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HomeMy WebLinkAbout18821 Delaware St - CofO (81)$ICI-VL� J� HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 - g CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor — The Applicant Must Apply In -Person) Business Address 113021 WKware 41 S016 I" I M3, ck q2w Business OwnE Business NamE Business Type Date 0 2,8116 Zip Code U7 i'2d Telephone No. 71 y — 2�24 —7(0 VT Bus. Phone 71N A(A Z2-' Property Owner Information (required) Tenant/Emer enc Contact (required) Name Name Address nal wAmk ft c' Home Address HfG� City State/Zip ���yt� City State/Zip Telephone No as Q Telephone No. THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or, Existing Building IS THIS BUILDING FIRE SPRINKLERED? dYes ❑ No CHECK ALL THAT APPLY: ❑ Change of Business Owner B'Chan e of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business 1110"&U, • Are you requesting that the electricity be turned on? ❑Yes Mo • Will operations produce dust/wood shavings or similar material? ❑ Yes ONO • Will operations involve the repair or replacement of automobile parts? ❑Yes toNo If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes ONo • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes Er No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes LaeNo • The following best describes my operation: ❑ Office Only ❑ Retail Sales ©"Medical7Dental ❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes k2'No 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 LKo Grease Interceptor Verified Inspected By Initials: Date: For Official Use On/y Occ Group:? Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: Date: Conditions of Approval or Other Notes: Area: % 4 5 Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load:_ Occ Load:_ Occ Load: TIF Review: Y/ N Zoning: Parking Meets ode (for use): Y / N Building Reviewed By Initials: Date:?-. ,j ` South Coast i' 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: ' N Propertv Address: City: rT u--, Contact Person: Zip Code: "f/WcLn Title: t: Type of Business: Lb1*i 9 UIC Telephone: Fax Number: �_ _2 E-mail Address: #4je , ko?~c Gam Applicant (print name): Signature: Date: 0 1. Will the facility release air pollutants, including qqpot limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Ye No 2. Will the facility re4wlrof fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes rjNo 3. Will the facility result of hazardous materials�- including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes Imo 4. Will the facility have use of above or underground storage tank? ❑Yes IFNo 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑YeseNo 6. Will the facility result in the use of the equipment listed below? ❑Yes IeNo (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). Departrnent of Planning & Building , 2000 Main Street m , Huntington Beach, CA 92648 Phone: (71.4) 536-5241. Fax: (714) 374 1647 �`- Occupancy Application 18821 Delaware St 104 18821 APN 159-262-05 GENERAL AMERICAN UFE INS Application Binder Num Street Unit Bid Job Address 18821 I Delaware St 104 1 1 APN 159-262-05 RD 3615 Zoning SP14 Lot K= Tract [7:= Block —1 File Number CofO? 02013-001119 Yes P2013-001818 No P2013-001820 No E2013-001821 No 02014-000488 Yes 02014-001832 Yes 02014-003068 Yes 02014-003954 Yes 02014-004613 Yes 02015-005804 Yes 02015-009518 Yes 02016-005906 Yes Entered By Bolls, Derek Date Entered 08/08/2016. Default Inspector Stewart, Vic Status Issued Permit Type Certificate of Occupancy Issue Permit? fL�Al Date 08/0 /2018/2018 6 Origin Counter Issued By Permitl Building Use - City �(�-^ Planner Burden, Kimo Building Use - County 7 New Building? Plan Checker Lee, Eddie Description Internal Notes CofO Number CO2016-005906 Choose Print All CofO Type Permanent Fees and Payments Sheets to Issue Issued By Permitl V Single C/O CofO Status Issued Inspections CofO Date Issued 08/08/2016 Temp. CofO Issued Date Printed Utty Release Date Temp. COFO Expiration 08/08/2016 License Number Business Name Business Type Business Phone Proposed Use (MEDICAL OFFICE Former Use IMEDICALOFFICE Conditions Click the << button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A252828 SEED & CROP PHASE I LLC A174512 PACIFICA DENTAL A169892 SUNDERRAJAN SOBHA M D A233872 REDDY ROHINI M D Approved Occupied Area (Scl Ft) 1,044.00 1 # of Stories I 4 Change of Owner? Elec. Available? ❑' Drinking / Dining > 50 Occupants? Change of Use? Want Electricity On? D Welding / Open Flame? LLL�JJJ \� rChange of Occupant? r❑� ! I. Sprinklered? Automobile Repairs? Additional Occupant? Dust / Wood? Auto Parts Desc. ii0ccupancy Group/Load Group Description Area Construction Type Occupancy Load B IVIED OFFICE 1,044 11 B IVIED OFFICE 1,044 11 Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions, InnL,.dfnn ctnrnnn of rnr—A. —4 .nrn,,nfc