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HomeMy WebLinkAbout20387 Beach Blvd - CofO (3)�Iws �0II JJ 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