HomeMy WebLinkAbout10090 Adams Ave - CofO (14)4
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HUNTINCTON BEACH
CERTIFICATE OF OCCUPANCY �020 Q-
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Ord Floor — The Applicant 1lust Apply In -Person]
Business Address �O o 9 D A� Q w. < Ate i2. :�A Date % , d .
Business Owners Name ""'S �„ �C . ,/�,, . f _,ft d4--� Zip Code A -> d
Business Name T +:1 a�_L o o,�_ � Telephone No.940 o �33�6
Business Type »—�i� Bus. Phone $ov r- t .7 1
Property Owner Information (re uired) Tenant/Emeraencv Contact (required)
Name -!T v Q04 /1�/ '0 a C E$ \ Name "
Address Home Address
City / A r. o 4 c i It State/Zip ity i.� State/Zip
Telephone No. 9! jQ zz 9 _ :3 ? Telephone No.
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Buildinv or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes Wo y
CHECK ALL THAT APPLY:
❑ Change of Business Owner Change of Occupant XChanQe of Use ❑ Additional Occupant
• Indicate former type of business Ti!,.Q, 514
■ � Are you requesting that the electricity be turned on? 1'? 1�Yes0 No
■ "dill operations produce dust/wood shavings or similar material? ❑Yes 14No
■ Will operations involve the repair or replacement of automobile parts? ❑Yes NNo If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes XNo
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑Yes )lNo
■ Will there be storage racks, gondolas. or shelving exceeding 5feet 9 inches in height? ❑Yes NTNo
■ The followhi- best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/Dental.
❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food Other_!-,k.•4,e
■ Will any meat products including beef_ poultry, and/or fish bee cooked or fried onsite? ❑-Yes D� No
4'you answered Yes. please proceed to the nest question.
• Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes XNo
For Official Use Onl)•
Oce Group:
Occ Group:
Oce Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning initials: Dater LDLV
Conditions of Approval or Other Notes:
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load:
Occ Load.
Occ Load:
q S,
TIP Review: l
Zoning:
Parking Meets Code (for use): Y / N
Building Reviewed By Initials UV \1_'1)ate:�
Grease Interceptor Verified Inspected By Initials: Date:
y South Coast
Air Quality Management District
t 21865 Copley Drive, Diamond Bar, CA 91765-4182
(909) 396-3529 o 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: J4 T 4e S
Property Address: `0 0 4 d A Iz ge _� C
City: a n ,G-/j Zip Code:�a)
Contact Person: %'$- 4t v Q Tith-- � , _ _
Type of Business: Q Z' 4 1, ' telep�dd
e �1 t 4 Z_ ci� >s- 6 G
Fax Number: e-.m ' ss: 'S'g�� d l� r ^ <,R
Applicant (print name): Signatu Date:
o Will the facility have any of the fo ' v ipment? Yes ❑ No&j
Charbroiler
Dry cleaning machine
Spray booth
Printing press (screen/Lithographic/flexographic)
Internal combustion engine greater than 50 HP (excluding motor vehicles)
Boiler/combustion equipment (greater than 1 million BTU/hr. maximum input)
Abrasive blasting cabinet/room
B aghouse/cartridge-type dust filter/scrubber
Motor fuel storage and dispensing equipment
Will any of the following operations be performed? Yes[:] No
Application of paints or adhesives
Etching, plating, casting, or melting of metals
Molding, extruding, or curing of plastics
Mixing and blending of liquids and/or powders
Storage of acids, solvents, organic liquids, or fuels
Production of fumes, dust, smoke, or strong odors
9Zs4-7
If you answered "No" to both questions, 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).
HUNTINGTON BEACH FIRE DEPARTMENT
FIRE PREVENTION DIVISION Fire Only
.. 2000 MAIN STREET • HUNTINGTON BEACH, CA 92648 File #:
(714) 536-5676 • FAX (714) 374-1551 FP:
FIRE PREVENTION - BUSINESS DATA SHEET
For new Certificates of Occupancy C� ^�
Business Name: �� ...�, Q (� 1 =L:�c �j�0+�--�o'S. Start Date: /+ \8 /� L1-O j 'x
Business Address: 0 0 Q n v �Ss Q N�. A �A?
Number reet Unit Zip Code
Billing Address: lame as business
r
Business Contact: �Y Q �� }"j.�)N 7!-i uQ (�+ pp_--- , Q n S
Emergency Contact: 9 = 9
(24-hour) Name 'Phone Email
Description of Business:
Will there be any of the following uses on the premise?
❑ Storage >6 feet
If yes, describe: _
❑ Welding . ❑ Special amusements (escape room or similar) ❑ Motor vehicle repair
Will there be any of the following equipment (E =existing equipment, A = adding or new equipment)
Dry cleaning - list solvent Industrial oven.- list fuel
_ Propane patio heaters -# of heaters, # of spares Cooking equipment (fryers, ovens, pizza conveyor, etc.)
— Backup generators - list fuel _ Walk in refrigerators or coolers - list size, refrigerant
_ Spray booth or dipping tank _ Tents or air supported structure
Grinding/milling equipment that creates _ Fuel dispensing (including storage tanks)
combustible dust + Carbonated beverage system - list total pounds of CO2
If yes, provide details (e.g., number, fuel, size, etc.)
