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HomeMy WebLinkAbout17682 Gothard St - CofO (30)Jj 0 0 HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 l - i &H I CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor - The Applicant Must Apply In -Person) Business Address l Ad 7r0 �� ��T`fv �t #7 Business Owners Name Business Name J 1101`.�((WA p�otOgfup�y Business Type PAd a� /—, Property Owner Information (required) LuC;a C�any Date It 3d —119' Zip Code q'� 6'4f i Telephone No. -71Y 000 GyS� Bus. Phone -71q 600 67S7 Tenant/Emergency Contact (required) Jcj,,je Ad(jotj Address (761KI lqd" S� *la 1 Home Address 15'Eo I°�4(�ih� ove I ►T1���— City 4L,,4,hr,4Pi (»enC4 State/Zip Cl 7 City CcS4 IRSa State/Zip C� � ZG Telephone No. -7Ig Telephone No. -7/1 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building IS THIS BUILDING FIRE SPRINKLERED? twes ❑ No CHECK ALL THAT APPLY: ❑ Change of Business Owner DgrChange of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business • Are you requesting that the electricity be turned on? Yes ❑ No • Will operations produce dust/wood shavings or similar material? ❑ Yes b?No • Will operations involve the repair or replacement of automobile parts? ❑Yes (5No 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 XNo • Thp 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 N NO If you answered yes, please proceed to the next question. • Does your facility currentl have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes ilo Grease Interceptor Verified For Official Use Only CC Occ Group: J Occ Group: �7 Occ Group: Total Sq Ft Occupied: kA V Bldg. Permit # Planning Initials: Date�(I�b�M� 1 I Inspected By Initials: Date: A - Area: /- Occ Load: 1 Area: r-ljsb Occ Load: . Area: Occ Load: No. of Stories: TIF Revie ,- Y/ N Entitlement #: Zoning: t✓+ Use Permitted: Y / N Parking Mepats Code (for use): Y / N Building Reviewed By Initials: Conditions of Approval or Other Notes: (.�wyt �' �il�/1 fi1,��'� s_. f'. , M`^A 0 South Coast L 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:�a Property Addr ss: i s- City: W h Contact Person: NS�,n Type of Business: Hai Zip Code: 92 Qeq 7 Title: 0 el, Telephone: 71 C4V C75j Fax Number. E-mail Address: ZZL�,�/gatI-9A-M a� �� � ccw) Applicant (print name): moo/ Signature: Date: 1 ll�F� 1. Will the facility release air pollutants, including b t t limited to, dust fu es, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes Vo 2. Will the facility r sul of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes o 3. Will the facility result of hazardous mat rials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes o 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? ❑YeskNo 6. Will the facility result in the use of the equipment listed below? ❑Yes *5i o (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/Nutraceutical ❑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). 0K3 - 1-6 If Department of Planning & Buildings 2000 Main Street I Huntington Beach, CA 92648 Phone: (714) S36-5241 Fax: (714) 374-1647 \•_ 17682 1 Gothard St 1 1 r77 JOHN T � i APN 165-392-39 Occupancy Application Aoolication Binder Num Street Unit Bldg Job Address 17682 Gothard St 7 1 1 APN 165-392-39 RD 3414 Zoning IL Lot Tract Block File Number CofO? P1998-022671 No P2000-025462 No 01994-004676 Yes 01994-004677 Yes 01998-004678 Yes 02002-010601 Yes 02004-012541 Yes 01993-004679 Yes 01998-004680 Yes 01990-004681 Yes 01996-004682 Yes 01996-004683 Yes Entered By Date Entered 01/22/1996�� Default Inspector Status Issued Permit Type Certificate of Occupancy Issue Permit? Date 01/24/1996 Origin Issued By Building Use - City Planner Madera, Jane Building Use - County New Building? Plan Checker I Lawrence, Jim Description Internal Notes Certlificate of Occupancy CofO Number CO1996-004683 Choose PlintAll CofO Type Fees and Payments Sheets to Issue Issued By Single C/O CofO Status Issued Inspections CofO Date Issued 01124/1996 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration License Number Business Name VW SPECIALTIES Business Type AUTO SERVICE AND LIG 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 A164394 IN CAR DESIGNS A071686 CLEMENT J &ASSOC A225484 TALKTRONICS INC A186124 PRECISION TESTING & CONDIT LP Approved Occupied Area (Scl Ft) 14,500.00 # of Stories 01. Change of Owner? Elec. Available? Drinking / Dining > 50 Occupants? ❑! Change of Use? Q Want Electricity On? Welding / Open Flame? nV Change of Occupant? Sprinklered? Automobile Repairs? Additional Occupant? Dust / Wood? Auto Parts Desc. ,Occupancy Group/Load Group Description Area Construction Type Occupancy Load j H-4 I I I 120 -� F-4 120 Group Definitio Repair garages not classified as Group S, Division 3 Occupancies.