HomeMy WebLinkAbout16168 Beach Blvd - CofO (92)HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 1620A -
CITY OF HUNTINGTON BEACH —
DEPT. OF PLANNING & BUILDING APPLICATION
714/536-5241
Business License #
Business Address 4610 16461tk IITC Z67
Business Owne
Business Name
Business Type
(3d Floor — Must Apply In -Person)
Date 11 *NoJ?V_
,
Zip Code
Telephone7l�-SI.Z7
Bus. Phon 2 3 f
Property Owner Information (required) Tenant/Emergency Contact (required)
Name 0°/3,P.4G . . -Name 491W `4Q-fn14
Address && T /S►ow/G Home Address 2V5¢ 44LL161/ C/
City 14. 6 , State/Zip 7- 7 City ` State/Zip 94- 5"Z4.
Telephone No. 67 947-7iS3 / Telephone No: (771¢j�--79 3ZZ7
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or xisting Building
CHECK ALL THAT APPLY:, � ,
❑ Change of Property Owner Jel ange ,of.Occupant ❑ Change of Use ❑Additional Occupant
■ Indicate former type of business . L
■ Are you requesting that the electricity be turned on? Yes 0 No
■ Is the building sprinklered? Yes ❑ No N /
■ Will operations produce dust/wood shavings or similar material? Yes❑ No*
■ Will operations involve the repair or replacement of automobile parts Yes 0 Nok"'� If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes ❑ N
■ Will the busipe<s be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ONv . /
■ Will there be storage racks, gondolas, or shelvi .ceding 5feet 9 inches in height? Yes ONO L�
■ The following best describes my operatio • ce n ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ❑ Restaurant ake Out Food
(describe process and end product)
Other (describe)
For Official Use Onl
Occ Group: Area: '2• Occ Load: G
Occ Group: Area: Occ Load:
Occ Group: Area: Occ Load:
Total Sq Ft Occupied: No. of Stories: TIF ` T Revie�i Y/ N��
Bldg. Pennit # �,� �'� Entitlement #: Zoning: �.5j�p t- �5 0
Pinr Initials: Date: Plan Chkr Initials: Date: Insp Initials: -.____Hate:
Conditions of Ap roval or Other Notes: _
t'l
G
Inspection Date:
a
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
' (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: /n,#X)l L AWA I-M F %
Property Address:161107 AFdW 1J�L✓,0 �T£ �G '7
City: Nj4i/ 7A&TVV 66A41� -Zip Code: qI Zoo �. .
Contact Person:
Type of Business:
• 'Title:,�2_
Telephone: (i�7s/ N51-�63�0
Fax Number: e ail address:
Applicant (print name) *O%�✓ gnature:
Date: ( /
• Will the facility have any of the following equipment? Yes ❑ No 02/
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❑ None"*,
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
1f 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).
. �' t 1. `; ` ' ; � ;� `,, ' � a i' � � ; ;`','. ��; . ; • ,r,,}t -., - ��,:-� z' . '-�
R -IRS
Department of Planning & Building'
2000 Main Street i
Huntington Beach, CA 92648
Phone: (714) 536 5241 Fax: (714) 374-1647
Occupancy Application
_.._....._....._......._..._.................
16052 1 Beeachach Blvd 16i) HUNTINGTON EXECUTIVE PARK
16052 07-781-07
Certificate of Occupancy Application
Application Binder
Num Street Unit Bid _
Job Address 16168 Beach Blvd 167 71 APN 107-781-07 RD
Zoning SP14 Lot 64 Tract P0061 Block
File Number CofO?
02018-003564 Yes !
02018-004055 Yes
F2018-004217 No
02018-004234 Yes
02018-004632 Yes
02018-005590 Yes
02018-005690 Yes
02018-005980 Yes
02018-006049 Yes
02018-006050 Yes
62018-006721 Yes
B2018-007193 Yes
NOTE: Permit Type'COMBO' not available for Commercial projects.
Entered By Flores-Hemandez, Armalen Date Entered 10/26/2018�
Default Inspector Martin, Brian Status Pending
Permit Type Building Issue Permit? 11 Date
Origin Issued By'l
Building Use - City C MISC _ Commercial Misc Planner
Building Use - County 34.1 New Building? Plan Checker--u
Description INT. TI, DEMO (E) FULL HEIGHT PARTITON WALLS TO EXPAND OFFICES,
RELOCATE 2 (E) INTERIOR DOORS —MARY LAMA LMFT- - (COFO IN FILE
Internal Notes
Certificate of Occupancy
CofO Number CO2018-007193 Choose Print All CofO Type Permanent Fees and Payments
Sheets to Issue
Issued By �� Single C/O
Inspections
CofO Status Pending
CofO Date Issued
Temp. CofO Issued Date Printed
Utility Release Date
Temp. COFO Expiration
-••-••—•-
License Number
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Name
Business Licenses Business Name
Business Type
A229686
PARTY PLANNING SVC & RENTAL
A012940
SYLVAN LEARNING CENTER
Business Phone ( )
A141102
AD D NEURO PSYCHOLOGICAL
A251002
SYLVAN LEARNING CENTER - HUN
Proposed Use ,CONSULING OFFICE
Former Use I DENTAL OFFICE
Conditions
Change of Owner?
DChange of Use?
DChange of Occupant?
DAdditional Occupant?
Approved Occupied Area (Sci Ft) 1512.00
03 Elec. Available?
Want Electricity On?
ttt�❑��� Sprinklered?
nDust / Wood? Auto Parts Desc.
• p.ncy Group/Load
GroUD Description Area Construction Type Occupancy Load
# of Stories11
Drinking / Dining > 50 Occupants?
EWelding / Open Flame?
Automobile Repairs?
B
OFFICE
512
5
B
OFFICE
512
5
Business Use - Building or structure, or a ortion thereof, used for office, professional or transactions,
Group Definitiol 9 __ J _ P p service -type