HomeMy WebLinkAbout2120 Main St - CofO (65)H
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 - 835G
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Address 2A:z0
Business Owners Name
Business Name Q�►^�t
Business Type��
(3''d Floor — The Applicant Must Apply In -Person)
iYt e� SU H�e CA g2by
�►1-� Mcer� 8ldin�s L:To.
Date
Zip Code Q a6 q' 7 r
Telephone No. r!f 4- VK_ 904
Bus. Phone r114— — Oq4-zf
Property Owner Information (required) Tenant/Emergency Contact (required)
Name rou f6 I LL Name 111,e_ .ts hO COP" tzr
Address 60 0LA-ftk /\'lams '-4I z0 Home Address 575" N. r //p QVJG 1 {�
City mar Tose_ State/Zip C , , City 194rrtAhek State/Zip CA q ti v
Telephone No. `7 14- — q 6 C — J 2' 3 !9 Telephone No. q q q -29q-4 2O 7 / r7f,�t-54'7-09 00
THIS USE WOULD BE DESCRIBED AS:
O Newly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? El Yes Wo
CHECK ALL THAT APPLY:
❑ Change of Business Owner Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business vn kJ1 WY)
■ Are you requesting that the electricity be turned on? ❑Yes Dd No
■ Will operations produce dust/wood shavings or similar material? ❑ Yes �No
■ Will operations involve the repair or replacement of automobile parts? ❑Yes XNo If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes V No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes V; No
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes Flo
■ The following best describes my operation: NLOffice Only ❑ Retail Sales ❑Medical/Dental.
❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other
■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes UCNo
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 X, No
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: _
Bldg. Permit #
Planning Initials:kqwate: I?
Conditions of Approval or Other Notes:
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning: CC7
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: Date:
Grease Interceptor Verified Inspected By Initials: Date:
-i, South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
(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:
Property Address: Zi DL-0 Mrs 111 S-+Ne
1 n
City: 6fa_c, CA Zip Code: "l �
Contact Person: L Ail e, Title: S% l ibt 'In Wo. 6 �21�
Type of Business: lee Telephone: 71 y —�4,5-- O q 44
Fax Number: I e-mail address: I(1f'�� SG tflnWC LISal'cplr+
Applicant (print name): sltl Signature: Date: 1 L :41�
Will the facility have any of the following equipment? Yes ❑ Nox
Charbroiler
Dry cleaning machine
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❑ Nox
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-
9 SG�
Department of Planning &Building
2000 Main Street `y
Huntington Beach, CA 92648
Phone: (71.4) 536-5241 Fax: (714) 374-1647 Occupancy Application
2134 1
MAPN ain t023 010-1g 200 LUHNOW LAWRENCE
2130
Aoolication Binder
Num Street Urtit Bid
Job Address 2120 Main St 270 APN 023-010-19 RD 3714
Zoning OP-O-CD Lot = Tract Block u
File Number CofO?
01995-005535
01989-005536
01989-005537
01989-005538
01993-005539
01993-005541
01994-005542
01990-005543
01998-005544
01992-005545
01992-005546
Entered By I -=
Default Inspector
Permit Type
Origin
Building Use - City
Building Use - County
Description
Internal Notes
Certificate of Occupancy
New Building?
CofO Number
601992-005546
Choose Print All
CofO Type C
Issued By
_
��
Sheets to Issue
Single C/O
CofO Status Issued
Date Entered 10/22/1992
Status Issued
Issue Permit? � Date 10/22/1992
Issued By
1 Planner IFauiand, Herb
Plan Checker IDick, Lloyd
Fees and Payments
Inspections
CofO Date Issued 10/22/1992 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration
License Number
Business Name CURTIS ROOFING
Business Type I ROOFING CONTRACTOR
Business Phone (714) 536-7989
Proposed Use
Former Use
Conditions
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A136574 LAVENAU DAVID PSY D
A139308 TARDIF RUSS MAMFCC
A117152 STATE FARM INSURANCE AGENCY
A208418 ACTION CONSULTANTS THERAPY
Approved Occupied Area (Scl Ft) 200.00
# of Stories10
Change of Owner?
Elec. Available?
Drinking / Dining > 50 Occupants?
Change of Use?
Q Want Electricity On?
El Welding / Open Flame?
Change of Occupant?
Sprinklered?
Automobile Repairs?
Additional Occupant?
Dust / Wood? Auto Parts Desc.—�-
Occupancy
. •
...
Group
Description
Area
Construction Type Occupancy Load
B-2
1
12
Group Definitio