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HomeMy WebLinkAbout126 Main St - CofO (25)He E3 HUNTINGTON BEACH Business Address CERTIFICATE OF OCCUPANCY 020 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION Business Owners Name D,4gl J Business Name VE 22E7 }' C6=L- Business Type "he Applicant Must Apply In -Person) Date �O Zip Code Telephone Nor-6-4 6 f% k-11d 0 Bus. Phone �3rlr Information (required) mergency Contact (required) Name k22 Name Z e [a.e �& ? Address6AeO'ylG� S77 Home Address L,;� G a4a f-1, A/ City 1e&4Cff State/Zip�'/�/�� City MAiC;e g Aid State/Zip Telephone No. d 2 6 06 Telephone No. THIS USE WOULD BE DESCRIBED AS: ,_,,,// El Newly Constructed Building or [d Existing Building IS THIS BUILDING FIRE SPRINKLERED? Yes ❑ No CHECK ALL THAT APPLY: 0 Change of Business Owner , nChan e of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business GCS E,9" • Are you requesting that the electricity be turned on? KYes ❑ No • Will operations produce dust/wood shavings or similar material? ❑ Yes T No • Will operations involve the repair or replacement of automobile parts? ❑Yes kNo 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 N No • Will there be storage racks, gondolas, or shelving exceeding 5 feet inches in height? 'yes ❑ No • The following best describes my operation: ❑Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse/Manufacturing/Distribution F.iestaurant/Take-Out Food ❑ Other • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes 2�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 06 Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: -TP Date: L o � l � d Area: bCJ Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: Occ Load: Occ Load: TIF Review: Y/ Zoning: Parking Meets Code (for use): Y / N (3 Building Reviewed By Initials: --P6 Date: Conditions of Approval or Other Notes: I"wlr 12- Lca7 South Coast : iQ Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 _ Phone Number (909) 396-3529 http://www.agmd.gov Ia o 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: Property Address: fdb �'S`i�L�E�; /� City: �(%/%%2��1/ irrCr—. Zip Code: IaG le Contact Person: Title: r7t t//Vc Type of Business: / ��Clj'�% Telephone: 462i Gas Fax Number: - E-mail Address: Applicant (print name): ,,?DXXIIt/ ��N/ Signature: Date: [b/� 1. Will the facility release air pollutants, including but of limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes No 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes JZNo 3. Will the facility result of hazardous material6, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes Mo 4. Will the facility have use of above or underground storage tank? ❑Yes VNo 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes VNo 6. Will the facility result in the use of the equipment listed below? ❑Yeslo (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) ❑Application of Paints/Adhesive/Resins ❑Baghouse/Dust Collector ❑Bakery Oven (gas fired) ❑Boiler/ Vater Heater (max. heat input = or > 1 million BTU/hr) ❑Charbroiler/Smoker ❑Mixing/Blending of Liquids and/or Powders ❑Molding /Extruding/Curing of Plastic ❑ Pharmaceutical/Nutraceutical ❑Plasma/Laser Cutter ❑ Printing/Coati ng/Drying ❑ Production of Fumes/Dust/Smoke/Odors ❑Coffee Roaster/Afterbunner ❑Refrigeration Systems (containing > 50 Ibs of refrigeration ❑Deep 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). 113 Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 ' Phone: (714) 536-5241 Fax:(7141374-1647 " Main 024-154-01 t104 ZEIDANADELM 126 Num Street Unit Bid 126 1 Main St 1104 Zoning File Number CofO? 15-004016 15-004247 17-000533 17-006518 17-008121 18-000486 18-000942 18-001570 18-001900 18-002167 Occupancy Application Application Binder APN 024-154-01 RD 4014 Lot 26 Tract 352 Block 103 Entered By IFlores-Hemandez, Armalen Default Inspector Andino, Richard Permit Type Certificate of Occupancy Origin Counter J Building Use - City Building Use - County I New Building? Description — THE ROLL '--- Internal Notes Date Entered 105/11/2018 Status Issued Issue Permit? Data 05/11/2018 Issued By Permit4 Planner Bourgeois, Nicolle Plan Checker Lee, Eddie CofO Number CO2018-003053 Choose Print All CofO Type Permanent Fees and Payments Sheets to Issue Issued By Permit4 Single C/O CofO Status Issued Inspections CofO Date Issued 05/11/2018 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration 05/11/2018 Click the « button to copy the Business License License Number information into the Certificate of Occupancy. Business Name Business Licenses Business Name Business Type A209912 HUNTINGTON SURF AND SPORT A189086 SURF CITY CANDY Business Phone ( ) - A205164 MAIN STREET OPTICAL & BOUTIOI A210810 PSYCHIC BOUTIQUE Proposed Use ICE CREAM SHOP Approved Occupied Area (Sci Ft) 600.00_ Former Use # of Stories!` I1 DONUT SHOP Conditions MAX 12 SEATS Change of Owner? Change of Use? I®I Change of Occupant? 0 Additional Occupant? Group Description Area Elec. Available? Drinking / Dining > 50 Occupants? Want Electricity On? Welding / Open Flame? H, Sprinklered? Automobile Repairs? IL Dust / Wood? Auto Parts Desc. Construction Type Occupancy Load B RESTAURANT 1600 1 1113 B RESTAURANT 600 13 Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,