HomeMy WebLinkAbout18821 Delaware St - CofO (78)J�
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 't -
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor - The Applicant Must Apply In -Person)
Business Address ( 9911 Deb tonyw Ste- IL I o.S- Date
Business Owners Name Zip Code L6'
Telephone No. C�t)q)
Business Name BYDwS 6� �q�b-e_ �
Business Type Pe-" name-E coSMC-t-i c �— M� �yr b�ad�k r� Bus. Phone
Property Owner Information required) Tenant/Emergency Contact (required)
Name van +mod Qb_ LL-c. _ S k6c yea LoQe-4-- Name Li L i C-Wen ')
Address l gg 2) 021 a yjar4 ill t0S Home Address 10l ()ee�r
City 1-L�-t-oy\ Iscac �n State/Zip CR . G x b 4- City (AJ-Ll IA►n-r State/Zip - CA Ct /1 dc" `I
Telephone No. 310) $q 16 -j k -1 Telephone No. CRo_ S- cl S �b
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or LK Existing 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
• Are you requesting that the electricity be turned on? ❑Yes 5Q No
• Will operations produce dust/wood shavings or similar material? ❑ Yes N No
• Will operations involve the repair or replacement of automobile parts? ❑Yes ONO If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes l No
• Will the business be a drinking, dining or assembly use with an occupant load o more than 50 persons? ❑ Yes W No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes g No
• The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food IN Other PeyrnAnf-- cc smr-*i -J
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes �Q 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 MNo
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Only
Occ Group:
a
Occ Group:
Occ Group:
Total Sq Ft Occupied- i 1Q
Bldg. Permit #
Planning Initials:� Date:
Area: n ®Q
Area:
Area:
No. of Stories: I
Entitlement #:
Occ Load: l
Occ Load:
Occ Load:
TIF Review���
Zoning:
Use Permitted: Y / N Parking Meets Code (for use): Y / N
Building Reviewed By Initials:!j;,f= Date: f
• � • • • • - • -'L1'�111aL'L�lrl�i►«�//JIIAC�7%[J��/i(�
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Phone Number (909) 396-3529 hftp://www.agmd.gov
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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: Bbws P,4 r? O-P_k
Property Address: lg hA D2kaWRyne St2. 4 LD S
City: 4-tuvrt,�, v� fi�e"" e"" ac h__ Zip Code:
Contact Person: 0vu� Title: n,e—le-
Type of Business: • 2iA Ynnrnht4 c,�Snne �-S Telephone: CQa,) s ` cf 3
Fax Number: E-mail Address: SCo oa Covet
Applicant (print name): P6Rj,,,P Signature: Date: l l
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 NNo
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 No
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 5QNo
6. Will the facility result in the use of the equipment listed below? ❑Yes NNo
(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
❑Coffee Roaster/Afterbunner
❑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
❑Refrigeration Systems (containing > 50 Ibs of refrigeration
❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven
❑Dry Cleaning Equipment ❑Spray Booth
[]Electrostatic Precipitator ❑Storage of Acids/Solvents/Organics Liquids/Fuels
❑Fermentation ❑Storage Silos (sugar, flour, etc.)
❑Gasoline Storage & Dispensing Equipment ,
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).
�_l1I-o
Department of planning & Building
Main Street r tl
Hunt
Huntington Beach, CA 97.648
Phone: (71.4) 536-5241 Fax: (714) 374-1647 Occupancy Application I
Property• •
18821 1 Delaware St �105 GENERAL AMERICAN —LF_E INS
1 tStSL I
�� APN 159-262-05
of Occupancy Application
Application Binder
Num Street Unit Bldg
Job Address 18821 Delaware St 105 APN 159 262-05 RD 3615
Zoning SP14 Lot Tract l� Block F�
File Number CofO?
02014-003068 Yes Entered By Woo, Melanie Date Entered 05/07/2018
02014-003954 Yes ---., _ ___-.____
02014-004613 Yes Default Inspector Cotile, Russell Status Issued -�
02015-005804 Yes Permit Type Certificate of Occupancy Issue Permit? Date 05/07/2018
02015-009518 Yes - - - -
02016-005906 Yes Origin Counter Issued By Permit3
02016-008526 Yes — -- — - - — -
Yes Building Use - City Planner Cortez, Joanna��
02017-000336
jj��'��
X2017-005512 No Building Use - County !T_ New Building? Plan Checker Woo, Melanie
02017-005547 Yes ----- -- --- -
02018-000518 Yes Description - VANITY PRO, LLC'*' BEAUTY SERVICES
02018-002890 Yes
Internal Notes
Certificate of Occupancy
CofO Number CO2018-002890 Choose Print All CofO Type Permanent Fees and Payments
I _.._......._.._.._..._......... Sheets to Issue
Issued By Permit3 Single C/O CofO Status Issued inspections
CofO Date Issued 05/07/2018 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration 05/07/2018
Click the « button to copy the Business License
License Number information into the Certificate of Occupancy.
Business Name Business Licenses Business Name
Business Type A252828 SEED & CROP PHASE I LLC
A174512 PACIFICA DENTAL
Business Phone [( ) -� A169892 SUNDERRAJAN SOBHAM D
A233872 REDDY ROHINI M D
Proposed Use BEAUTY SERVICES Approved Occupied Area (Sci Ft) 1,700.00
Former Use ART STUDIO # of Stories
Conditions BEAUTY SVC SHELL
DChange of Owner? Elec. Available? Drinking / Dining > 50 Occupants?
Change of Use? Want Electricity On? El Welding / Open Flame?
�' Change of Occupant? Sprinklered? LUI Automobile Repairs?
Additional Occupant? Dust / Wood? Auto Parts Desc.
•cc u P an cy Grou• ..•
I
Group Description Area Construction Type Occupancy Load
B
SALON
1700
17
B
SALON
1700
17
Group Definitio
I
Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
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WC Policy Number Exp...