HomeMy WebLinkAbout714 Adams Ave - CofO (78)J.
HUNTINGTON BEACH
Business
CERTIFICATE OF OCCUPANCY 020 -
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Owners Name
(3rd Floor - The Applicant Must Apply In -Person)
Business Name
D_UA N N
Business Type
VVli4'W
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h�t�-i�� U p
Date
Zip Code R 2 (ay 6
Telephone No. 6ILi)717 - i3S S
Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name i1/,+N i Z-N-V-1J Name 44-e.vV" AFL tn.YV"/J
Addresses �. �bbX �SkS' Home Address
CityNP,tA)pe- 1;C.%t. State/Zip C4 c1Z6�� City -Ha' State/Zip (A
Telephone No. 0 I q) "% ► :7 — 53- F!% Telephone No. L"?IGt� 1 I -7 - c/ L/ -7 K
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or ® Existing Building
IS THIS BUILDING FIRE SPRINKLERED? Yes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner ❑ Change of Occupant ❑ Change of Use X Additional Occupant F
• Indicate former type of business
• Are you requesting that the electricity be turned on? ❑Yes M No
• Will operations produce dust/wood shavings or similar material? ❑ Yes J9D No
• Will operations involve the repair or replacement of automobile parts? ❑Yes `WNo 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 a No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes 0 No
• The following best describes my operation: ❑ Office Only P4) 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 raj 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 PNo
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: ?'pmU
Bldg. Permit #
Planning Initial%�h6 Date: 2
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Building Reviewed By
Occ Load:_
Occ Load:-
Occ Load:
TIF Review: Y/ N
Zoning:
Parking Meets Code (for use): Y / N
Initials: *` Dater
Conditions of Approval or Other Notes: occ cc--) Peyt UKJ
- AAXI - /00-97
CO- dots
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Phone Number (909) 396-3529 http://www.agmd.gov
� o
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: NI UU'y- g 2 awm-i
Property Address: 71/4 STD
City: +-(Lt", k Zip Code: qZ
Contact Person: G.,a M,j Title: O W1�✓
Type of Business: RAkAp. a,,-� rm aL.P_ Telephone: J7 I q) -7 1 ?
Fax Number: E-mail Address: 1,1A 1-4 a . of t r i H-n Q. 621,M1, ' / LCPP-1
Applicant (print name): rJN Signature: Date: I /,>—I j%
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 NVo
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes �o
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes �RDNo
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 Aallo
6. Will the facility result in the use of the equipment listed below? ❑Yes FUNo
(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/Coating/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 -'-�
2000 Main Street �' l
Huntington Beach, CA 9264.8
Phone: (714) 536-5241 Fax: (714) 374-1647 OccupancyApp] ication
4 Adams Ave . 202 YOMTOUBIAN NERIA i
4 APN 025-143-09
s
Application Binder
Num Street Unit Bldg
Job Address 714 Adams Ave 202 1 APN 025-143-09 RD 3915
Zoning CG Lot = Tract IP0116 Block 40
File Number CofO?
B2017-007684 No
02017-008130 Yes
P2018-000379 No
E2018-000520 No
02018-003207 Yes
02018-003215 Yes
02018-003641 Yes
B2018-003713 No
02018-003.789 Yes
02018-004336 Yes
02018-004399 Yes
02018-005747 Yes
Entered By Woo, Melanie �! Date Entered 08/30/2018
Default Inspector Andino, Richard] Status I Issued
Permit Type Certificate of OccupancyJIssue Permit? �; Date 08/30/2018
Origin Counter Issued By �Permit3
Building Use - City I Planner PlanZonel
Building Use - County New Building? Plan Checker Woo, Melanie
Description ADDITIONAL OCCUPANT TO "NICOLE MANSUR ARTISTRY" "'BE FOREVER
FLAWLESS"
Internal Notes
CofO Number CO2018-005747
J
Choose Print Aft CofO Type Permanent
Fees and Payments
Issued By Permit3
Sheets to Issue
Single C/O CofO Status Issued
Inspections
CofO Date Issued 08/30/2018
Temp. CofO Issued Date Printed
Utility Release Date
Temp. COFO Expiration 08/30/2018
Click the « button to copy the Business License
License Number
information into the Certificate of Occupancy.
Business Name
Business Licenses Business Name
Business Type
A232072 SUPER HERO'S SANDWICHES "RE
A258124 HAIR BY TEDI
Business Phone ( ) - -�
A204988 SUPER HERO'S
A211026 BEACH ANTIQUEAND COLLECTIBI.
Proposed Use SALON
Approved Occupied Area (Sq Ft) 2,000.00
Former Use SALON
# of StoriesL�'
Conditions JADDITOANL OCCUPANT. OCCUPYING APPROX 50 SF OF BOOTH SPACE
Change of Owner?
Elec. Available?
Drinking / Dining > 50 Occupants?
Change of Use?
Want Electricity On?
Welding ! Open Flame?.
Change of Occupant?
Sprinklered?
0Automobile Repairs?
Additional, Occupant?
❑
Dust / Wood? Auto Parts Desc.
'Occupancy G• • ..•
Group- Description Area
Construction
Type Occupancy Load
B
SALON
2000
20
B
SALON
2000
20
Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,