITENANT IMPROVEMENT FOR EXTG 1400 SF SUITE"COFO Internal Notes CofO Number CO2002-012236 Choose Print All CofO Type Fees and Payments Sheets to Issue — --- Issued By Delancey, Cara Single C/O CofO Status Issued —s Inspections CofO Date Issued 05/10/2004 Temp. CofO Issued Date Printed Utility Release Date I Temp. COFO Expiration License Number Business Name SUPER CUTS Business Type HAIR SALON Business Phone (714) 962-8804 Proposed Use Former Use Conditions Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A124412 WATER SOURCE A180558 WATER SOURCE A222042 LIVING WATER A119122 MAIL BOXES ETC Approved Occupied Area (Sq Ft) 1,100.00 # of Stories Change of Owner? Elec. Available? Drinking / Dining > 50 Occupants? 0 Change of Use? D Want Electricity On? 0 Welling / Open Flame? Change of Occupant? Sprinklered? Automobile Repairs? Additional Occupant? Dust / Wood? Auto Parts Desc.� ,Occupancy Group/Load Grout) Description Area Construction Type Occupancy Load B 11 B 11 _ Group Definitio A building or structure, or a portion thereof, for office, professional or service -type transactions, including storage of rarnrrlc �nrl �rrnuntcr a tinn anti rlrinleinn actnhliehmantc with an nrriinant Innri of less than 5n