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Home My WebLink About6552 Bolsa Ave - CofO (32)�J HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 --_ CITY,OF HUNTING.TON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION Business Address G 5 5 Business Owners Name Business Name Business Type ` w Wd Floor - The Applicant Must App In -Jerson) Date AOR Zip Code _ Telephone No. i1-4 Bus. Phone -j314 y rroperty v ner lnrormation (required) Tenant/Emergency Contact (required) Name 1 Gt i(IQ Name fn WD n Address h55 Home Address (Z c City 1 State/ZipL9 gU41' City - &0vl M t Vr P. State/Zip 2 p' Telephone No. 32 K4 Telephone No. 4144 C, j —0 44'-' THIS USE WOULD BE DESCRIBED AS: r O Newly Constructed Building or 'Existing Building IS THIS BUILDING FIRE SPRINKLERED7 ❑ Yes ONO CHECK ALL THAT APPLY: ZChange ❑ Change of Business Owner of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type1of business ■ Are you requesting that the electricity be turned on? ❑Yes DONo ■ Will operations produce dust/wood shavings or similar material? ❑ YesDNo ■ Will operations involve the repair or replacement of automobile parts? ❑Yes CWo If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes 0 ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes E o ■ Will there be storage`racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes *0 ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/Dental ❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food [2 Other s � c C� r- 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 . 10 No For Official Use Only 1 Occ Group: Occ Group: �— Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning InitialsU c Date: Area: Area: Area: No. of Stories: Entitlement #: Use Permitted: / N Occ Load: Vl Occ Load: Occ Load: TIF Review / N Zoning: t Parking Meets Code (for use): a� Building Reviewed By Conditions of Approval or Other Notes: Grease Interceptor Verified Inspected By Initials: Date: N 0:.1�_-`r? 4 ? 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 (qa+AD). , 2. Will the facility rpsjuIt of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes 9(JN0 3. Will the facility result of hazardous mat i Is, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes No 4. Will the facility have use of above or underground storage tank? ❑Yes kNo 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 �\ (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/N utraceutical ❑Plasma/Laser Cutter ❑Printing/Coati ng/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). U Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 " s Phone: (714) 536-5241 Fax: (714) 374-1647 - 6552 BAPNA145-211-56 � PLATT VERNON HARRY 6552 Occupancy Application Application Binder Num Street Unit Bldg Job Address 6552 Bolsa Ave D APN 145-211-56 RD 2913 Zoning CG Lot 15 Tract S0005 Block 11 File Number CofO? 02008-007405 Yes 02009-002331 Yes 02009-003527 Yes 02009-006356 Yes B2009-006712 No E2009-006714 No M2010-000077 No 02010-000239 Yes 02010-003123 Yes 02010-004283 Yes 02010-004356 Yes 02010-004361 Yes Entered By Martin, Sarah Default Inspector Kirby, Kevin Permit Type Certificate of Occupancy Origin Counter Building Use -City Iji Building Use -County j New Building? D' Description "'OC QUALITY HEALTHCARE Internal Notes Date Entered 08/10/2010 Status Issued Issue Permit? F>. Date 09/14/2010 Issued By [Chuor, Phillip Planner Edwards, Ethan Plan Checker CofO Number CO2010-004361 Choose Print All CofO Type Permanent j Sheets to Issue Issued By IChuor, Phillip I Single C/O CofO Status I Issued l Fees and Payments Inspections CofO Date Issued 09/14/2010 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration 09/14/2010 - License Number IA277614 Business Name JOC QUALITY HEALTHCARE Business Type IProfessional / Other Business Phone (714) 907-0775 Proposed Use IMEDICALOFFICE Former Use 1OFFICE Conditions Ui Change of Owner? Change of Use? VNj Change of Occupant? El; Additional Occupant? Group Description Area Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name Al39912 SUPER SUBMARINE SANDWICH Al56740 SUPER SUBMARINE A166596 SUPER SUBMARINE A172554 SUPER SUBMARINE Approved Occupied Area (Sci Ft) 1590.00 # of Stories 11 DElec. Available? Drinking 1 Dining > 50 Occupants? Want Electricity On? Welding 1 Open Flame? Sprinklered? o, Automobile Repairs? Dust / Wood? Auto Parts Desc. Construction Type Occupancy Load B 590 6 B 590 6 Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions, WC Policy Number Exp. Date Carrier Fees andePa ments ,.