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HomeMy WebLinkAbout10035 Adams Ave - CofO (8)a` J� HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor - The Applicant Must Apply In -Person) Business Address I oo 5 m s &� ' 15-)bp1 13 Date D �P � I) Q Business Owners Name M ct (2 P-40 /1 Zip Code C�2-6 Le Business Name t 7 -ZjCA Telephone No. 61 11 3 Business Type t= 27?A - 5-i7 rQ,�L.+ rC- VA-1 Bus.Phon.77 Property Owner Information�(r`equired) T ant/Emer enc Contact (required) Name �f^f.Y7�vhU(S-b �f0(A (V%5 L-�� Name 0C'G � nc-esLA Address C7 �� n17 .s'b , 15�3yP-6 -19oHome Address (2-0( LNL9AJ) S-V AD�7'23 7 City 5P-- cl, State/Zip 11'p4jog7 City 4' V i e State/Zip C Telephone No. 00 9 Telephone No.Z 0 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building IS THIS BUI DING FIRE SPRINKLERED? V Yes ❑ No CHECK A 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 ❑ No ��/ • Will operations produce dust/wood shavings or similar material? Yes L�ll�o • Will operations involve the repair or replacement of automobile parts? ❑Yes o If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes o • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 perso s? ❑ YesVNo • Will there be storage racks, gondolas, or shelving exce ing 5 feet 9 inches in height? ❑Yes coN • The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse/Manufacturing/Distribution estaurant/Take-Out Food ❑ Other • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes No If you answered yes, please roceed to the next question. • Does your facility currentl have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes o Grease Interceptor Verified For Official Use Only Occ Group: -1115 Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: Date: -)- - S 19 of Approval_or Other Notes: Inspected By Initials: Date: Area: Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: 45 Occ Load: Occ Load: Oft TIF Review: Y N Zoning: Parking Meets Code (for use): Y / N Building Reviewed By Initials: ,:� ate:f0 ce bug 00gA — � 0 1 � ti3�+� South Coast i Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (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: wl�sk_\ J\jc Propert ddress: l 00 � (r'iS R�e 13 City: u r,tV8_'ADr- Reega 61h Zip Code: L-g Contact Person: !P�8 V1 G1 'o�S��' n Title: `ems 1/ Type of Business: "'�(a.:5;t, -WDj IP4 ZZ_r, Telephone: I b Fax Number: E-mail Address: Applicant (print name): \ f)Signature: Date: 1. Will the facility release air pollutants, including but t limited to, dust fumes, gas,Jrs, smoke, vapor, or a combination of these to the atmosphere? ❑Yes o 2. Will the facility res t of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? []Yeso 3. Will the facility result of hazardous mated s, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes No 4. Will the facility have use of above or underground storage tank? ❑Yes o 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment f wood, metal or plastic products? ❑Yes o 6. Will the facility result in the use of the equipment listed below? ❑Yes o (Select all that apply) ❑Abrasive Blasting Cabinet/Room ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) ❑Air Conditioning System (containing > 50 Ibs of refrigerant) ❑Mixing/Blending of Liquids and/or Powders ❑Application of Paints/Adhesive/Resins ❑Molding /Extruding/Curing of Plastic ❑Baghouse/Dust Collector ❑Pharmaceutical/Nutraceutical ❑Bakery Oven (gas fired) ❑Plasma/Laser Cutter ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Printing/Coating/Drying ❑Charbroiler/Smoker ❑ Production of Fumes/Dust/Smoke/Odors ❑Coffee Roaster/Afterbunner []Refrigeration Systems (containing > 50 Ibs of refrigeration ❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven ❑Dry Cleaning Equipment ❑Spray Booth ❑Electrostatic Precipitator ❑Storage of Acids/Solvents/Organics Liquids/Fuels ❑Fermentation ❑Storage Silos (sugar, flour, etc.) ❑Gasoline Storage & Dispensing Equipment If you answered "No" to any of the above questions and your facility will not have the following equipment listed, 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). Department of Planning & Building N"N 2000 Main Street I Huntington Beach, CA 92648 Phone: (71.4) 536-5241 Fax: (714) 374-1647 — Occupancy Application 10035 1AdamsAve 1 113 1 COWGILL ROBERT H JR 10035 APN 155-051-06 Certificate of Occupancy Application Application Binder Num Street Unit Bldg Job Address F10035 Adams Ave 113 1 1APN 155-051-06 RD 3820 Zoning CG Lot Tract S0006 Block 10 File Number CofO? P2006-006570 No E2006-006571 No F2006-006637 No F2006-006639 No F2006-006640 No C2006-007158 No F2006-007211 No F2006-008469 No F2006-008471 No F2006-008472 No C2006-008766 No B2006-009275 Yes NOTE: Permit Type'COMBO' not available for Commercial projects. Entered By Chuor, Phillip Date Entered 12/19/2006 Default Inspector Benbow, Jeff Status Finaled Permit Type Building Issue Permit?LL1Date 05/08l2007 Origin Counter i Issued By 1Permit3 Building Use - City C-MISC Commercial Misc Planner Building Use -County 34.1 1n1,New Building? Plan Checker Description �' V L AST OD R R T l A V ....Z IZ A.... I I I F 0. JCR V R.0 W UIV I CR IN UJ I U P NEW FAST FOOD RESTAURANT ""Z "'P—LA"COFO IN FILE"" HEALTH DEPT APPROVAL tRSR0109637 PLANS SENT TO MICROFILM - 1117/08 JT Internal Notes CofO Number CO2006-009275 Choose Print All CofO Type Permanent Fees and Payments Sheets to Issue Issued By Tavakoli, Jasmine Single C/O CofO Status Issued Inspections CofO Date Issued 11/28/2007 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration 11/28/2007 Click the « button to copy the Business License License Number A266137 information into the Certificate of Occupancy. Business Name ZPIZZA Business Licenses Business Name Business Type I Retail A072054 CUDINI-LUCAS JEWELERS INC A065486 SAV-ON DRUG #9483 Business Phone (714) 624-0997 A096910 MR FISH N CHIPS A039062 WEK IRVIN OD Proposed Use IFAST FOOD RESTAURANT Former Use IKIIA Conditions Approved Occupied Area (Scl Ftr 11,597.00 F1' Change of Owner? �� Elec. Available? Drinking / Dining > 50 Occupants? U Change of Use? ® Want Electricity On? n Welding I Open Flame? Change of Occupant?! Sprinklered? Automobile Repairs? Additional Occupant? Dust /Wood? Auto Parts Deso I _ _ �Occupancy Group/Load Group Description Area Construction Type Occupancy Load B RESTAURANT 572 Type V - N 38-(13INING) B RESTAURANT 572 Type V - N 38 (DINING B KITCHEN 1025 Type V - N Group Definitio A building or structure, or a portion thereof, for office, professional or service -type transactions, including storage of rcrnrric �nrl nrrniinfQ, aatinn and rlrinkinn estahlishmenfs with an nrrunant Inarl of less thin.50. "