HomeMy WebLinkAbout1118 Pacific Coast Hwy - CofO•
HUNTINGTON BEACH
Business Address 1
CERTIFICATE OF OCCUPANCY O20 _ S-17 O
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Owners Name
Business Name
Business Type
(3rd Floor — The Applicant Must Apply In -Person)
Ob.-
ip Code
nBus. Phone�4V
l�
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or $�Existing Building
IS THIS BUILDING FIRE SPRINKLERED? Ayes ❑ 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? ❑Yeslo
• Will operations produce dust/wood shavings or similar material? ❑ Yes No
• Will operations involve the repair or replacement of automobile parts? ❑Yes )<No If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes ANo
• 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 o
• 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 be cooked or fried onsite? ❑ YesNo
If you answered yes, please proceed to the next question.
• Does your facility curren y have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes KNo
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials: Date:
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Conditions of Approval or Other Notes: L,,
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning: � - C
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: Date:
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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:?p (,
Property Address:
b
City: _ Zip Code:
Contact Person: Title: 6 V
Type of Business: ` a phone:Fax Number: E-mail Address: Yb
Applicant (print name): 11 I% Signature: Date+29:jj*
1. Will the facility release air pollutants, including b t of limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? []Yes P"O
2. Will the facility rpsult of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes Po
3. Will the facility result of hazardous materi s, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes No
4. Will the facility have use of above or underground storage tank? []Yes *0
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes�No
6. Will the facility result in the use of the equipment listed below? []Yes )(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)
[]Application of Paints/Adhesive/Resins
❑Baghouse/Dust Collector
❑Bakery Oven (gas fired)
❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr)
❑Charbroiler/Smoker
❑Coffee Roaster/Afterbunner
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extruding/Curing of Plastic
❑Pharmaceutical/N utrace utical
❑Plasma/Laser Cutter
❑Printing/Coati ng/Drying
❑ Production of Fumes/Dust/Smoke/Odors
[]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).
0let-. - S I2 OD
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Department of planning & Building
2000 Main Street t
i-iuntington Beach, CA 92648 t
phone: (714) 536-5241. Fax: (714) 374-1647 - Occupancy Application
1118 1 Pacific Coast Hwy 103 AW REWS DOROTHY M TR#1
9118 APN 024-038-07
Application Binder
Num Street Unit Bld _
Job Address 1118 Pacific Coast Hwy 1104 APN 024-038-07 RD 4013
7
Zoning SP5-CZ Lot L I Tract 352 Block :111
File Number COO?
Entered By I Flores-Hemandez, Armalen I Date Entered I05/30/2017 I .
Default Inspector , Richard Status Pending Andinou�
Permit Type Certificate of Occupancy Issue Permit? ❑-Date.,
Origin Counter Issued By -�
Building. Use - City Planner
Building Use - County ❑ New Building? Plan Checker
Description "POVIENG CORPORATION*"'
,Internal Notes
o ,
CofO Number CO2017-003456 Choose Print All CofO Type Permanent Fees and Payments
Sheets to Issue
'Issued By-, Single CYO CofO Status Pending Inspections ;
CofO Date Issued Temp. CofO issued Date Printed
Utility Release Date Temp. COFO Expiration
Click the « button to copy the Business License
license Number information into the Certificate of Occupancy.
Business Name Business Ucenses Business Name
x
Business Type A181400• HIRSCH ENTERPRISES
A000566 GUERIN & GUERIN.LLP
Business'Phone ( ) - A178688 • SOL MATES (CLOTHES)
A179040 PAINTBALL WIZARDS
Proposed Use OFFICE Approved Occupied Area (Sq Ft) 0.00
Former Use OFFICE # of Stories
Conditions OFFICE TO OFFICE
a Change of Owner? n Elec. Available? Drinking /•Dining'> 50 Occupants?
w
Change of Use? Want Electricity On? Welling I Open Flame?
Change of Occupant? Sprinklered? Automobile Repairs?
F1' Additional Occupant? Dust / Wood? Auto Parts Desc.
',C-roun Desnrintinn - ArPa._ F Cnnstruction Tvoe Oncuoancv Load - -.
3roup Definitio