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Home My WebLink About17425 Beach Blvd - CofO (9)J� HUNTINGTON BEACH Business Add CERTIFICATE OF OCCUPANCY 020 �- CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor - The Applicant Must Apply In -Person) Business Owners Name / �O f/Ay TX&I Business Name cu/ '��5 Business Type f [,R F_�o�Ul, ren 1� FI'' % iL Date P?' Zip Code V_ � Telephone No. % 1!¢ 499'f_ Bus. Phone Property Owner Information (required) Tenant/Emergency Contact (required) Name 2(!2VC9Vhf ' TgAy - Name 7 i�4�to Address /'9!1 t'-&ZZA Home Address j?':D/ /lac City_}( State/Zip�2 ?a City State/Zip r",&— -6 Telephone No. :2 /4 �A- x ? R Telephone No. 7/,f 620 3-3,� THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or ITExisting Building IS THIS BUILDING FIRE SPRINKLERED? Yes ❑ No CHECK ALL THAT APPLY: ❑ Change of Business Owner Change of Occupant �g Change of Use ❑ Additional Occupant • Indicate former type of business Lc<- e"RF_'r" 60FF_� 7A4 • Are you requesting that the electricity be turned on? ❑Yes Cf No • Will operations produce dust/wood shavings or similar material? ❑ Yes E0o • Will operations involve the repair or replacement of automobile parts? ❑Yes �o If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes 21 No / • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ElL" Yes No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes p'No • 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? ❑ Yes o If you answered yes, please proceed to the next question. • Does your facility current y have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes No Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only QQ Occ Group: Ta Occ Group: Occ Group: Total Sq Ft Occupied: 12-00 Bldg. Permit # Planning Initial Date: Area: �i 7 bid Area: Area: No. of Stories: Entitlement #: Use Permitted: 0 N Conditions of Approval or Other Notes: I'" l .. l'Z C;�,'` Occ Load: 2Q5 Occ Load: Occ Load: TIF ReviewO N, 1 Parking Meets Cjodde�t((ffor�use):& N Building Reviewed By Initials�� '7Da 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: LZ��' 61 'Z�-FC :J Property Address: I Z42 X F-fiCA 81112 City: 'dam Zip Code: 92— C4 Contact Person: r-1-IN0644V ZRAV Title: Type of Business: J— cE (eLam C-OFF-- 4EA Telephone: Fax Number: E-mail Address: .. �- Applicant (print name): Signature: �. Date: 1. Will the facility release air pollutants, including but q,ot limited to, dust fumes, gas, , ist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes UrNo 2. Will the facility resu of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes ERNO 3. Will the facility result of hazardous materials,' including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes 0%0 4. Will the facility have use of above or underground storage tank? ❑Yes [3lo , 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 [4lo (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 utraceutical ❑Plasma/Laser Cutter ❑ Printing/Coating/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 ❑Spray Booth ❑Electrostatic Precipitator ❑Storage of Acids/Solvents/Organics Liquids/Fuels ❑Fermentation ❑Storage Silos (sugar, flour, etc.) ❑Gasoline Storage & Dispensing Equipment 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). of sb - 31+`t9 Department of Planning & Building _ 2000 Main Street Huntington Beach, CA 92648 711 Phone: (714) 536-5241. Fax: (714) 374-1647 -' Occupancy Application 17401 1 Beach Blvd VISTA BEACH/SLATER CENTRE 17441 APN 165 234-18 Application Binder Num Street Unit Bldg Job Address 17425 Beach Blvd APN 165-234-18 RD 3315 Zoning CG Lot = Tract Block — File Number CofO? C2013-007863 No 62014-001107 No P2014-005768 No 62015-004348 Yes E2015-004352 No P2015-004354 No C2015-007886 No E2016-000791 No 02016-001048 No 02016-001049 Yes 02016-002763 Yes 02017-000386 Yes Entered By Bolls, Derek Default Inspector Stewart, Vic Permit Type Certificate of Occupancy Origin Counter Building Use - City I Building Use - County New Building? Description 1--LUXURY FLOORING & REv Internal Notes Date Entered 01/19/2017 Status [Issued Issue Permit? �— 1 Date 01/19/2017 Issued By CPermitl Planner Cortez, Joanna Plan Checker Lee, Eddie ING— Certificate of Occupancy CofO Number CO2017-000386 Choose Print All CofO Type Permanent Fees and Payments _,,,,•,_•_• Sheets to Issue Inspections Issued By Permitl Single CIO CofO Status Issued CofO Date Issued 01/19/2017 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration 01/19/2017 License Number Business Name Business Type Business Phone ( ) Proposed Use RETAIL Former Use RETAIL Conditions Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name Al55056 LOCKS & SAFES A158308 COLORADO SKI COMPANY A173998 NOBLE HOUSE FURNISHINGS INC A189726 VISTA CHIROPRACTIC Approved Occupied Area (Sq Ft) 2,400.00 # of Stories] 1 �� Change of Owner? {n—� Elec. Available?❑� Drinking /Dining > 50 Occupants? 1 I Change of Use? i I Want Electricity On? i t Welding / Open Flame? Change of Occupant? F 1 Sprinklered? 01 AWomohile Repairs? i Additional Occupant? 0 Dust /Wood? Auto Parts Desc. i Group Description Area Construction Type Occupancy Load Group Definitio Mercantile Use - Building or structure, or a portion thereof, used for the display and sale )f merchandise, and involves __ stnrks of nnnds_ wares or merchandise incidental to such Durooses and accessible to r r ubr