HomeMy WebLinkAbout15051 Goldenwest St - CofO (2)•
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HUNTINGTON BEACh
CERTIFICATE OF OCCUPANCY 020 V0- 00 (OR'6
CITY OF HUNTINGTON BEACH -
DEPT. OF COMMUNITY DEVELOPMENT APPLICATION
(3`d Floor — The Applicant Must Apply In -Person)
Business Address 1 ��jt- I . (;o Q<� We
Business Owners Name v ?—
Business Name &3 ISC(_ LVES-T ' LA. P lkV C wv
Business Type a�T, «m -e
Date
Zip Code 93,6
Telephone No.
Bus. Phone 17 /4L)� q�
Property Owner Information (required) Tenant/Emerge cy Contact (required)
Name L�5 r L' • S/I') u L L Name l�)Z! /-� �21��Z-7
Address / rJ6 3 / /4rTA Home Address 6� . e t>-
City State/Zip ,/* 492,41U_ Cityl 6sp Mi M O� State/Zip g26 R3
Telephone No. f1ff.,q 424 9:j y-D Telephone No.
THIS USE WOULD BE DESCRIBED AS:
QNewly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? OYes QNo
CHECK ALL THAT APPLY:
Q Change of Business Owner
■ Indicate former type of business,
■ Are you requesting that the electricity be turned on? Yes 0 No
■ Will operations produce dust/wood shavings or similar material? OYes No
■ Will operations involve the repair or replacement of automobile parts? OYes Wo If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? 0 Yes No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
OYes QNo
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? OYes No
■ The following best describes my operation: 0Office Only ORetail Sales Medical/Dental
Warehouse /Manufacturing/Distribution ORestaurant/Take-Out Food 00ther
■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? Oyes 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: 0Yes @ No
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials:XDate: z
Conditions of Approval or Other Notes:
Change of Occupant Change of Use OAdditional Occupant
Area:
Area:
Area:
No. of Stories:
Entitlement #:
SO
Occ Load:
Occ Load:
Occ Load:
TIF Review:
/ N
Zoning:
4
Building Reviewed By Initials: Date: 4
South Coast
"L : Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
p G (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: A C LLv ww c+uAje
Property Address: dcxpeo cd e S4- G-�
City: ffu)d:% n44s IL le cif C t Zip Code: 2�
Contact Person: V t Gv�__tr �-�- Title: d w6
Type of Business: w p UM CrW Telephone: 7 I �p) 79-t -17 36
Fax Number: e-mail address:' e.2 2 27 IQ 6-M
Cam.-
Applicant (print name): iB91R J M- 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 I 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❑ Nd%
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 pen -nits 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).
bM
n I6- 61q I
rar�i�5 Ma�ix
\ �i,-Oc)
10f--. _-
Department of Planning
& Building
2000 Main Street
y
Huntington Beach, CA 92648
Phone: (71.4) 536-5241
Fax: (714) 374-1647 Occupancy Application
I Bill • • •
MORE;
15055 Goldenwest St SMULL L G
15051
APN '145.01.21
x
_ ..... Application Binder
Num Street Unit Bld .........
Job Address 15051 I Goldenwest St APN 145-231-21RD 2913
Zoning CG
Lot Tract Block
File Number COO?
M2012-003794 No
Entered By Daley, Jasmine Date Entered 101/10/2013
L
P2012-003795 No
02012»004028 Yes
-
Default Inspector- Kirby, Kevin ottlS. Flnaled
02012-004535 Yes
Permit Type Building Issue Permit? Date 01/11/2013 ;
02012-005454 Yes
02012-005509 Yes
- -
Origin Counter Issued By Permit3
B2012-006419 No
E2012-006421 No
Building Use c-misc Commercial Misc Planner Arabe Jill Ann
�
P2012-006437 No
Building Use - County 34.1 New Building? Plan Checker Lee, Eddie
B2012-007653 No
E2012-007654 No
-
CREATE OPENING BETWEEN(2) UNITS (15051 & 15053) TO CREATE (1) UNITADDRESSEDAS 15051 GOLDENWEST ST. (SEE 012-005454 FOR
Description MANOCCUPANTCOF0-"SERENITY PLUS")-COF05INFILE FOR THIS PERMIT- ADDILOCCUPANT "SERENITY TAN*
B2013-000261 Yes
927/13.AZ. PLANS SENT TOSCANNING'
Internal Notes 1/10/13 JD RTI OTC BY PLNG/BLDG....PIB
COO Number CO2013-000261 I Choose Print All CofOType Permanent Fees and Payments
Sheets to Issue
Issued By Cochran, Brian Single C/O CofO Status Issued Inspections
CofO Date Issued 07/17/2013 Temp. CofO Issued Date Printed
Utility Release Date -�-- Temp. 09FO Expiration �� 07/17/2013
Click the « button to 66py the -Business License
License Number A284605 wd information into the Ceilifiatq,itaf Occupancy. i
Business Name SERENITY PLUS Business Business Name .
A251614 WELLS FARGO INVESTMENTS LL('
Business Type Professional !Other A153766 COLLEGE BOOKS INC
Business Phone (714) 895-4440 A181818 PARSONS ANA
A103646 ACE DONUTS
Proposed Use SALON/TAN Approved Occupied Area (Sq Ft) 1,695.00
Former Use SALON # of Stories
Conditions ADDITIONAL OCCUPANT SERENITY TAN
Change of Owner?
Elec. Available?
Drinking / Dining> 50 Occupants?
nChange of Use?
Want Electricity On?
Welding / Open Flame?
Change of Occupant?
Sprinklered?
Q
Automobile Repairs?
Additional Occupant?
Dust / Wood? Auto Parts Desc.
Group Descrip#ion Area.
Constrpciibn TypeOccupancy Loyd �
- ���
B
SALON
1695
17
B _
SALON
1695
17
Group Definiti
Business Use -Building or structure, or a portion thereof, used for office, professional or service -type transactions,
including storage of records and accounts.