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16672 Beach Blvd - CofO (58)
1) �J HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor - The Applicant Must Apply In -Person) Business Address �(D CP �Z. &&C 4 hly-�. Cuff H ,6 La Date Business Owners Name .50/Y)A-Nll Zip Code Business Name D A-TAS E ZVE- f Nc- - j8k lei kELF_SS' Cr" g(k Telephone No. :I-/�- Business Type CELL PH'Q A)E - A(-) / Sc�-CS • Bus. Phone -714- 249' Property Owner Information (required) Tenant/Emergency Contact (required) Name- C,,dL-!§k-4 1 N( ' Name 4 N IL 5 © N) A-N r' Address_100 1r g1-0adWC-9 , SuLR-P-* Ct-S-O Home Address 484-0 l3 R;A4Ja PLUG City yho'ne eA®��e TeleNo. `'1� �s� 's�%% Telephone No. j� Cos! ` o 4 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or '$ Existing Building IS THIS BUILDING FIRE SPRINKLERED? i j Yes ❑ No CHECK ALL THAT APPLY: ❑ Change of Business Owner 0/c, hange of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business • Are you requesting.that the electricity be turned on? ❑Yes i Z • Will operations produce dust/wood shavings or similar material? ❑ Yes �gNo • Will operations involve the repair or replacement of automobile parts? ❑Yes Wo 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 El No • The following best describes my operation: ❑ Office Only P 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 N 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 ONO Grease Interceptor Verified For Official Use On/y n Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: `l t Bldg. Permit # Inspected By Initials: Date: Planning Initials: pq Date: lid l v Area: 9 S 1 Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: 10 Occ Load: Occ Load: TIF Review: Y/ N Zoning: Parking Meets Code (for use): Y / N Building Reviewed By Initials: (`C3-v Date: 124hk nor lin WND South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 _ Phone Number (909) 396-3529 . http://www.agmd.gov Q 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: `DA-7 SE-kVe . wc1 Property Address: / (oCc T 2 , BE?" $ L-V,), to /`N 1� F H City: K LA i B a -a d- Zip Code: q Contact Person: AN / L- /% A-10r � � Title: pp-� �,3,IV 7 'Y�°L Y Type of Business: c,e-tI h1jene. Telephone: 1[4 - 91+8 `c? lre Fax Number: E-mail Address: Applicant (print name): D/►) AV / Signature: Date: 120PS 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 [)4No 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes gNo 4. Will the facility have use of above or underground storage tank? ❑Yes NNo 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑YesANo 6. Will the facility result in the use of the equipment listed below? ❑Yes ❑No (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 ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) ❑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). I Department►of Planning & Building 20!0 Main Street Huntington Beach, CA 92.648 I Phone: (71.4) 536-5241 Fax: (714) 374-1647 - Occupancy Application Property Info l 16672 113each Blvd H SHANE JOHN TRUST 16672 APN 107-610 48 Application Binder Num Street Unit Bldg Job Address 16672 Beach Blvd H APN 107-601-47 RD 3216 Zoning -FP2 Lot Tract = Block File Number CofO? B2012-003532 Yes E2012-003533 No P2012-003534 No B2012-003721 No E2012-003929 No E2012-004602 No C2012-004901 No F2012-005068 No E2012-005426 No P2012-005429 No E2013-004757 No B2013-006343 Yes NOTE: Permit Type'COMBO' not available for Commercial projects. Entered By Daley, Jasmine Date Entered 10/09/2013 Default Inspector Moreno, David Status Finaled Permit Type Building ��. Issue Permit? 19, Date 11/05/2013 Origin Counter Issued By Permitl -� Building Use - City C-MISC Commercial Misc �1 Planner Building Use - County 34.1 New Building? Plan Checker Description CHANGE 'HILTON SALON"' C OF O IN FILE" "' 11/W2014 SENT TO SCANNING — Internal Notes ,Certificate of Occupancy CofO Number CO2013-006343 Choose Pdnt All CofO Type Permanent Fees and Payments r anent �� Sheets to Issue Issued By Permitl Single C/O - -- CofO Status Issued _ Inspections CofO Date Issued 04/17/2014 Temp. CofO Issued 03/28/2014 Date Printed Utility Release Date Temp. COFO Expiration 04/28/2014 04/17/2014 71 License Number A287456 Click the « button to copy the Business License information into the Certificate of Occupancy. Business Name HILTON SALON Business Licenses Business Name Business Type Professional / Other S A182282 THESTRBOOK A182282 THE BOOK MARKET Business Phone (714) 322-2509 A188532 99 CENTS ONLY STORE #75 A044832 MARSHALLS INC #76 - THE TJX CC Proposed Use SALON Approved Occupied Area (Sq Ft) 989.00 Former Use # of Stories Conditions 114.1 1 Change of Owner) Elec. Available? Drinking I Dining > 50 Occupants? Q- Change of Use? �� Want Electricity On? Welling / Open Flame? Change of occupant? Vi Sprinklered? Automobile Repairs? Additional Occupant? ❑ Dust / Wood? Auto Parts Desc. "Occupancy G+ + +,+ Group Description Area Construction Type Occupancy Load B SALON 989 Type V - B 10 B SALON 989 Type V - B 10 Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions, inrinriinn elnrnna of rarnrrle anrt arrniints_.. _