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Home My WebLink About19440 Goldenwest St - CofO (3)CERTIFICATE OF OCCUPANCY 0201� CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION HUNTINGTON BEACH (3r Floor —The Applicant Must Apply In -Person) ((tkg4 0 4o JJeo. w-e_-, 48 Date II Is � (& Business Address s CIL Q� Business Owners Name G W I C i` Zip Code 9 Z (— y Business Name C_ & h eT lM OR t.g ,mac. " Telephone No. —71 `( Z06 • ZS8"3 Business Type d2 vimN � F /, 144t-un �JT Bus. Phone � e e � aT Y Property Owner Information (required) Tenant/Emerciency Contact (required) Name F to-j- IMF kJi `�� 2 Name Se w, '!:�G � de ,- Address l o o l ( 4 Home Address (�'t 'f- Y �-o Cc o(Jh L"-.s City *t:-- , Y. State/Zip Q 21 City 10-1:1-1 State/Zip at" y 6 Telephone No. `7 1 Telephone No. `� I .SEDO 3 3 0-0 t THIS USE WOULD BE DESCRIBED AS: Gin j.A_I � El Newly Constructed Building or ®Existing Building 4 IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes 0 CHECK ALL THAT APPLY: ❑ Change of Business Owner ❑ Change of Occupant ❑ Change of Use Additional Occupant • Indicate former type of business • Are you requesting that the electricity be turned on? ❑Yes GJ<6 • Will operations produce dust/wood shavings or similar material? ❑ Yes C O • Will operations involve the repair or replacement of automobile parts? ❑Yes o If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes o • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes p_<o • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes p-M-0— • 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 13-14o 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 ❑No Grease Interceptor Verified For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Inspected By Initials: Date: PI I 't' I D'I I" ( %" I P Area: Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: Occ Load: Occ Load: TIF Review: Y/ N Zoning: 7 K— J Parking Meets Code (for use): Y / N B "Id' R' w d B Initials Date anning nl la S. a e. UI Ing UV le e y Conditions of Approval or Other Notes: (jI'-I T OrV / �L 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: VJ�G�✓ Property Address: ��4 `� & co � &P City: N 1�) Zip Code: q j(, Contact Person: �� \f �/' Title: Type of Business:_ �n I v�C- �� Telephone: tt I �( ' �06 Z� Fax Number: E-mail Address: Applicant (print name): 2 �� Signature: Date: < 7�/ 1. Will the facility release air pollutants, including b t t limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes o 2. Will the facility s It 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 'VNo 4. Will the facility have use of above or underground storage tank? ❑Yes o 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes ❑No 6. Will the facility result in the use of the equipment listed below? ❑Yes 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) ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Charbroiler/Smoker ❑Mixing/Blending of Liquids and/or Powders ❑Molding /Extrudi ng/Cu ring of Plastic ❑ Pharm ace utical/Nutrace utical ❑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 El 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). Y 011;1-'- 1760iR F Department of Planning & Building ! 2000 Main Street # Huntington Beach, CA 92648 / Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY Cert. Number CO2001-010537 Date Printed 11/13/2018 Address: 19440 Goldenwest St 101 Issue Date: 05/17/2002 Permit Number: B2001-080812 TCofO Issue Date: Business Name: STAR REAL ESTATE TCofO Expiration: Business Type: REAL ESTATE SALES Approved Sq Ft.: 4,908.00 Current Use: # of Stories: 1 Occupant Groups: I Description: Area: Fo—ccupant Load: B 49 Conditions of Approval: Contacts: _ Contact Type: Name: SEACLIFF VILLAGE, LLP Phone: (000) 000-0000 Property Owner Address: 26840 LAGUNA HILLS DR Cell: ( ) City / State: ALISO VIE3O, CA 9265 Fax: ( ) Zip: Pager: ( ) Contact Type: Name: SEACLIFF VILLAGE, LLP Phone: ( ) Property Owner Address: Cell: ( ) - City / State: Fax: ( ) - Zip: Pager: ( )