Does the building have any of the following features (E =existing feature, A = adding feature)
_ Sprinkler system
Fire alarm system
Other detectors (e.g, methane)
_ Private fire hydrants
_ Fire pump
If yes, provide details
Does the business handle any of the following:
_ Other fire suppression system
_ Smoke detectors
_ Other alarm system
_ Battery systems
_ Methane barrier or other methane control installed
YES NO
55 gallons or more of a liquid hazardous material or hazardous waste. ❑
Compressed gas (or liquid/cryogenic equivalent) of 200 cubic feet or more ❑ 1�,
Inert compressed g., argon, nitrogen, helium) of 1,000 cubic feet or ❑
more.
500 pounds r more of a s lid hazardous material or hazardous waste. ❑
Extremel azardous ma eriai or radioactive material ❑ V6
I certify, under he penalty of perju , that the above information is true and correct to the best of my knowledge.
Signature: Title: Date: I'g
t
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (71.4.) 536-5241 Fax: (714) 374-1647
10088 AAPNs Ave 181-28
10090
Occupancy Application
Application Binder
Num Street Unit Bldg
Job Address 10090 Adams Ave APN 155-181-28 RD 3920
Zoning JCG Lot = Tract = Block
File Number CofO?
02013-000414 Yes
C2013-000858 No
62013-003808 No
P2013-004473 No
E2013-004474 No
E2013-004693 No
M2013-004694 No
C2013-004712 No
B2013-004992 No
02013-005523 Yes
C2013-005715 No
02014-000264 Yes
Entered By Watson, Daniel Date Entered 01/14/2014
Default Inspector Andino, Richard Status jPending
Permit Type Certificate of Occupancy Issue Permit? �1 Date
Origin Counter Issued By��
Building Use - City ir�--�� Planner
Building Use - County New Building? Plan Checker
Description"SM BEAUTY SUPPLY, INC. DBAHUNTINGTON BEACH BEAUTY
SUPPLY —CHANGE OF BUSINESS OWNER ONLY
Internal Notes
CofO Number CO2014-000264 Choose Print All CofO Type Permanent Fees and Payments
___.._,,.,,_._,,.•,•,....,., Sheets to Issue Inspections
Issued By Single C/O CofO Status Pending
CofO Date Issued Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration
-- Click the « button to copy the Business License
License Number IA288373 information into the Certificate of Occupancy.
Business Name I HB BEAUTY SUPPLY Business Licenses Business Name
Business Type Retail A124412 WATER SOURCE
A180558 WATER SOURCE
Business Phone ( ) - A222042 LIVING WATER
A119122 MAIL BOXES ETC
Proposed Use SALON/RETAIL Approved Occupied Area (Scl Ft) 5,628.00
Former Use SALON RETAIL # of Stories
Conditions ICHANGE OF BUSINESS OWNER ONLY
Change of Owner?
Elect. Available?
Drinking / Dining > 50 Occupants?
Change of Use?
Want Electricity On?
�' Welding / Open Flame?
Change of Occupant?
❑ Sprinklered?
Automobile Repairs?
Additional Occupant?
n; Dust / Wood? Auto Parts Desc.
Occupancy Group/Load
Grouo Description Area
Construction Type Occupancv Load
B
SALON
4025
40
B
M
SALON
SALES
4025
1603
40
53
Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647
TEMPORARY CERTIFICATE OF OCCUPANCY
JAVAD K MEHRISCH Cert. Number CO2018-002043
OPTIMA SALON SUITES Date Printed 10/10/2018
10090 ADAMS AVE
HUNTINGTON BEACH CA 92647
Address: 10090 Adams Ave
Permit Number: B2018-002043
Business Name:
Business Type:
Current Use: SALON
Issue Date:
TCofO Issue Date:
10/10/2018
TCofO Expiration:
12/10/2018
Approved Sq Ft.:
5,645.00
# of Stories:
1
Occupant Groups: Description: Area: I I Occupant Load:
B SALON 5645 95
Conditions of Approval:
THIS CERTIFICATE OF OCCUPANCY IS ISSUED ON A TEMPORARY BASIS AND WILL EXPIRE 12/10/2018. DURING THE TCO PERIOD
EXITS SHALL BE MAINTAINED AND NO CONSTUCTION ACTIVITY SHALL TAKE PLACE IN THE AREAS OCCUPIED BY TENANTS. ALL
EXITS SHALL BE MAINTAINED FUNCTIONAL AND SHALL BE MAINTAINED CLEAR OF OBSTRUCTONS
PRIOR TO ISSUANCE OF A PERMANANT CERTIFICATE ALL OUTSTANDING CORRECTIONS SHALL BE COMPLETED AND ALL
OUTSTANDING PERMITS SHALL BE FINALIZED.
l Contacts:
Contact Type: Name:
JAVAD K MEHRISCH
Phone: (800) 535-4171
Business Owner Address:
10090 ADAMS AVE
Cell: ( ) -
City / State:
HUNTINGTON BEACH CA
Fax: ( ) -
Zip:
92647
Pager:
Contact Type: Name: MERLONE GEIER PARTNERS Phone: (949) 305-4199
Property Owner Address: 10090 ADAMS AVE. Cell: ( ) -
City / State: HUNTINGTON BEACH CA Fax: ( ) -
Zip: 92646 Pager: ( )