The URL can be used to link to this page

Home My WebLink About5882 Bolsa Ave - CofO (11).0 • 44 HUNTINGTON BEACH Business Address Business Owners Business Name _ Business Type _ CERTIFICATE OF OCCUPANCY 020 Cam- -7 S33 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION �1 (3rd Floor — The Applicant Must Apply In -Person) J10 N,17j, Date 1 1 4b 1e � -1� L (�1� L✓� Zip Code Z�4'' k u � L✓ C il�A—) 1 Telephone No. � 1 � `3 < /• 131 J Bus. Phone -7)i-319 —1 -7S— Property Owner Information (required) Tenant/Emergency Contact (required) Name 02MIi-v b L ti 1AA \trT- Ko Name _ Address C, ZYP1 V Home Addres y City State/Zip (Doi wz' 2- City State/Zip mil �_F\ Telephone No. 3-10 �� 1 '' �� C7 Telephone No. =7 1 `4 ` --7 Y � ^ - � l0 !� THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or5rExisting Building IS THIS BUILDING FIRE SPRINKLERED? R Yes ❑ No CHECK ALL THAT APPLY: ❑ Change of Business Owner R,61hange of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business PRO r • Are you requesting that the electricity be turned on? ❑Yes Cp-110 • Will operations produce dust/wood shavings or similar material? ❑ Yes I114'ro, • Will operations involve the repair or replacement of automobile parts? []Yes ®' O If yes: Describe the components repaired or replaced. 1-1 • Does the operation involve the use of welding or open flame? ❑ Yes 5KO • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes Zj No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes �'� • The following best describes my operation: ffice 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 o If you answered yes, please proceed to the next question. • Does your facility currently ve a gr ase control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes o \\/ \ k Grease Interceptor Verified Inspected By Initials: Date: For Official Use Onl Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # 9 0 Planning Initials. 7 Date: �J 19 Conditions of Approval or Other Notes: Area: 990 Area: Area: No. of Stories: 2 Entitlement #: Use Permitted: Y / N Occ Load: Occ Load: Occ Load: to TIF Review jY Zoning: Parking Meets Code (for use): Y / N Building Reviewed By Initials: 1i6 Date: ll 30 South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 http://www.agmd.gov 4 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). ''gi�nn 1 Company Name: q\N�i L % W�._.. Property Ad res : 'Z. C > lei A- d + (� t3 City: Zip Code: 9---? G,_J_t� Contact Person: Title: m Type of Business: l VW0 Telephone:1�� Fax Number: Z �� E-mail Address: 0 i VIA AA �" `L Applicant (print name):, , A A/IiC--�� L_ M(( 46ri Signature: Date: 1. Will the facility release air pollutants, including but njot limited to, dust fumes, gad', mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes o 2. Will the facility result uel-burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes lzw 3. Will the facility result of hazardous materialsiFduding but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes DKO 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 f!5KIo 6. Will the facility result in the use of the equipment listed below? ❑Yes No (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) ❑Mixing/Blending of Liquids and/or Powders ❑Application of Paints/Adhesive/Resins ❑Molding /Extruding/Curing of Plastic ❑Baghouse/Dust Collector ❑Pharmaceutical/Nutraceutical ❑Bakery Oven (gas fired) ❑Plasma/Laser Cutter ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Printing/Coating/Drying ❑Charbroiler/Smoker ❑ 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 ❑Spray Booth ❑Electrostatic Precipitator ❑Storage of Acids/Solvents/Orbanics Liquids/Fuels ❑Fermentation ❑Storage Silos (sugar, flour, etc.) ❑Gasoline Storage & Dispensing Equipment 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). 411 Department of Planning & Building 2000 Main Street ` i Huntington Beach, CA 92.648 Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application 5882 1Bolsa Ave 120 GBW PARTNERS 5882 APN 145-531-36 Application Binder Num Street Unit Bldg Job Address 5882 Bolsa Ave 100 APN 145-531-36 RD 2911 Zoning CG Lot l� Tract Block u File Number CofO? 02007-002865 Yes 02007-003322 Yes B2007-003442 No M2007-003444 No E2007-003445 No 02007-003806 Yes B2007-004254 No M2007-004358 No E2007-004359 No 82007-005409 No F2007-005818 No 02007-007154 Yes Entered By Diaz, Michele=, Default Inspector jEoble, Russell Permit Type Certificate of Occupancy Origin Counter i Building Use - City Date Entered 09/28/2007 Status I Expired Issue Permit? VV Date 10/06/2008 Issued By ITavakoli, Jasmine Planner jVillasenor, Jennifer Building Use -County I (I' I' New Building? Plan Checker IHaghani, Eric Description ONCOLOGY HEMATOLOGY CONSULTANT MEDICAL GROUP-- TO INCLUDE UNITS #110 AND #120 Internal Notes of Occupancy CofO Number CO2007-007154 Choose Print All CofO Type Permanent Fees and Payments Sheets to Issue Issued By Tavako6, Jasmine Single C/O CofO Status Issued Inspections CofO Date Issued 10/06/2008 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration : 10/06/2008 --•••-••--•••-•— Click the « button to copy the Business License License Number IA267565 information into the Certificate of Occupancy. Business Name ONCOLOGY HEMATOLOGY CONSULTANT Business Licenses Business Name Business Type I Professional /Other A194442 A127820 LARDAS SYSTEMS INC DELLASANTA& MOORE INC Business Phone 1(562) 424-1963 A151818 TRONIX ENTERPRISES INC A187136 INTERNATIONAL ECOSCIENCE INC Proposed Use IMEDICALOFFICE Former Use MEDICAL OFFICE Conditions ---approx. 3200 me Change of Owner? Change of Use? Change of Occupant? Additional Occupant? Approved Occupied Area (Sq Ft) 15,700.00 , approx. 2500 admin office. --- 0 Elec. Available? Want Electricity On? Sprinklered? Dust / Wood? Auto Parts Desc. ,Occupancy, Group Description Area Construction Type Occupancy Load # of Stories ❑ Drinking t Dining > 50 Occupants? Welding t Open Flame? Automobile Repairs? ............. . B MED OFFICE 5700 57 B MED OFFICE 5700 57 Group Definitio A building or structure, or a portion thereof, for office, professional or service -type transactions, including storage of .,.,.....�.....,.� .,........��• ., n17nn end A';n Linn oc}o Y.lichmon}c with nn n innnt Inert of Ice¢ than sn