HomeMy WebLinkAbout18531 Main St - CofO (60)4t <7o & a
J�
HUNTINGTON BEACH
Business Add
Business Owner
Business Name
CERTIFICATE OF OCCUPANCY 020-
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor - The Applicant Must Apply In -Person)
Date 11101 q -
Zip Code -1'YAP !I X
Telephone No. 0I`t )DO y'77
Business Type �. 94, A- C6110i Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name Iff1,0Ai i X a'L(.�''�,t/J Name ;:�/VPY, M,
Address
�,/� ��� ( M i�i� ,S1 Home Address
City f ►'� State/Zip " City State/Zip (,SA- q *q I
Telephone No. �� ly �'0 r 0-�-X Telephone No. (41 -
THIS USE WOULD BE DESCRIBED AS: �,�
❑ Newly Constructed Building or LSd'Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner . ,'Zfiange of Occupant ❑ Change of Use Additional Occupant
• Indicate former type of business
• Are you requesting that the electricity be turned on? ❑Yes o
• Will operations produce dust/wood shavings or similar material? ❑ Yes �o
• Will operations involve the repair or replacement of automobile parts? ❑Yes 010 If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes 6PNo
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes "0
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes QNo
• The following best describes my operation: ❑ Office Only C44fetail Sales ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other <IUK f ,dA [.� -
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? [:]Yes [y<O
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 EKO
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: U S7: 9""
Bldg. Permit #
Planning InitialsDate:/ - /(5- 0
Area: C.O 2 2 Occ Load:
Area: Occ Load:
Area: Occ Load:
No. of Stories: TIF Review: Y/ N
Entitlement #: Zoning:
Use Permitte Y N Parking Meets Code (for us : Y) N
Building Reviewed By Initials: te: i� J`►
Conditions of Approval or Other Notes: fAC�
oil -v3-10
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: j r !,N- K4
Property Address: t �!ai:l t I
City: Zip Code:
Contact Person: %_11wrt _m . 7a` __ Title:
Type of Business us Ifs y, e,&ALe Telephone: (. _1 1 LFI- Ln (V _ 6 r ,
Fax Number: E-mail Address: 10 k tG ll. 1 taAA
Applicant (print name): C 7 S 'etM� Signature: Date:
1. Will the facility release air pollutants, including but n .t limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes [INo
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes Uo
3. Will the facility result of hazardous maten ,including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes YNo
4. Will the facility have use of above or underground storage tank? ❑Yes C No
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes EKo
6. Will the facility result in the use of the equipment listed below? ❑Yes to
(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
❑ Pharm aceutical/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
❑Fermentation
❑Gasoline Storage & Dispensing Equipment
[]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).
Dl�-a3�.o
Department of Planning & Building
2000 Main Street I
Huntington Beach, CA 92.648
Phone: (71.4) 536-5241 Fax: (71.4) 374-1647 - Occupancy Application
118537 1
Main APN t159-091-04 SHER RONALD
18567
67
Application Binder
Num Street Unit Bid
Job Addressl 18531 Main St IAPN 159-091-04 RD 3615
Zoning SP14 Lot Tract 7� Block D�
File Number CofO?
M2015-003723 No
E2015-003724 No
B2015-004143 No
E2015-004451 No
C2015-005488 No
C2015-006136 No
F2015-006465 No
B2015-006763 Yes
M2015-006766 No
E2015-006767 No
P2015-006768 No
B2015-006984 Yes
NOTE: Permit Type'COMBO' not available for Commercial projects.
Entered By Kong, Sokar —I Date Entered 09/25/2015
Default Inspector Moreno, David �; Status Finaled
Permit Type Building Issue Permit? Date 11/12/2015
Origin Counter Issued By Permitl
Building Use - City C_MISC Commercial Misc Planner I
Building Use - County 34.1 New Building? Plan Checker
Description ITENANT IMPROVEMENT TO (E) 6,227 SF LEASE SPACE FOR "PHENIX SALON
SUITE" ""COFO IN FILE —
Internal Notes SENT TO SCANNING TN 3/31/16"'
11/13/15 DB - COFO APP LEFT ON CHADS DESK.
CofO Number CO2015-006984 I Choose Print All CofO Type Permanent Fees and Payments
Sheets to Issue - - -
Issued By Permitl Single C/O CofO Status Issued Inspections
FCofO Date Issued 03/04/2016 Temp. CofO Issued — � Date Printed
tility Release Date Temp. COFO Expiration _ 03/04/2016�--
License Number
Business Name
Business Type
Business Phone
Proposed Use 1HAIR SALON SUITES
Former Use
Conditions +USE OK
Click the << button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
Al11488 SALON CANVASS JORIKE CAFE IN
Al13484 PIER 1 IMPORTS #1634
A003738 EDWARDS HUNTINGTON CINEMA
A189504 OLD NAVY #5170
Approved Occupied Area (Scl Ft) 16,227.00
# of Stories r1
Change of Owner?
Elec. Available?
FIEDrinking I Dining > 50 Occupants?
Change of Use?
Want Electricity On?
Welding t Open Flame?
Change of Occupant?
Sprinklered?
ai Automobile Repairs?
Additional Occupant?
Dust / Wood? Auto Parts Desc.
Occupancy
...
Group Description
Area
Construction Type Occupancy Load
B
SALON
6,227
63
B
SALON
6,227
63
Group Definitio
Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
inrlurlinn ctnrnna of rarnrrtc and arnm ink.