HomeMy WebLinkAbout18531 Main St - CofO (62)J�
HUNTINGTON BEACH
Business Address
CERTIFICATE OF OCCUPANCY 020 Lo -2
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
/ R-3 / / (3rd Floor — The Applicant Must Apply In -Person)
Date
Business Owners Name
Business NameQ/%�'
Business Type UGC L
�t?r Zip Code
Telephone No. 71/�g � �` ��/�p, /� TT
Bus. Phone Z�7 '/
Property Owner
Information (requiirre�d) / Tenant/EmergencyContact (required)
Name / CQ;A ��%1 Si1%!e/S —(fit �C� Name 7LLL.� // LQ%� �B//'���,,
Address %9�% Adw, &T Home Address l 7 .3 G:✓ � /, ,
Cityf%Litm b24�6tate/Zip 4 49 CityTt� , State/Zip
Telephone No. 95F o37&-Telephone No. 71 r
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? 5(Yes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner ❑ Change of Occupant ❑ Change of Use Additional Occupant
• Indicate former type of business ,P
• Are you requesting that the electricity be turn on? I%Yes ❑ No
• Will operations produce dust/wood shavings or similar material? ❑ Yes Wo
• , Will operations involve the repair or replacement of automobile parts? ❑Yes [�allo 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 �eNo
• The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medic I/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food �4 Other
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes WO
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 Ep0
Grease Interceptor Verified
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: fo 227
Bldg. Permit #
Inspected By Initials: Date:
Planning Initials. � Date: 029
Area: Z Z Occ Load: 3
Area: Occ Load:
Area: Occ Load:
No. of Stories: TIF Revie Y/ N
Entitlement #: Zoning:
Use Permitted: Y N Parking Meets Code (for usefY N
Building Reviewed By Initials: 13 Date:
Conditions of Approval or Other Notes:
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South Coast
�y Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182 J
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). pp i i
Company Name:
Property Address:
City: /9A Zip Code:
Contact Person: Title:
Type of Business:, / Telephone: �// /
Fax Number: /`� ' / �/ E-mail Address: /�GCC WA ee1-'XZ5i�f 1YW_LZ_
Applicant (print name): oC�/",0'J64_ ( IV161(C%leV' Signature: tL>F. � .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 VNo
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes No
3. Will the facility re__sult of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes wo
4. Will the facility have use of above or underground storage tank? ❑Yes �?No
s a
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes ( imo
6. Will the facility result in the use of the equipment listed below? nYes Nod
(Select all that apply)
❑Abrasive Blasting Cabinet/Room
❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
?2 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
❑Pharm ace utical/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
❑ Ref rigeration 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
.
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) 374-1647Q___rOccupancy Application
18531 — Main St ISHER RONALD
118531 7 APN 159-091-04
Application Binder
Num Street Unit Bldg
JobAddress!18531 1MainSt J i APN !159-091-04 RD 13615
--
Zoning Lot 11 Tract 7 Block D
File Number CofO? NOTE: Permit Type 'COMBO' not available for Commercial projects.
W2015-bW03 3 No Entered By Kong, Sokar Date Entered 09/25/2015 _
IE2015-003724 No 162015-004143 No Default Inspector Moreno, David Status 'fFinaIed
E2015-004451 . No Permit Type Building Issue Permit? OD.te r11/12/2015
IC2015-005488 No ��— —
C2015-006136 No Origin lCounter Issued By ;Permitl
F2015 006465 No Building Use - City C-MISC Commercial Misc J Planner
;B2015-006763 Yes
IM2015-006766 No Building Use - County 34.1 New Building? Plan Checker
I'E2015-006767 No 11
P2015-006768 No Description TENANT IMPROVEMENT TO (E) 6,227 SF LEASE SPACE FOR "PHENIX
B2015-006984 Yes I SALON SUITE" **COFO ON FILE**
Internal Notes ***SENT TO SCANNING TN 3/31/16***
11/13/15 DB - COFO APP LEFT ON CHADS DESK.
!Certificate of Occupancy
CofO Number L_ CO2015-006984 I Choose Print All CofO Type Permanent Fees and Payments
- __ Sheets to Issue
Issued By Permit! Single C/O CofO Status Issued Inspections
CofO Date Issued j03/04/2016 Temp. CofO Issued Date Printed
Utility Release Date ITemp. COFO Expiration 03/04/2016
Click the « button to copy the Business License
License Number I J
information into the Certificate of Occupancy.
Business Name ! —
—-J
Business Licenses Business Name
-
Business Type i
t
[A113484
PIER 1 IMPORTS #1634
_
)
IA003738
EDWARDS HUNTINGTON CINEMA
Business Phone j( ) -
A189504
OLD NAVY #5170
ITILLYS
— — --
A112582
Proposed Use (HAIR SALON SUITES
Former Use
Conditions JUSE OK
Approved Occupied Area (So Ft) 6,227.00
# of StoriesF,
❑
Change of Owner?
Elec. Available?
11 Drinking / Dining > 50 Occupants?
Change 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
Type Occupancy Load
B
ISALON
6,227
63
1 B
SALON
6,227
63 j
3
i
Group DefinitioBusiness Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
including storage of records and accounts.
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 SARM 5 POINT, LLC Pager
Primary Contact
!Architect Company State License Type �— J
'Contractor I-----
Business Owner Address 1111 3RD AVE STE 1800 n Self Insured / Non -Employer?
!Tenant City / State / Zip SEATTLE ._. WA 98101 a Override Contractor
Expiration Dates?
I Email
Date Overridden ,
Phone (858) 255-4920 x Fax ( ) - L_------
Overridden By