HomeMy WebLinkAbout126 Main St - CofO (17)JJ
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 LZ- 533
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor — The Applicant Must Apply In -Person)
�A 1 °7,-
Business Address MAcltl g'r, 1-tub"QrW BF (, CA g2648 Date 01— Z6 I+
Business Owners Name F*H „fkA J'o P-1 19" r.ICA L- Zip Code Q U& 4 S
Business Name ME KTEe M.ItCE SA O— Telephone No. QYaSS'$4
Business Type Uj � tCA RFC ._ Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name ,9 EtDA►J 940PPa2nE,S Name A w c 70k i g AFjCAt
Address �i$TSt , Home Address 21 &4 59tW01-JM 0j&gE
CityyUNTIW�W#I State/Zip 9264% CityW6wPbCT 916AC,K State/Zip CA G12"O
Telephone No. 4 14 — (aSB— $980 Telephone No. g4473S%065
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or 6?fxisting Building
IS THIS BUILDING FIRE SPRINKLERED? 21es ❑No
CHECK ALL THAT APPLY:
E315h'ange of Business Owner ❑Change of Occupant ❑Change of Use ❑Additional Occupant
■ Indicate former type of business l-4/Ar
■ Are you requesting that the electricity be turned on? ❑Yes ENO
■ Will operations produce dust/wood shavings or similar material? El [moo
■ Will operations involve the repair or replacement of automobile parts? []Yes [moo' If yes: Describe the
components repaired or replaced. f-J/A
■ Does the operation involve the use of welding or open flame? ❑ Yes [moo
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes @,<o
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes gko
■ The following best describes my operation: ❑ Office Only detail Sales ❑Medical/Dental
❑Warehouse /Manufacturing/Distribution estaurant/Take-Out Food ❑Other
■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes 1�w
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 []No NIA_ -
For Official Use Only
Occ Group:
Occ Group:
6
Occ Group:
Total Sq Ft Occupied: 59
Bldg. Permit #
Planning Initials: Date:
Conditions of Approval or Other Notes:
Area: 5,1 b
Area:
Area:
No. of Stories: 2
Entitlement #:
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning:,5 = C
Building Reviewed By Initials: D6 Date:
Grease Interceptor Verified Inspected By Initials: Date:
OT D533
South Coast
Xg�] Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
t �L (909) 396-3529 • http://www.aqmd.gov
Air Quality Permit Checklist
California State Law Code 65 85 0.2 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: jNjF_lCiff_ �Tu%U Logf,
Property Address: 126 MAIM STf f2& j J-
City: Humlic o EWA 1 Zip Code: q uo Lt'$
Contact Person: RdAtibJ 3&4 &CAt rAlitle: ('L 06e_ .
Type of Business: FA- -fielephone: 9t{6( S75YIi44
Fax Number: e-mail address: ( 11- % 1 O naCDArn L& • Corn .
�AH¢EEN So►� - —
Applicant (print name): Signature: Date: d 1-2-4 lq-
• 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[j4�'
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-
00 - 0 63
HUNTINGTON BEACH FIRE DEPARTMENT
FIRE PREVENTION DIVISION File re Only
2000 MAIN STREET • HUNTINGTON BEACH, CA 92648
(714) 536-5676 • FAX (714) 374-1551 FP:
FIRE PREVENTION - BUSINESS DATA SHEET
For new Certificates of Occupancy
Business Name: ME.11:16L JOKE 61 � StartDate: OZ-10 - 1'+
Business Address:
Number
Billing Address: ❑same as business.
Business Contact: Cwaanj cbJ%J B029C17—
Ulm
LfZ611
Zip Code
Emergency Contact: AW (�@A) $Q#qrJCAZ- 0AG ,
(24-hour) Name Phone Email
Description of Business: � 1 1l jite.
Will there be any of the following uses on the premise?
❑Storage >6 feet [-]Welding [-]Special amusements (escape room or similar) []Motor vehicle repair
If yes, describe:
Will there be any of the following equipment (E =existing equipment, A = adding or new equipment)
Dry cleaning - list solvent
_ Industrial oven - list fuel
_ Propane patio heaters -# of heaters, # of spares
_ Cooking equipment (fryers, ovens, pizza conveyor, etc.)
Backup generators - list fuel
Walk in refrigerators or coolers - list size, refrigerant
_ Spray booth or dipping tank
_ Tents or air supported structure
_ Grinding/milling equipment that creates
_ Fuel dispensing (including storage tanks)
combustible dust
_ Carbonated beverage system - list total pounds of CO2
If yes, provide details (e.g., number, fuel, size, etc.)
Does the building have any of the following features (E =existing feature, A = adding feature)
i Sprinkler system
_ Other fire suppression system
Fire alarm system
_ Smoke detectors
_ Other detectors (e.g, methane)
_ Other alarm system
_ Private fire hydrants
_ Battery systems
_ Fire pump
_ Methane barrier or other methane control installed
If yes, provide details
Does the business handle any of the following:
YES
NO
55 gallons or more of a liquid hazardous material or hazardous waste.
❑
-11K
Compressed gas (or liquid/cryogenic equivalent) of 200 cubic feet or more
❑
K�—
Inert compressed gas (e.g., argon, nitrogen, helium) of 1,000 cubic feet or
❑
U7/
more.
500 pounds or more of a solid hazardous material or hazardous waste.
❑
C
Extremely hazardous material or radioactive material
❑
®--'
I certify, under the pen Ity of perjury, that the above information is true and correct to the best of my knowledge.
Signature: Title: nl i Date: 6i-24- Q-
C""Ai 0 2- 10 -(-)
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone:(714) 536-5241 Fax:(714) 374-1647
File Number CofO?
C2011-004118 No
02012-000811 Yes
B2012-003537 'Yes
P2012-003544 No
E2012-003951 No
M2012-003952 No
B2012-006898 No
B2012-006016 No
E2012-007321 No
M2012-007321 No
02013.002339 Yes
B2013-004225 Yes
Entered By I Daley, Jasmine
Default Inspector Benbow, Jeff
6
rmit TypeP:_1- Budding
Origin Counter
Building Use - City I C-misc I lCommercial Misc
Occupancy
Date Entered 07/10/2013
Status Finaled
Issue Permit? zgate Q7/19t'.
Issued By I Permit2
I Planner F
Building Use -County 134.1 1 Lj New Building? Plan Checker
Description DRYWALL TO FINISH DEMISING WALL (SEE B2012-003537) ON UNIT
p "NEKTER JUICE BAR"' C OF O IN FILE
-. •••dN0/14 OC. PI ANS SFNT TO SCANNING"'
Internal Notes
Click the « button to copy the Business License
I oense Number A286986 information into the Certificate of Occupancy.
Business Name NEKTER JUICE BARN:: Business Licenses Business Name
Business Type Retail A209912 HUNTINGTQN SURF AND SPORT
All89086 SURF CITY CANDY
Business Phone O A205164 MAIN STREET OPTICAL & BOUTIQ
A210810 PSYCHIC BOUTIQUE
Proposed Use IRETAIL Approved Occupied Area (Sq Ft) 0.00
Former Use RETAIL # of Stories
Conditions
Group Definiti