HomeMy WebLinkAbout15541 Computer Ln - CofO (7)s
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 to - -74H !
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Address 1 SS
Floor - The Applicant Must Apply In -Person)
Date %! ff/le-
Business Owners Name c�,ACS :;�goAj.-Ls Zip Code
7
Business NamE
Business Type
P(
(3rd
Telephone No. � C �f 33
Bus. Phone ry 3SS1
Property Owner Information (re uired) Tenant/Emergency Contact (required)
Name Po i �e S Name '�O.� 1 vw�Mk.S
Address 9 moo /V O(L /& Home Address 92-19 0644,66 IC\ 1
City ,, c e- - ,' 4 State/Zip 70 City 64p(e-s5 State/Zip 9106,
Telephone No.Telephone e No.
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or �? Existing Building
IS THIS BUILDING FIRE SPRINKLERED? VLYes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner XChange of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business
• Are you requesting that the electricity be turned on? ❑Yes jd No
• Will operations produce dust/wood shavings or similar material? ❑ Yes ;6No
• Will operations involve the repair or replacement of automobile parts? ❑Yes '%No If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes 1 No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes J�kNo
• T e follo eration: 0 Office Only ❑ Retail Sales ❑ Medical/Dental
arehouse/Manufacturing/Distr' ution ❑ Restaurant/Take-Out Food El Other
• an m �Ing beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes tmvo
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 �lo
Grease Interceptor Verified
For Official Use Only
Occ Group:
Occ Group:_
Occ Group:
Total Sq Ft Occupied
Bldg. Permit #
Inspected By Initials: Date:
Planning Initialsft. Date: 11-91 00-
Area: 6-M
Area: VIZ)
Area:
No. of Stories: f
Entitlement #:
Use Permitted: Y / N
Occ Load:
Occ Load: 2
Occ Load:
TIF Review: Y/ N
Zoning: 11,
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: gate: 06/ m
Conditions of Approval or Other Notes: �i(5� 05-r-W
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Phone Number (909) 396-3529 http://www.agmd.gov
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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:
V F,
City: T( +off
Zip Code:
Contact Person.
�01110 Title:
0 UV �C
IJG�J�
n
Type of Business: t (s/n-,31A,�U1
Telephone:
���
3 .-5
Fax Number:
E-mail Address:
``%�yr
, J 11ct'
C1" \ -M
Applicant (print name): - o. "e-5
Signature: 14
Date: Rho
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 )kNo
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes Nlo
3. Will the facility result of hazardous materi s, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes 5LNO
4. Will the facility have use of above or underground storage tank? ❑Yes NNO
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes;KNo
6. Will the facility result in the use of the equipment listed below? ❑Yes Alo
(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
❑Coffee Roaster/Afterbunner
❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extruding/Curing of Plastic
❑ Pharm ace utical/N utrace utical
❑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 ❑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).
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (71.4) 536-5241. Fax: (714) 374-1647 Occupancy.Application
15531 Computer Ln M & M PROPERTIES
APN 145-392-13
Application Binder
Num Street Unit Bldg
Job Address 15541 Computer Ln APN 145-392-13 RD 3011
Zoning IL Lot 29 Tract 7090 Block
File Number CofO?
01997-003167 Yes
02001-010225 Yes
01995-003168 Yes
02004-012520 Yes
02003-011981 Yes
02004-012803 Yes
01997-003169 Yes
02005-011317 Yes
01995-003173 Yes
01996-003174 Yes
02001-009771 Yes
02003-011645 Yes
Entered By
Default Inspector
Permit Type
Origin
Building Use - City
Building Use - County
Description
Internal Notes
Date Entered 06/09/2003
—� Status IIssued
Certificate of Occupancy Issue Permit?! Date 08/13/2003
—���; Issued By
CofO Number CO2003-011645 Choose Print All CofO Type
Sheets to Issue
Issued By Delancey, Cara Single C/O CofO Status Issued I
��
----
Fees
and Payments
Inspections
Cof0 Date Issued 08/13/2003 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration
License Number
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Name EXCEL VOLLEYBALL PRODUCTS, INC
Business Licenses Business Name
A126274
R OWN DATA SERVICE
Business Type CATALOG WHOLESALE/DI
A035890
ARCO PRINTING
Business Phone (714) 898-7720 1
A168488
OPTICOLOR INC
A159232
LADY WEAR
Proposed Use
Former Use
Conditions INO RETILALLOWED
Approved Occupied Area (Sq Ft) 11,700.00
# of Stories II
Change of Owner?
Elec. Available?
Drinking / Dining > 50 Occupants?
Change of Use?
Want Electricity On?
Welding / Open Flame?
Change of Occupant?
j Sprinklered?
Automobile Repairs?
Additional Occupant?
0 Dust / Wood? Auto Parts Desc.
P-6,cuparlicy
Group./Load
Group
Description Area
Construction Type Occupancy Load
S2
6
S2
I
1
1
16
Group Definitio