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Home My WebLink About204 Adams Ave - CofO (24)9 JJ HUNTINGTON BEACH Business Address CERTIFICATE OF OCCUPANCY 020 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION Business Owners Name Business Name b L Business Type (3rd Floor — The Applicant Must Apply In -Person) Aa Date /2-�06�2�1� U Zip Code of L' d� Telephone No. O' D Bus. Phone Property Owner Information (required) Tenant/Emergency Contact (required) Name �� rrt Na' a-y-rc) Name '-1—AmrM Y /o&U y EAJ Address 2, :#) Z Home Address I Zt7R�D�Att) Sf .. A City � U,,,, Ire ate/Zip 6,A-- 2.r9� L City�� f , byre_ State/Zip 6,4k 9 2g V o Telephone No.T1�c1 4 S ! U `Z 5— Telephone No. � lll) 2.�— p 0 t1 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or ❑ Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No CHECK ALL THAT APPLY: f%f Change of Business Owner ❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business 561L6i • Are you requesting that the electricity be turned on? P'Yes ❑ No • Will operations produce dust/wood shavings or similar material? ❑ Yes NNO • Will operations involve the repair or replacement of automobile parts? ❑Yes [RNo If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes [�P No • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes [2�-No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes [R-No • The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food [Other �At,o/�1 • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes &rNo 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 [S.:No Grease Interceptor Verified For Official Use On/y Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Inspected By Initial Planning Initial;5C Date: LZ 0' 0 Conditions of Approval or Other Notes: Area: Area: Area: No. of Stories: Entitlement #: Use Permitted: Date: Occ Load: " 1 Occ Load: Occ Load: TIF Review: Y N Zoning: C 7 Parking Meets Code (for use):/ N Building Reviewed By Initials: Date: 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: Contact Zip Code: Title: ®_ Type of Business: Telephone: Fax Number: r E-mail Address: !f Applicant (print name): Signature: Date: w o 1. Will the facility release air pollutants, including but n,ppt limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes K No 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes o 3. Will the facility result of hazardous materiaA, 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 D o 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes [Blo 6. Will the facility result in the use of the equipment listed below? ❑Yes iAo (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 ❑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). Department of Planning & Building 2000 Main Street l Huntington Beach, CA 92648 GO } Phone: (71.4) 536-52.41 Fax: (714) 374-1647 Occupancy Application E 204 jAdamsAve HIGA ROY YOSHIHIKO 204 APN 1025-041-06 Certificate of i Occupancy Application Application Binder i Num Street Unit Bldg Job Address 204 Adams Ave E APN 025-041-06 RD 3915 i j Zoning CG Lot Tract 73 Block File Number CofO? B2012-006287 No P2012-006329 No B2012-007412 No 02013-000032 Yes 02014-000260 Yes 02015-000677 Yes 02015-005356 Yes 02015-007806 Yes 02015-008454 Yes 02015-008532 Yes 02015-009671 Yes 02016-004355 Yes Entered By (Kong, Sokar I Date Entered 106/09/2016 Default Inspector lBenbow, Jeff Status I Issued Permit Type Certificate of Occupancy Issue Permit? n Date 06/09/2016 Origin Counter Issued By Building Use - City F�t�I Planner Burden, Kimo Building Use - County 1, New Building? Plan Checker Kong, Sokar Description I-- B9 SALON & SPA — Internal Notes CofO Number CO2016-004355 Choose Print All CofO Type Permanent Fees and Payments Sheets to Issue Issued By Single C/O - - - - CofO Status Issued Inspections CofO Date Issued 06/09/2016 Temp. CofO IssuedDate Printed Utility Release Date Temp. COFO Expiration 06/09/2016 Click the « button to copy the Business License License Number information into the Certificate of Occupancy. Business Name Business Licenses Business Name Business Type At 51456 CHAMPIONS SPORTS BAR A206208 BLACKWATCH PUB OF HUNTINGTt Business Phone ( ) - A070824 LEWIS CLEANERS A203196 LEWIS CLEANERS Proposed Use HAIR AND NAIL SPA Approved Occupied Area (Sq Ft) 905.00 Former Use HAIR AND NAIL SPA # of Stories Conditions Change of Owner? I Elec. Available? ❑ Drinking I Dining > 50 Occupants? f Change of Use? Want Electricity On? Q Welding I Open Flame? ( Change of Occupant? Sprinklered? Automobile Repairs? Additional Occupant? Dust / Wood? Auto Parts Desc. Group Description Area Construction Type Occupancy Load B 905 9 B 905 9 Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions, innI.viinn efnr�nn of --Ar —4 nrrnun4e _ _. WC Policy Number Exp. Date 7� Carrier i9- 53