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Home My WebLink About18541 Beach Blvd - CofO (10)HUNTINGTON BEACH Business CERTIFICATE OF OCCUPANCY 020 - 8 (3ca CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor —The X A C-4 Business Owners Name C 2 (-1--(-4-- Business NamE Business Type nt Must Apply In -Person) bate Zip Code 2� Telephone No—.�%�y- FiiG3�2U(G� Bus. Phone / 1q-- -30— Property Owner Information re uired '/`� CV "Term e�y�tact (required) Name -e- i Name L Address b I �`` V� L' yv�' ��Mlome Address LI 2 City : Yi/t Z _. State/Zip C4: �%��_� City &A �lI ►�V� State/Zip e ��". Telephone No. 77C%f(— / PO Telephone No. THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes 'ONO CHECK ALL THAT APPLY: Change of Business Owner Change of Occupant Change of Use ❑ Additional Occupant • Indicate former type of business__ S cil�L �- • Are you requesting that the electricity be turned on? ❑Yes 1qNo • Will operations produce dust/wood shavings or similar mater'a( I? ❑ Yes XNo • 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 XNO • Will the business be a drinking, dining or assembly use with an occupant loadof more than 50 persons? Yes ❑ • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes 'D<uo • The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse/Manufacturing/Distribution estaurant/Take-Out Food ❑ Other • Will any meat products including beef, poultry, an/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: VrYes ❑No Grease Interceptor Verified Inspected By Initials: Date: For Official Use On/y A "2 Occ Group: Occ Group: 13 Occ Group: Z Total Sq Ft Occupied: 2Sc10 Bldg. Permit # Planning Initials: Date: Conditions of Approval or Other Notes: Area: 10I4 S Area: $ SZ Area: 3cr.� No. of Stories: _ I Entitlement #: Use Permitted: Y / N No Occ Load: `L{'L Occ Load: Occ Load: 2- doo- TIF Review: Y/ N J Zoning: 14 Parking Meets Code (for use): Y / N Building Reviewed By Initials: �O(�) Date: South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 http://www.agmd.gov :a_... Air Quality Permit Checklist r, 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: AA ✓x+7)N '5V 4&� Zip Code: Contact Person: r,W vA L(a j4zi n w Title: ��✓ Type of Business: �� r' �n. t--Gt L- �" Telephone: Fax Number: E-mail Address: (7WV1.� VS P �VI (,i►'iC�t -5 CGV" l Applicant (print name): y" 1 Signature: 1. Will the facility release air pollutants, including but not limited t'A st fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes �Qo 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 materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes R 0 4. Will the facility have use of above or underground storage tank? ❑YesJNo 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?XYes ❑No (Select all that apply) ❑Abrasive Blasting Cabinet/Room ❑Air Conditioning System (containing > 50 Ibs of refrigerant) ❑Application of Paints/Adhesive/Resins ❑Baghouse/Dust Collector �jBakery 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 i ❑ Printing/Coating/Drying ❑ Production of Fumes/Dust/Smoke/Odors ❑Refrigeration Systems (containing'> 50 Ibs of refrigeration jKDeep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven ❑Dry Cleaning Equipment . ❑Spray Booth ❑ Electrostatic. Precipitator ❑Fermentation ❑Gasoline Storage & Dispensing Equipment ❑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). -et3o Departrnent of Planning & Building 200t, Main Street j Huntington Beach, CA 9264$ Occupancy Application Phone: (714) S36-5241 Fax: (714) 374-1647 P pP 18 Beach Blvd WINDSURFING INTERNATIONALINC 1863637 APN 159-102-43 Certificate of Occupancy Application Aoolication Binder Num Street Unit Bldg Job Address 18541 Beach Blvd 101 APN 159-102-43 1 RD 3615 Zoning CG Lot [4:= Tract U Block File Number CofO? E2015-001436 No B2015-001480 Yes M2015-001481 No P2015-001482 No E2015-001483 No P2015-001839 No F2015-002644 No C2015-002785 No C2015-003574 No B2015-003636 No C2015-004313 No B2015-005465 Yes NOTE: Permit Type 'COMBO' not available for Commercial projects. Entered By Daley, Jasmine= Date Entered 07/31/2015 Default Inspector Moreno, David Status Finaled Permit Type Building Issue Permit? f7 Date 10/28/2015 Origin Counter Issued By Permit3 Building Use - City lCommercial Misc Planner Building Use -County 34.1 Dj New Building? Plan Checker Description INT. T.I.: INCLDS NEW NON-STRUCTURAL PARTITIONS, CEILING GRIDS, & SOFFITS ""BLAST 825 PIZZA— (COFO IN FILE) Internal Notes 0/16*** Certificate of Occupancy CofO Number ICO2015-00546q Choose Print All CofO Type I Permanent Fees and Payments Sheets to Issue — -- -- Issued By Woo, Melanie Single C/O CofO Status Issued Inspections CofO Date Issued 02/02/2016 Temp. CofO Issued 01/06/2016 Date Printed Utility Release Date y Temp. COFO Expiration 03/06/2016 _ 02/02/2016 j License Number A294214 Business Name BLAST 825 HUNTINGTON BEACH Business Type Retail Business Phone (310) 994-0901 Proposed Use I RESTAURANT Former Use IRESTAURANT Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A188246 VICTORY MARTIALARTS Al98216 SHOE PAVILION Al96986 MEMORIAL PROMPT CARE MEDJGI Al15338 BE BOP BURGERS Approved Occupied Area (Scl Ft) 2,800.00 # of Stories i • J Conditions This certificate of occupancy is issued on a temporary basis and will expire 3/62016 Prior to issuance of permanent certificate all outstanding corrections shall be completed and all outstanding permits shall be finalizes. RESTAURANT ON SITE OF PREVIOUS RESTAURANT, NO CHANGE IN USE. ALCOHOL NOT PERMITTED UNTIL CUP APPROVED AND APPEAL PERIOD EXPIRED. Change of Owner? n, Elec. Available? 