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HomeMy WebLinkAbout19030 Brookhurst St - CofO (2)0` HUNTINGTON BEACH Business Add Business Owr Business Nan Business Typi CERTIFICATE OF OCCUPANCY V620 - CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor — The Applicant Must Apply In -Person) Date 8 Zip Code,? Telephone No.`i 14 2(0"7 2( trU Bus. Phoneg4!j 42:;?, (og-f dL Property Owner Information (required) f / / Tenant/Emergency Contact (required) Name � Ir66t`v 1U 1/S� ++ LJ - _ Name �,Gl4A ( t'-email !! Y� d 1'� p �q Address N5A -325 0 Ct CatM 10 0 V�Q� Home Address Sl'1 Q ✓�QMd�a�T l� City �v State/Zip aD® p k C- 2-�1�Q City t"f State/Zip .Ul cj.2 % q (o �� Telephone No. R ;� S-75 D Telephone No. -71 q 2-Co % Z(. n 0 M fA 1-5 Sa THIS USE WOULD BE DESCRIBED AS: -- // El�� Newly Constructed Building or 'Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes &�,No CHECK ALL THAT APPLY: ❑ Change of Business Owner 215hange of Occupant u4ange of Use ❑ Additional Occupant • Indicate former type of business c,, le-, • Are you requesting that the electricity be turned on? lames 111 No • Will operations produce dust/wood shavings or similar material? ❑ Yes 531�o��� • Will operations involve the repair or replacement of automobile parts? ❑Yes ®J o 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 w1fVo • The following best describes my operation: ❑ Office Only ❑ Retail Sales. ❑ Medical/ ental ❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food Other tp'gM-e4,lYIC,irncl�%4 • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes U?Kb S+Uc co If you answered yes, please proceed to the next question. • Does your facility currentjy have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes iNo Grease Interceptor Verified For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: 6 T2_ Bldg. Permit # bi� OCR Planning Initials: 1 f J Date: 1� Conditions of Approval or Other Notes: IA & -IA i) Gye �Z1 &1 Inspected By Initials: Area: 1 2— Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Date: Occ Load: `F-7 Occ Load: Occ Load: TIF Review:,,-Y/ Zoning: (>(� Parking Meets Code (for use): Y / N Building Reviewed By Initials ate: . �. i r 15 Sid&hf5 /1uhnA) cno gc,5�i�n • Maxi X 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 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). Coml Props City: Conti Type Fax P Appli 1. Will the facility release air pollutants, including but npt limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes 040 2. Will the facility res of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes ZNo 3. Will the facility result of hazardous materia , including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes fNo M 4. Will the facility have use of above or underground storage tank? ❑Yes M/No 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes to 6. Will the facility result in the use of the equipment listed below? ❑Yes N�No (Select all that apply) ❑Abrasive Blasting Cabinet/Room ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) ❑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 ❑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/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). N-g306 Department of Planning & Building ow 2000 Main Street Huntington Beach, CA 92648 Phone:(714)536-5241 Fax:(714)374 _ Occupancy Application 1647 19050 BA rst St 19030 st St-23 Certificate of Occupancy Application ADolication Binder Num Street Unit Bldg Job Address 19030 Brookhurst St APN 155-281-23 RD 3720 Zoning CG Lot = Tract = Block File Number Cofo? B2010-006826 No B2011-000272 Yes E2011-000398 No 02011-001200 Yes E2011-001462 No P2011-001464 No M2011-001634 No 02011-002191 Yes 02011-000272 Yes 02011-002229 Yes 02011-003286 Yes 02011-003905 Yes Entered By Daley, Jasmine Date Entered 07/06/2011 Default Inspector Dean, Mike Status Pending Permit Type Certificate of Occupancy Issue Permit? Date Origin Counter —� Issued By !� Building Use - City Planner Villasenor, Jennifer f Building Use - County o New Building? Plan Checker Daley, Jasmine Description SCRAPBOOKING "`ONCE UPON A MEMORY -- Internal Notes i —tificate of Occupancy CofO Number CO2011-003905 Choose Print All CofO Type Permanent Fees and Payments y Sheets to Issue �� Issued B Single C/O CofO Status Pendin Inspections i Cofo Date Issued Temp. CofO Issued —� Date Printed Utility Release Date Temp. COFO Expiration_ . License Number A224750 Business Name ONCE UPON A MEMORY Business Type Retail Business Phone (714) 965- 0088 Proposed Use LLETAIL Former Use RETAIL Conditions Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A154286 DANIELLE A004684 SHOREPOINT INSURANCE SERVIC A222832 SOUTH SHORES INSURANCE AGE A009720 RICHARD'S BEAUTY COLLEGE Approved Occupied Area (Sq Ft) 3,000.00 # of Stories I Change of Owner? Elec. Available? Drinking / Dining > 50 Occupants? U Change of Use? ❑: Want Electricity On? Welding / Open Flame? Change of Occupant? ❑ Sprinklered? Automobile Repairs? Additional Occupant? Dust / Wood? Auto Pads Desc. Occupancy Group/Load Grouo Description Area Construction Type Occupancy Load M SALES 3000 100 M SALES 3000 100 Group Definitio Mercantile Use - Building or structure, or a portion thereof, used for the display and sale of merchandise, and involves atnrkc of nnnrls warps nr mPrrhandi4P incidental to such nurnoses and accessible to the oubiic.