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HomeMy WebLinkAbout10090 Adams Ave - CofO (12)J� HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 LS - �? D CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION Business Address In (3rd Floor - The Applicant Must Apply In -Person) Wy Date 1 1 f Business Owners Name (MA t ri,1AQ-UrJy ^ Zip Code Business Name V i ft LAD, ji' S ��° Telephone No — Business Type Bus. Phone Property Owner Information (required) Tenant/Emergency Contact (required) Name P 'pV? t;; Name 11A VI; Address 24%,9 � �-,i�� fob 6-,' f Di-lt'_e-1#2v-3Home Address WOP2 1 t� g- UtRAA� - City State/Zip 2 3v City jN6< I n&jEg. State/Zip CIA- Telephone No. 39 �MlU Telephone No. 5I� l - t� THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or, [ "Existing Building IS THIS BUILDING FIRE SPRINKLERED?X Yes El No CHECK ALL THAT APPLY: ❑ Change of Business Owner Change o�Occu � nt ❑ Change of Use 0 Additional Occupant • Indicate former type of business • Are you requesting that the electricity be turn4@A on?ACYesJ ❑ No • Will operations produce dust/wood shavings or similar material? ❑ Yes 040 • Will operations involve the repair or replacement of automobile parts? ❑Yes "No If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes Flo • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes)WNo • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes ,rEDNo • The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/De tal - El Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food OtherVICQ, • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes Flo 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 CEINo Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only n Occ Group: D Occ Group: Occ Group: Total Sq Ft Occupied: _ Bldg. Permit # Planning Initials Date:'o Conditions of Approval or Other Notes: Area:S Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: qs Occ Load: Occ Load: TIF Review: Y/ N Zoning: Oct Parking Meets Code (for use) > / N m, � Building Reviewed By Initials: Date: I 0 RE South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 - Phone Number (909) 396-3529 http://www.agmd.gov c+ 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: _ Property Address: iJ City: Zip Code: Contact Person: n41�14— Title: 6VVkU1e*_ Type of Business: GfYXAAWTelephone: / Fax Number: E-mail Address: Applicant (print name): CA77� L46&�/ Signature: Date: / 5 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 ("�'!No 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 result of hazardous materi�� , including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes 0 4. Will the facility have use of above or underground storage tank? ❑Yes Ao 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes�No 6. Will the facility result in the use of the equipment listed below? ❑Yespo (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 ❑Coffee Roaster/Afterbunner ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) ❑Mixing/Blending of Liquids and/or Powders ❑Molding /Extruding/Curing of Plastic ❑ Pharmaceutical/N utraceutical ❑Plasma/Laser Cutter ❑ Printing/Coating/Drying ❑ Production of Fumes/Dust/Smoke/Odors ❑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 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). 01� (�C(©(� - Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 m r. Phone: (714) 536-5241 Fax: (714) 374-1647 TEMPORARY CERTIFICATE OF OCCUPANCY JAVAD K MEHRISCH cert. Number CO2018-002043 OPTIMA SALON SUITES Date Printed 10/15/2018 10090 ADAMS AVE HUNTINGTON BEACH CA 92647 Address: Permit Number: Business Name: Business Type: Current Use: 10090 Adams Ave B2018-002043 SALON Issue Date: TCofO Issue Date: 10/10/2018 TCofO Expiration: 12/10/2018 Approved Sq Ft.: 5,645.00 # of Stories: 1 Occupant Groups: Description: Area: Occupant Load: B SALON 5645 95 Conditions of Approval: THIS CERTIFICATE OF OCCUPANCY IS ISSUED ON A TEMPORARY BASIS AND WILL EXPIRE 12/10/2018. DURING THE TCO PERIOD EXITS SHALL BE MAINTAINED AND NO CONSTUCTION ACTIVITY SHALL TAKE PLACE IN THE AREAS OCCUPIED BY TENANTS. ALL EXITS SHALL BE MAINTAINED FUNCTIONAL AND SHALL BE MAINTAINED CLEAR OF OBSTRUCTONS PRIOR TO ISSUANCE OF A PERMANANT CERTIFICATE ALL OUTSTANDING CORRECTIONS SHALL BE COMPLETED AND ALL OUTSTANDING PERMITS SHALL BE FINALIZED. Contacts: Contact Type: Name: JAVAD K MEHRISCH Phone: (800) 535-4171 Business Owner Address: 10090 ADAMS AVE Cell: ( ) - City / State: HUNTINGTON BEACH CA Fax: ( ) - Zip: 92647 Pager: ( ) Contact Type: Name: MERLONE GEIER PARTNERS Phone: (949) 305-4199 Property Owner Address: 10090 ADAMS AVE. Cell: ( ) City / State: HUNTINGTON BEACH CA Fax: ( ) Zip: 92646 Pager: ( )