Loading...
HomeMy WebLinkAbout16331 Gothard St - CofO (30)J. HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 0201 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor - The Applicant Must Apply In -Person) Business Address I (033 GOihCL(-a 75-t Q i µ$ t CA s 9SO 7 Date I l �1 f e) Business Owners Name Zip Code 9 Lq % Business Nam( Business Type Telephone No.-11`I.012. 11145 Bus. Phone 209 a 02. 8S37 Property Owner Information (required) Tenant/Emergency Contact (required) Name L5S M I LL5-fL - (A, WSS- LAN ILA Name AcNI!*n J SRdR6E Address 130-10 OLA S0►S0,C•h!C-o. P-6 Home Address IIrAo2 j nSyINS LN zi::rS City W e5tm IAs4a State/Zip CA %g2J-e3 City(A00-�1N6-l'6N 13�14State/Zip C9 Telephone No. Telephone No. 2CA - (oi2.5�37 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or >�F-xisting Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No CHECK LL THAT APPLY: Change of Business Owner ❑ Change of Occupant ❑ Change of Use �wsa�ent- n irate former type of business �;� a„T� Zia) � • Are you requesting that the electricity be turned on? ❑Yes %No • Will operations produce dust/wood shavings or similar material? ❑ Yes o • Will operations involve the repair or replacement of automobile parts? ❑Yes *o 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? ❑ YesX No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? []Yes KNo • The 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? 0 Yes XNo 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 )4No Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only �,,,, Occ Group: Area: AM2 Occ Load: 8 Occ Group: Area: Occ Load: Occ Group: Area: Occ Load: Total Sq Ft Occupied: No. of Stories: TIF Revi w: Y/ N Bldg. Permit # Entitlement #: Zoning: Use Permitted: Y / N Parking Mee s Code (for use): Y / Planning InitialDate: C i t' Building Reviewed By Initials:Date: / X 6 Conditions of Approval or Other Notes: xX a th vl r 11 Nr �� `— (D�i� �� ,�`.1 1K 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: e Hess Property Address: 1(0331 G O-j har-1 S+ . S+>; t> city: tj TW qZ ` 7 Zip Code: Contact Person: Title: Type of Business: 4're,ss LoAsuk+m+-%A Telephone: '2-CR - bi'Z . �633-7 Fax Number: NIA E-mail Address: Tj"f `C 2bod e�naS . 4--orA Applicant (print name): LLjeLKjJA PA6V-,.KJtJ0tJ ,+Signature: Date: ii 7 I 1. Will the facility release air pollutants, including b t of limited to, dust fumes, , mist, smoke, vapor, or a combination of these to the atmosphere? E]Yes to 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yeso 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? E]Yes 1990 4. Will the facility have use of above or underground storage tank? []Yes XNo 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? F]YesXNo 6. Will the facility result in the use of the equipment listed below? E]Yes Ao (Select all that apply) DAbrasive Blasting Cabinet/Room Air Conditioning System (containing > 50 Ibs of refrigerant) OApplication of Paints/Adhesive/Resins ❑Baghouse/Dust Collector ❑Bakery Oven (gas fired) ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Charbroiler/Smoker ❑Coffee Roaster/Afterbunner ❑Intemal 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/Coating/Drying ❑ Production of Fumes/Dust/Smoke/Odors []Refrigeration Systems (containing > 50 Ibs of refrigeration []Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven ❑Dry Cleaning Equipment ❑Spray Booth ❑Electrostatic Precipitator ❑Storage of Acids/Solvents/Organics Liquids/Fuels [-] Fermentation []Gasoline Storage & Dispensing Equipment []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). ©:fR- 1�14�-3 �,, , •,, Department of Planning & Building t '• 2000 Main Street Huntington Beach, CA 92648 <:• :% Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY BRAD WILLIAMS Cert. Number CO2017-006417 EVOLVE 3 LLC Date Printed 11/07/2018 16331 GOTHARD ST STE D HUNTINGTON BEACH CA 92647 Address: Permit Number: Business Name: Business Type: Current Use: 16331 Gothard St D 02017-006417 PERSONAL TRAINING Issue Date: 09/28/2017 TCofO Issue Date: TCofO Expiration: Approved Sq Ft.: 4,000.00 # of Stories: 1 Occupant Groups: Description: Area: I i Occupant Load: B EXERCISE ROOM 4000 8 - PER PLANNING Conditions of Approval: MAX 8 STUDENTS AT ANYTIME/ INSTRUCTION AREA NOT TO EXCEED 75% Contacts: Contact Type: Name: BRAD WILLIAMS Phone: (714) 330-1025 Business Owner Address: 16331 GOTHARD ST STE D Cell: ( ) City / State: HUNTINGTON BEACH CA Fax: ( ) Zip: 92647 Pager: ( ) Contact Type: Name: M. WESTLAND LLC Phone: (714) 894-3896 Property Owner Address: 13070 OLD BOLSA CHICA RD Cell: ( ) - City / State: WESTMINSTER CA Fax: ( ) Zip: 92683 Pager: ( ) -