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Home My WebLink About15571 Graham St - CofO (23)J� HUNTINGTON BEACH Business Address CERTIFICATE OF OCCUPANCY 020 Jv- -7q3 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION 1 (3rd Floor - The Applicant Must Apply In -Person) 4/` r��C N' 5 + Date // r'/ / R Business Owners Name 77 0 �- Cat- Zip Code L;G q -7 Business Name <t//1�� C r; Paray>u 4 ,^ ASS Sa �v�"S Telephone No1-' 3'S�f`� � Business Type JQ0.1"^- L, e- � . r vc`[ C � scf� Bus. Phone j% y' Property Owner Inform tion (required) Tenant/Emergency Contact (required) Name G i 6 W �-� Name Address Cc. °`� •.�� a�i� P ' Home Address 3 Y/ 'CG "'� G' ••�� City,..,,,, 04c& State/Zip � - !J^Sl �� City bLkS Mi Afr State/Zip Telephone No. r �� 6-16'O Telephone No. THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or isting Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes [(No CHECK ALL THAT APPLY: ❑ Change of Business Owner hange of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business r • Are you requesting that the electricity be turned on? ❑Yes "�No • Will operations produce dust/wood shavings or similar material? El LNo • Will operations involve the repair or replacement of automobile parts? ❑Yes o If yes: Describe the components repaired or replaced. I P • Does the operation involve the use of welding or open flame? ❑ Yes I.J6 No • Will the business be a drinking, dining or assembly use wit occupant load of more than 50 persons? ❑ Yes No • Will there be storage racks, gondolas, or shelvinMz�n2t/Take-Out inches in height? ❑Yes VNo • The following best describes my operation: ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse/Manufacturing/Distribution Food ❑ Other • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes No If you answered yes, please proceed to the next question. 71 • Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑Yeso Grease Interceptor V rified Inspected By Initials: Date: For Official Use Only Occ Group: [� Occ Group: s" Occ Group: Total Sq Ft Occupied Bldg. Permit # Planning Initials: Date: 0- s-t8` s_ of Approval or Other Notes: a/I. vs Area: lS-6 Area: (oc co Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: 5— Occ Load: 2 Occ Load: TIF Review: Y/ Zoning: I L� Parking Meets Code (for use): Y / N Building Reviewed By Initials: !i3 Date: 11 a % 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: Property Address: S - City: N ' 6 - Zip Code: � l Contact Person: .��Q �"'` a� Title: e9 !.v c w Type of Business: /' 1 /N %f r e r LJtZ. IF Telephone: 9221,11, Fax Number: E-mail Address: Applicant (print name): �c�(n - o `� Signature: - Date-/A,6 0 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' TNo 2. Will the facility re ult 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 `allo 4. Will the facility have use of above or underground storage tank? ❑Yes *0 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 C�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) ❑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 , ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Printing/Coating/Drying f ❑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 ❑Electrostatic Precipitator ❑Ferm'entation ❑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 A01VID. 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). 4 ,L v 61(8 -_-43 Department of Planning 3r Building 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241. Fax: (714) 374-1647 15561 1 Graham St 15557 APN 1 145-471-02 N PACIFIC FARMS Occupancy Application Aoolication Binder Num Street Unit Bldg __ Job Address 15571 Graham St APN 145 471-02 RD 3010 Zoning 100-IL-20000 Lot L� Tract 8327 Block File Number CofO? 02013-004015 Yes 02013-004662 Yes 02014-004326 Yes 02014-005109 Yes 02014-005905 Yes 02014-005907 Yes 02014-005985 Yes 02014-007302 Yes 02015-000126 Yes 02015-008841 Yes 02015-009479 Yes 02016-000252 Yes Entered By Bolls, Derek Date Entered 01/13/2016 Default Inspector Ford, Bill Status Issued Permit Type Certificate of Occupancy Issue Permit? ®Date 01/13/2016 Origin Counter Issued By Permitl Building Use - City Planner Nguyen, Tess Building Use - County New Building? Plan Checker Lee, Eddie Description I—CERTAPRO OF HUNTINGTON BEACH-- Internal Notes CofO Number 1 CO2016-000252 Choose Print All CofO Type Permanent I Fees and Payments _.................__.._- Sheets to Issue Issued By Permitl Single C/O CofO Status Issued Inspections Cof0 Date Issued 01/13/2016 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration 01/13/2016 License Number Business Name Business Type Business Phone Proposed Use Former Use Conditions /WAREHOUSE /WAREHOUSE Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A176048 CLASSIC CARPET A249392 AMERICAN SOCIETY/MOHS SURGI A177538 CALIF JUNIOR LIFEGUARD PROG A196792 DING KING SURFBOARD REPAIR Approved Occupied Area (Sq Ft) 11,050.00 # of StoriesL— J ❑i Change of Owner? ❑ Elec. Available? Drinking / Dining > 50 Occupants? pChange of Use? Want Electricity On? p Welding / Open Flame? l�l Change of Occupant? ❑I Sprinklered? Automobile Repairs? Additional Occupant? Dust / Wood? Auto Parts Desc. qOccupancy Group/Load Group Description Area Construction Twe Occupancv Load B OFFICE 450 5 B OFFICE 450 5 S-1 WAREHOUSE 600 2 Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions, innh,rlinn efn _ of ron M. nnrl neenimte