HomeMy WebLinkAbout120 5th St - CofO (2)s
HUNTINGTON BEACF
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH -
DEPT. OF PLANNING & BUILDING APPLICATION
Business License # A jq Icing
Business Address 120 5TH STREET SUITE 120 HUNTINGTON BEACH CA.
Business Owners Name BERNARDO KANAREK
Business Name SHAKEAWAY
Business Type
FOOD SALES
(3id Floor — The Applicant Must Apply In -Person)
Date " ZZ,;
Zip Code 92648
Telephone No. 858 490-2210
Bus. Phone Sato
Property Owner Information (required) Tenant/Emergency Contact (required)
Flame CIM/HUNTINGTON LLC Name CALIFORNIA NKP-1 (PB) / BERNARDO KANAREK
Address 6922 HOLLYWOOD BOULEVARD SUITE 900 Home Address 723 PEARL STREET
City HOLLYWOOD State/Zip CA. 90028 City LA JQLLA State/Zip CA 92037
Telephone No. Telephone No. 858 490-2210
THIS USE WOULD BE DESCRIBED AS:
O Newly Constructed Building or ❑■ Existing Building
IS THIS BUILDING SPRINKLERED? X Yes No
CHECK ALL THAT APPLY:
❑ Change of Business Owner N Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business FOOD SALES
■ Are you requesting that the electricity be turned on? ❑Yes 0 No
■ Will operations produce dust/wood shavings or similar material? ❑Yes ENO
■ Will operations involve the repair or replacement of automobile parts? ❑Yes ENO If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes 0 No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes 0 No
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes END
■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/Dental
❑Warehouse /Manufacturing/Distribution ❑■ Restaurant/Take-Out Food ❑ Other
■ Will the Food Service Establishment Generate Fats, Oils Greases? ❑ Yes ❑■ No
■ Does the Facility Have a Grease Interceptor? ❑■Yes ❑ No
For Official Use Only
Occ Group: 13
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials _Date: Z6 1 S
Conditions of Approval or Other Notes:
Area: 9 t 0 Occ Load: 4-1
Area: Occ Load:
Area: Occ Load:
No. of Stories: TIF Review: Y/ N_
Entitlement #: Zoning:
Building Reviewed By
Grease Interceptor Verified Inspected By Initialsc-'- t, :
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
3 (909) 396-3529 • http:// www.aqmd.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: SHAKEAWAY
Property Address:
120 5TH STREET SUITE 120
City: HUNTINGTON BEACH CA. Zip Code:
Contact Person: BERNARDO KANAREKTitle: MANAGER
Type of Business: FOOD SALES
Telephone:
858 490-2210
Fax Number: e-mail address: bkanarek@kbodega.com.mx
Applicant (print name): he wA%pp KratgW% ignature: Date:
• Will the facility have any of the following equipm . Yes ❑ No ❑E
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
Baghouse/cartridge-type dust filter/scrubber
Motor fuel storage and dispensing equipment
Will any of the following operations be performed? Yes❑ NoFN
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
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).
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