HomeMy WebLinkAbout15052 Edwards St - CofO (5)CERTIFICATE OF OCCUPANCY 020_j� - 7DD
CITY OF HUNTINGTON BEACH -
DEPT. OF PLANNING & BUILDING APPLICATION
Business
Business Owners Name J_E
Business Name %)�ffi G
Business Type T:hE3
(3rd Floor — The Applicant Must Apply In -Person)
T► oLC_e Date
Zip Code 0210 � �4-
Sl�i Yl e Telephone No.
Bus. Phone 91 U� P l o t
ProveProvertv Owner Information (required) , Tenant/EmergencyContact (required)
Name i Name i
Address Home Address ' iyta
City L-dff State/Zip City ILYP WG _� b State/Zip
Telephone No._� 4 ` Pq - FW Telephone No. F(l . q q -
THIS USE WOULD BE DESCRIBED AS: le
❑ Newly Constructed Building or ►kt Existing Building
IS THIS BUILDING FIRE SPR OMERED? ❑ Yes E]No
CHECK ALL THAT APPLY: �
❑ Change of Business Owner ❑ Change of Occupant ❑ Change of Use 1r'Additional Occu ant
Indicate former type of business
■ Are you requesting that the electricity be turned on? ❑Yes l&Mo
■ Will operations produce dust/wood shavings or similar material? ❑ Yes I'lo
■ Will operations involve the repair or replacement of automobile parts? ❑Yes EXo If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes 5mo
Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes GiNo
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes 2No
■ The following best describes my operation: ❑ Office Only ❑ Retail Sales OMedical/Dental
❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food []Other ' CiYh
Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? p 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 �No
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: _
Bldg. Permit #
Planning Wtials:..Date:.f/zozlb
of Approval or Other Notes:
Area: IlQck') Occ Load: 140
Area: Occ Load:
Area: Occ Load:
No. of Stories: TIF Review: Y/ N
Entitlement #: Zoning: - G
Building Reviewed By Initials:A�. Date:AP�_k�
ot kv-4 -k) .Pk� BSI Lazc -, r a r ct
Grease Interceptor Verified Inspected By Initials: Date:
N 6-1 00li
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
P Y
e &1 (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).
Corral
Prope
City:
Conti
Type
Fax 1
Appli
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
y-114 Igo
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-
L
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax; (714) 374-1647 Occupancy Application
15070 Edwards St HANSHAW WILLIAM D
15052 ......_. ........
APN 145 211-57
Y - Application Binder.
Num sheet Unit Bid
Job Address 15052 Edwards St APN` 145»211 57�RD 2913.
Zoning 1CG Lot 15 Tract 50005 Block 11
File Number CofO? NOTE: Permit Type'COMBO' not available for Commercial projects.
02007-003366 Yes
02007-004168 Yes
B2007-004902 No
E2007-004903 No P
P2007-004904 No
M2007-006315 No
E2007-006805 No
02008-000664 'Yes
02008-003770 Yes
02010-001459 Yes
P2010-002935 No
02011-000752 Yes
Entered By Beckman, Hayden I Date Entered 02/04/2011
Default Inspector Kirby, Kevin Status Issued
ermit Type Certificate of Occupancy Issue Permit? M Date 02/16/2011
Origin lCounter Issued By [Chuor, Phillip
:wilding Yse -City C MISG Commerciaf .MIsc planner Nguyen, Tess
3uilding Use Couniy NewBIding ;Plan Checker Kwak, Jason
Description "DELIGHTFULSPA"
Internal Notes 2110/11 PC: CHNAGE OF BUSNIESS NAME (PREVIOUSLY' SHEAR OASIS SALON AND
NEW BUSINESS OWNER - USE DOES NOT CHANGE
CofO Number ICO2011-000752 Choose PrfntAll CofO Type Permanent Fees and Payments
Sheets to Issue Inspections
Issued By Chuor, Phillip Single C/O CofO Status Issued —k
Cof0 Date Issued 02116/2011 �' Temp. CofO Issued Date Printed
Utility Release Date, Temp. GgFO Expiration 02/16/2011
License Number A276139
Business Name SHEAR OASIS SALON AND SPA
Business Type Professional / Other
Business Phone (714) 375-1808
Proposed Use SALON & SPA
Former Use ISAME
Click the button to copy the Business License -
information into the Certificate of Occupancy.
Business Licenses Business Name
A175308 SHEAR OASIS
A188402 LUCIDO GRACE
A198758 MORENO MONICA
A198770 PAGILAGAN JENNIFER
Approved Occupied Area (Sq Ft) 1,600.00
_...................___.
Conditions ICHANGE OF BUSINESS OWNER ONLY USE DOES NOT C
of Stories
nChange of Owner?. Elea Available? Drinking / Dining > 50-Occupants?
Change of Use? Want Electricity On? Welding / Open Flame?
Change of Occupant? Sprinklered?' Automobile Repairs?
Additional Occupant? 0 Dust I Wood? Auto Pans Desc.
rrntin Desnrintion . Area Construction Tvpe Occupancy Load
B
SALON
1600
16
B
SALON
1600
Group Definiti
Business Use -building or structure, or a portion thereof, used for office, professional or service -type transactions,
including storage of records and accounts.