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Home My WebLink About19883 Brookhurst St - CofO (24)• J� HUNTINGTON BEACH Business Addre CERTIFICATE OF OCCUPANCY 020 J4- CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION 1=10® Business Owners Name Business Name LO &CI Business Type (3`d Floor The Applicant Must Apply In -Person) �4_44, 0 5� CJ`I'e. Date 4_ 19 " 11 �,Uk4,-N— Zip Code Telephone No.I I L-1-q(z C "7! 5 J (� Bus. Phone 'I /Lj- 'i(oS —7t1- j Property Owne • Information (required) Tenant/Emergency Contact (required) Name 56ak 1-MPA.—`1 Name 07 4--e5� Address _% !1 d It-("-6t//aa�R I aTtZ Home Address A/Z-'�_ City rf�! O('% 139Abl State/Zip jf gb4(G 0 City CD-5-M dLjl State/Zip L�C Telephone No. ?`7 q--1 W — �/ l U Telephone No. THIS USE WOULD BE DESCRIBED AS: � ❑ Newly Constructed Building or EY xisting Building IS THIS BUILDING FIRE SPRINKLERED? �Kes ENO CHECK, LLL 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 12No ■ Will operations involve the repair or replacement of automobile parts? ❑Yes D o If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes ❑ 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 5feet 9 inches in height? ❑Yes ONO ■ 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 bee 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 ❑ No For Official Use Only Occ Group: 16 (' �3-I 334 6��) Occ Group: b C Occ Group: Total Sq Ft Occupied: 2( Q'0 Bldg. Permit # Planning Initials:Date: Conditions of Approval or Other Notes: Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: 2 Occ Load: Occ Load: TIF Review - Zoning:. CCr Parking Meets Code (for use): Y / N Building Reviewed By Initial,¢_, Date: �' 1� I WIR A Grease Interceptor Verified Inspected By Initials: Date: oiq -a21+1 South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 pY_ (909) 396-3529 • http:// www.aqmd.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:-�LG�t.Aa�t `i y �` 4ri Property Address: � GL �� '�( Q0 Lt Aaj 1 5T City: �-I 6 Zip Code: A-L-iZ G� % Contact Person: 'k4,0' Title: L7Dc4 �t-�- Type of Business: lL- Telephone: Fax Number: e-mail ad ss: V i z,�— Applicant (print name):244 �•�i'"'Signature: ate: • Will the facility have any of the following equipment? Yes ❑ No Charbroiler Dry cleaning machine Spray booth Printing press (screen/lithographic/flexographic) Internal combustion engine greater than 50 HP (excluding motor vehicles) Boiler/combustion equipment (greater than 1 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge-type dust filter/scrubber Motor fuel storage and dispensing equipment • Will any of the following operations be performed? Yes❑ N6� Application of paints or adhesives Etching, plating, casting, or melting of metals Molding, extruding, or curing of plastics Mixing and blending of liquids and/or powders Storage of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke, or strong odors If you answered "No" to both questions, 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). -2- ola - OV31 Department of Planning & Building 2000 Main Street i Huntington Beach, CA 92.648 Phone: (714) 536-5241 Fax: (71.4) 374-1647 Occupancy Application 9803 jAdamsAve I Mark Sork 19881 APN 1153-171-01 Certificate of Occupancy Application ApDlication Binder Num Street Unit Bld Job Address 19883 Brookhurst St A APN 153-171-01 RD 3819 Zoning CG Lot 6� Tract E00E] Block 10 File Number Cofo? P2005-003767 No E2005-003768 No 62005-004806 No B2005-005283 No 02005-006078 Yes 02005-007825 Yes F2005-008850 No 02006-000735 Yes 02006-000745 Yes 02006-001019 Yes 02006-001864 Yes 02006-002338 Yes Entered By ITavakoli, Jasmine Default Inspector Solorzano, Ruben Permit Type lCertificate of Occupancy Origin Counter Building Use - City I�— Building Use - County Description Internal Notes CofO Number CO2006-002338 Choose Print All Sheets to Issue Issued By Tavakoli, Jasmine Single CIO New Building? CofO Type I Permanent CofO Status I Issued Date Entered 03/28/2006 Status Approved Issue Permit? Date Issued By Planner Medel, Rosemary Plan Checker Lee, Daniel DANCE STUDIO -- Fees and Payments Inspections CofO Date Issued 04/26/2006� Temp. CofO Issued Date Printed Utility Release Date Temp, COFO Expiration 04/26/2006 —•••— License Number IA261465 Click the « button to copy the Business License information into the Certificate of Occupancy. Business Name ILOKELANIS RHYTHM OF THE ISLAND Business Licenses Business Name Business Type Professional /Other A251652 PACIFIC CONSTRUCTION GROUP A079804 POLLY'S PIES #208 Business Phone (714) 437-1146 A139930 TOWN LIQUOR A101312 OLOUMI VOGUE HAIR CONCEELP_F Proposed Use JDANCESTUDIO Former Use RETAIL Conditions Approved Occupied Area (Sq ) 2,100.00—��1 # of Stories 1 I Change of Owner? Elec. Available? Drinking'/ Dining > 50 Occupants? Change Of Use? Want Electricity On? Welding / Open Flame? Change of Occupant? ❑ Sprinklered? Automobile Repairs? Additional Occupant? Dust / Wood? Auto Parts Desc.-- _1 s .. ... Groan Description Area Construction Tvve Occupancv Load A3 EXERCISE ROOM 1300 26 A3 B EXERCISE ROOM LOBBY/WAITING 1300 800 26 8 Group Definitio