HomeMy WebLinkAbout18531 Main St - CofO (65)No. (6,6 -
H
HUNTINGTON BEACH
Business Add
CERTIFICATE OF OCCUPANCY 020 1 �7 - 0333
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Owners Name
Business Nam(
Business Type
(3rd Floor - The Applicant Must Apply In -Person)
Date �' �� 11-11
Zip Code
Telephone No.--ilu��-CIL106
Bus. Phone 11L4)�oi-tnc8
Property Owner Information (required) Tenant/Emergency Contact (required)
�ILi`� f
Name ) V-R-) r kn?p Name SAMLrn f P-EwycS
Address IL250 El CG MInn 12ed -a. L22.t ill Home Ad`dreess ILAZ� AACWNy/ c A -
City State/Zip 0 Cj2• l� City_flf 11 • . f) State/Zip CA C1 0HR
Telephone No. o Telephone No. 114) ZQ1- Wa-6b
THIS USE WOULD BE DESCRIBED AS:
Newly Constructed Building or ❑ Existing Building
IS T IS 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 XNo
• Will operations produce dust/wood shavings or similar material? ❑ Yes 15(No
• Will operations involve the repair or replacement of automobile parts? ❑Yes '%No If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes t, No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Ye § No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes D6No
• The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Me ical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food L Other
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes 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 NNO
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:f
Conditions of Approval or Other Notes:
Xi L 4 SL , 0 ti-LA D q `I/1-
Area: L2�
Area:
Area:
No. of Stories: 1
Entitlement #:
Use Permitted: Y / N
W
Occ Load: 3
Occ Load:
Occ Load:
TIF Revie 0/ N'
Zoning:
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: MW _Date: Ili 140/1 9
accap" �--
011-0333
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: ac,n,�-ge-finew
Property Address: Wan
City: flt&n�n Zip Code: Cl apgB
Contact Person: §�n S Title: MI(1 Y'
Type of Business: St�tTelephone: -�tq) i�odo--10 Fax Number: E-mail Address: l
Applicant (print name): C r Q, Signature:QdE_Date: �- LO-101
1. Will the facility release air pollutants, including but not limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes �(No
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes [XNo
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes MNo
4. Will the facility have use of above or underground storage tank? ❑Yes 'KNo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes *0
6. Will the facility result in the use of the equipment listed below? ❑Yes 34No
(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).
6333
Department of Planning & Building re'
2000 Main Street r I
Huntington Beach, CA 92648 Occupancy Application
Phone: (714) 536 5241 Fax: (714) 374-1647
18537 IMain
APN t159-091-04 SHER RONALD
18567
Certificate of Occupancy Application
Num Street Unit Bldg
Job Addressl 18531 IMain St IAPN 159-091-04 RD 3615
Zoning ISP14 Lot 1� Tract Block D�
File Number Cofo?
F2018-002724 No
02018-002975 Yes
02018-002990 Yes
02018-003076 Yes
B2018-003098 No
E2018-003099 No
P2018-003100 No
M2018-003101 No
C2018-003118 No
02018-003318 Yes
02018-003539 Yes
02018-003590 Yes
Entered By Bolls, Derek Date Entered 06/04/2018
Default Inspector Coble, Russell Status Issued
Permit Type Certificate of Occupancy Issue Permit? N Date 06/04/2018
Origin Counter Issued By jPermitl
Building Use - City Planner Bui, Jessica
Building Use - County New Building? Plan Checker I Bolls, Derek
Description f ADDITIONAL OCCUPANT TO PHENIX SALON--BEYOUTIFYARTISTRY—
Internal Notes L_
CofO Number CO2018-003590 Choose Print All CofO Type Permanent Fees and Payments
Sheets to Issue
Issued By Permitl Single C/O Cofo Status Issued ; Inspections
Cofo Date Issued 06/04/2018 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration 06/04I2018
License Number—�
Business Name
Business Type
Business Phone
Proposed Use SALON
Former Use FSALON
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 (Sq Ft) 16,227.00
# of Stories11
Conditions PERSONAL SERVICES - PERM. MAKE UP ONLY. ADDITIONAL OCCUPANT TO "PHENIX SALON". TENANT
TO OCCUPY APPROX. 120 SF IN SPACE #117.
Change of Owner?
Elec. Available?
D Drinking / Dining > 50 Occupants?
Change of Use?
I I
tttJJJ
Want Electricity On?
I I Welding / Open Flame?
«L...D.JJJ
Change of Occupant?
Sprinklered?
Automobile Repairs?
Additional Occupant?
Dust / Wood? Auto Parts Desc.
t ..Group/Load
Group Description
Area
Construction
Type Occupancy Load
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,
inrludinn stnranp of rernrds and arrnunts_