HomeMy WebLinkAbout18531 Main St - CofO (66)•
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor- The Applicant Must Apply In -Person)
Business Address 1853f MAIN ST; 1, HUNTINGTON BEACH, CA 92648
Business Owners Name LINDSAY SHAW
Business Name IMPRESSIONS LASH LOUNGE
Business Type BEAUTY SALON SERVICES
Date 1/9/19
Zip Code 92648
Telephone No. 949-226-2987
Bus. Phone 949-226-2987
Property Owner Information(required) Tenant/Emer enc Contact (required)
Name r. r A V-e1 q U 0 re, Name -__L_Inky S aw
Address "%-A Home Address
City State/Zip a-g Cityiv►�-tbh �cM. State/Zip t "l2i
Telephone No. �3 58 - - �+ 15 f., ._ Telephone No. lef +a J22"— 119 $_�—
THISUSE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or ❑■ Existing Building
IS THIS BUILDING FIRE SPRINKLERED? O 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 N No
• Will operations produce dust/wood shavings or similar material? ❑ Yes ❑■ No
• Will operations involve the repair or replacement of automobile parts? ❑Yes ENO If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes R 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 ❑p No
• The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food N OtherBEAUTY SERVICES
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? []Yes ENO
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
Grease Interceptor Verified
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: C212
Bldg. Permit #
Planning Initials:) ," N&Oate:) -
Conditions of proval or Other Notes:
*Ad I r Lil ngY1t
Inspected By Initials: Date:
Area: �u
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load: e
Occ Load:
Occ Load:
TIF Review�N,
Zoning: q
Parking Meets Code (for use): Yl/ N
Building Reviewed By Initials:r_J_Date: I �/
SaAOn I C\" e 0�-
nix I
appr�x I i o �6 .
Otct o I-f�6
South Coast
Air Quality Management District
0.
_ -21865 Copley Drive, Diamond Bar, CA 91765-4182
Phone Number (909) 396-3529 hftp://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: IMPRESSIONS LASH LOUNGE
PropertyAddress: 18531 MAIN STREET,
City: HUNTINGTON BEACH, CA
Zip Code: 92648
Contact Person: LINDSAY SHAW Title: OWNER
Type of Business: BEAUTY STUDIO Telephone: 949-226-2987
Fax Number: N/A E-mail Address: IMPRES I SLASHLOUNGE@YAHOO.COM
Applicant (print name): LINDSAY SHAW Signatur : Date: 1/9/19
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 FRNo
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes ❑■ No
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes XNo
4. Will the facility have use of above or underground storage tank? ❑Yes *No
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 ❑■ No
(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/Coati ng/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 9,1141"
2000 Main Street i
Huntington Beach, CA 92648
Phone: (714) 536-5241. Fax: (714) 374-1647 -' Occupancy Application
18537 Main St SHER RONALD
18567 APN 159-091-04
Application Binder
Num Street Unit Bldg
Job Address 18531 Main St APN 159-091-04 RD 3615
Zoning SP14 Lot Tract 7� Block
File Number CofO?
02016-001697 Yes
02016-001698 Yes
C2016-001709 No
02016-001711 Yes
02016-001733 Yes
02016-001736 Yes
02016-001799 Yes
02016-001808 Yes
02016-001842 Yes
02016-001847 Yes
02016-001854 Yes
02016-001857 Yes
Entered By Kong, Sokar �; Date Entered 03/11/2016
Default Inspector Stewart, Vice Status Issued
Permit Type Certificate of Occupancy Issue Permit? Date 03/11/2016
Origin Counter Issued By jPermit2
Building Use -City Planner INguyen, Tess
Building Use - County �11 New Building? Plan Checker Kong, Sokar
Description I" SALON BELEZA"*""
Internal Notes
of Oc cup -an
CofO Number CO2016-001857 Choose Print All CofO Type Permanent —� Fees and Payments
_„_,,.•,,••, Sheets to Issue -- - —� Inspections
Issued By Permit2 Single C/O CofO Status Issued
CofO Date Issued 03/11/2016 1 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration_ 03/11/2016
Click the « button to copy the Business License
License Number information into the Certificate of Occupancy.
Business Name Business Licenses Business Name
Business Type A113484 PIER 1 IMPORTS #1634
A003738 EDWARDS HUNTINGTON CINEMA
Business Phone ( ) A189504 OLD NAVY #5170
A112582 TILLY'S
Proposed Use 1HAIRSALON
Former Use ;VACANT
Conditions-
1 Change of Owner?
0 Change of Use?
n' Change of Occupant?
Additional Occupant?
Approved Occupied Area (Sci Ft) 10.00
Elec. Available?
Want Electricity On?
Sprinklered?
Dust / Wood? Auto Parts Desc.
'Cliccupancy Group/Load
Group Description Area Construction Type Occupancy Load
# of Stories11
Drinking / Dining > 50 Occupants?
❑ Welding / Open Flame?
Automobile Repairs?
B
6227
63
B
6227
63
Group Definitio
Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
inrliidinnstnranp of rernrds and accnunts_