HomeMy WebLinkAbout5772 Bolsa Ave - CofO (34)r s.
�J
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 a- JJ3 S61
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor - The Applicant Must Apply In -Person)
Business Address > �����')" 1 ��t�i�� Q? % L Date
Business Owners Name QrXAA fj-, ey.-N Zip Code 1-2-4 41
Business Name �o ��c�1; 'r�n.�_ . Telephone No.
Business Type �.Glr 1^(,�,�,,'�! Bus. Phone
Property Owner Informatio (required) Tenant/Emergency Contact (required)
Name K 1 Name 61:Je_YL
Address 4rl76r � P 2�Home Address (-�-�/ llla
Cit State/Zip / City i%�✓' - r� State/Zip lam- `70 c7'�77
Telephone No. `1� 1?7?i- C7 � 2%� Telephone No. `�� f� -74 I -" � /"7 —
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or &Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner r hange of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business /
• Are you requesting that the electricity be turned on? ❑Yes N;;No
• Will operations produce dust/wood shavings or similar material? ❑ Yes Flo
• Will operations involve the repair or replacement of automobile parts? ❑Yes Slo If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes 10 No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes �V No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes ["o
• The following best describes my operation: �Sbffice Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution 0 Restaurant/Take-Out Food ❑ Other
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes ADO
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 Po
Grease Interceptor Verified
For Official Use On/y
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Inspected By Initials: Date:
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning: C(-n
Parking Meets Code (for use): Y / N
Planning Initials:d,DatAk � 0« Building Reviewed By Initials: Date:
Conditions of Approval or Other Notes: ce- p �
South Coast
` Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Ph -
N � one 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:
Zip Code:
Contact Person: Title:
Type of Business: Telephone:
Fax Number:
-mail Address:
Applicant (print name): Signature:
Date:
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 PIo
2. Will the facility resujj of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes o
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes Flo
4. Will the facility have use of above or underground storage tank? ❑Yes 00
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 ioNo
(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 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).
Department of Planning & Building
2000 Main Street "
Huntington Beach, CA 92.648
Phone: (714) S36-5241 Fax: (714) 374-1647 -1
5772 1 Bolsa Ave 100 ARDEN REALTY FINANCE IV ILL
5772 APN 145-531-25
Occupancy Application
Application Binder
Num Street Unit Bld
Job Address 5772 Bolsa Ave 1210 APN 145-531-25 RD 2911
Zoning CG Lot Tract Fp-o 1-5 97 Block 11
File Number CofO?
M2009-006059 No
F2009-006153 No
B2010-004251 Yes
E2010-004447 No
F2010-005041 No
02011-002291 Yes
02012-000844 Yes
02013-005629 Yes
02013-006075 Yes
02013-006218 Yes
02013-007434 Yes
02013-008034 Yes
Entered By Watson, Daniel Date Entered 12/17/2013
Default Inspector Ford, Bill Status Pending I
Permit Type Certificate of Occupancy Issue Permit? Date
Origin Counter Issued By
Building Use - City— Planner
Building Use - County New Building? Plan Checker
Description *TURNING PAGES RECOVERY LLC" ADDITIONAL OCCUPANT
{OF***ORANGE COUNTY DRUG TESTING'"'*
Internal Notes
CofO Number
CO2013-008034
Choose PtrntAll
CofO Type
Permanent
Issued By
_
Frisby, Chad �
Sheets to Issue
Single C/O
CofO Status :Issued
Fees and Payments
Inspections
CofO Date Issued 04/11/2014 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration
License Number A288155 71
Business Name TURNING PAGES RECOVERY LLC
Business Type IProfessional/ Other
Business Phone (714) 373-4800
Proposed Use 1OFFICE
Former Use . OFFICE
Conditions
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A196322 GLOBAL RESOURCES
A221840 VERIZON-ATTN: KIM MC:HQE01G4:
A190566 AT CENTER, LOS ANGELES
A119176 L T X CORP - TAX DEPT
Approved Occupied Area (Sq Ft) 1,600.00
# of Stories 1
Change of Owner? Elec. Available? Drinking ! Dining > 50 Occupants?
0 Change of Use? Want Electricity On? � Welding ! Open Flame?
EChange of occupant? Sprinklered? U Automobile Repairs?
(�
Additional Occupant? Dust ! Wood? Auto Parts Desc.
lOccupancy Group/Load
r,rnun ❑esrrintion Area Construction TvDe Occuoancv Load
B
OFFICE
1600
16
B
OFFICE
1600
16
Group Definitio
Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
in hviinn efnronn of --I. -A ire mfc _..