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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