HomeMy WebLinkAbout20422 Beach Blvd - CofO (137)�gv too . J
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HUNTINGTON BEACH
Business
Business
Business
Business
CERTIFICATE OF OCCUPANCY 020 19 -
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor — The Applicant Must Apply In -Person)
Date ?r0 AMA '/)�1M
Zip Code
1: Telephone No.
Bus. Phone
Property Owner Information (required) Tenant/Emerciency Contact (required)
Name �1 Name L\ \3 ImM&—iLl
Address Home Address 110
City �A?? State/Zip vv� 01 NP1,9 City'��� V1 State/Zip (iW �l0 0 �
Telephone No. —{ `1��i 'Gl� l7 Telephone No. 221*�?! U I �0
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner ;range of Occupant ❑ Change of Use Additional Occupant
• Indicate former type of business
• Are you requesting that the electricity be turned on? ❑Yes cEINQ_
• Will operations produce dust/wood shavings or similar material? ❑ Yes c�o
• Will operations involve the repair or replacement of automobile parts? ❑Yeso If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes lf`—No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yesgg ,No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? blYes ❑ No
• The following best describes my operation: ❑ Office Only ❑ Retail Sales Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food Other
IP9,X: A A f
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes CkNo
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 AN:—o
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:'�`� _
Bldg. Permit #
Planning Initials: Date:l
Conditions of Approval or Other Notes: O-Oz
%Ct,Ni "Iw '!�Z 99rox 100 -S']F— .
Area:
Area:
Area:
No. of Stories:{,
Entitlement #:
Use Permitted: Y / N
Occ Load:
Occ Load.
Occ Load:
TIF Review: Y/ N
Zoning: Sty N q
Parking Meets Code (for use): Y / N
a]
Building Reviewed By Initials: Date: i �% �� /i I
C)1°t- Lj �
South Coast
Air Quality Management District
x 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: 5 J V�,f >� Sywrx M��7 �� 1� s. , V-
Property Address:
City: L! Zip Code: (n4 J
Contact Person:/1 Title:
Type of Business:_ Telephone:)
Fax Number: E-mail Address: ,v, CAW
Applicant (print name): C1i Signature: Date: 0AA
1. Will the facility release air pollutants, including but of limited to, dust fumes, gas, mist, odors, - ke, vapor, or a
combination of these to the atmosphere? ❑Yeo
2. Will the facility res • It of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes No
3. Will the facility result of hazardous materials, 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 UNo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes
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) ❑Mixing/Blending of Liquids and/or Powders
❑Application of Paints/Adhesive/Resins ❑Molding /Extruding/Curing of Plastic
❑Baghouse/Dust Collector ❑Pharmaceutical/Nutraceutical
❑Bakery Oven (gas fired) ❑Plasma/Laser Cutter
❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Printing/Coating/Drying
❑Charbroiler/Smoker ❑ Production of Fumes/Dust/Smoke/Odors
❑Coffee Roaster/Afterbunner ❑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).
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536 5241 Fax: (7l4} 374-1647 �-•--�' Occupancy Application
20422 1 Beach Blvd 450 SEAVIEW PLZ MGMT INC
20422
APN �151-293-42'
of Occupancy Application
Application Binder
Num Street Unit Bldg
Job Address 20422 1 Beach Blvd 220 APN 151-293-42 RD 3916
Zoning SP14 Lot = Tract Block
File Number CofO?
02015-005345 Yes
E2015-006677 No
E2015-007000 No
02015-007937 Yes
02015-008394 Yes
E2015-008959 No
02015-009010 Yes
E2016-000296 No
02016-000442 Yes
B2016-000966 No
02016-002818 Yes
02016-002963 Yes
Entered By Daley, Jasmine Date Entered 04/21/2016
Default Inspector Andino, Richard Status Issued
Permit Type Certificate of Occupancy Issue Permit? Date 04/21/2016
Origin Counter ; Issued By
Building Use - City Planner Edwards, Ethan
Building Use - County u� New Building? Plan Checker Daley, Jasmine
Description JWELLNES§ CONSULTATION/THERAPY "'NATURAL WELLNESS &ALLERGY
RELIEF —
Internal Notes
of Occupancy
CofO Number ICO2016-0029631 Choose PrfntAll CofO Type Permanent Fees and Payments
Sheets to Issue
Issued By Single C/O CofO Status Issued Inspections
CofO Date Issued 04/21/2016 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration 04/21/2016
License Number
Business Name
Business Type
Business Phone
Proposed Use ICONSULTATION/THEf2APY
Former Use IT`HHER' ;MASSAGE
Conditions I —ADDITIONAL OCCUPANT
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A210968 ACU ENERGIZE
A155018 FEINER G A STAMPS
Al93974 DELFIN INTERNATIONAL LTD
A243614 SPRINT
Approved Occupied Area (Scl Ft) 839.00
# of Storiesl3
- TO USE APPROX. 100 SF ROOM IN (E) U
Change of Owner?
0 Elec. Available?
Drinking I Dining > 50 Occupants?
Change of Use?i
Want Electricity On?
Welding I Open Flame?
Change of Occupant?
�! Sprinklered?
Automobile Repairs?
0
Additional Occupant?
Qi Dust / Wood? Auto Parts Desc.
,PccufGroup/Load
Gmun Descri❑tion
Area
Construction Tvoe Occuoancv Load
B
OFFICE
839
9
B
OFFICE
839
9
Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
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