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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