HomeMy WebLinkAbout18531 Main St - CofO (64)Imms
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 - �-i-
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Address 1 A5 -A MA1 N t r 14'$ to W U040
Business Owners Name AA,/F_(z-5
Business Name i H Pa- }} R i K 61 U Y
Business Type R A I (z '58(.c>-ST-VD(O
(3rd Floor - The Applicant Must Apply In -Person)
Date 1 f t?/ 101
Zip Code 11Z-&42)
Telephone No.B2j
Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name C A rLF V S09—Gt _ Name /'t jL- lAq CO✓ 6
Address t 9631 MN1 of ST Home Address 'ZO(a 57- G405 jfPyw 1L L.N
CityhNT1NCjr0vf '15" State/Zip eA lj%(0418 City 4yt rlN fslUiJ 5(,0 State/Zip Cft gIj'('PU(('0
Telephone No. 3!j�7 -37%-7 IS(Jp Telephone No.
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or [existing Building
IS THIS BUILDING FIRE SPRINKLERED?es ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner ,-Change of Occupant ❑ Change of Use Ad itional Occupant
• Indicate former type of business
• Are you requesting that the electricity be turned on? ❑Yes Rlo
• Will operations produce dust/wood shavings or similar material? [--]Yes &'No
• Will operations involve the repair or replacement of automobile parts? ❑Yes ,KNo If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ YesNo
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes ;'No
• The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food 'K Other }oMS. 54V o N
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes N No
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 fRI-No
Grease Interceptor Verified
For Official Use On/y
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: a
Bldg. Permit # Planning Initi s:4-0�
Date: C
Inspected By Initial
Area:
Area:
Area:
No. of Stories: 1
Entitlement #:
Use Permitted: / N
Date:
Occ Load: 10 3
Occ Load:
Occ Load:
TIF Review: Y/ 't
Zoning: "�
Parking Meets Code (for use): N
Building Reviewed By Initials: Date:
Conditions of Approval or Other Notes: FVIA'
a nnI It t7b lite, OR !4)
O
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
d .. 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:T13fty}(} i'� 1(L C1 u y
Property Address: P53-1 Mp i r4 5
City: 1W 6JT146TV N( '1-3L* Zip Code: Ct 2-(,9!1 10
Contact Person: 'BV--& VT 6W Ee-5 Title: Q W N G
Type of Business: WNk?_ —,jt1t-�,4b Telephone: `fi t Cv I
Fax Number: E-mail Address: T /fi V HOTMgI t--•Gp
Applicant (print name): 696 Signature: ' Date: 1-7 1 w
1. Will the facility release air pollutants, including but n t limited to, dust fumes, gas, mist, o ors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes *0
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes 2�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 KNo
4. Will the facility have use of above or underground storage tank? ❑Yes'ZNo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes 2lo
6. Will the facility result in the use of the equipment listed below? ❑Yes Vo
(Select all that apply)
❑Abrasive Blasting Cabinet/Room
❑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
❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
❑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
❑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).
a
C)
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647
Occupancy Application
185$7 Main St SHER RONALD
18567 APN 159-091-04
Certificate of Occupancy A• • •
Application Binder
Num Street Unit Bld
Job Address 18531 Main St APN 159-091-04 RD 13615
Zoning ISP14 Lot I Tract Block
File Number CofO?
02018-007500 'I Yes
02018-008152 Yes
02018-008158 ;Yes
02018-008159 Yes
02018-008245 Yes
02016'008329 {Yes
02018-,008388 Yes
02019-,000037 'i Yes
02019-000067 ;Yes
X2019-000068 No
X2019-000161 INo
02019-000178 'Yes
Entered By Flores -Hernandez Armalen�
Default Inspector Stewa�of
'ermit Type Certificcupancy
Origin Counter
Building Use - City
Building Use -County1�![jNewBuilcling?
Description ISALON —IMPRESSIONS LAS
.Internal Notes
Date Entered 01/09/2019
Status Issued
Issue Permit? Date 01/09/2019
Issued By
Planner Beckman, Hayden
Plan Checker De Castro, Ryan
LOUNGE"'
Certificate of Occupancy
CofO Number CO2019-000178 Choose Print All CofO Type Permanent Fees and Payments
Sheets to Issue Inspections
Issued By Single CIO CofO Status Issued
CofO Date Issued 61/09/2019 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration 01 /09/2019
License Number
Click the « button to copy the Business License
information into the Certificate of Occupancy.
'Business`Name� . •
Business Licenses Business Name
Al11488
SALON CANVASS JORIKE CAFE IN,
<
Business Type ! �;.
A113484
PIER 1 IMPORTS#1634
Business Phone ( ). =
A003738
EDWARDS HUNTINGTON CINEMA
-
A189504
OLD NAVY #5170
Proposed Use SALON Approved Occupied Area (Sq Ft) 6,227.00
Former Use, SALON # of Stories 1
Conditions BEAUTY SALON -- ADD-L OCCUPANT TO PHENIX SALON (RM #150) TO USE APPROX. 110 SF
DChange of Owner? Elec. Available? D Drinking / Dining> 50 Occupants?
0 Change of Use? Want Electricity On? Welding / Open Flame?
DChange of Occupant? Sprinklered? �' Automobile Repairs?
Additional Occupant? Dust / Wood? Auto Parts Desc.
Occupancy Gr• • •.
Group Description ;,,Area .. ` - rtConstruction Type Occupancy Load
r.
B
SALON
6227
63
B'
SALON
6227
63.
Group
Definitio
Business Use -Building or structure, or a portion thereof, used for office, professional or service -type transactions,
including storage of records and accounts.
Type-
j Property Owner
" Name field must be blank to add/change Contractor, Designer or Engineer
Contractor Designer/ Engineer
. .
Name
Company
• Address
City l State / Zip
Email
Phone
C. CAREY SOREL
18531 MAIN ST
HUNTINGTON EACH CA 92648
(858) 376-7156 x Fax
Same As
�
Mobile Phone
Pager ( ) -
State License Type
Self Insured / Non -Employer?
o a Override Contractor
Expiration Dates?
Date Overridden
Overridden By
Same As
�
Mobile Phone
Pager ( ) -
State License Type
Self Insured / Non -Employer?
o a Override Contractor
Expiration Dates?
Date Overridden
Overridden By