HomeMy WebLinkAbout120 5th St - CofO (3)s/
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 20
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3`d Floor - The Applicant Must Apply In -Person)
Business Address Q0 15TM S ki- , _s.3i i'C i20 Date ( %Es -Zola
Business Owners Name CAWV-OR IC4, N1CP 1 Zip Code 9Z W4B
Business Name 6A2ATE2_ L-%Vu P_r"% C ASSSE Telephone No.
Business Type Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name c4meef: swzc ob , u-C Name -n wo, Lt_iowi t,
Address 8343 -DQ,,x t va ANe. Home Address sg6o -b_vo "Btu-1
City -L>M.Las State/Zip-ry 75 City stay -aim State/Zip Cla 9ZtZ►
Telephone No. Telephone No. -noW - 95S- 7, 770i
THIS USE WOULD BE DESCRIBED AS:
O Newly Constructed Building or 41 Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ® Yes ONO
CHECK ALL THAT APPLY:
❑ Change of Business Owner ■ Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business TLF_ki=muaL, ID t L-01LI-EQ - _Qn1MF, Ccx-VJZ
■ Are you requesting that the electricity be turned on? ❑Yes ® No
■ Will operations produce dust/wood shavings or similar material? ❑ Yes ENO
■ Will operations involve the repair or replacement of automobile parts?
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes
❑Yes ENO If yes: Describe the
■ No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes ■ No
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes ®No
■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/Dental
❑Warehouse /Manufacturing/Distribution t Restaurant/Take-Out Food ❑ Other
■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes ■ No
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 ❑ No
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit # 13116 - 2 L
Planning Initials. V Dater
Area: 9 1 ')
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: / N
Conditions of Approval or Other Notes: k NdT
Occ Load:
Occ Load:
Occ Load:
.12
TIF Review: Y/ I _
Zoning: - lL
Parking Meets Code (for use) / N
Building Reviewed By Initial Tate: 4 $ C
Grease Interceptor Verified Inspected By Initials: Date:
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
r (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: L4tcxr—. (=Mu_Gb G-teEma
Property Address: IZO St" z zwr 1W go
City: 3(=,�q..i Zip Code:
Contact Person: ' % 6..n Title: c 'nab
Type of Business: ttws' Telephone: 7coe -1458-1-7-79
Fax Number: e-mail address:
Applicant (print name): n+cxzto 4i:t� Signature: Date: (o-16-o s
• Will the facility have any of the following equipment? Yes No �]
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❑ No[K
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).
-2-
t
Department of Planning & Building
' t 2000 Main Street
Huntington Beach, CA 92648
.. Phone: (714) 536-5241 Fax: (714) 374-1647
CERTIFICATE OF OCCUPANCY
BERNARDO KANAREK
SHAKEAWAY
120 15TH ST
HUNTINGTON BEACH CA 92648
Address:
120 5th St 120
Permit Number:
B2014-007394
Business Name:
SHAKEAWAY
Business Type:
Retail
Current Use:
RETAIL FOOD SALES
Occupant Groups:
_ . - — — ---
Description: Area:
B
RESTAURANT 910
Conditions of Approval:
Contacts:
Contact Type:
Name:
Business Owner
Address:
City / State:
Zip:
Contact Type:
Name:
Property Owner
Address:
City / State:
Zip:
BERNARDO KANAREK
120 15TH ST
HUNTINGTON BEACH
92648
BERNARDO KANAREK
909 GRAND AVE
SAN DIEGO
92109
Cert. Number
Date Printed
F7F - Z// I
CO2014-007394
06/19/2018
Issue Date: 09/18/2015
TCofO Issue Date:
TCofO Expiration:
Approved Sq Ft.: 910.00
# of Stories: 1
J Occupant Load:
47
Phone: (858)334-3885
Cell: ( ) -
CA Fax: ( )
Pager: ( )
Phone: (858)334-3885
Cell: ( )
CA Fax: ( )
Pager: ( )