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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