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Home My WebLink About102 Pacific Coast Hwy - CofO (6)• 0 J� HUNTINGTON BEACH Business Address CERTIFICATE OF OCCUPANCY 020 - a CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION "7204 PC-Vk Business Owners Name Q • % Ve", Q 4— (3rd Floor — The Applicant Must Apply In -Person) Business Name 3-e c r ) S' oh- Q �` (� S Business Type Date p 1 I I s 1 zo IC -A Zip Code �\ 2 G 4 CA Telephone No. 56Z 59 2- 1—G"7b Bus. Phone ��ZS 3� �S3 21 Property Owner Information (required) Tenant/Emergency Contact (required) Name o �` *� �41 ° ��Q Name 0- Lcj^! Address �'o `� CA Home Address 2- 000e, ARV C City I State/Zip q 00 %"�5 City rs L I&c c c L State/Zip 9 d 7 40 Telephone No. 7 10 3 5'1 7 7 02 Telephone No. 5'62 5 n s 127 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or 'K Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No CHECK ALL THAT APPLY: =Change of Business Owner �2FIQhange of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business • Are you requesting that the electricity be turned on? ❑Yes o • Will operations produce dust/wood shavings or similar material? ❑ Yes b No • Will operations involve the repair or replacement of automobile parts? ❑Yes Oo If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes o • Will the business be a drinking, dining or assembly use with an occupant load ol more than 50 persons? ❑ Yesr No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes No • The following best describes my operation: El Office Only ; Retail Sales ❑'edical/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 ..�LNo 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 o Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: 1 Bldg. Permit # Planning Initials:Date: I Conditions of Approval or Other Notes: Area: 0 Area: Area: No. of Stories: Entitlement #: Use Permitted: pl / N Occ Load: �Z Occ Load: Occ Load: TIF Review: Y N Zoning: 1. Parking Meets Code (for ;use): Y N Building Reviewed By Initials: Date: I�J �� oIq-050a P� 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: _S�r_ CC, V ! n 'V P Property Address: 17 U —j P G �4 City: lAm- A6 2!A k r` Gec c ti Zip Code: C1 2-(0 Lt 5 Contact Person: 3. S, __Title: / Type of Business: I f�•�-r- �"1��'C Telephone: S6 2 �G 2. 2 �7 4s Fax Number: A/ E-mail Address: 9 5 �e�'ck S,ec�- 6 Applicant (print name): W `%'G^ Signature: _ 1L Date: f 1 IS11) 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 L40 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes [?o 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes Flo 4. Will the facility have use of above or underground storage tank? ❑Yes J4No 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑YesANo 6. Will the facility result in the use of the equipment listed below? ❑Yes SzAIo (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/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). p Iq -030c-, Department of Planning & Building , 2000 Main Street 1 Huntington beach, CA 92648 - Phone: (714) 536-5241 Fax: (714) 374-1647 - Occupancy Application Property Info Pacific Coast Hwy BALLINGER ELIZABETH 17204 APN 178 651-08 Certificate of Occupancy Application Application Binder Num Street unit Bldg _ Job Address 17204 Pacific Coast Hwy APN 178-651-08 RD 3307 Zoning CG-CZ Lot 30 Tract S0005 Block 11 File Number CofO? NOTE: Permit Type'COMBO' not available for Commercial projects. Entered By Woo, Melanie=I Date Entered 04/19/2016 62015-004730 Yes P2015-004731 No Default Inspector Coble, Russell�i Status Finaled E2015-004732 No B2015-004904 No Permit Type Building Issue Permit? Date 08/23/2016 E2015-004981 B2015-004983 No No � Origin Counter Issued By Permit2 M2015-006488 No Building Use - City C-MISC Commercial Misc Planner C2015-007052 B2015-009539 No Yes Building Use - County 34 1 _ _ New Building? Plan Checker - -- E2016-000102 P2016-000103 No No Description INT. T.I IN (E) SPACE FOR NEW LIQUOR MART *** MR. B'S LIQUOR MART*** B2016-002875 Yes (COFO IN FILE) Internal Notes 9/13/17 AFH -SENT TO SCANNING i of Occupancy CofO Number CO2016-002875 Choose PmttAll CofO Type I Permanent Fees and Payments Sheets to Issue Issued By Permitl Single C/O CofO Status Issued �I Inspections CofO Date Issued 02/27/2017 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration��! 02/27/2017 j -- Click the « button to copy the Business License License Number information into the Certificate of Occupancy. Business Name Business Licenses Business Name A044532 MR B'S LIQUOR Business Type A128076 BEACH VALET CLEANER Business Phone ( ) - A151004 BEACH VALET CLEANER A201112 BEACH VALET CLEANERS Proposed Use LIQUOR MART Approved Occupied Area (Sq 1,5 Ft) 55.00 Former Use - ..... -- # of Stories 1 Conditions i Change of Owner? Elec. Available? Drinking / Dining > 50 Occupants? Change of Use? 0 Want Electricity On? Welding / Open Flame? Change of Occupant? 0 Sprinklered? Automobile Repairs? Additional Occupant? 11: Dust / Wood? Auto Parts Desc. Occupancy Group/Load Group Description Area Construction Type Occupancy Load M STORES 1555 22 M STORES 1555 22 Group Definitio Mercantile Use - Building or structure, or a portion thereof, used for the display and sale of merchandise, and involves etnrlrc of nnnlic wnme nr marnhnndisa inrldantal to such nurnnses and accessible to the nubtic. _ WC Policy Number Exp. Date Carder �Fees and;R yr-entk,