HomeMy WebLinkAbout15049 Goldenwest St - CofOi
HUNmNGTON REACT
CERTIFICATE OF OCCUPANCY 020_5- dUs l 1-3
CITY OF HUNTINGTON BEACH -
DEPT. OF PLANNING & BUILDING APPLICATION
Business Address 150
Business Owners Name
Business Name
Business Type _
(3'd Floor — The Applicant Must Apply In -Person)
Pv% weak*, Crr 9 Z64i Date �- 2S• 15,
Zip Code C1 2-6 91
;=1 / p-ea" i_A1jLx &4 Telephone No.
Bus. Phone 11090(7-4773.
• Property Owner Information (required) Tenant/Emergency Contact (required)
Name t`1,y11A Name :O14 00L NO
Address1l 6 31 JUfi Home Address M b O WU GtVfOP kAvM LaT-L—
City State/Zip CA l 9ZL LJ - CityState/Zip %-10180
Telephone No. oft) 4i L'— W2 Telephone No. S12- ) 10 `q 41
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or f21( Existing Building
IS THIS BUILDING FIRE SPRINKLERED? IXYes E]No
CHECK ALL THAT APPLY:
❑ Change of Business Owner %Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business :01 OR
■ Are you requesting that the electricity be turned on? ❑Yes ANo
■ Will operations produce dust/wood shavings or similar material? ❑ Yes XNo
■ Will operations involve the repair or replacement of automobile parts? ❑ Yes CSNo If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes 5ENo
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes Cy7No
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes VNo
■ The following best describes my operation: ❑ Office Only X Retail Sales ❑Medical/Dental
❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ 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 UNo
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials:jk—Date: '[ S
itions of Approval or Other Notes:
ME
Area: 1 l 00 Occ Load:
Area: Occ Load:
Area: Occ Load:
No. of Stories: TIF Review: Y/
Entitlement #: Zoning:
Building Reviewed By Initial Date.
23It '
WIA) Bch, I ry� &0.►E,2 (DF !JE;;�
Grease Interceptor Verified Inspected By Initials: Date:
South Coast
f Air Quality Management District
, 01111 21865 Copley Drive, Diamond Bar, CA 91765 4182
f' ! 909 396-3529 • htt // www.a md. ov
( ) p� q g
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: k q GLaldc'hweft
City: Uvu1j1nb2in Zip Code:
Contact Person: Title: 0Uwh &-
Type of Business: UtIVY A(j9tAt! 1 Telephone: IN) `$ Q 1 3'_7 3
Fax Number:
Applicant (print name): j S -
e-mail address:
Signature: Date.
• 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[:] Not]
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
/z;�%'S
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-
Entered By Watson, Daniel Date Entered 07/27/2012
Default Inspector Kirby, Kevin Status Issued
'ermit Type Certificate of Occupancy Issue Permit? M Date 08/21/2012
Origin`" Counter Issued By I Cochran, Brian
Building Use - City _ 1V Planner Arabe, Jill Ann
__-�
Building Use - County- ^^� New Building? Plan Checker I Lee, Eddie
Description- ` "PEGGYS PERFECT FIT"'
Internal Nates
• •.
s
CofO Number
CO2012-004535] Choose Print All CofU Type I Permanent Fees and Payments
Issued By
Sheets to Issue _
Cochran, Brian Single t/O CofO Status Approved inspections
CofO Date Issued 08/21/2012 ,
, ° Temp. CofO Issued°
DatePrinted
Utility Release Date
Temp. GOFO Expiration'
08/21/2012
License Number A284228 -=�
Click
information
the << button to copy the Business License
into the Certificate of Occupancy.
Business Name PEGGY'S
PERFECT FIT / PEGGY'S
Business Licenses " Business Name
Business Type Professional/
Other '
A251614'
A153766
WELLS FARG& INVESTMENTS LLt
COLLEGE BOOKS INC
Business Phone { )^
A181818'
PARSONS ANA
-^-
A103646.= `'
ACE DONUTS
Proposed Use
._.
" Approved' Occupied Area (Sq Ft) . 1,100.00
TAILOR
Former Use TAILOR
# of Stories
Conditions
provide sign over exit door stating( door to remain unlocked while occupied)
Change of Owner?
'Elec. Available? Drinking! Dining > 50 Occupants?
Change of Use?
Want Electricity On? .
Welding ! Open Flame?
Change of Occupant?
.,
Sprinkiered?
Automobile Repairs?
Additional Occupant?
" Dust / Wood? Auto Parts Desc.�
Group Description Area
Construction Type Occupancy Load,
B
STORES
1100
11
B
STORES `
1100>
Group Definiti
Business Use - Building or structure, or a portion,;thereof, used for office, professional or service -type transactions,'
including storaoe of records and accounts.. 1. 1 1 1