HomeMy WebLinkAbout10090 Adams Ave - CofO (11)•
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HUNTINGTON BEACH
Business AddresE
Business Owners
Business Name
Business Type _
CERTIFICATE OF OCCUPANCY 020 LTJ -
CITY OF HUNTINGTON BEACH
'DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
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(3rd Floor — The Applicant Must ppl In -Person)
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T Zip Code 4721P_17 a
Telephone Nd74-79%93IT.�
Bus. Phone S4 wte,
Property Owner Information (required) Tenant/Emergency Contact (required)
Name 6PIZA 5A6 shrrE5 40 Name kjlG Ali CC, 501`KO.
Address J66V •�Ile Home Address �p & SA/1 10LanA ® 6 V (11'
City A111w*�/UG f f ��1State/Zip el("?( / q7 City,t*lew� t�rr� State/Zip 4i0676
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Telephone No. 066 s35 —51171 Telephone No ���) 466-157-s
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? `dyes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Occupant ❑ Change of Use ditional Occupant
• Indicate former type of business
• Are you requesting that the electricity be turned on? ❑Yes �S'No
• Will operations produce dust/wood shavings or similar material? ❑ Yes P<No
• Will operations involve the repair or replacement of automobile parts? ❑Yes `MNo 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 Z No
• The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food 14 Other .Au'tV je V\c4s
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes ❑ No
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 XNo
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
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Planning Initials.-AADate: k10 [2 I f5
Conditions of Approval or Other Notes:
Area: pq
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load: vJ
Occ Load:
Occ Load:
TIF Review:eY/ N
Zoning:
Parking Meets Code (for use): / N
� 0/�1M
Building Reviewed By Initials: �" Date:
South Coast .E
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
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
City: n k
Contact Person:
Type of Business
Fax Number: /
Applicant (print ns
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 UNo
2. Will the facility r suit of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes VN0
3. Will the facility result of hazardous materi51s, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes XNo
4. Will the facility have use of above or underground storage tank? ❑Yes *0
IT,
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes�RNo
6. Will the facility result in the use of'the equipment listed below? ❑Yes SdNo
(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
❑ Pharm aceutical/N utraceutical
❑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/Solvents/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 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).
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r' Department of Planning & Building
`.' 2000 Main Street
Huntington Beach, CA 92648'
~=R V Phone: (714) 536-5241 Fax: (714) 374-1647
TEMPORARY CERTIFICATE OF OCCUPANCY
REMI ALISEO
THIRD EYE BEAUTY & WELLNESS
10090 ADAMS AVE.
Huntington Beach CA 92647
Address:
Permit Number:
Business Name:
Business Type:
Current Use:
10090 Adams Ave
02018-007077
SALON
Cert. Number CO2018-007077
Date Printed 10/23/2018
Issue Date:
TCofO Issue Date:
10/22/2018
TCofO Expiration:
12/10/2018
Approved Sq Ft.:
5,645.00
# of Stories:
1
Occupant Groups: Description: Area: I loccui)ant 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.
OCCUPYING SUITE 13 APPROX 100 SF
l Contacts:
I
Contact Type: Name:
REMI ALISEO
Phone: (732) 674-3339
Business Owner Address:
10090 ADAMS AVE.
Cell: ( )
City / State:
Huntington Beach CA
Fax: ( )
Zip:
92647 .
Pager: ( )
Contact Type: Name: OPTIMA SALON SUITES Phone: (000) 000-0000
Property Owner Address: 11 MARBLU SUITE. 1100 Cell: ( )
City / State: ALISO VIEJO CA Fax: ( )
Zip: 92656 Pager: ( )