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Home My WebLink About10111 Adams Ave - CofO (3)�4 J� HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 06 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION Business Address 10\\\ f\ Business Owners Name Business Name ��Vs� Business Type (3d Floor — The Applicant Must Apply In -Person) Date 10 < 1,411 Zip Code 9j (q(o Telephone No. ' I f q- ZYU ' 3Z 7-- Bus. Phone (0 �_1 Property Owner Information (required) Tenant/Emergency Contact (required) Name_ '�r �.5.� C"_C� - Name-_t�5�c_ ' l t) � r,.o y` Address'. a 166 E_ ;KN " ' " , Home Address Ip�}y� ��c.�w ^Pty�.1� City c&c— Mate/Zip c2 �� City tate/Zip C Telephone No._ (o �(o . _ � j Telephone No. THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or $Existing Building IS THIS BUILDING FIRE SPRINKLERED? Yes []No CHECK ALL THAT APPLY: ❑ Change of Business Owner C3Change of Occupant ❑ Change of Use Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity be turned on? ❑Yes ANo ■ Will operations produce dust/wood shavings or similar material? ❑ Yes '"No ■ Will operations involve the repair or replacement of automobile parts? ❑Yes XNo If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes X No ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes fANO ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes XNo ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/Dental ❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food E.Other ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes O(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 O[Licial Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: (2"� O Bldg. Permit # Planning Initials: 11`u Date: Conditions of Approval or Other Notes: Area: Area: Area: (270 No. of Stories: Entitlement #: Use Permitted: Y / N o S Occ Load: ( 3 Occ Load: Occ Load: TIF Review: Y/ N Zoning: Ca - Parking Meets Code (for use): Y / N Building Reviewed By Initials: DG Date: la l3 2C-4%+ -frp swlCV\+CIL4 Grease Interceptor Verified Inspected By Initials: Date: I#NSouth Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (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: �O `\\ v tau ffl �sl pwf -4- W1 City: t&S Zip Code: Lp Contact Person: E 1\:Z c,GeAV\ Title:- C-) W 1(`:e I� Type of Business: `\Ci Telephone Fax Number: t e-mail add Applicant (print name) Q tAAva- Signature: Mc dA • Will the facility have any of the following equip4 Charbroiler Dry cleaning machine Date: to ItkI�^j 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 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- GI?-6t'S 1 ` Adams Ave.._ 107 : COV�GILLROBERTHJR 10111 APN 155.059-()6 "`—' MEN . O .. ,.. fr Application Binder NurJob Address 1O111r Street rrii Bid Adams Ave --�i 7APN 155-051-06 j RD 3820 Zoning CG Lot f5 1 Tract ; i Block 10 7 Fie Number Cof0? NOTE: Permit Type 'COMBO'not available for Commercial projects. F2O16.O02617 No Entered By Woo, Melanie Date Entered 08/08/2017 F2O16-008019 No Default Inspector Stewart, Vic Status I Rnaled � C2016-OD8O82 F2O16-008464 . No No PermOT e B Type 9 ate O8/2212D17 Issue Perm 0" � SMI&00862O SM17-000319 No No Origin Counter ,,• Issued Permit3 E2017-000319 No Buiiding Use City C-MISC - — Commercial Misc� Planner E2017-000799 No 02017-002023 Yes 8uldmg Use • C inty 34.1 ! New Building? Plan Checker C2017-002092 No E2O17-004002 No Description INT T.I. FOR (E) HAIR SALON: PARTITION WALL B2017-005195 Yes SALON"' (COFO IN FILE) Internal Notes CofO Number CO2017 005195 Choose PrintAll CofO Type Permanent Fees and Payments Sheets to Issue - . -• ... Inspections Issued By IVV6o, Melanie Single Cam. CofO Status lissued CofO Date Issued 09/12/2017 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration E:= 09/12/2017 License Number Business Name BusinessType Business Phone Proposed Use JHAJR SALON Former Use Conditions Crick the « button to copy the Business License Information into the Certificate of Occupancy. Bminess Ucenses Business Name A072O54 CUDIN-LUCAS JEWELERS INC A065486 SAV-ON DRUG 99483 AO9691O MR FISH N CHIPS AM9062 WEK IRVIN OD Approved Occupied Area (Sq Ft) 1,270.00 # of Storiesrl 0 Change of Omw? 0 Elec. Available? 0 oinking I Dining > 50 Occupants? Change of Use? Went Seadaty on? 0 ViOlaiding I Open Flame? 0 Change of Occupant? Sprinklered? 11, Automobile Repairs? 0 Additional Occupant? 0 Dust / Wood? Auto Parts Desc. Grouo Description Area IConstruction Type OccupancvLoad B SALON 1270 13 B SALON 1270 13 _ Group Definj Business Use - Building or structure, or a p including storage of records and accounts. *Name field must be Plank to add,'ctmnge Contractor, Designer or Engneer T ype Property Owner Contractor Designer / Engineer Property Owner Name BURCE CAWOILL Applicant Primary Contact Company WESTERN REALTY Business Owner Tenant Address 2750 E. SPRING ST Contractor City/ State IZry LONG BEACH CA 90806 Email Phone 1 (562) 490-0098 x Fax or Same As Mobile Phone O - Pager ( ) State License Type Self Insured I Non -Employer? G Overtide Contract Expiration Oates? Date Overridden Overridden By C