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Home My WebLink About10090 Adams Ave - CofO (8)CERTIFICATE OF OCCUPANCY MEMO • 1 i I CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION HUNTINGTON BEACH Business Address � OO o PtCOovcY\S +w�c . �'E 2 Business Owners Name Y—a've �tac-A4_A Business Name C Ni (3rd Floor - The Applicant Must Apply In -Person) a! . Business Type !�) O le pc o®• l t� S«'1�l S4� v1CJ�- Date M U / 19 Zip Code g2Ce t-k_l Telephone No. 'l l�-j • 2(0 1 Bus. Phone -11L4' 2-(o°l .-iL4 d Property Owner Information (required) Tenant/Emergency Contact (required) Name 5OWckOk t-je'(\cvt ie h Name Address 009 0 '12�C(O-•C, Home Address 2 °1 C) aZS Cityhjyafi r`afioc, (:�2 ok\State/Zip CA j c1 Z `I1 City`rfi tcoo c,\ 6euah State/Zip CAA 2_& 64 �? Telephone No. C'i LA C( • Z�2 •2J � � � Telephone No. � t y 2b � • Ll � It THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or ,dExisting 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 N [A • Are you requesting that the electricity be turned on? ❑Yes /NO • Will operations produce dust/wood shavings or similar material? ❑ Yes No • Will operations involve the repair or replacement of automobile parts? ❑ es ,29Vo If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes ,�f No • 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 ZNo • The following best describes my operation: ❑ Office Only &Retail Sales ❑ Medical/Dental ❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes /�f 0 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 ONO Grease Interceptor Verified For Official Use On/y Occ Group: Q Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: l/Date: Inspected By Initials: Date: Area: Area: Area: No. of Stories: Entitlement #: Use Permitted: 9 N Occ Load: 1J-7 Occ Load: Occ Load: TIF Review: Y/ N Zoning: Parking Meets Code (for use): / N r Building Reviewed By Initials: IV Date: 1 � Conditions of Approval or Other Notes: edit Vw lmnk O►bp Y �x •lop s1h 0161 -02 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: V__a` 1•k (�y-b vS 1\ �(a h �n moo► Property Address: k O o a O Fit CU>,A� AEL3 1-- City: Zip Code: 97-(, `4-'1 Contact Person: 1 H0_CCU_ATitle: Type of Business:Telephone: �j t H - 2-Cv of - L4 L l Fax Number: E-mail Address: hpA k0�. k-�s (P-a%.c �r+Sht� S-Cayrv.. Applicant (print name): Signature: Date: I ( U ( (pl 1. Will the facility release air pollutants, including but rpt limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yeso 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes Alo 3. Will the facility result of hazardous material , including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes JZNO 4. Will the facility have use of above or underground storage tank? ❑Yes ;?rNo 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 ❑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 ❑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 ❑ Ref rigeration 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 I Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (7:14) 374-1647 Adams Ave 10044 APN 155-181-28 Occupancy Application Application Binder Num street Unit Bldg Job Address 10090 Adams Ave APN 155-181-28 RD 3920 Zoning CG Lot 11 := Tract Block File Number CofO? 02018-006844 Yes B2018-006845 No 02018-006909 Yes 02018-006910 Yes 82018-007031 No 02018-007077 Yes 02018-007102 Yes P2018-007121 No 02018-007340 Yes P2018-007858 No 02018-008389 Yes 02019-000308 Yes Entered By Velasquez, Joe Default Inspector Benbow, Jeff Permit Type lCertificate of Occupancy Origin lCounter—� Building Use - City Building Use - County New Building? Description "' CHELS' LASHES — Internal Notes Date Entered 01/16/2019 Status IIssued Issue Permit? X,Date 01/16/2019 Issued By jPenmit4 Planner Bui, Jessica Plan Checker De Castro, Ryan CofO Number CO2019-000308 Choose Print All CofO Type Permanent Fees and Payments Issued By Permit4 Sheets to /ssue Inspections Single C/O CofO Status Issued F CfODate Issued 01/16/2019 Temp. CofO Issued Date Printed tility Release Date Temp. COFO Expiration �— 01/16/2019 License Number Business Name Business Type I j 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 (Sq Ft) 5,645.00 # of Storiesll Conditions (ADDITIONAL OCCUPANT OCCUPYING SUITE 7., TO USE APPROX. 1 Change of Owner? L li Elec. Available? Drinking i Dining > 50 Occupants? Change of Use? ❑ Want Electricity On? Welding ! Open Flame? Change of Occupant? �� Sprinklered? Automobile Repairs? Additional Occupant? Uj Dust / Wood? Auto Parts Desc. ( �� !Occupancy Group/Load Grouo Description Area Construction Type Occupancy Load B SALON 5645 57 B SALON 5645 57 Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions, inrhvfinn ctnrana of rarnrric anti arrnunts