HomeMy WebLinkAbout7573 Slater Ave - CofO (37)1W
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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 -JS 13 Sift 1t42gvZ Ui' i 9Q�V4s Date \\ - a (a " 1�
Business Owners Name &D Ch 6EAVIG& Zip Code '9164 8
Business Name C_'Q2.e',,N '-3 �� C_, Telephone No. 7iy •07-SI
Business Type �J �. v�C," F i q_zb"G.E= Bus. Phone -1 14 - 3 ?S . 7?-F`f
Property Owner Information (required) Tenant/Emergency Contact (required)
Name 4 (�t�y�c 1�l�Sy��n► i S Name VC-4L
Address i -2 Home Address liW5 `
City C c:>SZA 14,02_ 3_State/Zip CA Q24>V & City 1��tiii;,,Tc�►`i � State/Zip Cft 9a(byS
Telephone No. 1 V4 - (may 1" k1 .36 Telephone No.
'111-4 - COGS Lis i l
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or %Existing Building
IS THIS BUILDING FIRE SPRINKLERED? 1AYes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner 'Change of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business �G.rtLE; 1-a2�r..YL
• Are you requesting that the electricity be turned on? ❑Yes 1KNo
• Will operations produce dust/wood shavings or similar material? ❑ Yes Flo
• Will operations involve the repair or replacement of automobile parts? ❑Yes JANo If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes l No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes $1 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 ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food V Other Q\MC_ S-C �
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes * 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 14No
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials:14 Date: AIZLll1F2
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Occ Load: _
Occ Load:-
Occ Load:
TIF Review: /,N
Zoning: L (
Use Permitted: Y / N Parking Meets
, Code (for use): Y / N
C
Building Reviewed By Initials: "r Date: It 1;,C)I)b
Conditions of Approval or Other Notes: V-elkRlk ✓"I UYOihe On 64 1/1(7 �pA1 k-
,LI
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South Coast .
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Phone Number (909) 396-3529 http://www.agmd.gov
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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).
C
Company Name: C
� r
Property Address: 2S`73 f
City: \A - Zip Code: `7 roof li5
Contact Person: CaVs.0 ye� Title:
Type of Business: Telephone: `71Lk ' 3 ' `72414
Fax Number: E-mail Address: C�R-C-C» —\%0c— C_� <z_-a(_ , C-a
Applicant (print name): C- !C1_ Q-)lce� Ucy"_ 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 ANo
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes ;kNo
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes NNo
4. Will the facility have use of above or underground storage tank? ❑Yes UNo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes19No
6. Will the facility result in the use of the equipment listed below? ❑Yes �No
(Select all that apply) 11 ��
❑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 ❑Spray Booth
❑Electrostatic Precipitator ❑Storage of Acids/Solvents/Organics Liquids/Fuels
❑Fermentation ❑Storage Silos (sugar, flour, etc.)
[]Gasoline Storage & Dispensing Equipment
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).
De(6 — 93-en3
Department- of Planning & Building
2000 Main Street j
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647 -- Occupancy Application
7573 Slater Ave A FROME DEV OMEGA LLC
7573 APN 111-340-47
Application Binder
Num Street Unit Bldg
Job Address 7573 Slater Ave A APN 111-340-47 RD 3315
Zoning IG Lot Tract P0095 Block 28
File Number CofO?
02014-001402 Yes
02014-002401 Yes
02014-006611 Yes
E2014-006612 No
02014-007661 Yes
02015-000838 Yes
02015-002012 Yes
E2015-002016 No
02015-005290 Yes
02015-007254 Yes
02015-007408 Yes
02015-008000 Yes
Entered By IWoo, Melanie
Default Inspector Moreno, David
Permit Type Certificate of Occupancy
Origin Counter
Building Use - City
Building Use - County t 0 New Building?
Description `*CASARA MODERN—*
Internal Notes
Date Entered 10/27/2015
Status I Pending
Issue Permit? U Date 1
Issued By E-
Planner JEdwards, Ethan
Plan Checker ICarnahan, Mark
cellifficate of Occupancy
CofO Number 602015-008000 Choose Print All CofO Type Fees and Payments
Sheets to Issue - --
Issued By Single C/O CofO Status Pending Inspections
CofO Date Issued Temp. CofO Issued Date Printed
Utility Release Date; Temp. COFO Expiration
License Number T
Business Name
Business Type
Business Phone
Proposed Use WAREHOUSE
Former Use WAREHOUSE
Conditions
Change of Owner?
Change of Use?
ElChange of Occupant?
n; Additional Occupant?
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A123958 OLIVER TWIST CHIMNEY SERVICE
A185104 FOUR WHEELER SUPPLY INC #2
A239024 MICROBIAL SOLUTIONS
A164188 BEACH CITY AUTO WHOLESALE
Approved Occupied Area (Sci Ft) 1,400.00 1
# of Stories 1
Elec. Available?
DWant Electricity On?
DSprinklered?
IDust I Wood? Auto Parts Desc.
iOccupancy Group/Load
Group Description Area Construction Type Occupancy Load
0 Drinking / Dining > 50 Occupants?
DWelding I Open Flame?
Automobile Repairs?
S-1
WAREHOUSE
1400
3
S-1
WAREHOUSE
1400
3
Group Definitio Moderate -hazard Storage Use - Building or structure, or a portion thereof, occupied for storage uses that are not