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Home My WebLink About8201 Newman Ave - CofO (7)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 0,01 W C W mo`yl AV6 •# �00AQnkn& f & a,h Business Owners Name Ko1ob v T. A Vcnj- h Business Name Gnrzx C%iii i'C& i 'Re_S e-CArGrl Business Type cti , i nnu Date I �� / 2 o 12 Zip Code 2 a L(T Telephone No. -xt4-\ - A q 3 - 61 0 Bus. Phone Property Owner Information (required) Tenant/Emergency Contact (required) Name o�oby 'i A Y60 b' Name dbbv Apt; Address 82ol newmCAY\ .4Ve— Home Address 820\ WO-"a"Y•1 pgve- City t4Ut1 +iynct 6 0$16�State/Zip % �// 2 LA City �iO4r►l/j ay1 tbt o�ate/Zip Q ! A!A tj Telephone No. -I % Telephone No. -'t t M _A� -1 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or lgl 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 f,&d-A ' • Are you requesting that the electricity be turned on? Iryes 94No • Will operations produce dust/wood shavings or similar material? ❑ Yes C4No • Will operations involve the repair or replacement of automobile parts? ❑Yes ONO If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes q 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 jo No • The following best describes my operation: ❑ Office 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? ❑ YesNo 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: 0 Occ Group: Occ Group: Total Sq Ft Occupied: 7.,�J Bldg. Permit # Planning Initials: t i-1 ate: 1 d�k Conditions of Approval or Other Notes: I t o t e asp a ro I. Area:Occ Load: Se) Area: Occ Load: Area: Occ Load: No. of Stories: TIF Review: Y// NN Entitlement #: Zoning: Use Permitted: Y / N Parking Meets Code (for use): Y / N Building Reviewed By Initials: $p-- 1q2tbl),qDate: ' e q • y } South Coast ' Air Quality Management District m P 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 http://www.agmd.gov Air Quality Permit Checklist California State Law Code 65850.2 prohibits cities from issuing an occupancy permit to a business without clearance from the local air quality agency. This checklist will determine if you need to obtain clearance from the South Coast Air Quality Management District (AQMD). Company Name: C rnt' Property Address: 2 t Ua wrna, k V e. -s a (Ee— d `-- City: 141�A+•i tner Tmyn �� cc_� Zip Code: Q q Lk -I Contact Per sorn ' o Title: Type of Business: r �� ( C) Telephone: Fax Number: ._3-\c- +o E-mail Address: Applicant (print name): My rvt w,et , e Signature: Date: 1. Will the facility release air pollutants, including but not limited to, dust fumes, gas, mist, odors, smoke'r vapor, or a combination of these to the atmosphere? ❑Yes 9No ' 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? []Yes QNo r 3. Will the facility result of hazardous maten Is, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes Mo 4. Will the facility have use of above or underground storage tank? ❑Yes ANfNo 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes ONo 6. Will the facility result in the use of the equipment listed below? ❑Yes Pp No (Select all that apply)` ]Abrasive Blasting Cabinet/Room ®Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) [$Air Conditioning System (containing > 50 Ibs of refrigerant) WMixing/Blending of Liquids and/or Powders (OApplication of Paints/Adhesive/Resins �jMolding /Extrudi ng/Cu ring of Plastic b]Baghouse/Dust Collector OPharmaceutical/Nutraceutical Bakery Oven (gas fired) Mhasma/Laser Cutter Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) Printing/Coating/Drying Charbroiler/Smoker 99 Production of Fumes/Dust/Smoke/Odors Coffee Roaster/Afterbunner CtRefrigeration Systems (containing > 50 Ibs of refrigeration ODeep Fryer (excluding equipment located at eating establishment) Soldering Oven IRDry Cleaning Equipment 94spray Booth Electrostatic Precipitator WStorage of Acids/Solvents/Organics Liquids/Fuels IIFermentation 04storage 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). '-a. -7rq v _— i Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application 8201 :Newman Ave 1 1301 1 VUREN PROPERTIES 8201 APN !167-482-30 Certificate of Occupancy Application Application Binder 1 Num Street Unit Bid Job Address 8201 Newman Ave 300 APN 167-482-30 RD 3416 Zoning 1CO Lot Tract Block File Number CofO? 02005-010051 ;Yes B2006-003536 'Yes P2006-003537 No E2006-003538 No 02006-004222 Yes B2006-005054 No M2006-007180 No F2006-007205 ,No B2006-008470 No 02017-004441 Yes C2017-004443 No 02018-004232 Yes Entered By Bolls, Derek Date Entered O6/28/2018 Default Inspector Coble, Russell Status Issued Permit Type Certificate of Occupancy _ Issue Permit? 0Date 06/28/2018 -Origin Counter Issued By I Permitl Building Use -:City Planner Kelley, Jason Building Use-- County New Building? Plan Checker Lee, Eddie Description ""'ORANGE COUNTY CRITICAL CARE & PULMONARY — Internal Notes [6—/28/18 DB - PER MC, COFO TO INCLUDE UNITS 300, 301, 302. CofO Number CO2018-004232 Choose Print All Sheets to Issue Issued By Permitl Single C/O Cof0 Date Issued 06/28/2018 Utility Release Date License Number 'Business Namer Business Type Business Phone ( ) 4 Fees and Payments Inspections Temp. CofO Issued Date Printed Temp. COFO Expiration 06/28/2018 Proposed Use MEDICAL OFFICE Former Use MEDICAL OFFICE Conditions USE OK - INCLUDES SUITES 300, 301, 302 Click the « button to copy the Business License information into the Certificate of Occupancy. ` Business Licenses Business Name A151026 HUNT BCH RADIATION MED CLINIC Al84736 DESAI VEENA B MD A064500 BOCK MARC ANDRE DC A226916 BOCK SUSAN SOLUTIONS Approved Occupied Area (Sq Ft) : 3,800.00 # of Stories 93 0 Change of Owner? Elec. Available? Drinking / Dining> 50 Occupants? 0 Change of Use Want Electricity On? 0 Welding / Open Flame? Change of Occupant? Sprinklered? �; Automobile Repairs? Additional Occupant? Dust / Wood? Auto Parts Desc. �g • ..Group/Load r Mon'- Description " Area . Construction Tvoe Occupancv Load B MED OFFICE 3800 38 MED OFFICE 3800 Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions, including storage of records and accounts. Type " Name field must be blank to add/change Contractor, Designer or Engineer Same As Business Owner contractor, Designer / Engineer Mobile Phone: ( ) Property Owner Business Owner Name ROBBYAYOUB M.D. Pag er: ( ) Tenant Company ORANGE COUNTYCRITICAL CARE & PULMONARY State License Type Address 8201 NEWMAN AVE #300, 301, 302 Self Insured / Non -Employer? T. Vr. State/Zip HUNTINGTON BEACH CA 92647 a Override Contractor city Expiration Dale :. ;.._ Email'' Date Overridden Phone (714) 847-6900 x Fax F) Overridden By