HomeMy WebLinkAbout17682 Gothard St - CofO (30)Jj
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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.