HomeMy WebLinkAbout10090 Adams Ave - CofO (13)I
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd
Floor — The Applicant Must Apply In -Person)
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? CKYes ❑ 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 VNo
• Will operations produce dust/wood shavings or similar material? ❑ Yes dNo /
• Will operations involve the repair or replacement of automobile parts? ❑Yes �Vo If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes IV No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 perso s? ❑ Yes V�`No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes NrNo
• The following best describes my operation: ❑ Office Only ❑ Retail Sal§P6 EliMedicaVDqntal
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food Cl Other
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes o
If you answered yes, please proceed to the next question.
• Does your facility currentl have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes o
Grease Interceptor Verified
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials: ( Date:
Conditions of Approval or.Other Notes:
Inspected By Initials: Date:
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load: 1 5
Occ Load:
Occ Load:
TIF Reviews Y) N
Zoning: ( f�
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: iM, Date: I0 AA68
H
South Coast �
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
- Phone Number (909) 396-3529 http://www.agmd.gov
a� a
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: W -Alv" '
Prope jrtAddress:
City: Zip Code:
Contact Person: Title: C�1a-1'1
Type of Busine_ ss: S Telephone:
Fax Number: E mail Add ess: 0C C
Applicant (print name): 1 i nature: Date:
1. Will the facility release air pollutants, including but npt limited to, dust fu7arrist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes o '
2. Will the facility rest' of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes [ o
3. Will the facility result of hazardous matenal including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes lo
4. Will the facility have use of above or underground storage tank? ❑Yes 21d 0
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes tjNo
6. Will the facility result in the use of the equipment listed below? ❑Yes
(Select all that apply)
❑Abrasive Blasting Cabinet/Room
❑Air Conditioning System (containing > 50 Ibs of refrigerant)
❑Application of Paints/Adhesive/Resins
❑Baghouse/Dust Collector
❑Bakery Oven (gas fired)
❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr)
❑Charbroiler/Smoker
❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extruding/Curing of Plastic
❑ Pharmaceutical/Nutraceutical
❑Plasma/Laser Cutter
❑ Printing/Coating/Drying
❑ 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
❑Electrostatic Precipitator
❑Fermentation
❑Gasoline Storage & Dispensing Equipment•
❑Spray Booth
❑Storage of Acids/Solvent's/Organics Liquids/Fuels
❑Storage Silos (sugar, flour, etc.)
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 AOMD. 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).
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A
�F
Department of Planning & Building
2000 Main Street I
'Huntington Beach, CA 92.648
Phone: (714) 536-5241 Fax: (714) 374-1647 - Occupancy Application
10088 Adams Ave
10090
APN 155-181-28
Application Binder
Num Street Unit Bld _
Job AddressF6696 Adams Ave APN 155-181-28 RD 3920
Zoning CG Lot Tract Block
File Number CofO? NOTE: Permit Type'COMBO' not available for Commercial projects.
E2017-006811 No
02018-000525 Yes
62018-000805 No
B2018-000807 No
E2018-000808 No
B2018-000811 No
E2018-000812 No
B2018-000813 No
E2018-000816 No
B2018-000819 No
E2018-000820 No
B2018-002043 Yes
Entered By Daley, Jasmine Date Entered 04/02/2018
Default Inspector Stewart, Vic Status Issued
Permit Type Building Issue Permit? Date 07/10/2018
Origin Counter Issued By Permitl
Building Use - City C-MISC Commercial Misc Planner
Building Use - County 34.1 n New Building? Plan Checker
Description I IN I. 1.1.: INULUS NtW KVVMS GKtAI tU WI IHI
INT. NON-STRUCTURAL ITEMS) FOR "'OPTIMA
Internal Notes
SALONS"' COFO IN FILE
CofO Number CO2018-002043 Choose Print All CofO Type Fees and Payments
_-..........._.....................J Sheets to Issue
Issued By Single C/O CofO Status Pending Inspections
CofO Date Issued Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration
License Number
Business Name
Business Type
Business Phone
Proposed Use SALON
Former Use 1QA1 nA1
Conditions
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A124412 WATER SOURCE
A180558 WATER SOURCE
A222042 LIVING WATER
A119122 MAIL BOXES ETC
Approved Occupied Area (Sq Ft)
# of Stories
Change of Owner?
❑' Elec. Available?
Drinking / Dining > 50 Occupants?
Change of Use?
�i Want Electricity On?
Welding / Open Flame?
QChange
of Occupant?
Sprinklered?
Automobile Repairs?
Additional Occupant?
Dust / Wood? Auto Parts Desc.
.
iOccu panc.y. Group/Load
Group Description
Area
Construction Type Occupancy Load
B
SALON
5645
95
B
SALON
5645
95
Group Definitio
Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
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