HomeMy WebLinkAbout7680 Talbert Ave - CofO (10)F�
E-
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor — The Applicant Must Apply In -Person)
Business Address 7680 Talbert Ave Suite E, Huntington Beach Date o� a-10
Business Owners Name The Addy Group / Russell & Deborah Addy Zip Code 92648
Business Name Banners USA
Business Type Large Format Printi
Telephone No. 714-743-7628
Bus. Phone 714-841-2929
Property Owner Information (required) Tenant/Emer-gency Contact (required)
Name Talbert Partners, LLC c/o Domino Realty Name Deborah or Russell Addy
Address 9990 Santa Monica Blvd Home Address 9131 Mahalo Dr.
City Beverly Hills State/Zip CA / 90212 City Huntington Beach State/Zip CA 192646
Telephone No.310-551-5430 Telephone No.
1 �:II~'i�b� �"I•I�J>�1-T�T��•37 I =�� �l_��
714-743-7628 / 714-743-7629
❑ Newly Constructed Building or ❑■ Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑■ Yes ❑ No
CHECK ALL THAT APPLY:
❑■ Change of Business Owner ❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business Larqe Format Printinq
• Are you requesting that the electricity be turned on? ❑Yes ENO
• Will operations produce dust/wood shavings or similar material? ❑ Yes ❑■ No
• Will operations involve the repair or replacement of automobile parts? ❑Yes ENO 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 ❑■ No
• Will there be storage racks, gondolas, or shelving exceeding Meet 9 inches in height? J§ No
• The following best describes my operation: El Office Only ❑ Retail Sale eMedical/Dental
M Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out 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.
• Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes ❑No
Grease Interceptor Verified
For Official Use Only
Occ Group: B
Occ Group: J—!
Occ Group: F /
Total Sq Ft Occupied: Wo
Bldg. Permit #
Planning Initials: Datej2 �`i
Conditions of Approval or Other Notes:
Inspected By Initials: Date:
Area: /0'00
Area: / 6 9 S
Area: _/69$'
No. of Stories: c
Entitlement #:
Use Permitted: Y / N
Occ Load:
Occ Load: 4
Occ Load: ! 7
TIF Review:�Y/
Zoning: Q I. y!
Parking Meets Code (for use): Y / N
Building Reviewed By Initials:!:69 Date:! L� /
CD tad _ 53332
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Q -a
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: The Addy Group, Inc. dba Banners USA
Property Address: 7680 Talbert Ave. Suite E
City: Huntington Beach
Zip Code: 92648
Contact Person: Deborah Addy Title: Secretary / CFO
Type of Business: Large Format Printing Telephone: 714-841-2929
Fax Number: N/A E-mail Address: debbie@bannersusa.com
Applicant (print name): Deborah Addy Signature: Date:
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 FM -]No
2. Will the facility result 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 ❑■ No
4. Will the facility have use of above or underground storage tank? ❑Yes FM -]No
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 ❑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)
❑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
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extruding/Curing of Plastic
❑Pharmaceutical/Nutraceutical
❑Plasma/Laser Cutter
❑M 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
❑Gasoline Storage & Dispensing Equipment
[]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 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).
Ut`6-?'332
Department of Planning & Building e
2000 Main Street j
Huntington Beach, CA 92648
Phone: (71.4) 536-52.41 Fax: (714) 374-1647 -- Occupancy Application
Property Info
7680 TalbertAve E TALBERT PARTNERS LLC
j 7680 APN 159-291-20
of Occupancy Application
Application Binder
j Num Street Unit Bldg__
i
Job Address 7680 TalbertAve E APN 159-291-20 1 RD 3515
Zoning IL Lot Tract Block
File Number CofO?
M2001-026072 No
01991-007563 Yes
01998-007564 Yes
01998-007565 Yes
01996-007566 Yes
01994-007567 Yes
01999-007568 Yes
01994-007569 Yes
01999-008604 Yes
01995-007570 Yes
01997-007571 Yes
01999-007572 Yes
Entered By
Default Inspector
Permit Type Certificate of Occupancy
Origin
Building Use - City
Building Use - County New Building?
Description
Internal Notes
Date Entered 106/14/1999
Status Issued
Issue Permit? Date 07/02/1999
Issued By �-
7 Planner Pierce, Susan
Plan Checker Watkins, Chuck
CofO Number C01999-007572 Choose Print All CofO Type
_ Sheets to issue
Issued By Single C/O CofO Status Issued
CofO Date Issued 07/02/1999 Temp, CofO Issued
Utility Release Date Temp. COFO Expiration
License Number
Business Name BANNERS, USA
Business Type I BANNERS & SIGNS
Business Phone (714) 841-2929�
Proposed Use i
Former Use AUTOMOTIVE REPAIR
Conditions WELDING -FIRE PERMIT REQ'D
Fees and Payments
Inspections
Date Printed
I
I
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A242248 ORANGE COUNTY DANCE ALLIAN(
A150678 SMOG SHOP
A190046 PURRFECT AUTO SERVICE #92
A152904 EXPERTEC AUTO SHOP
Approved Occupied Area (Sci Ft) 4,890.00
# of Stories 12
Change of Owner? Elec. Available? Drinking / Dining > 50 Occupants?
