HomeMy WebLinkAbout18531 Main St - CofO (71)•
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020-
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Address I A f N P'i n 'Sf f' 1> C-
Business Owners Name _B G :irro Pe- Cc,
Business Name r K-C-
Business Type 4
(3rd Floor - ThP Applicant Must Apply In -Person)
Date
Zip Code
Telephone No. f `46 3 3Cj
Bus. Phone
Property Owner Information (required) Tenant/Em enc Contact (required)
�eire `-A Yet
Name Name y
Address 19.5 3 M �.I n B CA
Home Address
City_ State/Zip C Aft2_ Lg19 city State/Zip C A 0lZ 4 y lg
� � Telephone No. �/- ' I Telephone No.�
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or ,Existing 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
• Are you requesting that the electricity be turned on? ❑Yes Q�No
• Will operations produce dust/wood shavings or similar material? ❑ Yes `�jNo
• Will operations involve the repair or replacement of automobile parts? ❑Yes G'�7No 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? ❑Yes �. No
• The following best describes my operation: ❑ Office Only ❑ R3ns
' s
El Warehouse/Manufacturing/Distribution I-]Restaurant/Take-Out F Other t '� ►1' _tea;}' ci"v
• Will any meat products including beef, poultry, and/or fish be cooked or fried
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 1No aA: f -
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
l�
Planning Initials: Date: 11-2 -19:11-
ons of Approval or Other Notes:
Area: (0 9-a1
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load: (U
Occ Load:
Occ Load:
TIF Revie Y/
Zoning:
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: Date:
w P L-r-.1 )IV C'.h-i nw 1
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
1.t
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). C , ,
Company Name: Ef `_J
Property Address: S �\%VV CA-- 5 a
City- Zip Code: c
Conta t Person:' f u Title:
Type of .Business: &� &i-i �_i � U Telephone
Fax Number:. - E-mail Address:
Applicant (print name): 77 F:U Signature: _
Lf.+_ (
Date: 4 S 8
1. Will the facility release air pollutants, including but n�o�t ' ited to, dust fumes, gas, mist, odors, smoke, vapor, or a
0f
combination of these to the atmosphere? ❑Yes o
2. Will the facility resu f fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes o
3. Will the facility result of hazardous material§,4"cluding but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes Ff4o
4. Will the facility have use of above or underground storage tank? ❑Yes [DNd-
5. Wi11 the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑YesZ;t4o
.6. Will the facility result in the use of the equipment listed below? ❑Yes
(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 t
❑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.)
❑Gasoline Storage & Dispensing Equipment t,; , • ,
if, you answered "Up" to any of the above questions and your facility will not have the following r
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).
'f; ,
18525 Main St ER RONALD
18531 SHAPN 159-091-04
Certificate of Occupancy Application
Application Binder
Num Street Unit Bld
Job Address 18531 1 Main St I APN 159-091-04 j RD 3615
Zoning SP14 Lot Tract i�_ Block D�
File Number CofO?
02018-003590 IYes
E2018-003617 No
02018-005196 Yes
02018-005629 Yes
02018-005640 Yes
02018-005961 Yes
02018-006509 Yes
M2018-006510 No
F2018-006584 No
F2018-006990 No
02018-007500 Yes
Entered By IFlores- Herne rdez, Armalen f
Default'lnspector Coble, Russell
5ermit-Type Certificate of Occupancy
Origin Counter
Building Use - City
Building Use - County New Building?
Description —THE IV 3"'
Internal Notes
I
CofO Date Issued 11/13/2618
,Utility Release.Date
I -
Date Entered 11/13/20188
Status Issued
Issue Permit? 10 Date 11/13/2018
Issued By
Planner Bui, Jessica
Plan Checker De Castro, Ryan
Fees and Payments
Inspections
Temp. CofO Issued Date Printed
Temp. COFO Expiration 11/13/2018
License Number
Business Name
Business Type
Business Phone
Proposed Use
SALON
Former Use
SALON
Conditions
I PERSONAL SERVICE; ADD'L
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A113484 PIER 1 IMPORTS #1634
A003738 EDWARDS HUNTINGTON CINEMA
A189504 OLD NAVY #5170
A112582 TILLY'S
Approved Occupied Area (Sq Ft) 6,227.00
# of.Stories 1
TO PHENIX SALON (TO OCCUPY RM #146,APPROX. 110 SF)
Change of Owner?
Elec. Available?
Drinking / Dining> 50 Occupants?
0Change
of Use?
Want Electricity On?
Welding / Open Flame?
Change of Occupant?
Sprinklered?
Automobile Repairs?
Additional Occupant?
Dust / Wood? Auto Parts Desc.
Occupancy Group/Load
Group Description
Area
Construction Tvoe Occupancy Load
B
SALON
6227
63
B._____-_--
SALON
6227
63 -- —
I
Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
including storage of records and accounts.
•:. x _ . ... .., ,,ram ...
1
Type ' Name field must be blank to add/change Contractor, Designer or Engineer Same As.
Property Owner Contractor Designer / Engineer Mobile Phone ( )
Property Owner Name : PHENIX SALON SUITES Pager ( )
f Business.Owner CompanyState.,License Type
Address` 18531 MAIN ST Self Insured/ Non -Employer?
,City/ State /Zip HUNTINGTON BEACH CA i 92648 Q G Override Contractor
z � — Expiration Dates?
Email y
71
Phone (714) 330-0538 x i Fax ( ) - Date Overridden
Overridden By F