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Home My WebLink About18800 Delaware St - CofO (88)• HUNTINGTON BEACH in I CERTIFICATE OF OCCUPANCY 020 - CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION Business Address 18800 DELAWARE ST. SUITE 1050 Business Owners Name KIRK MOORE Business Name APPROVAL CODE Business Type PROFESSIONAL SERVICES (3rd Floor — The Applicant Must Apply In -Person) Date 11 /26/18 Zip Code 92648 Telephone No. 714-861-4471 Bus. Phone 800-535-6233 Property Owner Information (required) Tenant/Emergency Contact (required) Name Pacifica Center of Huntington Beach Name Kirk Moore Address 18800 DELAWARE ST. SUITE 1100 Home Address 9031 Veronica Drive City Huntington Beach State/Zip 92648 City Huntington Beach State/Zip CA 92646 Telephone No. 714-202-0537 THIS USE WOULD BE DESCRIBED AS: Telephone No. 714-367-6969 ❑ Newly Constructed Building or ❑■ Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑■ Yes ❑ No CHECK AkL THAT APPLY: Change of Business Owner ❑ Change of Occupant ❑ Change of Use an • Indicate former type of business • Are you requesting that the electricity be turned on? ❑Yes ENO • Will operations produce dust/wood shavings or similar material? ❑ Yes X No • 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 ❑■ No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes ❑■ No • The following best describes my operation: X 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 ❑ 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 lim-1No Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials:Date:ll 2(a 11b Area: Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: Occ Load: Occ Load: TIF Review: Y/ N Zoning: C� Parking Meets Co (for use): Y / N Building Reviewed By Initials: Date: Conditions of Approval or Other Notes: IFN 1�e ` 4N u- I ^,R— 6-n C>_t!F3--ter?-2 <� ._ South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 http://www.agmd.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: Approval Code Property Address: 18800 DELAWARE ST. SUITE 1050 City: Huntington Beach Contact Person: Kirk Moore Zip Code: 92648 Title: Owner Type of Business: Professional Telephone: 714-861-4471 Fax Number: 714-948-8148 E-mail Address: bankcards@gmail.com Applicant (print name): Kirk Moore Signature: Date: 11 /26/18 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 ❑No 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes ❑■ No 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes ❑■ No 4. Will the facility have use of above or underground storage tank? ❑Yes FM -]No 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes RE No 6. Will the facility result in the use of the equipment listed below? ❑Yes RE No (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) ❑BoilerMater 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 91 i Huntington Beach, CA 92648 ' Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application 18800 1 Delaware St 1050E & 18800 4APN 159-121-31 Certificate of Occupancy Application Num Street Unit Bldg Job Address 18800 Delaware St 1050 1 APN 159-121-31 RD 3615 Zoning ISP14 Lot = Tract = Block L� File Number CofO? 02017-003199 Yes F2017-003883 No 02017-003899 Ye's P2017-004425 No E2017-004426 No M2017-004427 No F2017-005171 No F2017-005679 No F2017-005730 No F2017-007230 No M2018-000060 No 02018-000421 Yes Entered By Flores -Hernandez, Armalen 7, Date Entered 01/19/2018 Default Inspector Coble, Russell � 11 Status Ilssued Permit Type Certificate of Occupancy I Issue Permit? j Date 01/19/2018 Origin Counter Issued By 1Permit4 Building Use - City I Planner (Bourgeois, Nicolle Building Use - County 1D New Building? Plan Checker Kong, Sokar Description I ""DAKOTA DIGITAL: WEB DESIGN & MARKETING... Internal Notes CofO Number CO2018-000421 Choose Print All CofO Type Permanent Fees and Payments Sheets to Issue Issued By Permit4 Single C/O CofO Status Ised inspections su Cofo Date Issued 01/19/2018 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration 01/19/2018 License Number Business Name Business Type Business Phone ( )� Proposed Use Former Use Conditions Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A255390 RECOVERY MASSAGE AND THERE A146228 AHEARN ROBERT C MD A153920 PACIFICA HOSPITAL CARE CTR A160202 PACIFICA HOSPITAL CARE CENTEI Approved Occupied Area (Scl Ft) 11,123.00 # of Stories I11 Change of Owner? Elec. Available? Drinking / Dining > 50 Occupants? Change of Use? ❑' Want Electricity On? ❑ Welding / Open Flame? Change of Occupant? 0 Sprinklereii? Automobile Repairs? DAdditional Occupant? 0; Dust / Wood? Auto Parts Desc. bccupancy Group/Load Group Description Area Construction Type Occupancy Load B OFFICE 1123 11 B OFFICE 1123 11 Group Definitio Business Use- Building or structure, or a portion thereof, used for office, professional or service -type transactions, WC Policy Number i1I 0 Exp. Date � � Carrier E-