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Home My WebLink About10111 Adams Ave - CofO (2)• �1 HUNTINGTON BEACH C%f IFICATE OF OCCUPANCY 1920 ll- I- "! CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor - The Applicant Must Apply In -Person) Business Address Id 1 I I ADAMb AVE SATE * IC7J % Business Owners Name i n1AR11 M Business Name 91 Business Type i qkpq(kate VAZip Code EEU� Telephone No. q 0 Bus. Phone ILI 61?> 3'70 Pro ertOwner Information (required), Tenant/Emergency Contact (required) Name O�W " �4tF KLUGi/ i Name aShnJ Address a.:Z,50 G. SP,61 SIG Home ddress _aO& VW&I gV� City / State/Zip C 4 92 City IM State/Zip C4 94 � Telephone No. �iqD —Q� �,� Telephone No. _74--W 67 3- 3 -70 D THIS USE WOULD BE DESCRIBED AS: 0 Newly Constructed Building or 0 Existing Building IS THIS BUILDING FIRE SPRINKLERED? Zes ONo CHECK ALL THAT APPLY: ❑ Change of Business Owner Change of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity be turned on? ❑Yes O�No ■ Will operations produce dust/wood shavings or similar material? ❑ Yes ONO ■ Will operations involve the repair or replacement of automobile parts? ❑Yes Vo If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes rNo ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes Po ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes *0 ■ The following best describes my operation: ❑ Office Only Retail Sales ❑Medical/Dental []Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes ro 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 KNo For Official Use Only 1 al O Occ Group: Area: :El� Occ Load: Occ Group: Area: Occ Load: Occ Group: Area: Occ Load: t Total Sq Ft Occupied: 0 No. of Stories: TIF Review: Y/ N Bldg. Permit # � '� �- s�f I �, _ Entitlement #: Zoning: 6 99// p Use Permitted: / N Parking Meets Code (for use): / N Planning InitialX Date. B2 Building Reviewed By Initials: �z_-__Date: 22 Conditions of Approval or Other Notes: Grease Interceptor Verified Inspected By Initials: Date: B1� -51`I5 South Coast Air Quality Management ement District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (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: SKLCMNR Property Address: low oohs AVE vol City: W%N1 Tfl* KAN A Zip Code: qj0% Contact Person: &,(AN R65_Title: 7A-i / t&7Z-- Type of Business:OA Telephone: 7V � 6 73 3 70_C) Fax Number: e-mail address: 'S0e)'`t Applicant (print name)&S*Lf Rd.�, Signat Date: • 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� 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- Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 ®r) Occupancy Application 10035 Adams Ave_ 107 COWGILL ROBERT H JR 10111 APN 155-051-06 Application Binder Num Street Unit Bid Job Address 10111 Adams Ave 107 1 APN 155-051-06 RD 3820 Zoning CG Lot h�J Tract S0006 Block 10 File Number CofO? NOTE: Permit Type'COMBO' not available for Commercial projects. C2011-000525 No Entered By Koren, Jeremy Date Entered 02/06/2013 02011-000822 Yes Default Inspector Andino, Richard Status IFinaled 02012-003897 Yes B2012-005207 No Permit Type Building Issue Permit? M Date 03/22/2013 M2012-005209 No P2012-005210 No Origin Counter Issued By I Permit4 E2012-005211 No Building Use - City C MISC Commercial Misc Planner P2012-006164 No 62013-000213 No Building Use - County 34.1 New Building? Plan Checker C2013-000494 No F2013-000608 NO D2SCfIptlOn INTERIOR T.I. ADD(N) NON -BEARING WALLS WI(N) DOORS & WINDOWS "NOADD'LSF" "EYE LEVEL" (COFO IN FILE) "HOLD ISSUANCE OF PERMIT UNTIL EXPIRATION OFAPPEAL PERIOD FOR AP 13-002" B2013-000818 Yes 1 —616/13. AZ. PLANS SENT TO SCANNING" 11 Internal Notes Cof0 Number CO2013-00818 Choose Print All CofO Type Permanent Sheets to Issue —� Issued By Cochran, Brian Single C/O CofO Status Issued Fees and Payments Inspections CofO Date Issued 07/17/2013 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration 07/17/2013 1 License Number A286101 Business Name EYE LEVEL HUNTINGTON BEACH Business Type Professional / Other Business Phone (949) 287-3667 Proposed Use Former Use Conditions Click the «button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A072054 CUDINI-LUCAS JEWELERS INC A065486 SAV ON DRUG #9483 A096910 MR FISH N CHIPS A039062 WEK IRVIN OD I Approved Occupied Area (Sq Ft) 1,273.00 # of Stories DChange of Owner? Elec. Available? �', Drinking / Dining > 50 Occupants? Change of Use? ® Want Electricity On? nWelding / Open Flame? ®I Change of Occupant? Sprinklered? J Automobile Repairs? n' Additional Occupant? D Dust / Wood? Auto Parts Desc. Group Description Area Construction Type Occupancy Load B 1OFFICE 1,273 Type V - B 28 (TRAINING & DEVELOPMENT) B OFFICE 1,273 Type V - B 28 (TRAINING & DEVELOPMENT) Group Definitij Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions, including storage of records and accounts.