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HomeMy WebLinkAbout5944 Warner Ave - CofO (4)r. ($-,, �qi � POE CERTIFICATE OF OCCUPANCY 020 1`6 -CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION HUNTINGTON BEACH (3r Floor -The Applicant Must Apply In -Person) Business Addre; Business Owner Business Name Date J/ 27 , 2 ©( Zip Code 9 2- Telephone No. --I I a G Business Type � say v' e'e c O d -� 1 PC. ve I c + � Q ec. ,, v Bus. Phone i(t'1 �S o 9 , Property Owner Information (required) Tenant/Emergency Contact (required) Name Wavv,Q„ SPrILI(d'd e Name Address O GZ%rJCt, av f- Ovd */.50 Home Address City wesfiW:_R C\/ State/Zipf,4 City — I P ; �•., State/Zip cA / 97 /So i Telephone No.-I11-1 S9 ( A R c.7 LA Telephone No. (nS -i - <C —7 � THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or O'Existing Building IS THIS BUILDING FIRE SPRINKLERED? -0'Yes ❑ No CHECK ALL THAT APPLY: 'Change of Business Owner Change of Occupant .Change of Use ❑ Additional Occupant • Indicate former type of business I -.a e !� V 5, V.es.r • Are you requesting that the electricity be turned on?..2Yes ❑ No • Will operations produce dust/wood shavings or similar material? ❑ Yes ONo • Will operations involve the repair or replacement of automobile parts? ❑Yes _2No If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes -El- No • Will the business be a drinking, dining or assembly use with an occupant load of more�an 50 persons? ❑ Yes,© --No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? "es O'No • The following best describes my operation: ❑ Office 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 --p-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 rpNo Grease Interceptor Verified For Official Use On/y Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Inspected By Initials: Date: Planning Initials: U Date: I -2- -1 t Conditions of Approval or Other Notes: Area: Area: Area: No. of Stories: Entitlement #: Use Permitted!6 / N C Occ Load: Occ Load: Occ Load: TIF Review: Y/ N Zoning: G C-i Parking Meets Code (for use): Y / N Building Reviewed By Initials:_ Date: l l Z o � South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 `i Phone Number 909 396-3529 http://www.aqmd.gov ¢vc 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: b � C" 1 C-� t/J O V J Property Address: S9 �t Lt 'Wav �,.P.,,, Avg - City: -f., +�6 Q�� �_ Zip Code: Contact Person: *ke:k� -4 a t.c.-baIcA i Title: f CF C) Type of Business: J4, n,,,_e y rt cl. I cc., ter Telephone: % 1 t1 6>cb 9 k-� 9 %, Fax Number: E-mail Address: co w. Applicant (print name): m e a iej AL6,P,� 1(1—,U' Signature: _ '� Date: 1 / , Z �� /5 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 ONo 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes _QNo 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes _2Nb 4. Will the facility have use of above or underground storage tank? ❑Yes,[allo 5. Will the facility consist of manufacturing, fabrications, finishing, oLtreatment of wood, metal or plastic products? ❑YesZNo 0 6. Will the facility result in the use of the equipment listed belo\h cs ZjNo (Select all that apply) V (-]Abrasive Blasting Cabinet/Room ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) Conditioning System (containing > 50 Ibs of refrigerant) ❑Mixing/Blending of Liquids and/or Powders ❑Application of Paints/Adhesive/Resins ❑Baghouse/Dust Collector ❑Bakery Oven (gas fired) ❑Molding /Extruding/Curing of Plastic ❑ Pharmaceutical/N utraceutical ❑Plasma/Laser Cutter ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Printing/Coating/Drying ❑Charbroiler/Smoker ❑ Production of Fumes/Dust/Smoke/Odors ❑Coffee Roaster/Afterbunner afrigeration 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 AOMD. 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). 0C(16 -336S f �> Department of Planning & Building 2000 Main Street s Huntington Beach, CA 92648 .� Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY ILKEVYCH OKSANA IL THRIFT SHOP 5944 WARNER AVE Huntington Beach CA 92649 Cert. Number CO2017-004335 Date Printed 11/27/2018 Address: 5944 Warner Ave Issue Date: 07/05/2017 Permit Number: 02017-004335 TCofO Issue Date: Business Name: TCofO Expiration: Business Type: Approved Sq Ft.: 794.00 Current Use: RETAIL/ THRIFT STORE # of Stories: 1 Occupant Groups: Description: Area: I I Occupant Load: B SALES 794 8 Conditions of Approval: _ RETAIL USE OK Contacts: Contact Type: Name: ILKEVYCH OKSANA Phone: (714) 746-0425 Business Owner Address: 5944 WARNER AVE Cell: ( ) - City / State: Huntington Beach CA Fax: ( ) Zip: 92649 Pager: ( ) Contact Type: Name: WARNER SPRINGDALE, LLC Phone: (714) 375-5779 Property Owner Address: 16101 GOLDENWEST ST Cell: ( ) City / State: HUNTINGTON BEACH CA Fax: ( ) Zip: 92647 Pager: ( ) -