HomeMy WebLinkAbout10090 Adams Ave - CofO (7)r,•
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HUNTINGTON BEACH
Business Add
CERTIFICATE OF OCCUPANCY 020 -
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
C4L&Ll ,1�, (3rd Floor - The Applicant Must Apply In -Person)
- -.CI Date 1 117//C1
Business Owners Name �V' V1gkA4'6V'
Business Name 44ZVT Q)ec" �VIey
Business Type Eak"b'
Zip Code
G(2� 14�
Telephone No. `i)Li asp-
Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name o&rn(A CSI&yl Name j am
Address Vi6J Home Address U�--
city State/Zip City Y1y ad) State/Zip goS-UT
Telephone No. °] t[C1 33q Telephone No.
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 ❑ Change of Occupant ❑ Change of Use Additional Occupant
• Indicate former type of business
• Are you requesting that the electricity be turned on? ❑Yes No
• Will operations produce dust/wood shavings or similar material? ❑ Yes 2 No
• Will operations involve the repair or replacement of automobile parts? [-]Yes ZNO If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes 91 No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 pers ns? ❑ Yes No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes ANo
• The following best describes my operation: ❑ Office Only ❑ Retail Sal s ElM�edical/Dental
❑ Warehouse/Manufacturing/Distribution El Restaurant/Take-Out Food VOtherS (p • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes v o
If you answered yes, pleas proceed to the next question.
• Does your facility curren 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
Occ Group: 6
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials:Date: f - 0 /-9
Conditions of Approval or Other Notes:
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitt d: / N
Occ Load: 1150
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning:
Parking Meets Code (for us
Building Reviewed By Initials:Date:
70 t I A L OC_C' ) f2,4Ah-- ?n 615;77M4 G od
1 SU / 6n-
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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:
Property Address: �uu(tD qj,.1 AVIL
City: &C f) Zip Code: �li� L(0
Contact Person: 1 N U,VI.Pn+1 Title:
Type of Business: O e) Telephone: I H q j-7—_. 93 (5
Fax Number: E-mail Address: 1A ah n I -P— L ah W • C,r M
Applicant (print name): 1i) Signature: Date: 111110
1. Will the facility release air pollutants, including but n limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes o
2. Will the facility res It of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes [VNo
3. Will the facility result of hazardous materi including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes NNo
4. Will the facility have use of above or underground storage tank? ❑Yes dNo
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[�lo
(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/Nutraceutical
❑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).
Department of Planning & Building
I 2000 Main Street
Huntington Beach, CA 92648
Phone: (71.4) 536-5241 Fax: (71.4) 374-1647
10084 lAdamsAve
10044 APN 155-181-28 1
go
Occupancy Application
Certificate of Occupancy Application
Application Binder
Num Street Unit Bldg
Job Address 10090 Adams Ave APN 155-181-28 RD 3920
Zoning CG Lot Tract Block
File Number Cofo?
P2018-003384 No
M2018-003386 No
F2018-003421 No
E2018-003633 No
C2018-004720 No
62018-006158 Yes
E2018-006159 No
M2018-006160 No
02018-006821 Yes
02018-006844 Yes
B2018-006845 No
02018-006909 Yes
Entered By lWoo, Melanie
Default Inspector Stewart, Vic
Permit Type Certificate of
Origin Counter
Building Use - City
Building Use - County
Description DIAM(
SUITES)
Internal Notes I
Date Entered 10/15/2018
Status Issued
Occupancy Issue Permit? 0 Date 12/13/2018
Issued By Woo, Melanie
Planner Aube, Nicolle
IF New Building? Plan Checker 1woo, Melanie
BROWS & BEAUTY—' (ADD-L OCCUPANT TO OPTIMA SALON
CofO Number CO2018-006909 Choose Print All CofO Type Permanent Fees and Payments
_.,,..- .................._,.J Sheets to Issue
Issued By Woo, Melanie Single C/O CofO Status Issued Inspections
Cofo Date Issued 12/13/2018� Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration 12/13/2018
License Number
Business Name
Business Type
Business Phone ( )
Proposed Use
Former Use
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A124412 WATER SOURCE
A180558 WATER SOURCE
A222042 LIVING WATER
A119122 MAIL BOXES ETC
Approved Occupied Area (Sci Ft) 15,645.00
# of Storiesrl
Conditions (ADDITIONAL OCCUPANT TO OPTIMA SALON. OCCUPYING
I f
Change of Owner?
Elec. Available?
Drinking / Dining > 50 Occupants?
}
Change of Use?
Want Electricity On?
D Welding / Open Flame?
Change of Occupant?
Sprinklered?
Automobile Repairs?
i
Additional Occupant?
Dust I Wood? Auto Parts Desc.
Occupancy Group/Load
Grnun Description
Area
Construction Tvoe Occupancv Load
B
SALON
5645
95
I
B
SALON
5645
95
Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
inrli viinn ctnrnna of rarnrrlc and ancnnnfs.