HomeMy WebLinkAbout15051 Edwards St - CofO (15)HUNTINGM KAO
CERTIFICATE OF OCCUPANCY 020 1- `"7o 4 S
CITY OF H:UNTINGTON BEACH. —
DEPT. OF PLANNING & BUILDING APPLICATION �
(P Floor —The Applicant Must Apply in -Person)
Business Address I C6 V'st EawO- Y d 6 G ' ,.._ H g q 914U'1 Date L-0 ( A w 1 1-1
Business Owners Nam. YYic 71 v e. "z Zi Code q_a (�
..- _ p Lj
Business Name F Telephone No. l 14- 33 5 -fig b g
Business Type AAn � r S+n , jn Bus. Phone -1 i a - gq (a- Oslo
Property Owner Information (required) Tenant/EmergencyTeriant/Emergency Contact (required)
Name rM t c,L, ,.L1k ay'ct_.t., Name b k Q. h In e A u -A a
2-1 tj-w CL.rc 6 5� Home Address. I k I t e,,•,
Address �sy 1 0 4 A
City � State/Zip_ q.�o1.1'`� City�, Aajip� � State/Zip CA a 61-(o(n iZ
Telephone No. -!Viv- -� z?, Telephone No. eL�� - , - h -- Mtn !b �i
THIS USE WOULD .BE DESCRIBED AS:
n Newly Constructed Building or bfExistin Building
IS THIS B"UILDING FIRE SPRINKLERED? Yes DNo= ' '' '. 3
CHECK ALL THAT APPLY:
M Change of Business Owner ❑ Change of Occupant O Change of Use d Additional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? ❑Yes V No
Will operations produce dust/wood shavings or similar material? Dyes *0
Will operations involve the repair or replacement of automobile parts? ❑ Yes [NNo If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes K No
Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes KNo
■ Will there be storage racks; gondolas, or shelving exceeding 5reet 9 inches in height? ❑Yes f No
The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/.Dental
❑Warehouse /Man ufacturing/Di stributi on ❑ Restaurant/Take-Out Food [K Other }a� �,.��
■ Will any meat products including beef; poultry, and/or fish bee cooked or fried onsite? [I Yes V 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 IRNn
For O rcial Use Only
Oce Group:
Occ Group:
Occ Group: _
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials: Date.1
Conditions of Approval or Other Notes:
Area: ISb
Area:
Area:
No. of Stories: r
Entitlement #:
Y
Occ Load:
Oce Load:
Occ Load:
TIF ReviC: N
Zoning:
Building Reviewed By Initials: D�_ .Date:
grease interceptor Verified Inspected By Initials: Date:
kai South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
(909) 396-3529 • http:// Aww.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: :U :'yi> :0 �
Property Address: 1 5D S
City: NA-Z. Zip Code:
Contact Person:yj\,1&�jLj . aye _Title: 0 W bl'yl
,It
Type of Business. au S 6-4 V) Telephone: �t 1LY - 3 3 S ' cl D '0
Fax Number: l��j �' ' I e-mail address: N ", ra—ly) b il-Q,�
Applicant (print name): Mt tk CbraM Signature: i&.d,tjj_j Date: 101,;X41)7
• 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
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-
'
Department of Planning & Building e
2000 Main Street 1
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (71.4) 374-1647 Occupancy Application
15031 Edwards St I DIEPENWH JAMES C JR d PATRICIAJO
15051 APN 145-202-54 1
Application Binder
Num Street Unit Bldg
Job Address 15051 Edwards St APN 145-202.54 RD 2912
Zoning JC4 Lot 297 Tract 3846 Block 123
File Number CofO?
P2002-029925 No
P2003-032229 No
01990-003781 Yes
01992-003782 Yes
01995-003783 Yes
01997-003784 Yes
02002-010737 Yes
01991-003785 Yes
01994-003786 Yes
01991-003788 Yes
01992-003789 Yes
01994-003790 Yes
Entered By
Default Inspector
Permit Type
Origin
Building Use - City
Building Use - County
Description
Internal Notes
Certificate of Occupancy
New Building?
CofO Number IC01994-00379fl Choose PrfntAll CofO Type
Sheets to Issue
Issued By Single C/O CofO Status Issued
Date Entered 03/22/1994
Status Issued
Issue Permit? N Date 03/23/1994
Issued iBy�F
Planner I 6
Plan Checker { Dick, Lloyd
Fees and Payments
Inspections
CofO Date Issued 03/23/1994 Temp, CofO Issued ! Date Printed
Utility Release DateTemp. COFO Expiration
License Number 1 —1
Business Name PETTICOAT LANE
Business Type WOMEN'S CONSIGNMENT
Business Phone (714) 891-4090
Proposed Use
Former Use
Conditions
Click the << button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A203908 LET'S IMAGINE
A043622 ANIMAL HOSPITAL OF HB
A253926 P J ENTERPRISES
A168380 COUNTRYACRES
Approved Occupied Area (Sq Ft) 750.00
# of Storied=�
oChange of Owner?
D Elec. Available?
Drinking / Dining > 50 Occupants?
DChange of Use?
�'
Want Electricity On?
a Welding 1 Open Flame?
�j
Change of Occupant?
�'
Sprinkiered?
Automobile Repairs?
Additional Occupant?
a
Dust / Wood? Auto Parts Desc.
'Occupncy Group/Load
Group Description Area Construction Type Occupancy Load