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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: dc(t fc'uk, (_ o Lcy�wn { 4-(�►�e v�, kc S4 l ov.. "j .e.1-. c.&,-t S F it S Pate, -4 (`i _ 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