HomeMy WebLinkAbout18821 Delaware St - CofO (79)HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 Jul- 17)0'
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor — The Applicant Must Apply In -Person)
Business Address 1Pelom(ilre- S S}�,1'lb Am Date
Business Owners Name
Business Name
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Zip Code 11 (.vim('.
it Telephone No.�3Z�)
Business Type t7rYrACioen k WP-�ec f Cc,SWLQ-hZS Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name `?06' l C'q (N201 �C55'�ZVitil� 1Lp S Name y] 114
Address `8VA 'DiMWORZ Home Address' -Ave.
City ,YI S:faC..l� State/Zip �0/2.04b City 661 State/Zip 1024
Telephone Noi/4 Z " 2 1 Telephone No. 3 1���
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or 2TExisting Building
IS THIS BUILDING FIRE SPRINKLERED? ;2'�es ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner , ❑ Change of Occupant ❑ Change of Use Additional Occupant
• Indicater type of business
• Are you requesting that the electricity be turned on? ❑Yes eNo
• Will operations produce dust/wood shavings or similar material? ❑ Yes ,0No
• Will operations involve the repair or replacement of automobile parts? ❑Yes 2flo 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? ❑ YesZ No
• Will there be storage racks, gondolas, or shelving exce ding 5 feet 9 inches in height? ❑Yes XNo
• The following best describes my operation: Mice Only ❑ Retail Sales ❑ Medical/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 'ErNo
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 �Vo
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: �i\)
Bldg. Permit #
Planning Initials: Date:
Conditions of Approval or Other Notes:
Area: ,� Occ Load:
Area: Occ Load:
Area: Occ Load:
No. of Stories: TIF Review: Y/ N
Entitlement #: Zoning:
Use Permitted: Y / N Parking Meets Code (for use): Y / N
Building Reviewed By Initials: Date:
South Coast
ioAir 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 IGH L� b-eo,, k9 W ryv,_cvt_o-n 4- ft.Aoxe�_p 61 i'►'LG t� lL-x
Property Address: 1 6?,i I (fL-tl Qelye, 4 e ( oc5
City: hxt')fi'l%,"_ V�ect_p k Zip Code:
Contact Person: VOVV Z Title: 3?evW2j&e,,4-- J-l� n
Type of Business: Feyn&P VJ19y)4-A4 jl�ffvZ Q'�b p 17_3 Telephone: v1
Fax Number: E-mail Address: 6a hYLCt.( (-Cc1w,
Applicant (print name): MG y� lk \JG(YV .f.. Signature: Date:
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 _Ljkd
2. Will the facility resu f fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes ZNo
3. Will the facility result of hazardous material ncluding 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 ETNo
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? ❑YesZN
(Select all that apply)
❑Abrasive Blasting Cabinet/Room
❑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
❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extrudi ng/Cu ring of Plastic
❑ Pharmaceutical/N utraceutical
❑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
❑Gasoline Storage & Dispensing Equipment
❑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).
s
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647
18821 Delaware St 101 GENERAL AMERICAN LIFE INS
18821 APN 159-262-05
Occupancy Application
Application Binder
Num Street Unit Bldg
Job Address 18821 Delaware St 105 APN 159-262-05 RD 3615
Zoning SP14 Lot Tract Block L�
File Number CofO?
02014-003068 Yes
02014-003954 Yes
02014-004613 Yes
02015-005804 Yes
02015-009518 Yes
02016-005906 Yes
02016-008526 Yes
02017-000336 Yes
X2017-005512 No
02017-005547 Yes
02018-000518 Yes
02018-002890 Yes
i
Entered By Woo, Melanie Date Entered 05/07/2018
Default Inspector Coble, Russell Status Issued
Permit Type Certificate of Occupancy Issue Permit? Date 05/07/2018
Origin Counter Issued By Permit3
Building Use - City—�� Planner Cortez, Joanna
Building Use - County �� New Building? Plan Checker Woo, Melanie
Description j—`VANITY PRO, LLC-- BEAUTY
Internal Notes
of Occupancy
CofO Number CO2018-002890 Choose PlintAll CofO Type Permanent Fees and Payments
_._............_... Sheets to Issue -- -- - -
Issued By Permit3 Single C/O CofO Status Issued j 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 SOBHA M D
A233872 REDDY ROHINI M D
Proposed Use BEAUTY SERVICES
Former Use ART STUDIO
Conditions
[1I Change of Owner?
D11 Change of Use?
1\71I. Change of Occupant?
Additional Occupant?
Approved Occupied Area (Sq Ft) 11,700.00
❑. Elec. Available?
Want Electricity On?
Sprinklered?
Dust / Wood? Auto Parts Desc.
!Occupancy G• • •,•
Group Description Area Construction Type Occupancy Load
# of Stories11
Drinking I Dining > 5o Occupants?
Welding / Open Flame?
Automobile Repairs?
B
SALON
1700
17
B
SALON
1700
17
Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,