HomeMy WebLinkAbout15121 Graham St - CofO (47)•
JJ
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business AddressI S I ?_
Business Owners Name
Business Name
Business Type h4 fic(L-
(3d Floor — The Applicant Must Apply In -Person)
0 cw 04 ,Date
Zip Code q 2- 6 � 4
Telephone No. I 2-
�(
Bus. Phone *IV 3-T3
Property Owner Information (required) Tenant/Emer enc Contact (required)
Name M 2 A r! L C, Name Dtyo 0 t4oc- !?
Address a W&rntf NL 2 (d' Home A dres I Iritler 3 3 0 6
City A&yirl Y& 11 e4 State/Zip ( Zee �City n )ate/Zip m+ q,.2 I V j
Telephone No. Telephone No. -
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Exxiss ' g Building
IS THIS BUILDING FIRE SPRINKLERED? Ies ❑No
CHECZhange
L THAT APPLY:
of Business Owner Change of Occupant
■ Indicate former type of business ott
❑ Change of Use ❑ Additional Occupant
■ Are you requesting that the electricity be turned on? es ;Mo �
■ Will operations produce dust/wood shavings or similar material? ❑ Yes P1No
■ Will operations involve the repair or replacement of automobile parts? ❑Yes Flo If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes No
■ Will the bus' ss be a drinking, dining or assembly use with an occupant load of more than 50 persons?
[I Yes No
■ Will there be storage racks, gondolas, or shelving�ceedmg 5feet 9 inches in height? ❑Yes
■ 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 o
If you answered yes, please proceed to the next question.
• Does your facility curren have a grease control device (i.e. grease trap or grease interceptor)?
Check one: El Yes No
For Official Use Only
Occ Group:
Occ Group: P�
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials: GW Date: 101114111
Area: 't*e
Area: % 2 ok'
Area:
No. of Stories:
Entitlement #:
Use Permitted:
Z
Y/N
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning:
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: 8*- Date:
Conditions of Approval or Other Notes: IL DIME , '91%µQ un4 AAA 6TOPA&S f fA+ A" We , n ftic-f,
We t N G. D eAt in1.
Grease Interceptor Verified Inspected By Initials: Date:
6qo 7
South Coast
Air Quality Management ement District
21865 Copley Drive, Diamond Bar, CA 91765-4182
o (909) 396-3529 • http:// www.aqmd.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: N jl� I I- D � PO "r
Property Address:
City:��ihdbMD"Ly Zip Code: 2
Contact Person:6L a,A L, pb4tr Title: N
Type of Business: f d Fib Telephone: q F �Z q f1 4—
Fax Number: e-mail address: ALI, I O -0 I lfl �j�Y)Gi'I
Applicant (print name): Si ature: 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❑ 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-
File Number CofO?
Entered By Ortega, Robin �. Date Entered 06/26/2008 —�
Default Inspector Coble, Russell Status I Expired
Permit Type Certificate of Occupancy Issue Permit? ® Date 01/072009
Origin Counter Issued By iTavakoli, Jasmine i
Building Use - City Planner Beckman, Hayden
Building Use - County New Building? Plan Checker Lee, Eddie
Description '"PURE SPORT HEALTH" PERSONAL TRAINING
Internal Notes
• FORM
CofO Number CO2008-003784 Choose Print All CofO Type Permanent Fees and Payments
Sheets to Issue
Issued By Tavakoli, Jasmine Single CIO CofO Status Issued Inspections
CofO Date Issued 01/07/2009 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration 01/07/2009---Il
License Number A270516
Business Name PURE SPORT & HEALTH
Business Type Professional / Other
Business Phone (562) 795-5755
Proposed Use PERSONAL TRAINING
Former Use
Conditions
Click the << button to copy the Business License
information into the Certificate of Occupancy.
Business licenses Business Name
A245740 J M GROUP INC
A229372 SINCLAIRE COMPANY
A084374 ALDON HEART CO/UNIQUE COLLE
A152464 MOBILE OFFICE SYSTEMS
Approved Occupied Area (Sq Ft) 2,200.00
# of Stories
USE SQ FT SPACE IS UNDER 5000 SF, PERMITTED IN IL DIST. (HB250 CH.212-04 (L-9); BUSINESS WILL
INCLUDE EVENING/NIGHT SESSIONS, REDUCING PARKING DEMAND ON SITE.
--No racks over 6' tall. --
Change of Owner?
Change of Use?
® Change of Occupant?
0 Additional Occupant?
Occupancy GroupJLoad
® Elec. Available?
oWant Electricity On?
® Sprinklered?
11 Dust / Wood? Auto Parts Desc.
Group Description Area Construction Type Occupancy Load
oDrinking 1 Dining > 50 Occupants?
Welling 1 Open Flame?
Automobile Repairs?
B
EXERCISE ROOM
936
20
B
EXERCISE ROOM
936
20
B
OFFICE
1264
17
Group Definitio
A building or structure, or a portion thereof, for office, professional or service -type transactions, including storage of
records and accounts; eating and drinking establishments with an occupant load of less than 50.
Type
Property Owner
Property Owner
Business Owner
Tenant
Name field must be plank to ad6&ange Contractor, Designer or Ergneer
Contractor Designer / Engineer
Name , CT HUNTINGTON LLC
Company
Address 20151 SOUTHWEST BIRCH ST
City / State / Zip NEWPORT BEACH CA 92649
Email
Phone (949) 752-0126 x I Fax ( ) -
Same As
Mobile Phone ( ) -
Pager () -
State License Type L
0 Self Insured / Non -Employer?
a Override Contractor
Expiration Dates?
Date Overridden
Overridden By
0 -6` °j