HomeMy WebLinkAbout14928 Springdale St - CofO (6)r
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020L - S
CITY OF HUNTINGTON BEACH —
DEPT. OF PLANNING & BUILDING APPLICATION
714/536-5241
Business License # A oP C—& Yif 7
Business Addr(
Business Owne
Business Name
Business Type
Property Owner Information ( equired) _
Nameeag2ig,p FA-M&6/h2-si /Y►s �nie l�pne
Address IQ6 &2 �� 1^ fir Home
City � Q, -4 State/Zip r.1, 3O Z�City1
Telephone No. ';r 1160 — 19 IS Telephone No.
(3`d Floor — Must Apply In -Person)
Date
Zip Code
Telephone No —9;40
Bus. Phone C
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or XExisting Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner Change of Occupant ❑Change of Use ❑Additional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? Yes No Y
■ Is the building sprinklered? Yes❑ Nop&
■ Will operations produce dust/wood shavings or similar material? Yes❑ Nof�l
■ Will operations involve the repair or replacement of automobile parts Yes O No $— If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? YesO No)Q
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes'"o ❑
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes ONO f�
■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution )Restaurant/Take Out Food
(describe process and end product)
Other (describe)
For Official Use Only
Occ Group: 4S
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Area: 7i9V3_0
Area:
Area:
Occ Load:
Occ Load:
Occ Load:
153
No. of Stories: TIF Review: Y/ N
Entitlement #: Zoning: / C
Plnr Initials: Date: Plan Chkr Initials. (, Date: 'S 0 kNnsp Initials/�. Date: 2. 1
Conditions of Approval or Other Notes:
rj
South Coast
Air Quality Management 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: -rjAa, La6-a GAdAhA 4>7ApjR —7 �Pv� NS
Property Address: l gcF9 Z S70--i/nQ0-PAI-1- 9T
City: �yn/T�► CPC Zip Code: al Z6' yt
Contact Person: Zj A L-") Title:4±7
Type of Business: c;;;m Telephone: �,--apa — 6zp�z)'
Fax Number: g(-�gza21 a -mail addre 11 ;e—Sl&?G/66A 9AO�
ck.
Applicant (print name):Oo N-Ll ignaturii
Date:
• Will the facility have any of the following equipment? Yes Eg No ❑
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 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[:] Nof
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
Huntington Beach, CA 92648 v
Phone: (714) 536-5241 Fax- (714) 374-1647
CERTIFICATE OF OCCUPANCY
LA BRIQUE INC TOM PACHOLIK Cert. Number CO2007-003585
LA BRIQUE Date Printed 08/30/2013
14892 SPRINGDALE
HUNTINGTON BEACH CA 92647
Address:
14892 Springdale St
Issue Date: 07/03/2008
Permit Number:
02007-003585
TCofO Issue Date:
Business Name:
LA BRIQUE
TCofO Expiration:
Business Type:
Retail
Approved Sq Ft.: 2,950.00
Current Use:
RESTAURANT
# of Stories: 1
Occupant Groups: Description: Area: — Occupant Load:
A-3 RESTAURANT 2957 0 3 ! 153
Conditions of Approval:
Contacts:
Contact Type: Name:
LA BRIQUE INC TOM PACHOLIK
Phone:
(714) 897-0055
Business Owner Address:
14892 SPRINGDALE
Cell:
( ) -
City / State:
HUNTINGTON BEACH CA
Fax:
( ) -
Zip:
92647
Pager:
Contact Type: Name:
INTERPACIFIC ASSET MANAGEMENT
Phone:
(714) 891-8804
Property Owner Address:
5505 GARDEN GROVE BLVD #150
Cell:
( ) -
City / State:
WESTMINSTER CA
Fax:
( ) -
Zip:
92683
Pager:
( ) -