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Home My WebLink About4952 Warner Ave - CofO (58)WQ aX-0 • R JI J T HUNTINGTON BEACH Business Business Owner Business Name CERTIFICATE OF OCCUPANCY 020 VLT CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor — The Applicant Must Apply In -Person) 22, h� Date 1 a Zip Code n a b'19 Telephone No.1114 - (.H a - 6 57'04"X Business Type 'Lu k-o f lkG Bus. Phone000- `o,q " a 1 'Property Owner Information (required) Tenant/Emergency Contact' (required) Name vY11-\A Y\ T '1_LC. Name AddressTC) C%ur' Home Address 3��Z " �e��U!'2 - �\yt cityState/Zip City kur\k't�A aV\ State/Zip 0(i 'k -,H Telephone No. Om S s 6 3 - C(3o Telephone No. i 1q — rogr� - 6 (�-q ' THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building IS THIS BUILDING FIRE SPRINKLERED? Yes ❑ No CHECK ALL THAT APPLY: ❑ Change of Business Owner Change of Occupa ❑ Change of Use ❑ Additional Occupant • Indicate former type of business • Are you requesting that the electricity be tumed on? ❑Yes ❑ No • Will operations produce dust/wood shavings or similar material? ❑ Yes ONO • Will operations involve the repair or replacement of automobile parts? ❑Yes Vlo 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? ❑ YesA No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes A 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? ❑ Yes je No If you answered yes, please proceed to the next quesfion. • Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes ONO Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only Occ Group: Area: lob Occ Load: j4 Occ Group: Area: Occ Load: Occ Group: Area: Occ Load: _ Total Sq Ft Occupied: No. of Stories: TIF Review: Bldg. Permit # Entitlement #: Zoning: Use Permitted: Y / N Parking Meets Code (for use): Y / N Planning Initials: Date: 't-`� alb. Building Reviewed By Initials:_Date: �2 �q �b Conditions oqf Approval or Other Notes:� rj �iG�'Er�CS.CW Awl o (--"C -Cis - PO 15CP" i►C1`J PM*" t?'ti5i7. 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: MY^n Tw_ I tic . Property Address: 4k9 S2. W AIfi e-(L- Ps4 E . City:)'((^(-l(V�"1�Y� Zip Code: Contact Person: PgEIN 2�?f -1lS i S C FtAQ t-1� Title: � L Type of Business: �7;J-11�,� Telephone: Fax Number: E-mail Address: Applicant (print name):_AQJE7`( QPtb_kAOA ! C& S�f�gtAT` Signature: L Date: �')— I'l I b 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 Z/ No 2. Will the facility res It of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes ,]No 3. Will the facility result of hazardous maten s, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners?'❑Yes nNo 4. Will the facility have use of above or underground storage tank? ❑Yes ONo 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑YesX o 6. Will the facility result in the use of the equipment listed below? ❑Yes ANo (Select all that apply) ❑Abrasive Blasting Cabinet/Room ❑Air Conditioning System (containing > 50 Ibs of refrigerant) ❑Application of Paints/Adhesive/Resins ❑Baghouse/Dust Collector El Bakery Oven (gas fired) ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Charbroiler/Smoker ❑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 ❑ Printing/Coating/Drying ❑ 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 ❑ Fermentation ❑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 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). Department of Planning & Building 2000 Main Street 1 Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application Property •_� 4952 �AN Ave TWOMEYLAWRENCE E 4952 163-281-02 Certificate of Occupancy A• • • Application Binder Num Street Unit Bldg Job Address 4952 Warner Ave 1210 1 APN 163-281-02 RD 3309 Zoning CG Lot Tract 86 Block 20 File Number CofO? 02010-005317 Yes 02010-005430 Yes 02010-005735 Yes 02010-005736 Yes 02010-005738 Yes 02011-000563 Yes F2011-001476 No 02011-002480 Yes 02011-004574 Yes F2011-006089 No 02011-006486 Yes 02012-000297 Yes Entered By IMartin, Sarah . Default Inspector' Dean, Mike Permit Type lCertificate of Occupancy Origin 'Counter Building Use - City F_ Building Use - County ran New Building? Description 1INTERNATIONAL Internal Notes ISALES AGENCY Date Entered 01/13/2012 Status jPending Issue Permit? Date Issued By Planner Arabe, Jill Ann Plan Checker ICertificate of Occupancy k CofO Number CO2012-000297 Choose Print All CofO Type Fees and Payments Sheets to Issue i Issued By Single C/O CofO Status Pending Inspections 1 _ CofO Date Issued Temp. CofO Issued I Date Printed Utility Release Date Temp. COFO Expiration_.._ Number Click the « button to copy the Business License License IA281712 information into the Certificate of Occupancy. Business Name I INTERNATIONAL TRANSPORT INC Business Licenses Business Name A220116 TECH ONE PLUMBING INC Business Type IProfessional / Other A235816 ROBERT BROWN ENGINEERS Business Phone (909) 356-9992 A161674 LAW OFFICE OF SHERRY GARREL A210928 MIKE GRUMET INSURANCE SERVIi Proposed Use JOFFICE Former Use 1OFFICE Conditions D. Change of Owner? Change of Use? VChange of Occupant? nAdditional Occupant? Approved Occupied Area (Sq Ft) 10.00 # of Stories DElec. Available? Drinking I Dining > 50 Occupants? Want Electricity On? D. 1 I Welding I Open Flame? �! Sprinklered? Automobile Repairs? Dust / Wood? Auto Parts Desc. Group Description Area Construction Type Occupancy Load