HomeMy WebLinkAbout10090 Adams Ave - CofO (3)�II
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020&_- —4'
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor — The Applicant Must Apply In -Person)
Business Address �Mo P d Q ,S A1/_ tt�_ Hy h11G1t171(� -4( ckiic'm
Business Owners Name 1?,w �,lS`co q?-(j41
Business NamE
Business Type
Date ►D Z z-
Zip Code 9 2,0 4"1
Telephone No. 13L- (y'14' 33 3 °)
Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name ',dQi11'y�G� ,%L * S OKY Name $
Address It Mr�l� SUIf(��((iO Home Address
City, 1;,,, Q_., State/Zip Cftt ; CityiSYt KCIn State/Zip i/U� �0�
Telephone No. _ _ Telephone No. _TZ - I' O
THIS USE WOULD BE DESCRIBED AS: ��
❑ Newly Constructed Building or ��LMYExisting Building
IS THIS BUILDING FIRE SPRINKLERED? L1Ks ❑ 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 No
• Will operations produce dust/wood shavings or similar material? ❑ Yes No�—�/
• Will operations involve the repair or replacement of automobile parts? [-]YesL rt o If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes Er No _�
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? El Yes E No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? []Yes y1q_0
• The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical Dental J
❑ Warehouse/Manufacturing/Distribution El Restaurant/Take-Out Food I�Other Ml ad 1'4
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes p-No
If you answered yes, please proceed to the next question.
• Does your facility currently ave a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes o
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use On/y
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initia�,I Date:bi L'7'1 le
Conditions of Approval or Other Notes:
Area: J bq
S--
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: 6)N
Occ Load:
Occ Load:
Occ Load:
TIF Review:: YY/ N
Zoning:rJ
Parking Meets Code (for useAj / N
Building Reviewed By
YY1�A J �
Initials: Date:
.0 ICA, , Sly-- .`
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Phone Number (909) 396-3529 http://www.agmd.gov
P 0
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
City: Ackx
Zip Code: q
,(iu3
I, 11 i l 1.*
Contact Person: Um All S-f-b
Title:
0wytar.' � l'
�7 , +(,%' I '•
Type of Business Ut-
'7 lephone:
Fax Number:
E-mail Address: Yl
�i'h1
SAC C
Applicant (print name):
Signature:
Date: ilk,
1. Will the facility release air pollutants, including but n9t limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes o
2. Will the facility resu f fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes CV4o
3. Will the facility result of hazardous mate�rial ncluding but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes Rho
4. Will the facility have use of above or underground storage tank? ❑Yes L"JNo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes 2co
6. Will the facility result in the use of the equipment listed below? ❑Yes V<0
(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
❑Electrostatic Precipitator
❑Fermentation
❑Gasoline Storage & Dispensing Equipment
❑Spray Booth
❑Storage of Acids/Solvents/Organics Liquids/Fuels
❑Storage Silos (sugar, flour, etc.)
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).
0:1!a - `?a ?r?
,. ��'' Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
:<.._ • .1+ Phone: (714) 536-5241 Fax: (714) 374-1647
TEMPORARY CERTIFICATE OF OCCUPANCY
JAVAD K MEHRISCH Cert. Number CO2018-002043
OPTIMA SALON SUITES Date Printed 10/22/2018
10090 ADAMS AVE
HUNTINGTON BEACH CA 92647
Address:
10090 Adams Ave
Issue Date:
Permit Number:
B2018-002043
TCofO Issue Date:
10/10/2018
Business Name:
TCofO Expiration:
12/10/2018
Business Type:
Approved Sq Ft.:
5,645.00
Current Use:
SALON
# of Stories:
1
Occupant Groups: ^;
Description: area:
jjoccupant Load:
B
SALON 5645
95
Conditions of Approval: j
THIS CERTIFICATE OF OCCUPANCY IS ISSUED ON A TEMPORARY BASIS AND WILL EXPIRE 12/10/2018. DURING THE TCO PERIOD
EXITS SHALL BE MAINTAINED AND NO CONSTUCTION ACTIVITY SHALL TAKE PLACE IN THE AREAS OCCUPIED BY TENANTS. ALL
EXITS SHALL BE MAINTAINED FUNCTIONAL AND SHALL BE MAINTAINED CLEAR OF OBSTRUCTONS
PRIOR TO ISSUANCE OF A PERMANANT CERTIFICATE ALL OUTSTANDING CORRECTIONS SHALL BE COMPLETED AND ALL
OUTSTANDING PERMITS SHALL BE FINALIZED.
Contacts: --
Contact Type:
Name:
JAVAD K MEHRISCH
Phone: (800) 535-4171
Business Owner
Address:
10090 ADAMS AVE
Cell: ( )
City / State:
HUNTINGTON BEACH CA
Fax: ( )
Zip:
92647
Pager: ( )
Contact Type:
Name:
MERLONE GEIER PARTNERS
Phone: (949) 305-4199
Property Owner
Address:
10090 ADAMS AVE.
Cell: ( )
City / State:
HUNTINGTON BEACH CA
Fax: ( )
Zip:
92646
Pager: ( )