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Home My WebLink About1102 Pacific Coast Hwy - CofO (2)5 • HUNTINGTON BEACF /' Business Addrl CERTIFICATE OF OCCUPANCY 0201�6- CITY OF HUNTINGTON BEACH — DEPT. OF COMMUNITY DEVELOPMENT APPLICATION Business Owners Name Business Name S 4 v\ v-, 5&CAV n c- 91I to Business Type 6A oh e_2 . (3'd Floor — The Applicant Must Apply In -Person) Date (Iq 1 b Zip Code Telephone No. Bus. Phone Property Owner Information (required) Tenant/Emergency Contact (required) Name s (T1= rs D 12A P . `3AA-Rt)T Name 1\4 %h« y.- � T, +tyN ky-g 13 0,YL) -!- Address� 1 d2. PA-C i E ttc C6HT -KWY Home Address ().-2 !�-� �►, �,-► e l- \ City ,44 u J 1 . B C N , State/Zip City A - i�) State/Zip r� • grLC� �} Telephone No. 7 Telephone No. '11 q - 5-3 6 - 9 % % 3 csal - THIS USE WOULD BE DESCRIBED AS: O Newly Constructed Building or Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ONO CHECK ALL THAT APPLY: ❑ Change of Business Owner ❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business a�to�-ems ■ Are you requesting that the electricity be turned on? []Yes K No ■ Will operations produce dust/wood shavings or similar material? ❑ Yes E[No ■ Will operations involve the repair or replacement of automobile parts? ❑Yes Oo If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes KNo ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes PNo ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? El Yes AjNo ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/Dental ❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food POther-H-birl /lkuL-Ck ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes gNo 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 P�No For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning InitialsO WDatel- 2A - L(P Conditions of Approval or Other Notes: Area: Occ Load: Area: Occ Load: Area: Occ Load: No. of Stories: TIF Review: Y/ N Entitlement#: Zoning: .5P5 - LZ: Building Reviewed By Initials: Date: Zl'� (C.DY(eC,�,VVA G�cSr es"'I Grease Interceptor Verified Inspected By Initials: Date: South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765 4182 p Y (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: Property Address: City: Contact Person: Title: Type of Business: Telephone: Zip Code: Fax Number: e-mail address: Applicant (print name): Signature: Will the facility have any of the following equipment? Yes ❑ No ❑ Charbroiler Date: 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- Department of Planning & Building .1 2000 Main Street i Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY JITENDRA P. BAROT Cert Number CO2016-001480 SUN N SANDS INN Date Printed 02/29/2016 1102 PACIFIC COAST HWY Huntington Beach CA 92648 Address: 1102 Pacific Coast Hwy Issue Date: 02/29/2016 Permit Number: 02016-001480 TCofO Issue Date: Business Name: TCofO Expiration: Business Type: Approved Sq Ft.: 0.00 Current Use: MOTEL # of Stories: 2 Occupant Groups: Description: Area: Occupant Load: R-1 HOTEL/MOTEL Conditions of Approval: USE OKAY (CORRECTION ON OWNER'S NAME AND PROPERTY ADDRESS) Contacts: Contact Type: Name: JITENDRA P. BAROT Phone: (714) 536-2543 Business Owner Address: 1102 PACIFIC COAST HWY Cell: ( ) City / State: Huntington Beach CA Fax: ( ) - Zip: 92648 Pager: Contact Type: Name: JITENDRA P. BAROT Phone: (714) 536-2543 Property Owner Address: 1102 PACIFIC COAST HWY Cell: ( ) City / State: HUNTINGTON BEACH CA Fax: ( ) Zip: 92648 Pager: ( ) - 0�1 � CEFl1`IFICATE OF'OCdUh1C1V�Y ONO CITY OFHUNTINGTON�SEA�H bEPApY1�ENr'01` dVECO�t SE �1CC IG S NAi. n�curvr rvi ,wAnActO+ec�u, 'NdrsLEGIBLE DisliCt 05c. 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