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HomeMy WebLinkAbout17461 Apex Cir - CofO (5)POE HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION Business Address 17461 Apex Cir Business Owners Name John Kompaniez ` Business Name i� A, Business, -Type Hobby Shop -Personal Use (3rd Floor — The Applicant Must Apply In -Person) Date 11/ /2018 Zip Code 92647 Telephone No. 714-642-2917 Bus. Phone Property Owner Information (required) Tenant/Emergency Contact (required) Name John E Kompaniez Name John Kompaniez Address 17461 Apex Cir Home Address 16091 Santa Barbara Ln City Huntington bch State/Zip CA 92647 City Huntington bch State/Zip CA 92649 Telephone No. 714-642-2917 Telephone No. 714-642-2917 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or 0 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 Hobby Shop- Personal use • Are you requesting that the electricity be turned on? ❑■ Yes ❑ No • Will operations produce dust/wood shavings or similar material? ❑ Yes ❑■ No • Will operations involve the repair or replacement of automobile parts? ❑Yes ❑p No 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 ❑p No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 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 • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? []Yes ENO 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 ONO Grease Interceptor Verified For Official Use Only Occ Group: Occ Group: S Occ Group: Total Sq Ft Occupied: -+ Bldg. Permit # Planning Initials: Date:W� Conditions of Approval or Other Notes: Inspected By Initials: Date: Area: 1,400 Area: 26 OO Area: No. of Stories: Entitlement #: Use Permitted: 16 N Occ Load: 14. Occ Load: Occ Load: TIF Revie Y/ N Zoning: Parking Meets Code (for use :�,�/� N Building Reviewed By Initials: Date:yu, ��Z9 N cis South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 http://www.agmd.gov � 6 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: 0 Property Address: 17461 Apex Cir City: Huntington bch Contact Person: John Kompaniez Zip Code: 92647 Title: owner Type of Business: Hobby Shop Personal Use Telephone: 714-642-2917 Fax Number: E-mailAddress: Jompaniez@yahoo.com Applicant (print name): John Kompaniez 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 ❑■ No 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes ❑■ No 3. Will the facility result of hazardous materials, 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 ❑■ No 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 ❑■ No (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=ater 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/Nutraceutical ❑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 El 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 714/53G-5241 Certificate of Occupancy No. 0200-7-U)7 (.05 APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH - DEPT. OF BUILDING & SAFETY Business License #� Business Address—Z �2 Business Owners Name Business Name rLL&,, Business Type zij"n Name _ Address City _ Telephone No. (3id Floor — Must Apply In -Person) IA- 01 / - off Date -- Zip Code Z �- G �Z Z Telephone No. Bus. Phone? tLrya "-15 )rmation (required) Tenant/E ergency Contact (required) ,Q Name Home Address State/Zip City State/Zip Telephone No7Zy— � �- THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or. Existing -Building CHECK ALL THAT APPLY: Change of Property Owner ❑ Change of Occupant ❑ of Use ❑ Additional Occupant ■ Indicate former type of business�Jhange 1� ■ Are you requesting that the electricity be turned on? YesONog-,' ■ Is the building sprinklered? Yes ONe9— ■ Will operations produce dust/wood shavings or similar material?. YesONol=K , • Will operations involve.the repair or replacement of automobile parts Yes ONo C' If yes: - Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? Yes []No 0--' ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ONo G--� ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Restaurant/Take Out Food O-Varehou a /Manufacturin istribution (describe process and end product) tA" u VAcXy� t tJG ❑ Other (describe) For Official Use Only Occ Group: Area: �� Occ Load: Occ Group: E- \ Area: Oce Load: 6 Occ Group: Area: _ Occ Load: Total Sq Ft Occupied: No. of Stories: TIF Review: Y/N Bldg. Permit # Entitlement #: Zoning: 1 G Plnr Initials:_ Date:B l3 O%1' Plan Chkr InitialsJoDate:,�l I�Insp Initials: G- Dater© Conditions of Approval or Other Notes: , 4 Inspection Date: (G:Bu ild ing/Forms/Permi tAppl ication/CofO2006)