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. iOccupancy Group/Load r,rni in nescrintion Area Construction Tvoe Occuoancv Load A-2 RESTAURANT 1948 Type V - B 142 A-2 RESTAURANT 1948 Type V - B 142 A-2 RESTAURANT 300 Type V - B 22 B KITCHEN 852 Type V - B 6 Group Definitio Assembly Use - Building or structure, or a portion thereof, used for the gathering of persons, intended for food and/or u a s I IAQMO South Coast Air Quality Management 'District 21865 Copley Drive, Diamond Bar, CA 917654182 Air Quality Permit Checklist 0M - r6l Small Business Assistance MICE 1-800-388-2121 smallbizassistance@aqmd.gov www.aqmd.gov a Certificate of Occupancy to a California,Government Code Section 65850,2 prohibits cities from iss,u ijig I business Nvithout clearance fi-oni, the local air quality agency. South Coast Air Quality Management District (SCAQN14D) developed this Air Quality Checklist as a screening evaluation too.] in the clearance process required pursuant to Section 65850.2. Please provide a response to all questions oil this checklist. If you have any question or need assistance completing this Checklist, pleasc contact the SCAQMD's Small Business Assistance Office, and a representative will help you complete 4 the information in the Checklist. NOTE: If there are any demolition or renovation activities that may disturb building materials., please contact the Asbestos Hotline at 909-396-2336 Section A - Operator/Business Information I. Business Name- C_ 2. Address: 9_1 (— 10) C, Street City U, lip 3. Contact Naln Telephone Nurnber: Z� Title. ail: Section B - Facility Business 'Information/Business and Equipment Description I,lease provide a detailed description of the business operations to be Performed and equipment to be used t this location: 0 Ute- u-1 S -s "s- Section C - Checklist Questionnaire Please respond to all questions as it relates to the business activities to be performed at this location. Will business operations at this location: 1. Result in the release of air pollutants, including but not limited to, dust, fumes, gas, mist, odors, smoke, vapor,,-QL e� a combination of these to the atmosphere? Yes 0 2. Result in the use offuel-burning equipment including, but not limited to, boilers, generators, and internal combustion engines? Yes NO 3 chemicals, plastics, rubber, resins, soh, Result in the use of hazardous materials, including but not limited to, paints, and parts cleaners? Yes No Pev. 6-6-11 iection C - Checklist Questionnaire (continued) 4. Result in the use of an abode or underground storagetmik? Yes CTI) 5. Consist of trianufactiAring, fabrication, finishing, or -treatment of wood. metal or plastic products: Yes 6. Result in the use of mly of the equipment listed below: Yes 'No ) i(Select all that apply) F❑ Abrasive Blasting Cabinet/Room El Soldering Oven Air Conditioning Systems (containing > 50 lbs of refrigerant) M Spray Booth Nents/Organic ED Application of faints/Adhesives/Resins 0 Storage of Acids/So ,house/Dust Collector Bag Bakery Oven (gas -fired) Liqiu,ids/Fuels . 0 Storage Silos (sugar, flour, etc.) ED Boiler/Water Heater (max. )teat input = or > I million BTU/lir) M CbarbToiler/Smoker M Coffee Roaster/Afterburner EZ Deep Fryer (excluding equipment, located at eating establishments) Dry Cleaning Equipment 0 Electrostatic Precipitator F.tc'hin2jPlatin_PJCastingAicitinglr-ofging/Gn,,ndin_v-/Clittiiia, of Metals D Fermentation C3 Gasoline Storage & Dispensing Equipment 0 Internal Combustion Engine (rated > 50 blip; e.g. back-up generator) C3 :NlixMendiiiip I ng of Liquids and/or powders ED MoldinglExtTuding/Curing of Plastics C3 Pharmaceut icalfiNutraceu'li Cal Ll I'lasinall,aser Cutter 0 Printing/Coating/Drying Cl Production of Funies/Dust/Smoke/Odors 0 Refrigeration Systems (containing > 50 His of refrigerant) Section iD - Business Self Certification 7. Preparers 4--�L Tittez, Si Telephone Number: E, -3 Z_ GC1 y,ki,, jjtj� signatin-e above that, I ain a du1ji outhorized re presentotive of the above -named business, and that hqformaflon C0170ined herein is Ime and correct. I-quipinenr :overk- Clearance Issued By: 0 Applicant has permit(s) from the SCAQ.NID: _>j "PROVED 13 Applicant fiat filed for perniii(s) «ith the SCAQN41): V.C) 11 U W southoose NOTE& Misclearaaceis.not a Registration or Permit to Applicant is exempi ftom permit requirements: 67 6 As consirtict /operate. El Applicant has complied Nvith filing requirements of IC22: 13 133kcd on the information l3ro-, ided. no equipment/process requiring air qualky permit or registration. '26(t 0 Page 2 of 2 it Q Rev. 6-6-17