HomeMy WebLinkAbout18531 Main St - CofO (68)rs
PON
CERTIFICATE OF OCCUPANCY 0201
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
HUNTINGTON BEACH (3rd Floor - The Applicant Must Apply In -Person)
Business Address Date
� \ 1v 1�I V1 �e'� - l
Business Owners Name 15501 Zip Code
Business Name M t-I�P,� Telephone No. a
Business Type �xV I 1 Bus. Phone
(Property Owner Information (required) Tenant/Emergency Contact ,(•required)
Name O&VeAn )WPA C� Name I�-� l"eI (J�
Address kcacJ l maa V\ G1 t' ctl' ff Home Address "V �. C
City�VW)� n ►'ekln FUState/Zip � I % Co �t City Ny mState/Zip ��
Telephone No. i�5i B �� -:I'"Isap Telephone No. -A(f10 ?y C �q qo\
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or ZkExisting Building
IS THIS BUILDING FIRE SPRINKLERED? 91 Yes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner n�1 Chang , of Occupant ❑ Change of Use 0�, Additional Occupant
• Indicate former type of business x,Iw Sv-Li4t
• Are you requesting that the electricity be turned on? ❑Yes T�No
• Will operations produce dust/wood shavings or similar material? ❑ Yes ® No
• Will operations involve the repair or replacement of automobile parts? [-]Yes [!�.No 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 9 No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes & No
• The following best describes my operation: ❑ Office Only ❑ Retail Sales �1bGDental
El❑ �V
Warehouse/Manufacturing/Distribution Restaurant/Take-Out Food Other
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes ug-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 0QNo
Grease Interceptor Verified
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: ITS
Bldg. Permit #
Planning Initials Date: 1 J4
Conditions of Approval or Other Notes:
tb OCc,uVu
Inspected By Initials: Date:
Area: b Z 2 7 Occ Load: b
Area: Occ Load:
Area: Occ Load:
No. of Stories: TIF Review: YIN
Entitlement #: Zoning:
Use Permitted: Y / N Parking Meets Code (for use): Y / N
Building Reviewed By Initials: 1 A4%,Date: 1
►� i V r-
rm \ 5 ahr)rOx• lE n 5A
Sg'uth Coast
} Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
' t 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:O'-
Propertv Address: `D �J�J �Ut V1 T ' Ll5
City: �WVVT i
Contact Person:
Type of Busi
Zip Code:
Title:
Telep
Fax Number: E-mail Address
Applicant (print name): wL(SSA 1 K Signati
M
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 ANo
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 matey als, 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 ANo
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 gNo
(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) ❑Mixing/Blending of Liquids and/or Powders
❑Application of Paints/Adhesive/Resins ❑Molding /Extruding/Curing of Plastic
❑Baghouse/Dust Collector ❑Pharmaceutical/Nutraceutical
❑Bakery Oven (gas fired) - - ❑Plasma/Laser Cutter
❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Printing/Coating/Drying
❑Charbroiler/Smoker ❑ 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 ❑Spray Booth
.❑Elec`irostatic Precipitator ❑Storage of Acids/Solvents/Organics Liquids/Fuels
❑Fermentation ❑Storage Silos (sugar, flour, etc.)
❑Gasoline Storage & Dispensing Equipment t "
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).
cc) 2-T
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241. Fax: (714) 374-1647 Occupancy Application
118589 1 Main St I SHER RONALD
18567 APN 1159-091-04
Application Binder
Num Street Unit Bld
Job Address 18531 Main St ] APN 159-091-04 RD 3615
Zoning SP14 Lot Tract Block
File Number CofO?
02018-005629 Yes
02018-005640 Yes
02018-005961 Yes
02018-006509 Yes
M2018-006510 No
F2018-006584 No
F2018-006990 No
02018-007500 Yes
02018-008152 Yes
02018-008158 Yes
02018-008159 Yes
02018-008245 Yes
Entered By Bolls, Derek � Date Entered 12/19/2018
Default Inspector Stewart, Vic Status Issued
Permit Type Certificate of Occupancy j Issue Permit? �j Date 12/19/2018
(�-
Origin Counter Issued By I
Building Use - City -----� Planner Beckman, Hayden—
.
Building Use - County New Building? Plan Checker Bolls, Derek
Description jADD'L OCCUPANT TO PHENIX SALON —SALON CANVASS --
Internal Notes
CofO Number CO2018-008245,1 Choose Print All CofO Type Permanent Fees and Payments
Sheets to Issue -- -.
Issued By �� Single C/O CofO Status Issued Inspections
CofO Date Issued 12/19/2018 Temp. CofO Issued . Date Printed
Utility Release Date Temp. COFO Expiration j 12/19/2018
License Number
Business Name
Business Type
Business Phone
Proposed Use SALON
Former Use SALON
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A113484 PIER 1 IMPORTS #1634
A003738 EDWARDS HUNTINGTON CINEMA
A189504 OLD NAVY #5170
A112582 TILLY'S
Approved Occupied Area (Sq Ft) 6,227.00: r
# of Stories I i
Conditions
ADDITIONAL OCCUPANT TO PHENIX SALONS. TENANT TO OCCUPY APPROX. 280 SF IN SPACE #157 &
#162.
Change of Owner?
❑ Elec. Available?
Drinking / Dining > 50 Occupants?
Change of Use?
Want Electricity On?
0 Welding I Open Flame?
Change of Occupant?
Sprinklered?
Automobile Repairs?
Additional Occupant?
Dust / Wood? Auto Parts Desc.
Group Description. Area Construction Type Occupancy Load
B
SALON
6227
63
B
SALON
6227
63
Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions