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Home My WebLink About19061 Gothard St - CofO (4)J1 � HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 02019 - T5SO . CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3`d Floor — The Applicant Must Apply In -Person) Business Address 19061 Gothard St. Huntington Beach, Ca 92648 Date 11/14/18 Business Owners Name David Diaz Zip Code 92648 Business Name Simple Storage LLC Telephone No. 714-381-4622 Business Type RV Storage Bus. Phone 714-596-1184 Property Owner Information (required) Tenant/Emergency Contact (required) Name David Diaz Name Darren Diaz Address 7832 Glencoe Ave Home Address 6262 Belgrave Ave. City Huntington Beach State/Zip CA 92647 City Garden Grove State/Zip CA 92845 Telephone No. 714-381-4622 Telephone No. 714-323-7868 THIS USE WOULD BE DESCRIBED AS: O Newly Constructed Building or ® Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ®No 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 ® No ■ Will operations produce dust/wood shavings or similar material? ❑Yes ONO ■ Will operations involve the repair or replacement of automobile parts? ❑Yes ONO 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 5feet 9 inches in height? ❑Yes ®No ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/Dental ❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ® Other RV Storage ■ Will any meat products including beef, poultry, and/or fish bee 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 ® No For Official Use Only Occ Group: 15 Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials Date:"d Conditions of Approval or Other Notes: Area: 4po . Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: "f Occ Load: Occ Load: TIF Review: Y/ N Zoning:5 0 Parking Wea Code (for use): Y / N,( Building Reviewed By Initials: l i�1/" Date: ("�i /I Grease Interceptor Verified Inspected By Initials: Date: South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 e o (909) 396-3529 • http://www.aqmd.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: Simple Storage LLC Property Address: 19061 Gothard St. City: Huntington Beach Zip Code: 92648 Contact Person: David Diaz Title: Managing Member Type of Business: RV Storage Telephone: 714-381-4622 Fax Number: e-mail address- info@hbsimplestorage.com Applicant (print name): David Diaz Signature: ` ` —Date: 11 /14/18 • Will the facility have any of the following equipment? Yes ❑ No Charbroiler Dry cleaning machine Spray booth Printing press (screen/lithographic/flexographic) Internal combustion engine greater than 50 HP (excluding motor vehicles) Boiler/combustion equipment (greater than 1 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge-type dust filter/scrubber Motor fuel storage and dispensing equipment • Will any of the following operations be performed? Yes❑ No® Application of paints or adhesives Etching, plating, casting, or melting of metals Molding, extruding, or curing of plastics Mixing and blending of liquids and/or powders Storage of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke, or strong odors If you answered "No" to both questions, 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). -2- HUNTINGTON BEACH FIRE DEPARTMENT FIRE PREVENTION DIVISION File i#e Only 2000 MAIN STREET • HUNTINGTON BEACH, CA 92648 (714) 536-5676 • FAX (714) 374-1551 FP: FIRE PREVENTION - BUSINESS DATA SHEET For new Certificates of Occupancy Business Name: Simple Storage LLC Start Date: 11/14/18 Business Address: 19061 Gothard St. Huntington Beach, Ca 92648 Number Street unit Zip Code Billing Address: ®same as business Business Contact: David Diaz 714-381-4622 info@hbsimplestorage.com Emergency Contact: Darren Diaz 714-323-7868 info@hbsimplestorage.com (24-hour) Name Phone Email Description of Business: RV Storage Will there be any of the following uses on the premise? ® Storage >6 feet ❑ Welding ❑ Special amusements (escape room or similar) ❑ Motor vehicle repair If yes, describe: Will there be any of the following equipment (E =existing equipment, A = adding or new equipment) _ Dry cleaning — list solvent _ Industrial oven — list fuel Propane patio heaters —# of heaters, # of spares _ Cooking equipment (fryers, ovens, pizza conveyor, etc.) _ Backup generators — list fuel _ Walk in refrigerators or coolers — list size, refrigerant _ Spray booth or dipping tank _ Tents or air supported structure Grinding/milling equipment that creates _ Fuel dispensing (including storage tanks) combustible dust _ Carbonated beverage system — list total pounds of CO2 If yes, provide details (e.g., number, fuel, size, etc.) Does the building have any of the following features (E =existing feature, A = adding feature) Sprinkler system Other fire suppression system _ Fire alarm system E Smoke detectors _ Other detectors (e.g, methane) _ Other alarm system _ Private fire hydrants _ Battery systems _ Fire pump _ Methane barrier or other methane control installed If yes, provide details Does the business handle any of the following: YES NO 55 gallons or more of a liquid hazardous material or hazardous waste. ❑ Q Compressed gas (or liquid/cryogenic equivalent) of 200 cubic feet or more ❑ P Inert compressed gas (e.g., argon, nitrogen, helium) of 1,000 cubic feet or ❑ more. 500 pounds or more of a solid hazardous material or hazardous waste. ❑ Ell Extremely hazardous material or radioactive material ❑ W I certify, under the penalty of perjury, that the above information is true and correct to the best of my knowledge. Signature: w Title: /I % _Date: Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 ' Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY THOMAS BALESTAR Cert. Number CO2017-000328 Date Printed 11/14/2018 19061 GOTHARD Huntington Beach CA 92648 Address: 19061 Gothard St Issue Date: 01/17/2017 Permit Number: 02017-000328 TCofO Issue Date: Business Name: TCofO Expiration: Business Type: Approved Sq Ft.: 400.00 Current Use: REPAIRS # of Stories: 1 Occupant Groups: Description: Area: joccupant Load: B 400 4 Conditions of Approval: SURFBOARD REPAIRS/ FORMER USE REPAIRS FOR LAWN MOWERS Contacts: Contact Type: Name: THOMAS BALESTAR Phone: (714) 306-8684 Business Owner Address: 19061 GOTHARD Cell: ( ) City / State: Huntington Beach CA Fax: ( ) Zip: 92648 Pager: Contact Type: Name: STEVE PATTON Phone: (714) 536-1071 Property Owner Address: 19061 GOTHARD Cell: ( ) City / State: HUNTINGTON BH CA Fax: ( ) Zip: 92648-2227 Pager: ( )