HomeMy WebLinkAbout19040 Brookhurst St - CofO (15)6
J�
HUNTINGTON BEACH
Business Add
Business Owr
ft
CERTIFICATE OF OCCUPANCY 020 LlfIci
-
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Name Td lVA) G-S <,,fA-
Business Type AAS e1A 1,0AJ
(3rd Floor — The Applicant Must Apply In -Person)
eA cy 2446
Date
Zip Code
Telephone No.
Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name 6A01pXyRh F AS�Q� _ Name pio /V &Oti5�
Address 130 LL OAH AJO 06tir 2.ro Home Address At 92� ! % L-AJ
City 7V5nn1 State/Zip 'mil, �12-7. City 54- miA State/Zip 627�
Telephone No. Telephone No. ��i 7 _7 —E1jq
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? j] Yes ❑ No
CHECK ALL THAT APPLY:
4 Change of Business Owner ❑ Change of Occupant �❑ Change of Use ❑ Additional Occupant
• Indicate former type of business III 0_
• Are you requesting that the electricity be turned on? FfYes ❑ No
• Will operations produce dust/wood shavings or similar material? 4ks U4 /
• Will operations involve the repair or replacement of automobile parts? ❑Yes No 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 pers ns? ❑ Yes
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes ZNO
• The following best describes my operation: ❑ Office Only ❑ Retail SaIe_s ❑ Me ical/Dental
❑ Warehouse/Manufacturing/Distribution El Restaurant/Take-Out Food El Other cAte?_"
• 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 curren have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes o
Grease Interceptor Verified
For Official Use On/y
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Inspected By Initials: Date:
Planning Initil 6SDate: t
Area: ;0 1D
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
No
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/
Zoning: C G
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: Date:
Conditions of Approval or Other Notes: 04-Ly�� 1��t--P
. 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: -
Property Address:
City: Zip Code:
Contact Person: D A14 VAN VY04) Title:
Type of Business: ���� Telephone:
Fax Number: E-mail Address:
Applicant (print name): 011 J ' CIAAI 1J6t/ !.%A1 Signature: XDate: f�-7—/$
1. Will the facility release air pollutants, including but pot limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes VNo
2. Will the facility res It of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes No
3. Will the facility result of hazardou/materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? Yes ❑No
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 CJNo
6. Will the facility result in the use of the equipment listed below? M'Yes ❑No
(Select all that apply)
V
brasive Blasting Cabinet/Room ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
ir Conditioning System (containing > 50 Ibs of refrigerant) ❑Mixing/Blending of Liquids and/or Powders
[-]Application of Paints/Adhesive/Resins
❑Baghouse/Dust Collector
❑Bakery Oven (gas fired) t ,F
❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr)
❑Charbroiler/Smoker
❑Coffee Roaster/Afterbunner
❑Molding /Extruding/Curing of Plastic
❑ Pharmaceutical/Nutraceutical
❑Plasma/Laser Cutter
❑Printing/Coating/Drying
❑ Production of Fumes/Dust/Smoke/Odors
❑Refrigeration Systems (containing > 50 Ibs of refrigeration
❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven
[]Dry Cleaning Equipment rStorage
ray Booth
❑,L'�Electrostatic Precipitator of Acids/Solvents/Organics Liquids/Fuels J
❑Fermentation ❑Storage Silos (sugar, flour, etc.)
❑Gasoline•S.torage'& Dispensing Equipment
N t : r 17, 1 1. 1.,
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).
- 9-C Ot o
Department of Planning & Building
2000 Main Street T
Huntinaton Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647 N00-
Occupancy Application
Property Info Owners
19006
i Application Binder
Certificate of Occupancy Application
Num Street Unit Bldg
Job Address BrookhurstSt APN 155-281-23 19040 RD 3720
Zoning CG Lot Tract = Block
File Number Cofo?
02017-005612 Yes
02017-005826 Yes
02017-005905 Yes
i
02017-007124 Yes
C2018-000147 No
C2018-000554 No
02018-003359 Yes
E2018-003606 No
02018-003946 Yes
02018-004164 Yes
B2018-004306 Yes
02018-005125 Yes
Entered By Woo, Melanie Date Entered 08/07/2018
Default Inspector �Stewart, V'iic'` Status Issued
Permit Type Certificate of Occupancy Issue Permit? 0 Date 08/07/2018
Origin Counter Issued By Permit3 -1
Building Use - City Planner Bui, Jessica
Building Use - County New Building? Plan Checker Woo, Melanie
Description I--HOANG CHAN QUACH"• NAILS & SPA
Internal Notes
CofO Number CO2018-005125 Choose Print All CofO Type Permanent Fees and Payments
_ Sheets to Issue 1 ----
Issued By Permit3 Single C/O CofO Status Issued
Inspections
F
Date Issued 08/07/2018 Temp. CofO Issued Date Printed
elease Date Temp. COFO Expiration 08/07/2018
License Number
Business Name
Business Type
Business Phone
Proposed Use INAILS&SPA
Former Use INAILS&SPA
Conditions
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
Al54286 DANIELLE
A004684 SHOREPOINT INSURANCE SERVIC
A222832 SOUTH SHORES INSURANCE AGE
A009720 RICHARD'S BEAUTY COLLEGE
Approved Occupied Area (Scl Ft) 1,200.00
# of Stories5_
aChange of Owner?
Elec. Available?
Drinking I Dining > 50 Occupants?
Di Change of Use?
Want Electricity On?
Welling / Open Flame?
Change of Occupant?
Sprinklered?
Automobile Repairs?
0 Additional Occupant?
� Dust / Wood? Auto Parts Desc.
Occupancy • • •.•
Group Description Area
Construction Type Occupancy Load
B
SALON
1200
12
B
SALON
1200
12
Group Definitio
Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
fnnL,.ftnn efnr_ of ro 'Ar nn.1 _ i fe