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HomeMy WebLinkAbout7677 Center Ave - CofO (46)4. i- ;1_9 2<+ • 0 J� HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 j - CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION Business Address . f (0 ?f f L eVj-fer AI (le-• Business Owners Name kon TeA G�wi Business Name L+6 6as4ioei Business Type (3rd Floor - The Applicant Must Apply In -Person) ,�O Date r SSG'_ Zip Code q� �o etkS Telephone No.,5&�Z Bus. Phone -51017 Sq:5 511a� Property Owner Information (required) Tenant/Emergency Contact (required) Name 3eI I 1;2rrra M L.� i bez ( T r� 1-1 ZGt Name ZI ►O [iGc I-,oa, SO n AddressC/t) 1-6tl mtn A4ui- oe-S ///,/, -ScLv, VIC'-e 4Zmme Address 3S33 WcXsh2m A0-- --S:W City,,/ ©S,4,n SIPS State/Zip cA e/DD-11q city J-on� 7Beirtak -State/Zip -CA We42F Telephone No. 3/0Y95�5— Telephone No. THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or �d Existing Building IS THIS BUILDING FIRE SPRINKLERED? 'XYes ❑ 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 1�2rNo • Will operations involve the repair or replacement of automobile parts? ❑Yes1No If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes 1 No • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes) j No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? []Yes JA No • The following best describes my operation: ❑ Office Only ❑ Retail Sales PI 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 V 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 Grease Interceptor Verified For Official Use On/y Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied Bldg. Permit # CPO Planning Initial; � Date Conditions of Approval or Other Notes: -EYa"�cv. v�-c Z12 A Inspected By Initials: Date: Area: Area: Area: No. of Stories: Entitlement #: Use Permitted / N Occ Load: Occ Load: Occ Load: TIF Review: Y/ N Zoning:"-5_ 2 Parking Meets Code (for use): / N Building Reviewed By Initials:,�Date:i� � Z'4 Pi y_. 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:, Property Address: City: Z fL 10!:Ll n Q _�� GIC� Zip Code: Contact Person: ,L( nG (it%l'L'E'SA'1 Title: Coo, Type of Business: hA -Pc t L,,c 1 �-c 1 C& Telephone: - .� Fax Number: -:S&,2,--V O_�7_ E-mail Address: I t,Ja+lwn (? I GgaS-�rO •(:20M Applicant (print name): /. 111 CIA Oct SD}1 Signature: Date: fO'///� 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 PNo 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes 1 fNo 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes yNo 4. Will the facility have use of above or underground storage tank? ❑Yes $No 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? []Yes [>TNo 6. Will the facility result in the use of the equipment listed below? ❑Yes VNo (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 /Extruding/Curing of Plastic ❑ Pharm aceutical/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). �-E- ad Planning Division 714/536-5271 of Hunti 2000 MAIN STREET ach CALIFORNIA 92648 DEPARTMENT OF COMMUNITY DEVELOPMENT Code Enforcement Division Building Division 714/375-5155 714/536-524.1 Application No. 2018-0266 APN: 142-342-14 Date of Notice: October 31, 2018 NOTICE OF NEW ADDRESS The City of Huntington Beach Planning Division received a request from Lisa Buragosh, of Bella Terra Medical Plaza, to assign an address for Notice is hereby given that the new address is 7677 Center Ave. Suite 201 (see pages 2-3). In addition, per planning application 2003-0012, the existing vacant suite 4203 shall be changed to suite #214. The new addresses shall be posted on the property within fourteen days of this notice. If there are any questions regarding this notice contact the Planning Division. To subdivide the tenant space into multiple spaces will require a building permit (all other associated permits), plans, and inspection approvals for additional units. The address assignment will be finalized pending plans and permits. Applicant/Property Owner: Bella Terra Medical Plaza. LLC, Lisa Buragosh 11661 San Vicente Blvd, Suite 800, Los Angeles, CA 90049 Distribution: Huntington Beach City School District Orange County Assessor's Office OC Sheriffs Office, Kathy Borchardt Registrar of Voters, Orange County Southern California Edison Company Southern California Gas Company U. S. Post Office, Carlos Gonzalez (Atlanta Ave) U. S. Post Office (Warner Ave) U. S. Post Service, Lou Ann Montalvo, A.M.S., P. N. D. (Santa Ana) Verizon Metronet Fire Communications, Ter! Chamness-(Email) City of Huntington Beach Community Development Department, Jasmine Daley Finance, Gail White Finance, Alan Thatcher Finance, Elisabeth Ferguson Public Works Department, Joshua McDonald Water Department, Rudy Ocampo — Eric (meter shop) Information Systems, Leslie Edwards Police Department, Joann Arboreen Fire Department, Janice VanMullem Fire Department, Steve Eros Fire Department, Sabrina GalIardo City Treasurer, Alisa Cutchen 16 Bella Terra Medical Second Floor Leasing Plan Huntington Beach, CA wvoe-a000-00 04-02-13 a14C 20l t I north WARE MALCOMB �ma aeKn ar�...,a� ar r�+ne