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126 Main St - CofO (14)
• �J HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3d Floor — The Applicant Must Apply In -Person) Business Address IA4� L61-;? Date 0 / �7 Business Owners Name �',�c/� �,Q��i'4 �J Zip Code 9 cl, Business Name 9c pFR I am Telephone No. Business Type i,gon/ /G 616- Bus. Phone Property Owner Information (required) Tenant/Emergency Contact (required) Name Z I C9 Af( 1,C0PP-P_-)0P,5�- Name t✓t� �1y�'� 1�-� Address PO 4Y % Home Address /; VInrQ I&A222eM city�A// State/Zip �� / ,�e YCity ` �A A�f��'�S�t�att'e//Zip 9sx 4 % 7 Telephone No. %/�'' - .�5 �1 Telephone No. THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or 2Existing Building IS THIS BUILDING FIRE SPRINKLERED? E�Yes ❑No CHECLL THAT APPLY: Change of Business Owner ❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity be turned on? ❑Yes EYNo ■ Will operations produce dust/wood shavings or similar material? ❑ Ye ■ Will operations involve the repair or replacement of automobile parts? s E No ❑Yes C Ao 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 ❑/No // ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes DNo ■ 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 C3/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 ❑ No For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials.0 Date:��-1 Area: �16 Occ Load: Area: Occ Load: Area: Occ Load: No. of Stories: Entitlement #: Use Permitted: Y N Q� TIF Review: Y/ N Zoning: F 15 - r'7_ Parking Meets Code (for us / N Building Reviewed By Initials:I�Date:O�J 1 Conditions of Approval or Other Notes: SkMir A-6 D9LJ1GV15 ihG6 Grease Interceptor Verified Inspected By Initials: Date: South Coast M�—G�16 Air Quality Management ement District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (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.I G / K— /L flyll Property Address: / ' & ,J - /2 City: #9 Zip Code: Contact Person: Ailb Title: a c Type of Business:Telephone: Fax Number: Applicant (print name): kil-, 6U4,QrlGl e-mail address: Signature: ate:f Will the facility have any of the following equipment? Yes ❑ No [Z 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❑ 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 nu 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- 011 -651 Department of Planning & Building ' 2000 Main Street 1 Huntington Beach, CA 92648 J Phone: (714) 536-5241. Fax: (714) 374-1647 - OccupancyApplication 126 IMain St 126 APN 1024-154-01 ZEIDAN ADEL M Application Binder Num Street Unit Bldg Job Address 126 Main St 103 APN 1024-154-01 RD 4014 Zoning SP5-CZ Lot 26 Tract 352 Block 103 File Number CofO? 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 E2013-004226 No C2013-004697 No 02013-006443 Yes Entered By IClark, Dennis Default Inspector IBenbow, Jeff Permit Type Certificate of Occupancy Origin jCounter Building Use - City Building Use - Countya' New Building? Description---VAPE IT UP --"' Internal Notes Date Entered 10/11/2013—� Status Expired Issue Permit? 0Date 03/25/2015 Issued By Permitl 1 Planner JNguyen, Tess Plan Checker jChuor, Phillip CofO Number CO20137006443 Choose Print All CofO Type Permanent Fees and Payments y � Sheets to Issue Inspections Issued B Permitl Single C/0 CofO Status Issued CofO Date Issued 03/25/2015 Temp. CofO Issued Date Printed Utility Release Dater Temp. COFO Expiration J03/25/2015 License Number A287722_] Business Name VAPEITUP Business Type Retail Business Phone ( ) - Proposed Use IRETAILSALES Former Use IRETAILSALES Conditions Change of Owner? Change of Use? © Change of Occupant? Additional Occupant? Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A209912 HUNTINGTON SURF AND SPORT A189086 SURF CITY CANDY A205164 MAIN STREET OPTICAL & BOUTI( A210810 PSYCHIC BOUTIQUE Approved Occupied Area (Scl Ft) 370.00 # of Stories; Elec. Available? ni 1 Drinking / Dining > 50 Occupants? Want Electricity On? nj Welding / Open Flame? Sprinklered? Automobile Repairs? DDust / Wood? Auto Parts Desc .Occupancy • • •.• Group Description Area Construction Type Occupancy Load M SALES 370 12 M SALES 370 12 Group Defiinitio Mercantile Use - Building or structure, or a portion thereof, used for the display and sale of merchandise, and involves s,rnrks,, of onods wares or merchandise incidental to such ourooses and accessible to the oublic.