HomeMy WebLinkAbout126 Main St - CofO (12)H
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 �-
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Address& thIn'1, 50* 0
(3rd Floor — The Applicant Must Apply In -Person)
t
,6u k Date 3 13 )-0j B
Business Owners Name JUoOk V C(( lM wj Zip Code Z
Business Name Bct'� rye i, \A0 n its
Business Type mod
Telephone No. Vy-561y-bi-
Bus. Phone
Property Owner Information required) Tenant/Ememency Contact (required)
Name west wii Name OrIan a�o 7"0 �
Address-2/ 3 5A St. Home Address 6 gZ2' Donnie -Drive
City 44 iOn �IeQC l State/Zip q2 4Y3 City nbMh State/Zip g16Q�'
Telephone No. ��L,✓' 6Sb'Mo Telephone o. �/�" 2��6��
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No
CHECK ALL 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 -2. No
• Will operations produce dust/wood shavings or similar material? ❑ Yes ONo
• Will operations involve the repair or replacement of automobile parts? ❑Yes p(o If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes O 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 5 feet 9 inches in height? ❑Yes a No
• The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution , Pestaurant/Take-Out Food ❑ Other
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes 25No
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
Grease Interceptor Verified
For Official Use Only �^
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials Date:?J 3
Conditions of Approval or Other Notes:
�SS 4MAA 12 C -,
Inspected By Initials: Date:
Area:
Area:
Area: 09
No. of Stories:
Entitlement #:
Occ Load: 172
Occ Load:
Occ Load:
TIFReviifkl N
Zoning: 5 — C-Z
Use Permitted: Y / N Parking Meets Code (for use): Y / N
Building Reviewed By Initials: �� Date: Q 18
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Phone Number (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 % rr\ in t d o n JS
Property Address: 1A r' la I n S- �Ct SU t A 10 f f
City: r mn 11 Pad\j Zip Code: 0126
Contact Person: Ud.��h lliablonCa) Title: owl'w
Type of Business: n Telephone: '9jFax Number: E-mail Address: ltk P ba6 A n 00AUIS. 60 n1
Applicant (print name) d ,+b Y I l jabl QnCO✓ Signature: V� Date:
1. Will the facility release air pollutants, in lu 'ng but not limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
osphere? XY
combination of these to the atmes ZNo
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? []Yes ONO
I Will the facility result of hazardous materi s, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes ZNo
4. Will the facility have use of above or underground storage tank? ❑Yes ❑%
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes&o
6. Will the facility result in the use of the equipment listed below? MYes ❑No
(Select all that apply)
[]Abrasive Blasting Cabinet/Room ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
[]Air Conditioning System (containing > 50 Ibs of refrigerant) Mixing/Blending of Liquids and/or Powders
❑Application of Paints/Adhesive/Resins
❑Baghouse/Dust Collector
❑Bakery Oven (gas fired)
❑BoilerMater Heater (max. heat input = or > 1 million BTU/hr)
❑Charbroiler/Smoker
❑Coffee Roaster/Afterbunner
[]Molding /Extruding/Curing of Plastic
❑Pharmaceutical/Nutraceutical
❑Plasma/Laser Cutter
❑Printing/Coating/Drying
❑ Production of Fumes/Dust/Smoke/Odors
,8 Refrigeration Systems (containing > 50 Ibs of refrigeration
beep Fryer (excluding equipment located at eating establishment) []Soldering Oven
❑Dry Cleaning Equipment
❑Electrostatic Precipitator
❑Fermentation
❑Gasoline Storage & Dispensing Equipment
[]Spray Booth
❑Storage of Acids/Solvents/Organics Liquids/Fuels
;Storage Silos (sugar, flour, etc.)
If you answered "No" to any of the above questions and your facility will not have the following
equipment listed, 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).
File Number CofO?
M2012-003952 No Entered By Woo, Melanie Date Entered 06/04/2015
B2012-006898 No Default Inspector Benbow, Jeff ( Status issued
B2012=0b60f6 No _
E2012-007321 No Permit Type Certificate of Occupancy Issue Permit? ® Date 07/31/201�
M2012-002329 No g ��i y ��
02013-002339 Yes Origin Counter Issued B Permitl
B2013-004225 Yes
E2013-004226 No Building Use - City u �— Planner Cortez, Joanna �!
C2013-004697 No Building Use - County New Building? Plan Checker Daley, Jasmine
02013-006443 Yes
C2013 008244 No Description THUNDER BURGERZ & PIZZA-
02015-003846 Yes
Internal Notes
'of e
CofO Number CO2015-003M ChoosePrint All CofO Type I Permanent Fees and Payments
Sheets to Issue inspections
Issued By I Permitl Single GO CofO Status Issued
CofO Date Issued 07/31/2015 Temp. CofO Issued Date Printed
Utility Release Date ! Temp. COFO Expiration 07/31/2015
License Number
Business Name
Business Type
Business Phone () -
Proposed Use RESTAURANT
Former Use RESTAURANT
Conditions
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 & BOUTIQI
A210810 PSYCHIC BOUTIQUE
Approved Occupied Area (Sq Ft) 1600.00
# of Stories=
12 SEATS MAX/ NO ALCOHOL "SAME USE AS EXISTG-
9I
Change of Owner?
Elec. Available?
�! Drinking / Dining > 50 Occupants?
0
Change of Use?
0
Want Electricity On?
a; Welling I Open Flame?
Change of Occupant?
Sprinklered?
a; Automobile Repairs?
Additional Occupant?
0
Dust / Wood? Auto Parts Desc.
Oc6u .. ...
Group Description Area Construction Type Occupancy Load
B
RESTAURANT
600
13
B
RESTAURANT
600
13
Group Definitio
Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
including storage of records and accounts.
•
Type ` Name field must be blank to addichange Contractor, Designer or Engineer Same As
Property Owner Contractor Designer 1 Engineer Mobile Phone ( )
Property Owner Name ZEIDAN PROPERTY Pager O ��
Business Owner
Tenant Company I State License Type —�1
Address 1301 17TH ST
City I State / Zip HUNTINGTON BEACH CA 92648 5126
Email
Phone (714) 746-0422 x , Fax ( ) -
Self Insured I Non -Employer?
3 Override Contractor
Expiration Dates?
Date Overridden
d 70
Overridden By