HomeMy WebLinkAbout20387 Beach Blvd - CofO (3)�Iws
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
020
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor - The Applicant Must Apply In -Person)
Business Address 203V fspe-yt bw �D, laver w-wm,.i wGp c,,a Ck LGq s
Business Owners Name _To %j A-pepti
Date
Zip Code al7,Cvy8
Business Name TR-tl"6 AM w„rce-i Telephone No. -I VA— 3"1 `A — CA(c(o
Business Type TtyyToc> rN t-so aaDfl) V1y4, k0!A Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name DAt.E Sig N3*oe_%,. 0jtL4A&Poj ARID C 9_&t. C U4040tyl ame �„J WW%A ,J nA , 13-E- aaoP.
Address LALpoo t`^nOrvo-cR Home Address-yAS'A":1 1 ue-ip. J"Sym saR
City :rat-_r%0(k State/Zip CN QI356 City tA6%)tJ P, t0%&yE%. State/Zip CA 'q- 0-11
Telephone No. A`6 4sS•- 82S'i Telephone No. 00'1A - ZA2-- 0C®'LZ
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or RrExisting Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes E"No
CHECK ALL THAT APPLY:
❑ Change of Business Owner p'thange of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business S Vop
• Are you requesting that the electricity be turned on? ❑Yes No
• Will operations produce dust/wood shavings or similar material? ❑ Yes Ao
• Will operations involve the repair or replacement of automobile parts? ❑Yes VNo If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes 21 No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes d No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes Ed No
• The following best describes my operation: ❑ Office Only ❑ Retail Sal s ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food 69 Other TK-KV_-j0 ANith pctpjA e,,
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes [ENO
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 E.Klo
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use On/y
Occ Group: Tn�
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning InitiaS:� // (Date: 1 �- 6 45
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitte
Occ Load: f
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning: S
Parking Meets Code (for us : Y N
BuildingReviewed B Initials: te:
Y I �
Conditions of Approval or Other Notes: (10T"InWE :&06?� 0--S ot`
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:
Prope rty.Add'ress:' _
City:
Contact Person:
Type of Business:
Fax Number:
Applicant (print name):
Zip Code:
Title:
Telephone:
-mail Address:
ignature:
Date:
1. Will the facility release air pollutants, including but not limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes ❑No
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 ❑No
4. Will the facility have use of above or underground storage tank? ❑Yes ❑No
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? ❑Yes ❑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 /Extrudi ng/Cu ring of Plastic
❑ Pharm aceutical/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
❑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).
- .7m+
Department of Planning & Building
2000 Main Street 1
Huntington Beach, CA 92648
Phone: (71.4) 536-5241 Fax: (714) 374-1647 -' Occupancy Application
Beach Blvd KELS
20379 CH JOHN A
20387 APN 1025-171-06
Application Binder
Num Street Unit Bldg
Job AddressF0387 Beach Blvd APN 025-171-06 RD 3915
Zoning C4 Lot E--] Tract 813 Block 1008
File Number CofO?
62000-071688 No
B2002-085837 No
B2003-091040 No
E2000-033512 No
E2003-041612 No
M1997-019572 No
M2004-032484 ° No .
P2004-034237 No
01993-001844 Yes
01990-001845 Yes
01994-001846 Yes
B2005-003656 No
Entered By
Default Inspector
Permit Type
Origin
Building Use - City
Building Use - County
Description
Internal Notes
Date Entered 03/17/1994
�f Status Issued
of Occupancy Issue Permit? Date 04/13/1994
Issued By
-� Planner
New Building? Plan Checker Dick, Lloyd
CofO Number IC01994-0018461 Choose Print All CofO Type Fees and Payments
Sheets to Issue
Inspections
Issued By Single C/O CofO Status Issued
. ............
CofO Date Issued 04/13/1994 Temp. CofO Issued Date Printed
Utility Release Date I Temp. COFO Expiration
License Number
Business Name SNEETCHES
Business Type RETAIUSERVICE USE
i Business Phone (
Proposed Use
Former Use
Conditions
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
At53222 JOHN'S PHILLY GRILLE
A120652 DUKE SURF SHOP
A160388 H B TATTOO
A160802 REALITY SNOWBOARDS
Approved Occupied Area (Sq Ft) 1,687.0�0--
# of Stories I u
Change of Owner?
i Elec. Available?
Drinking !Dining > 50 Occupants?
Change of Use?
! u Want Electricity On?
1 I Welling / Open Flame?
�I Change of Occupant?
0 Sprinklered?
Automobile Repairs?
4 Additional Occupant?
Dust / Wood? Auto Parts Desc.
Occupancy ...
Group Description Area
Construction Type Occupancy Load
B-2
38
4
I
B-2
38
Group Definitio
ON - �MYS
Financd Department - Business License
Ph: '114-536-5267; Fax: I14-536-593 a
Business Data Entry
20379 Beach Blvd —7 2012-0073 C01994-001846 Issued
20387
Zip Code 92648-9264
APN 025-171-06
License # DBA Status Unit Business Type I Professional / Other Services Status Closed
A1.60388 I H B TATTOO Closed Source:
Total Outstandin
NAICS Code: S.I.0 Number: 7389 Last P ment 04/30/2018
Owner/ Corporation GERARD COLLETTE Effe ive Date , 04/01J201$
DBAName H B TATTOO Expira ion Date
Numhpr Rtrppt IMit E red By
Business Address
Mailing Address 1
Mailing Address 2
City / State / Zip
Email / Website
Phone
Fax
20387 BEACH
20387 BEACH BOULEVARD
HUNTINGTON BEACH CA 92648
www.hbtattoo.com
(714)374-4948 777
( ) - Zoning
Home Based? Date Ent; 04/01/1994
Business Start Date 04/01/1994
Closed Date 1 09/27/2018
Field Service
No Activity
Ownership Type
Collect Sales Tax? E
# Rentable Units
Mobile Vendor?
Soc. Sec. #
Resale number
Live Entertainment?
Discharge to Storm Drain?
Federal ID
OC Health Permit #?
Date CUP Checked
State ID
ABC License?
"Adult Only" Items?
CUPA#
Business Description (including Products Sold and Type of Work if applicable)
FATTOO SHOP
Other License Professional License Type I
Hold Issuance on this license
Historical
Information
Professional License # E:::�
Hold Issuance 0
Notes
Contractor Information
Business License A160388 Contractor State License #
Check Existing Contractor Type State License Expiration Date
Building
Permits Contractor Class
Type
Business Owner
Business Owner
Name GERARD COLLETTE
Company H B TATTOO
Title OWNER
Resident Address
City / State o Zip
Email
Receives License
Phone (310) 435: 088=1
Fax ( )
Mobile (310) 435-0881
Date of Birth
Driver's License #
Social Security #
Notes