HomeMy WebLinkAbout15121 Graham St - CofO (21)J.�
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Business
CERTIFICATE OF OCCUPANCY 020 l(o - 34-IS
CITY OF HUNTINGTON BEACH —
DEPT. OF PLANNING & BUILDING APPLICATION
15121 GRAHAM ST, STE 108, HUNTINGTON BEACH 92649
Business Owners Name JACQUELINE NGUYEN
Business Name ZOE HEALTH & BEAUTY LLC
Business Type E-COMMERCE
(3'd Floor — The Applicant Must Apply In -Person)
Date 05/10/2016
Zip Code 92649
Telephone No. 858-776-2566
Bus. Phone 714-373-0040
Property Owner Information (required) Tenant/Emergency Contact (required)
Name 1)3ES,A V ILL£ HotD1A)G,r, LLC Name JACQUELINENGUYEN
Address I 117 0 t.J A IZ N E #Z �EP ji-- a i �— Home Address 3680 S BEAR ST, #B
City r �;J �f1j N tate/Zip 9 , -2 C1tySANTA ANA State/Zip 92704
Telephone No. 7 1 lk I Sa — 9 91 S? Telephone No. 347-515-6789
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or IE Existing Building
IS THIS BUILDING FIRE SPRINKLERED? 9 Yes ❑No
CHECK ALL THAT APPLY:
❑ Change of Business Owner N Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business FLORIST
■ Are you requesting that the electricity be turned on? ❑■ Yes ❑ No
■ Will operations produce dust/wood shavings or similar material? ❑Yes ONo
■ Will operations involve the repair or replacement of automobile parts? ❑Yes ❑■ No If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes ■❑ No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes N No
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑� Yes ❑No
■ The following best describes my operation: Office Only ❑ 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 p 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: ❑ Yes H No
For Official Use Only
Occ Group: Area: % V Occ Load:
Occ Group: Area: •40^o Occ Load:
Occ Group: Area: Occ Load:
Total Sq Ft Occupied: 201;(;1 No. of Stories: TIF Review: Y/ N
Bldg. Permit # Entitlement #: Zoning: I L
Planning InitialDate:� l Building Reviewed By Initials:�pate: ' a�l
Grease Interceptor Verified Inspected By Initials: Date:
South Coast o t 6- 3 q� S
Air Quality Management District
- 21865 Copley Drive, Diamond Bar, CA 91765-4182
L'Cld�l�: (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:
ZOE HEALTH & BEAUTY LLC
Property Address: 15121 GRAHAM ST, STE 108
City: HUNTINGTON
Contact Person:
BEACH
JACQUELINE NGUYEN
Zip Code: 92649
Title: PRESIDENT
Type of Business: E-COMMERE Telephone: 714-373-0040
Fax Number: 805-413-4079 e-mail address:
Applicant (print name): acQUEUNE NcuYEN Signature:
T HAO J AC O U E L I N E@ G MA I L.CO M
• Will the facility have any of the following equipment? Yes ❑ No ❑■
Charbroiler
Date: 06/10/2016
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[:] No❑■
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 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 G
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647
CERTIFICATE OF OCCUPANCY
VASQUEZ, GIOVANNI Cert, Number CO2015-005649
BELLA TERRA BOUQUET, LLC Date Printed 05/1012016
15121 GRAHAM ST #108
Huntington Beach CA 92649
Address:
15121 Graham St 108
Issue Date: 08/06/2015
Permit Number:
02015-005649
TCofO Issue Date:
Business Name:
TCofO Expiration:
Business Type:
Approved Sq Ft.: 2,080. 0
Current Use:
WAREHOUSE
# of Stories: 2
Occupant Groups:
Description: Area:
Occupant Load:
B
OFFICE 400
4
S-1
WAREHOUSE 1680
4
Conditions of Approval:
USE OKAY
Contacts:
Contact Type: Name:
VASQUEZ, GIOVANNI
Phone: (714) 561-3537
Business Owner Address:
15121 GRAHAM ST #108
Cell: ( ) -
City / State:
Huntington Beach CA
Fax: ( ) -
Zip:
92649
Pager:
Contact Type: Name: MESAVILLE HOLDINGS, LLC Phone: (714) 932-9928
Property Owner Address: 11770 WARNER AVE #215 Cell: ( ) -
City / State: FOUNTAIN VALLEY CAO Fax: ( ) -
Zip: 92708 Pager: ( ) -