HomeMy WebLinkAbout10035 Adams Ave - CofO (8)a`
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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. "