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HomeMy WebLinkAbout15081 Edwards St - CofO (7)J� 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 1 ! (L 91 & 0 m9 A OS S i rbat . CA Date p 1 /30 / ,to Q Business Owners Name T-z NA TM AA) P±f q M �Rx&fiZip Code q Z(g �t 7 Business Name PPE (l C t s i0 Azt✓ S %PA Telephone No.]14 - 012_. a 302 Business Type No-, 1.s E STA ETL Ci14N . it YE Z6 21 Bus. Phone Property Owner Information (required) Tenant/Emergency Contact (required) Name _HC7 men 1-S Name TIRM [ IZA►u POAM Address 1550,2_ 1 COW A P, OS S;i Home Address 11S12 6I be(4 S City -N a n :j; n � to��State/Zip Cpr GI2 1-1City �ra 2i � _ Ci r%uC State/Zip CA Z qaZ 9 9 Telephone No. S30 - R 0 Vt Telephone No. )19 - (Z l- a -30 3 THIS USE WOULD BE DESCRIBED AS: O Newly Constructed Building or dExisting Building IS THIS BUILDING FIRE SPRINKLERED? 9Yes ❑No CHECK ALL THAT APPLY: CfJ Change of Business Owner ❑ Change of Occupant ■ Indicate former type of business Ili 1-) sg S (� ❑ Change of Use ❑ Additional Occupant ■ Are you requesting that the electricity be turned on? 9Yes ❑ No ■ Will operations produce dust/wood shavings or similar material? ❑ Yes CINo ■ Will operations involve the repair or replacement of automobile parts? ❑Yes ENO If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes ffNo ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes VfNo ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes ZNo ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/Dental ❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food 00ther tJnj j s � 5 a ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes PfNo 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 RrNo For 0ffcial Use Only Occ Group: R Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # i200 Planning Initials Date( Conditions of Approval or Other Notes: Area: t Z o© Occ Load: Area: Occ Load: Area: Occ Load: f2 No. of Stories: I TIF Review: Y/ N Entitlement #: Zoning:(!rs— Use Permitted: Y / N Parking Meets Code (for use): Y / N Building Reviewed By Initials:-7)(3_Date: 3 30 1 S) 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: Property Address: 15-0 91 EQ k) M K QS S-T City: +Ia n-ak n obn &u c-F Zip Code: V Contact Person: (i n (A 12i n PhQ ryjitle: Owri e- r Type of Business: Nct1Sp c,� Telephone: 714 - 622 - 9 3O-3 mao (. Fax Number: e-mail address: .-- I r cinn LAcAn� he4M wm Applicant (print name): T' NA P+ M Signature: _ Date: _30/,z0l4 • Will the facility have any of the following equipment? Yes ❑ No V 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❑ N& 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- boy-�01-7 Department of Planning & Building 2000 Main Street .. ,; Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY PRAM, PAULINE Cert. Number CO2015-004591 PRECIOUS NAILS AND SPA Date Printed 03/30/2017 15081 EDWARDS ST Huntington Beach CA 92647 Address: Permit Number: Business Name: Business Type: Current Use: 15081 Edwards St 02015-004591 NAIL SALON Issue Date: 07/02/2015 TCofO Issue Date: TCofO Expiration: Approved Sq Ft.: 1,200.00 # of Stories: 1 Occupant Groups: Description: Area: Occupant Load: B SALON 1200 12 Conditions of Approval: Contacts: Contact Type: Name: PHAM, PAULINE Phone: (714) 901-8116 Business Owner Address: 15081 EDWARDS ST Cell: ( ) - City / State: Huntington Beach CA Fax: ( ) - Zip: 92647 Pager: Contact Type: Name: INTER PACIFIC Phone: (714) 891-8804 Property Owner Address: 5505 GARDEN GROVE BLVD Cell: ( ) - City / State: WESTMINSTER CA Fax: ( ) - Zip: 92683 Pager: ( ) -