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Home My WebLink About19035 Goldenwest St - CofO (4)�V—S LA e . J� HUNTINGT( BEACH CERTIFICATE OF'OCCUPANCY 020 t?J CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION ` (3rd Floor - The Applicant Must Apply In -Person) \�� Business Address � l�� 1 5� Date !'� 06 j 2-01 �1 Business Owners Name Er _ '1�c(= Zip Code f_-A-L-4-A lb Business Name - lL-L Telephone No. '7 Cb 5�' "-701 3 Business Type P�rG�\ &A a s P b �N1ba L c� Bus. Phone -1 M - 3`] `{ - l l l 45- Property Owner Information (required) Tenant/Emergency Contact (required) Name- 5—,, y l�2_ ��ir'J� ,�NaName PJZA Address �� ✓ln\t-�� - 5'l -Home Address_ - City � Di 6W State/Zip 6-AP- Q2?�D CitNlPC-LbS State/Zip yC> 1 ` Telephone No. ql b Telephone No. S'51;6 - 4-1Z • -z l 19 JoJ THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or VExisting Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No CHECK ALL THAT APPLY: N: Change of Business Owner XChange of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business PyzZ • Are you requesting that the electricity be turned on? ❑Yes 5;'No • Will operations produce dust/wood shavings or similar material? ❑ Yes 15�No • Will operations involve the repair or replacement of automobile parts? ❑Yes S�No If yes: Describe the components -repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes 19 No • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yesj( No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes C' No • The following best describes my operation: n Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse/Manufacturing/Distribution $RrRestaurant/Take-Out Food ❑ Other • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes WNo 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 %No f. Grease Interceptor Verified Inspected By Initials: Date: For Official Use On/y Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: 3 a Bldg. Permit # Area: Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: 2Ca Occ Load: Occ Load: TIF Review: _Y Zoning: !21--i Parking Meets Code (for use): Y / N Planning Initials:Date: 't•�Q' Building Reviewed By Initials: e: I��a�P5 Conditions of Approval or Other Notes: •f- QF I a%1_ft=0dtM1Eij 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 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: ev Property Address: ��VQ->s I,:;- City: N—V1��i�_ Zip Code: Contact Person:_ 1L _Title: Type of Business: �ftiAS1 Telephone: Fax Number: E-mail Address: Applicant (print name): 5? •r Signature. Date: 1. Will the facility release air pollutants, including but no limited to, dust fumes, gas, mi dors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes 3. Will the facility result of hazardous mat ri , including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes o 4. Will the facility have use of above or underground storage tank? ❑Yes 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes ` Dlo 6. Will the facility result in the use of the equipment listed below? ❑Yes (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/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 ❑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). Department of Planning & Building 2000 Main Street Huntington Beach, CA 9264.8 Phone: (71.4) 536-5241 Fax: (714) 374-1647 OR 10035 APN 159-511-41 uc w 19035 'Idenl est St �102 � PENINSULA MARKETPLACE -+......... _...._._.. Occupancy Application Application Binder Num Street Unit Bldg Job Address 19035 Goldenwest St 102 APN 159-511-41 RD 3713 Zoning I SP9 I Lot L= Tract Block u File Number CofO? B2000-074525 No B2000-074774 No B2000-074810 No B2000-074844 No B2000-074853 Yes B2000-075088 No B2000-075157 No B2000-075202 No B2000-075247 Yes B2000-075358 No B2000-075359 Yes B2000-075371 Yes NOTE: Permit Type'COMBO' not available for Commercial projects. Entered By Date Entered 09/07/2000 Default Inspector Status Finaled ^� Permit Type Building Issue Permit? L- Date 10/11/2000 Origin Issued By I Huapaya, Yolanda Building Use - City C-MISC Commercial Misc Planner Building Use - County 34.1 New Building? Plan Checker n Description ITI "Z PIZZA INTERNATIONAL" Internal Notes CofO Number CO2000-009362 Choose Print All CofO Type Fees and Payments _•..._._.•...._._.._••,, Sheets to Issue Issued By Single C/O CofO Status Issued Inspections CofO Date Issued 05/02/2001 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration Click the « button to copy the Business License i License Number information into the Certificate of Occupancy. Business Name Z PIZZA INTERNATIONAL Business Licenses Business Name A210420 FIRST TEAM REAL ESTATE Business Type PIZZA RESTAURANT-TAK A210234 RUBIO'S BAJA GRILL #106 Business Phone ( ) - A216512 Z PIZZA i A234230 Z PIZZA Proposed Use Approved Occupied Area (Sci Ft) 00 Former Use N/A -NEW BUILDING # of Stories 1 Conditions I Change of Owner? ❑ Elec. Available? Drinking I Dining > 50 Occupants? ' 1 I Change of Use? ❑' Want Electricity On? Welding I Open Flame? Change of Occupant? �; Sprinklered? Automobile Repairs? nAdditional Occupant? Dust / Wood? Auto Parts Desc. T `� Group v( ce)-�Vq(_ I EVERBOWL 30461 AVENIDA DE LOS FLORES STE E RANCHO SANTA MARGARITA, CA 92688 Dear Owner/Operator: COUNTY OF ORANGE Health Care Agency PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH w Fzellelice RICHARD SANCHEZ DIRECTOR STEVE THRONSON DEPUTY AGENCY DIRECTOR' PUBLIC HEALTH SERVICES LIZA FRIAS DIRECTOR ENVIRONMENTAL HEALTH MAILING ADDRESS 1241 EAST DYER ROAD, SUITE 120 SANTA ANA, CA 92705-5611 TELEPHONE: (714)433-6000 FAX:(714)754-1732 EMAIL: ehealth@ochca.com Below is your health permit. Please detach it and post it in a conspicuous place at your facility. This permit is valid for the location, type of business, and owner noted unless suspended or revoked. Health Permits are non -transferable. This permit is not valid for any off -site operation. Health Permits will now be issued on an annual basis upon payment of all health services fees owed. Your Health Permit will expire on the date listed below. This permit becomes void and invalid in the event of a change of ownership, or unpaid balances on any invoice, or if the permit is suspended or revoked. BILLS WILL BE SENT TO: EVERBOWL LLC 3132 TIGER RUN CT UNIT 108 CARLSBAD, CA 92010 PLEASE NOTE CORRECTED ADDRESS INFORMATION BELOW AND MAIL OR FAX US AT (714) 433-6423 - - -- -- -- -- - ---- -----------•------ --....... ................. ......... - - -- - - ---- --- - - THIS PERMIT MUST BE POSTED IN A CONSPICUOUS LOCATION Permits to operate are NOT TRANSFERABLE. This permit is valid for the noted owner, location, and type of business only. This permit becomes VOID upon the change of ownership. New owners must apply for a new health permit. ORANGE COUNTY HEALTH CARE AGENCY ENVIRONMENTAL HEALTH 1241 EAST DYER ROAD, SUITE 120, SANTA ANA, CA 92705-5611 (714)433-6000 Type of Business: RESTAURANT UNDER 31 PERSONS - NON-COMPLEX (0111) Record ID: PR0085336 Owner EVERBOWL LLC Name of Business: EVERBOWL Location: 30461 AVENIDA DE `LOS FLORES STE E RANCHO SANTA MARGARITA, CA 92688 EXPIRES AUGUST 2019 Permits are valid until the first day of the month listed above 7020