HomeMy WebLinkAbout15051 Edwards St - CofO (11)V
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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 cRs &5
Business Owners Name
Business Name
Business Type
Date 12-;0 -off l
Zip Code G z
Telephone No.
Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name Cc i-b,\A Name c, &,&.. \A
Address 15-0-,�-\ t c�,wc., c&s Home Address
City �,�_ `t (?ZState/Zip 9 �-6 q 7 City '1- a State/Zip C6,
Telephone No. -7 Telephone No. 0 d 4?q
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or 9Existing Building
IS THIS BUILDING FIRE SPRINKLERED? 9Yes []No
CHECK ALL THAT APPLY:
-- ❑ Change of Business Owner ❑ Change of Occupant ❑ Cha
■ Indicate former type of business Pkw ,,� (5iuD10 'Ro co aoll -0010t
■ Are you requesting that the electricity be turned on? ❑Yes 5?No
of Use ,Additional Occupant
■ Will operations produce dust/wood shavings or similar material? ❑ Yes )moo
■ Will operations involve the repair or replacement of automobile parts? ❑Yes XlNo If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes .r No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes XNo
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes '8TNo
■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/Dental
❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food D Other
■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes
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 O„(ficial Use Only
Occ Group: - t
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials: k Date:
Area: �� U
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted:
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
1
Zoning:
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: ate: Q
Y/N
Conditions of Approval or Other Notes: ?"N V-)� NAK- vP 11 Al ki-JO �L+ SU'W 165- TO -4064W, iAl f, C,5&af
vA«) . N6 CAAP tJ-c n r� nprqOwms "rrjrl
Grease Interceptor Verified Inspected By Initials: Date:
South Coast
Air Quality Management ement District
21865 Copley Drive, Diamond Bar, CA 91765-4182
(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).
Company Name:
1 1/P-,-5
Property Address: 156% E c WCILs&S
City: Tv A- act V Pe c c�k Zip Code: 16
Contact Person: ���-e, Title: 0 W Vtc
Type of Business:Qecvh,ewe"V W1a rc-UpTelephone: 7 t y f W 4 75-y 2_
Fax Number: e-mail address: Aj n C,
S� `�
Applicant (print name : ti .CA' Sigknature: Date: i -
• Will the facility have any of the following equipment? Yes ❑ No ❑X
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[:] Nog
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
(_aV,-j
;6-/-7--
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
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647
E
d[
Occupancy Application
Property • • -
15031 Edwards St f DIEPENWHAMESC JRbPATRIgA�
15051 APN ,145-202-54
I
Certificate
of Occupancy Application
Application Binder
Num Street Unit Bld
Job Addressl 1505 1 Edwards St I APN 145-202-64 RD 2912
Zoning CG I Lot 297 Tract 13846 Block 123
t
File Number CofO?
E2016-007009 No
E2016-007133 No
B2017-001631 No
E2017-001632 No
P2017-001633 No
M2017-001634 No
02017-002017 Yes
02017-003016 Yes
02017-QO3519 Yes
02017-004056 Yes
02017-004199 Yes
02017-007048 Yes
Entered By 113olls, Derek
Default Inspector I Martin, Brian
Permit Type ICertificate of Occupancy
Origin lCounter
Building Use - City � T
Building Use - County 11 New Buildng?
Description I ""*STUDIO HB*"'
Internal Notes
bate Entered 10/24/2017
Status IIssued
Issue Permit? R Date 10/24/2017
Issued By L_
Planner Bui, Jessica —�
Plan Checker Bolls, Derek
of Occupancy
CofO Number CO2017-007048 Choose Print All CofO Type IPermanent Fees and Payments
Sheets to Issue Inspections
Issued By Single C/O CofO Status Issued
CofO Date Issued 10/24/2017 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration 10/24/2017
t--
License Number
Business Name
Business Type
1 Business Phone ( )
Proposed Use ISALON
Former Use RETAIL
Conditions PERSONAL SERVI
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 (Scl Ft). 750.00
# of Stories) i t
DChange of Owner? t__f Elec. Available? Drinking / Dining> 50 Occupants?
Change of Use? U Want Electricity On? L..t Weding I Open Flame?
Change of Occupant? Sprinklered? Automobile Repairs?
aAdditional Occupant? Dust / Wood? Auto Parts Desc.
occuoaky.Groupload
(;rnl In nesrrintion Area Construction Type Occupancy Load
Group Definitioi Business Use - Building or structure, or a portion thereof, used,for office, professional or service -type transactions,
including storage of records and accounts.
-Type ` Name field must be blank to add/change Contractor, Designer or Engineer Sai
Property Owner Contractor �� Designer / Engineer Mobile
Property Owner Name IMCI INVESTMENT LLC
Business Owner i
Emergency Contact Company
Address 15021 EDWARDS ST
i
City/State/Zip HUNTINGTONBEACH 11CA 92647
i
t Email _
Phone (714) 898-0568 x Fax ( )
State License Type
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Expiratbn Dales?
Date Overridden
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