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HomeMy WebLinkAbout15471 Edwards St - CofO (24)A CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH 020 DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION HUNTINGTON BEACH (3r Floor -The Applicant Must Apply In -Person) Business Address Business Owners Name zip 1, L Business NamE Business Type Date �)� kn- Zip Code !3 1 111 `7 Telephone N�l Bus. Phone /Property Owner Information (required) Tenant/EmergencyContact (required) j Name ( � uun' S (1 �d �� rr\a Y\ � Name Address \ 0 Home Address L 67 0 �._ �60� City �� State/Zip �d City C _SS l State/Zip- Telephone No%�Telephone No. -S�.Z►WO2 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or �-Existing Building IS THIS BUILDING FIRE SPRINKLERED? %5�Xes ❑ No CHECK ALL-THAT-APpPLI�E hange of Business Owner ❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant • Are you requesting that the electricity be turned on? ❑Yes ) J No • Will operations produce dust/wood shavings or similar material? ❑.,Yes 4No • Will operations involve the repair or replacement of automobile parts? [-]Yes VWo If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes o • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes�j No • • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes V]_No • The following best describes my operation: ❑ Office Only Retail Sales ❑ Medical/Dental ❑ Warehouse/Manufacturing/Distribution dZ-Fiestaurant/Take-Out Food ❑ Other • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite?o-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: q6jes ❑No Grease Interceptor Verified Inspected By Initials: Date: For Official Use On/y Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: r5. Bldg. Permit # Planning Initials Date.121-hs Area: I Area: Area: No. of Stories: N Entitlement #: Use Permitted: Y / N Occ Load: 0-5 Occ Load: Occ Load: TIF Review: / 1 . Zoning: J Parking Meets Code (for use): Y / N Building Reviewed By Initials: rAti Date: of Approval or Other Notes: — os� oa�TK' y F South Coast 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.tiusiness 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 Prop, City: Cont; Type Fax f Appli 1. Will combination of these to the atmosphere? ❑Yes ONo i 2. Will the facility rt of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes 50 - 3. Will the facility result of hazardous material , including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes 14No i 4. Will the facility have use of above or underground storage tank? ❑Yes V0 b. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑YesANo 16. Will the facility result in the use of the equipment listed below? ❑Yes lknwo (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) ❑Mixing/Blending of Liquids and/or Powders f ❑Application of Paints/Adhesive/Resins ❑Molding /Extruding/Curing of Plastic ❑Baghouse/Dust Collector ❑Pharmaceutical/Nutraceutical ❑Bakery Oven (gas fired) ❑Plasma/Laser Cutter �Boiler/Water Heater (max. heat input = or> 1 million BTU/I-r) ❑Printing/Coating/Drying ❑Charbroiler/Smoker ❑ Production of Fumes/Dust/Smoke/Odors ❑Coffee Roaster/Afterbunner Refrigeration Systems (containing > 50 Ibs of refrigeration Queep 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,iflour, 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). 41 kl Department of Planning & Building 2000 Main Street i Huntington Beach, CA 92648 anc Occu Application Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy pp 15471 1 Edwards St B QUAN SACK LEM 15471 APN 145-165 55 Application Binder Num Street Unit- Bld Job Address F5471 Edwards St I F APN 145-165-55 RD 2912 Zoning JCG Lot 296 Tract 3846 Block LLJ File Number CofO? 02002-010415 Yes 02006-005003 Yes 02010-003461 Yes P2010-003476 No M2010-003477 No E2010-003503 No C2010-003678 No 82010-004065 No 02010-004989 Yes 02012-001760 Yes 02013-006102 Yes 02016-001721 Yes Entered By ]Woo, Melanie Default Inspector Ford, Bill Permit Type Certificate bf Occupancy Origin Counter Building Use - City 1 F_ Date Entered 03/08/2016 Status Issued Issue Permit? ®' Date 03/14/2016 Issued By jPermitl 1 Planner jKelley, Jason Building Use - County �;Lj New Building? Plan Checker Woo, Melanie Description ""RANCHO VIEJO MEXICAN & SEAFOOD GRILL' — Internal Notes i3/14/16 DS -PER INSPECTION ON 3/9/16 BY VS ON COFO # 013-6102, ALL ITEMS APPROVED. CofO Number CO2016-00172Ij Choose PfintAll CofO Type I Permanent Sheets to Issue Issued By IPermitl Single C/O CofO Status Issued Co'0 Date Issued 03/14/2016 Temp. CofO Issued { Utility Release Date Temp. COFO Expiration r� License Number Business Name Business Type Business Phone ( ) Proposed Use RESTAURANT / FAST FOOD Former Use RESTAURANT n Conditions CHANGE OF OWNERSHIP/ t Fees and Payments Inspections Date Printed 03/14/2016 Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A166472 OCEAN BREEZE CLEANER A122660 GRANDY'S DONUT A118332 GRANDPA G'S BAR B Q A190806 OCEAN BREEZE CLEANERS Approved Occupied Area (Sci Ft) 1,375.00 # of Stories 1I Change of Owner? U Elec. Available? Drinking / Dining > 50 Occupants? Change of Use? Want Electricity On? Welling / Open Flame? Change of Occupant? ❑ Sprinklered? ❑ Automobile Repairs? Additional Occupant? Dust / Wood? Auto Parts Desc. Occupancy ... Grouo Description Area Construction Type Occupancy Load B RESTAURANT 1375 25 B RESTAURANT 1375 25 Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions, inrhirlinn etnrzna of ronnrrle nnri nnrnnntc..