HomeMy WebLinkAbout1120 Pacific Coast Hwy - CofO (28)3
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HUNTINGTON BEACH
Business Addrf
Business Ownc
Business Namc
Business Type
CERTIFICATE OF OCCUPANCY 020 - U
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3" Floor - The Applicant Must Apply In -Person)
Date q jlij 1-7
Zip Code l ZG4Y
Telephone No. 41-1- S17- Tall
Bus. Phone Iiq- &04-- )b0d-)
Property Owner Information (required) Tenant/Emergency Contact (required)
Name FAdetn s6kA.�' Name 6y1
Address 112U Py-C fic Guest H-r(gW2� x Home Address 31-3 1$ I -
City �vr� Gj" State/Zip Ltd- 9U"S City 14Mbnr bj n ga,A State/Zip 6P oV4 8
Telephone No. 91H �- 6 '1 9g Telephone No. 40, " S� _7 A N7
THIS USE WOULD BE DESCRIBED AS:
11 Newly Constructed Building or Exi ting Building
IS THIS BUILDING FIRE SPRINKLERED? LN Yes ONO
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 t4o
■ Will operations produce dust/wood shavings or similar material? ❑Yes XNo
■ Will operations involve the repair or replacement of automobile parts? ❑Yes Cho If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes XNo
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes *0
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes D60
■ The following best describes my operation: AOffice 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 '(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 InitialDate:
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning: P : `lit
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: Date:
Conditions of Approval or Other Notes: *CQ... -to G% (-a
Grease Interceptor Verified Inspected By Initials: Date:
0 70iK - OCO z(S'
f"
South Coast
Air Quality Management ement District
21865 Copley Drive, Diamond Bar, CA 91765-4182
(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:
LLL
Property Address: I 110 po UA( [,,east Kb �, Sul 9
City: R&" Zip Code: qatqf
Contact Person: M"Mq Title: �iWa R
Type of Business: S?4VOO- Telephone: i i a- 6-7` C7 A41
Fax Number: e-mail address: Ma 60 5,bf4, C° n
Applicant (print name): O�C 4 �bW Signature: Date:
Will the facility have any of the following equipment? Yes ❑ No 5(
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 I 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[:] NoK
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 ~�
2000 Main Street `I
Huntington Beach, CA 926-18
Phone: (714) 536-5241 Fax: (71.4) 374-•1647 ` n'I Occupancy Application
1120 Pacific Coast Hwy IPCXI WEBSTER NANCYA
1120 APN 024-038-06
Certificate of Occupancy Application
ADDlication
Num Street Unit Bld
Job Address 1120 1 Pacific Coast Hwy B APN 024-038-06 RD 4013
Zoning DTSP DIST #2 Lot 10 Tract 352 Block 111
File Number Cofo?
01992-006346
01995-006347
01992-006348
01995-006349
02007-001073
02007-001077
Entered By
Default Inspector
Permit Type (Certificate of Occupancy
Origin
Date Entered 10/15/1992
Status Issued
Issue Permit? Date 10/16/1992
Issued By
Building Use - City Planner Fauland, Herb
Building Use - County New Building? Plan Checker Dick, Lloyd
Description
Internal Notes
CofO Number C01992-006348 Choose Print All CofO Type Fees and Payments
_......_.......... Sheets to Issue -
Issued By Single CIO Cofo Status Issued Inspections
F
Datelssued 10/16/1992 Temp. CofO Issued Date Printed
elease Date Temp. COFO Expiration '
License Number
Business Name U.S. FINE ARTS, LTD.
Business Type FINE ART PUBLISHING
Business Phone (714) 536-7767
Proposed Use
Former Use
Conditions
Click the << button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A257946 EL DABE LAW FIRM
A040466 LAWRENCE D SCHLEY CONTRACI
A119332 DAVID LAWRENCE CO THE
A066050 CALIFORNIA CONTINENTAL
Approved Occupied Area (Sq Ft) 300.00
# of Storied" I
Change of Owner? Elec. Available? D Drinking ! Dining > 50 Occupants?
Change of Use? Want Electricity On? D Welding ! Open Flame?
Change of Occupant? Sprinklered? D Automobile Repairs?
U Additional Occupant? Dust / Wood? Auto Parts Desc.
• �. • • •.d
Group Description Area Construction Type Occupancy Load
B-2 I I 1 11
B-2 I 1 1 13
Group Definitio