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HomeMy WebLinkAbout15051 Goldenwest St - CofO (2)• �1 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.