HomeMy WebLinkAbout5075 Warner Ave - CofO (19)•
JJ �
HUNTINGTON BEACH
Business Address
CERTIFICATE OF OCCUPANCY 020 3 �7
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Owners Name
Business NamE
Business Type
(3rd Floor - The Applicant Muu t Apply In -Person)
2(,J� DateZ� r",
C� s � J, ,� Z4Kode 1�1 2 61V 2_
Telephone No.200
u Bus. Phone
Property Owner Information (required) Tenant/Emerqency Contact (require
Name .irtX LG C Name C r)' , - � cJc*-//
Address 3 G -�o- a� Home Addre s ���/�� �� Z_ L
City Cc� State/Zip G,'V i 2`22 City vr7 h .ca t,/State/Zip G
Telephone No. %/ �'- 6// 3 - ��-�/� Telephone No. 2/V _ 2-72,1- &)-FdJ—
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or C Vxisting Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner prthange of C e ❑ Additional Occupant
• Indicate former type of business
• Are you requesting that the electricity be turned on? ❑Yes RN o
• Will operations produce dust/wood shavings or similar material? ❑ Yes [.5No
• Will operations involve the repair or replacement of automobile parts? ❑Yes JENo 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 Q' No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes �rNo
• The following best describes my operation: Wffice 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 0No
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 ❑No
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials:`' t/J�Date:
Area: y L
Area:
Area:
No. of Stories: Z
Entitlement #:
Use Permitted: Y / N
Occ Load: _
Occ Load:-
Occ Load:
TIF Revie
Zoning: t,
P
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: -09 Date:
Conditions of Approval or Other Notes: `!
3 c'
\a`c
co -
0.
1 o�`�C d w Use-
12-e4r'a tCc_ Rerr, t iF Ig 0 O ^ 2
2^/ 4,
coP`i
O.-
�`
1� (arr �f -V e
13
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
City:
Contact Person:
Type of Busi
Fax Number:
Applicant (print name):
�/ 7J_1
-c G-c.
Zip Code: g (� V
w csd Title: ✓ -e-J'
a/Telephone: 0 ' 79,j�'
E- ail Address: G ,ot Jo — G j CR ro 04rCUj
Signature: Date:
1. Will the facility release air pollutants, including but not limited to, dust fumes, gas, mist, odor smoke, vapor, or a
combination of these to the atmosphere? ❑Yes 00
2. Will the facility result,of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes -RKo
3. Will the facility result of hazardous materj!pers, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes ESNo
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? ❑YespNo
6. Will the facility result in the use of the equipment listed below? ❑Yes o
13
(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/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).
f� ``d3Q�
s,
City of Huntington Beach
40 2000 MAIN STREET CALIFORNIA926481� r�
DEPARTMENT OF PLANNING
Phone 536-5271
Fax 374-1540
Application No.: 2006-0082
Date of Notice: April 5, 2006
Notice of New Suite Address
The City of Huntington Beach has received a request from South Warner Business
Center LLC to update the suite addresses at 5075 Warner Avenue
Notice is hereby given that the pew suite address is:
5075 Warner Avenue Suites 141. 102. 105. 1,06. 1,0.7. 109. 201.
and 208 (see pages 2 and 3)`
The new suite address shall be posted on the property within 14 days of this notice. If 7,. ,C141-12.. ;x
there are any questions regarding this notice, please contact the Planning Department.
Distribution:
Requester/
Property Owner: South Warner Business Center LLC, 212 S. Palm #200, Alhambra, CA 91801
Huntington Beach City School District
Orange County Assessor's Office
Registrar of Voters, Orange County
Southern California Edison Company
Southern California Gas Company
Time Warner
U.S. Post Office (Atlanta Avenue)
U.S. Post Office (Warner Avenue)
U.S. Post Service, A.I.S, P.N.D.
Verizon
City of Huntington Beach:
Building Department, Michele Diaz
Business License Office, Jim Slobojan
City Treasurer, Shari Freidenrich
Fire Department, Lee Caldwell
Information Systems, Joe Mangiameli
Planning Department, Jason Kelley
Police Department, Marilu Canas
Public Works Department, Armando Brizuela
Water Department, Rick Olson — Eric (meter shop)
G:WDDRESSING\NEW\5075 Wamer Ste 101 etc..DOC Page 1 of 3 (over)