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Home My WebLink About19746 Beach Blvd - CofO (4)CERTIFICATE OF OCCUPANCY 020 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION HUNTINGTON BEACH rd 4i 1 b 6,� AU-f�L �.0 +-t, 6 (3 Floor -The Applicant Must Apply In -Person) v1 Q 2-6'i 9 Date P`' 2 8'1W k Business Address Business Owners Name 7 i � � N �a Zip Code ` Telephone No. N) - 7 Business Name �f �I�i��C �'%{�lZ?�� Business Type Bus. Phone(117a`(q� -4 q — %1 Property Owner Information (required) Tenant/Emergency Contact (required) �: Name Name�t �a Address lie- �_ _ __ _; Home Address��2�,-`,'�r�j{ Cl City . J -_ _ .. City �tJ ?ti%1'State/Zip '?t9 Telephone No�_9r_�_�i__...14 4fQ ,Z7 Telephone No. (q� Z THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or P Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes IN No CHECK ALL THAT APPLY: 10 Change of Business Owner ❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant • I dicate former type of business • Are you requesting that the electricity be turned on? NYes ❑ No • Will operations produce dust/wood shavings or similar material? ❑ Yes IF No • Will operations involve the repair or replacement of automobile parts? ❑Yes ro 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 M No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes a No • The following best describes my operation: ❑ Office Only ❑ Retail Sales C' Medical/Dental ❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes P1 No If 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 Inspected By Initials: Date: For Official Use Only f� Occ Group: L� Occ Group: Occ Group: Total Sq Ft Occupied: I Bldg. Permit # Planning Initials:3ate:d�'�� Area: l 2Sb Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: ( 3 Occ Load: Occ Load: TIF Review: Y/ N'I Zoning: 'SP14� Parking Meets Code (for use): Y / N Building Reviewed By Initials:J26 Date: !Z �-6 (8 Conditions of Approval or Other Notes: e 5�A t P, r op South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 http://www.aq'md.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 � it_%i' t fi L% YI 5V t City: W`IJ1(j�1710 Zip Code: �2�� 25.. (✓1f"�± �' -.) ._ Contact Person: EMM M iXANX, Title: Type of Business: Telephone Fax Number: — E-mail Address: Applicant (print name):aiE-- t` g&"j 2Aa74 Signature: 1. Will the facility release air pollutants, including but pot limited to, dust fume combination of these to the atmosphere? ❑Yes 'No i -. N . E�:i�'i�! , mist, odors, smoke, vapor, or a 2. Will the facility result of fuel -burning equipment including, but not limited tdAoilers, generators, and internal combustion engines? ❑Yes o 3. Will the facility result of hazardous mate 'als, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes o 4. Will the facility have use of above or underground storage tank? ❑Yes RNo 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? [-]Yes QNo 6. Will the facility result in the use of the equipment listed below? ❑Yes rviNo (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 ❑Spray Booth ❑Electrostatic Precipitator ❑Storage of Acids/Solvents/Organics Liquids/Fuels ❑Fermentation ❑Storage Silos (sugar, flour, etc.) ❑65-soline Storage &,,,Dispensing Equipment 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). 19676 Beach Blvd W TJ NEWLAND ESTATE 717 APN 153 091-22 1--- Certificate of Occupancy Application Application Binder Num Street Unit Bld i Job Address 19746 1 Beach Blvd APN 153-091-22 RD 3816 Zoning Lot �. Tract Block C2 File;Number , CofO? 02001-009822• Yes 01994-001769 ' Yes 01996=001770 Yes 01998-001771Yes 02000-009593, Yes 01997-001772 Yes 01998-001773 Yes 02003-011584 Yes 01995-001774 Yes 01991-001775 Yes 02002-011168 Yes 01993-001776 Yes Entered By Default Inspector Permit Type Origin Building Use - City Building Use - County Description Internal Notes Date Entered 02/22/1993 Status Issued Certificate of Occupancy Issue Permit? Date 02/25/1993 Issued By Planner New Building? Plan Checker i Dick, Lloyd f CofO Number C01993-001776 Choose Print All CofO Type f --- --- Sheets to Issue Issued By Single C/O CofO Status ;Issued CofO'Date Issued' 02/25/1993' Temp. CofO Issued'; s Utility Release Date Temp. COFO Expiration License Number Business Name DR. JOSEPH S. POWELL, OPTOMETR Business Type OPTOMETRY Business Phone (714) 964-3811 Proposed Use Former Use Conditions Fees and Payments Inspections-, Date Printed Click the << button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A225640 YOGA SHAKTI A244722 PIPALOFF DIANA A107220 FANTASTIC SAM'S A202276 FANTASTIC SAMS Approved Occupied Area (Sq Ft) 1,250.00 # of Stories 0 Charge of Owner? Elec. Available? Drinkng / bining> 50 Occupants? t Change of Use? Want Electricity On? Welding / Open Flare? .. Change of Occupant? - : Sprinklered? Automobile Repairs? . Additional Occupant? Dust / Wood? Auto Parts Desc_ • ccupancy Group/Load Type ..'Name field must be blank to add/change Contractor, Designer or Engineer Same As ; Property Owner Contractor Property Owner Name Manager. , M :. Company Address City/ State / Zip Email Phone c Designer /-Engineer CB COMMERCIAL �s 04040 MAC ARTHUR 200 NEWPORT BEACH (714) 955-6385 x Fax ( ) Mobile Phone' ( ) Pager State License Type—� Self Insured / Non -Employer? ~ { a Override Contractor Expiratbn Dates? - Date Overridden Overridden By F