Change of Use? D Want Electricity On? 0 Welding / Open Flame?
Vj' Change of Occupant? Sprinklered? Automobile Repairs?
. Additional Occupant? Dust / Wood? Auto Parts Desc.
s •.•
Group Description Area Construction Type Occupancy Load
3S1F1 22
3S1F1 22
Group
South Coast Air Quality Management
District'
21865 Copley Drive, Diamond Bar, CA 91765-4182
Air Quality Permit Checklist
Q)
Small 'Business Assistance Office
1-800-388-2121
smallbizassistance@aqmd.gov
www.agmd.gov
South Coast Air Quality Management District (SCAQMD) developed this Air Quality Checklist as a screening
evaluation tool in the process required by California Government Code Section 65850.2. Please provide a
response to all questions on this checklist.
If you have any question or need assistance completing this checklist, please contact the SCAQMD's Small
Business Assistance Office, and a representative will help you complete the information in the checklist.
SCAQMD may decline to issue this form due to lack of information from applicant.
NOTE: If there are any demolition or renovation activities that may disturb building materials, please contact the
Asbestos Hotline at 909-396-2336.
Section A - Operator/Business Information
1. Business Name:
Banners USA
2. Address:
7681 Talbert Ave. Suite E Huntington Beach CA 92648
-
Street City Zip
3. Contact. Name:
Telephone Number:
Deborah Addy
714-841-2929
Title:
Email:
Secretary
debbie@bannersusa.com
Section B - Facility Business Information/Business and Equipment Description
Please provide a detailed description of the business operations to be performed and equipment to be used at this location:
Large format printing of vinyl and fabric banners and flags, using solvent printers and dye
sublimation printing. We have 2 Seiko 'M64s printers which use OKI solvent inks (MSDS sheets
attached) and a Mamaki JV33 Dye Sublimation fabric printer which uses J-ECO Flag ink (MSDS
sheets attached). I have also attached a waiver from the OLP re: lead Poisoning.
Section C - Checklist Questionnaire
Please respond to all questions as it relates to the business activities to be performed at this location. Will business
operations at this location:
1. ;Result in the release of air pollutants, including but not limited to, dust, fumes, gas, :mist, odors, smoke, vapo , or
a combination of these to the atmosphere? YesyNo
2. Result in the use of fuel -burning equipment including, but not limited to, boilers, generators, and internal
combustion engines? Yes No
. .
3. Result in the use of hazardous materials, including but not limited to, chemicals, plastics, rubber, resins, solvents,
paints, and parts cleaners? Yes No
Rev.10-18-17 Page 1 of 2= L O v l( i 1
Section C - Checklist Questionnaire (continued)
4. Result in the use of an above or underground storage tank?
Yes No
5.
Consist of manufacturing, fabrication, finishing, or treatment of wood,
metal or plastic products: Yes No
6.
Result in the use of any of the equipment listed below:
YesVNo
{Select all that apply)
13
Abrasive Blasting Cabinet/Room ❑ Soldering Oven
Air Conditioning Systems (containing > 501bs of refrigerant) ❑ Spray Booth
Application of Paints/Adhesives/Resins ❑ Storage of Acids/Solvents/Organic
Baghouse/Dust Collector
Liquids/Fuels
❑
Bakery Oven (gas -fired) ❑ Storage Silos (sugar, flour, etc.)
❑
Boiler/Water Heater (max. heat input = or > I million BTU/hr)
❑
Charbroiler/Smoker
13
Coffee Roaster/Afterburner
13
Deep Fryer (excluding equipment located at eating establishments)
13
Dry Cleaning Equipment
Electrostatic Precipitator
Etching/1'lating/Casting/Melting/,Forging/Grinding/Cuttng of Metals
Fermentation
Gasoline Storage & .Dispensing Equipment
Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
Mixing/Blending of Liquids and/or Powders
Molding/Extruding/Curing of Plastics
Pharmaceutical/Nutraceutical
W
Plasma/Laser Cutter
Printing/Coating/Drying
13
Production of Fumes/Dust/Smoke/Odors
❑
Refrigeration Systems (containing > 50 lbs of refrigerant)
Section D - Business Self Certification
7. Preparers
Deborah Addy
Title::
Secretary
Signature:
A
Date:2/17/1$
Number:714-841-2929
���� f... 2 �� ,
,Telephone
I hereby certify by my signature above that, Lam a duly authorized representative of the above -named business, and
that all information contained herein is true and correct.
Equipment: 1 0 f 5,6 s
Issued By:
13 Applicant has pernait(s) fro n the SCAQM.D:
72—
�j��r�.
❑ Applicant has filed for pennit(s) with the SCAQMD:
/
W
d Ln
pplicant is exempt from permit requirements: f� j' \`
�_ I��V{
APPROVED
NOTE: This clearance is not
13 Applicant has complied with tiling requirements of R222:
❑ Based on the information provided. no equipment/process requiring air
+ a Registration or Permit to
AQO Construct /Operate.
quality permit or registration.
Page 2 of 2 r-9— 01
Rev.10-18-17