HomeMy WebLinkAbout18531 Main St - CofO (70)ceft I C<C.
CERTIFICATE OF OCCUPANCY 020 (0 - S3'35
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
HUNTINGTON BEACH
Ord Floor —The Applicant Must Apply In -Person)
Business Address 17 5"31 M a In Si - P a &ink 1 BPac t, cA . yZe48 Date 2
Business Owners Name Elmo, M a r6 nay Zip Code 92-G!{-R
Business Name Telephone No. _
Business Type M lcrmocubq Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name Carey Sir P L Name GleAa,, M Ci rciyipy
Address Y �J3t Main 5r• Home Address n ,it let LArn Pa TV
City_ U11filYtfJl �UI� 5_ to/Zip tit �2.�+ CityFaIC410 SGUI'>a ar. to/Zip CA g2io$$
Telephone No. g! 5 " ]3ff�oTelephone No.
THIS9SE WOULD BE DESCRIBED AS:
Newly Constructed Building or ❑ Existing Building
IS THIS BUILDING FIRE SPRINKLERED? EYes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner ❑ Change of Occupant ❑ Change of Use dAdditional Occupant
• Indicate former type of business
• Are you requesting that the electricity be turned on? ❑Yes SNo
• Will operations produce dust/wood shavings or similar material? ❑ Yes [91�0
• Will operations involve the repair or replacement of automobile parts? ❑Yes [�O 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 No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? E]Yes ❑ No
• The following best describes my operation: ❑ Office Only ❑ Retail Sal Me ical/ entaI ff
❑ Warehouse/Manufacturing/Distribution El Restaurant/Take-Out Food Other 10-021Q&3
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? [:]Yes o �l
If you answered yes, please proceed to the next question.
• Does your facility current,Ly have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes No
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Onlv
Occ Group:
S
Occ Group:
Occ Group:
Total Sq Ft Occupied: Z�
Bldg. Permit #
Planning Initials: Date:
Conditions of Approval or Other Notes: (f,Xt�3_11+
i SPC`-C # 149.
Area: ZZ�
Area:
Area:
No. of Stories:
Entitlement M
Use Permitted: Y / N
Occ Load: ( 3
Occ Load:
Occ Load:
TIF Review��
Zoning: �1�1
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: D 9 Date: 3
Soby\, oJhhjr� Eton . A-o(cAL+t-o('NiAf
�c.CA+ to DCC4_'LP--1 11 o Sr
Ol PJ -1839B
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:
Property Address: 1 Y,2 -51 1V1y 1 n J)
City: Ymngm &aCh Ck Zip Code: 92L49
Contact Person: Gli1 `t?Y1Gi M61Y-Ctnoy Title: Jana *
Type of Business: tCry �7ja6 Telephone: a
Fax Number: X E-mail Address: ery • Va QY L • 6ny,
Applicant (print name): "Ve`'U maY ygy Signature: Date: )D- ZLg/ (�
1. Will the facility release air pollutants, including butliot limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes [jv No
2. Will the facility res t of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes [ZNo
3. Will the facility result of hazardous material , including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes 21' 10.
4. Will the facility have use of above or underground storage tank? ❑Yes 2�0
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes RI'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)
❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extrud i ng/Cu ring of Plastic
❑Pharmaceutical/Nutraceutical
❑Plasma/Laser Cutter
❑Printing/Coating/Drying
❑Charbroiler/Smoker ❑ Production of Fumes/Dust/Smoke/Odors
❑Coffee Roaster/Aft erbunner ❑Refrigeration Systems (containing > 50 Ibs of refrigeration
❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven
❑Dry Cleaning Equipment ❑Spray Booth
El 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).
0 143 _93 3`d
Department of Planning & Building ti
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536..5241. Fax: (714) 374-1647 Occupancy Application
,Property
Info
9 Main St SHER RONALD
8567 APN 1159-091-04
of Occupancy Application
Application Binder
Num Street Unit Bldg
Job AddressF18531 ]Main St APN 1159-091-04 RD 3615
Zoning ISP14 I Lot Tract Block
File Number CofO?
02018-005640 Yes Entered By Flores-Hemandez, Armalen Date Entered 112/21/2018
02018-005961 Yes Default Inspector Status I Issued
02018-006509 Yes Stewart, Vic
M2018-006510 No Permit Type lCertificate of Occupancy Issue Permit? r27SJ: Date 112/21/2018
F2018-006584 No
F2018-006990 No Origin Punter Issued By
02018-007500 Yes
Building Use - City Planner Eejcr:�:an� Hayden
02018-008152
Yes
02018-008158 Yes Building Use - County 0, New Building? Plan Checker Flores-Hernandez,rmalen
02018-008159 Yes
02018-008245 Yes Description ADD'L OCCUPANT -BEAUTY BY TROPEA
02018-008329 Yes
Internal Notes 12/21/18 AFH -APPLICANT STATED NO PEDICURE/MANICURE SERVICES
Certificate of Occupancy
CofO Type I PermanentFees and Payments
-] CofO Number ICO2018-008329Choose Print AllSheets
to Issue
Issued By I 1 1 Single - CIO CofO Status [issued i Inspections
CofO Date Issued 1 12/21/2018 1 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration 112/21/2018
Click the « button to copy the Business License
License Number information into the Certificate of Occupancy.
Business Name Business Licenses Business Name
Business Type A113484 PIER 1 IMPORTS #1634
A003738 EDWARDS HUNTINGTON CINEMA
Business Phone A189504 OLD NAVY #5170
A112582 TILLY'S
Proposed Use SALON Approved Occupied Area (Sq Ft) f6,227.00 [
Former Use iSALON # of StoriesF1
Conditions ADD'L OCCUPANT TO PHENIX SALON, PERSONAL SERVICES USE (TO USE APPROX. 110 SF, RM 140)
Change of Owner? F] Elec. Available? Drinking I Dining > 50 Occupants?
Change of Use? FWant Electricity On? Welding I Open Flame?
-1
Change of Occupant? ! Sprinklered? Automobile Repairs?
0 0.
Additional Occupant? ❑ Dust I Wood? Auto Parts Desc.
-Occupancy Group/Load
Group Description Area Construction Type Occupancy Load
B
SALON
6227
63
B
SALON
6227
63
Group DefinitiojBu!inss Use _Building or structure, or a portion thereof, used for office, professional or service -type transactions,