HomeMy WebLinkAbout18821 Delaware St - CofO (80)'75 l � �
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 0201 `1 - v
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Address 1 if
Business Owners Name
Business Name--
Business Type
J / (3`d Floor - The Applicant Must Apply In -Person)
IG� Lc1Cc!'e Wit- 4-10S Date J Z h g
r- S S Zip Code gzro ,?
4 N x- 2 Telephone No. 71e/'4,s7-6, 3 3 %
lee- U4i2 Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name - r Name S /Z/ S S
Address g8 w ife— D S Home Address // PIS, -no
City-a-L State/Zip C4 ZjZ(,q&,'City ly /3 State/Zip 64 Z
Telephone No. 310 - W c)( -1215-7 Telephone No. 7I11- 6,5 7- 4 3 3
THIS USE WOULD BE DESCRIBED AS:
O Newly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? V Yes E]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 WNo
■ Will operations produce dust/wood shavings or similar material? ❑ Yes +N
■ 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 4 'No
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes &No
■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/Dental.
❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food 143 Other 1'> 1
■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? h Yes Of -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 ❑ No
For O icial Use Only.
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: l .
Bldg. Permit #
Planning Initials�Date: l
Conditions of Approval or Other Notes:
Area:
Area:
Area:
No. of Stories: 1
Entitlement #:
Use Permitted: Y / N
Occ Load: j.
Occ Load:
Occ Load:
TIF Review�Y,L i�
Zoning: �j�
Parking Meets Code (for use): Y / N
Building Reviewed By Initialsffitk) Date: 144
Grease Interceptor Verified Inspected By Initials: Date:
n
i
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
p� ¢� (909) 396-3529 • http:// www.aqmd.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: L eaAe-e.--- and C L2 V �—'
Property Address: I gg�� nn� ela/tjar`e_ 5-7/— /or
City: eGLG Zip Code:
Contact Person:Rre4 S S Title: (7zA)1?
Type of Business: 62s rn e f!C P M u Telephone: 714 _ &S-7 3 3 7
Fax Number: e-mail address:
j �0
Applicant (print name): S Rev SS Signature: { AP_4 1_rD Date:
• Will the facility have any of the following equipment . Yes ❑ No—
Charbroiier
Dry cleaning machine
Spray booth
Printing press (screen/lithographic/flexographic)
Internal combustion engine greater than 50 HP (excluding motor vehicles)
Boiler/combustion equipment (greater than 1 million BTU/hr. maximum input)
Abrasive blasting cabinet/room
Baghouse/cartridge-type dust filter/scrubber
Motor fuel storage and dispensing equipment
Will any of the following operations be performed? Yes❑ No�_
Application of paints or adhesives
Etching, plating, casting, or melting of metals
Molding, extruding, or curing of plastics
Mixing and blending of liquids and/or powders
Storage of acids, solvents, organic liquids, or fuels
Production of fumes, dust, smoke, or strong odors
If you answered "No" to both questions, 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).
-2-
Department of Planning & BuildingOfil
2000 Main Street
Huntington Beach, CA 92648
c 1 OccupancyApplication
Phone: (71.4) 536 .241 Fax: (714) 374-.16 17
18821 1 Delaware St 1207 GENERAL AMERICAN LIFE INS
18821 APN 159-262-05
Certificate of Occupancy Application
Application Binder
Num Street Unit Bldg
Job Address F188TIDelaware St 105 APN 159-262-05 RD 3615
Zoning SP14 Lot U Tract Block
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
Entered By lWoo, Melanie
Default Inspector (Coble, Russell
Permit Type Certificate of Occupancy
Origin Counter
Building Use -City
Date Entered 05/07/2018
Status Issued
Issue Permit? � Date 0510712018�
Issued By lPermit3
I Planner Cortez, Joanna
Building Use - County Ljj New Building? Plan Checker tWLoo, Melanie
- __e!a _....
Description VANITY PRO, LLC`*" BEAUTY SERVICES
Internal Notes I .
CofO Number
I CO2018-062890)1
Choose Print All
CofO Type Permanent
Issued By
Permit3
Sheets to Issue
Single C/O
-
CofO Status Issued
Fees and Payments
Inspections
CofO Date Issued 05/07/2018 Temp. CofO Issued71 Date Printed
Utility Release Date Temp. COFO Expiration 05/07/2018
License Number
Business Name
Business Type
Business Phone
Proposed Use IBEAUTY SERVICES
Former Use ART STUDIO
Conditions IBEAUTYSVCSHELL
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A252828 SEED & CROP PHASE I LLC
A174512 PACIFICADENTAL
A169892 SUNDERRAJAN SOBHA M D
A233872 REDDY ROHINI M D
Approved Occupied Area (Sci Ft) 1,700.00
# of StorleSl l
Change of Owner?
Elec. Available?
Drinking / Dining > 50 Occupants?
1_r
Change of Use?
Want Electricity On?
❑ Welding t Open Flame?
JJJJ
Change or Occupant?
Sprinklered?
Automobile Repairs?
�I Additional Occupant?
Dust / Wood? Auto Parts Desc.
El
9ccupap/Loqd
Group. Descriotion Area
Construction Twe Occupancy Load
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,