HomeMy WebLinkAbout10042 Adams Ave - CofO (5)�-a
.r
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY
020
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3`d Floor — The Applicant Must Apply In -Person)
Business Address 4*wriz� I00g2 /Uo mf 1�ve. , NB 926Y6 Date /lzq h o
Business Owners Name a11PA rw l( Zip Code 926qb
Business Name 4cA Ziv)4s WAft, - Telephone No.
Business Type 6 by l j Bus, Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name gulIsieff Propvfiij ArtrWhip Name J#.reO kwu
Address q2f,_i'�IrF/oer Home Address l291 ll/. P ilhePt N,
City Ca/I Flmetf(o State/Zip C4 W oV City Jry Ile/lvn State/Zip C4 gZ833
Telephone No. Cggq) ' os - �l f g Telephone No. COfg, yl K • '7b 23
THIS USE WOULD BE DESCRIBED AS:
O Newly Constructed Building or .2txisting Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes J�No
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 eNo
■ Will operations produce dust/wood shavings or similar material? ❑ Yes 0%
■ Will operations involve the repair or replacement of automobile parts? ❑Yes Zf10 If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes ,1 No
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes ;T&O
■ The following best describes my operation: ❑ Office Only 2"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 -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 ZNo
For Official Use OnIX
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials: Dateqj*
Conditions of Approval or Other Notes:
Area: 4zdpo
Area: O
Area:
No. of Stories:
Entitlement #:
Use Permitted: VN
Occ Load: Z
Occ Load: 14 %
Occ Load:
TIF Review: Y/ N
Zoning:
Parking eettss /Code (for use): b/ N,
Building Reviewed By Initials: �! Date: ?'
Grease Interceptor Verified Inspected By Initials: Date:
South Coast`
Air Quality Management 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: Atka Lr�►�� G�g%
Property Address: I002 004r Avt .
City: �tVljh►j I n fle4CA , .7 Zip Code: q4o q d
Contact Person: J oC r y 4 K Title: 0 W41K
Type of Business: f u rA k Telephone: (7N) P 3 - 3 31,r
Fax Number: — e-mail address:
Applicant (print name): J6.reg A Xw,4A Signature: Date:
• Will the facility have any of the following equipment? ke, ❑ No;R-
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❑ NOX
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
1 Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647
CERTIFICATE OF OCCUPANCY
BYUNG KWON KWAK Cert. Number CO2015-000795
ALKA LIVING WATER Date Printed 01/24/2018
10042 ADAMS AVENUE
HUNTINGTON BEACH CA 92646
Address:
10042 Adams Ave
Permit Number:
02015-000795
Business Name:
ALKA LIVING WATER
Business Type:
Retail
Current Use:
RETAIL
Occupant Groups:
Description:
B
OFFICE
M
SALES
Issue Date: 02/06/2015
TCofO Issue Date:
TCofO Expiration:
Approved Sq Ft.: 1,590.00
# of Stories: 1
Area: Occupant Load:
200 2
1390
46
Conditions of Approval:
RETAIL USE PERMITTED. CHANGE OF BUSINESS OWNER. - NAME & BUSINESS DO NOT CHANGE.
Contacts:
Contact Type:
Name:
BYUNG KWON KWAK
Phone: (714) 593-3315
Business Owner
Address:
10042 ADAMS AVENUE
Cell: ( )
City / State:
HUNTINGTON KCH CA
Fax: ( )
Zip:
92646
Pager: ( )
Contact Type: Name: BUSINESS PROPERTY PARTNERS Phone: (949) 474-8900
Property Owner Address: 17621 FITCH Cell: ( ) -
City / State: IRVINE CA Fax: ( )
Zip: 92614 Pager: ( )