HomeMy WebLinkAbout15131 Triton Ln - CofO (141)J�
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 la- `ai4q
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor - The Applicant Must Apply In -Person)
Business Address I rl3 i %- t, SAC. /0 1 Date & 1 y11 d'
Business Owners Name 17-0 � I,4i) Co^�1-9-4.- -X Zip Code S-t ,6 V 9
Business Name H my Cl !' I c =.- C Telephone No. 9Y 5- 5 32-'l Y 9 �
Business Type .S- C 0" Q Bus. Phone
Property Owner Information (required) Tenant/EmergencyContact (required)
Name_ 13064 !3 NJ i -!-ol 1411c Name Zd s p/iy Cun4 o1IAr
Address SI Yz Oob4 A (_ -61'4 / Home Address 3sY
City 0wi ,, State/Zip city State/Zip C4 507 f O
Telephone No. %%H- `15 - I Telephone No. 5 Y
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or 9 Existing Building
IS THIS BUILDING FIRE SPRINKLERED? 9 Yes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner g Change of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business
• Are you requesting that the electricity be turned on? ❑Yes X No
• Will operations produce dust/wood shavings or similar material? ❑.Yes 29 No
• Will operations involve the repair or replacement of automobile parts? ❑Yes ®No 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 5 feet 9 inches in height? ❑Yes H No
• The following best describes my operation: a El Off ice Only El Retail Sales ElMedical/Dental
V Warehouse/Manufacturing/Distribution ' ❑ Restaurant/Take-Out Food ❑ Other
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes )E�r 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 I;allo
Grease Interceptor Verified
For Official Use Only
Occ Group:
Occ Group: S-
Occ Group:
Total Sq Ft Occupied: 2PD
Bldg. Permit #
Inspected By Initials: Date:
Planning Initials: Date: �2 t� IU
Area: Zz>v
Area: (o0D
Area:
No. of Stories:
Entitlement #: r
Use Permitted: Y / N
Occ Load: 2
Occ Load: 2-
Occ Load:
TIF Reviewer 1(/ N
Zoning: `L.-
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: rJl Date:
Conditions of Approval or Other Notes: wayo �-K. 'c A- o 4ti e- J Sk u �s
'+fin 0 In j 0- r- Ev -�- Gt F=--A 1 5 t 2.
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: 4 my C h± C T-n C.
Property Address: Ls 1 1 f (D j
City: 13A4 C,4 Zip Code: � �2 � `I 5
Contact Person: k d L2r h rv,% i r-er4., rr tg1 . A. Title: Pte-f d P ^ 4
Type of Business: M-ept(A% f�rpl; Yt %(` ( r�,k, ,PA Telephone: CI rt S - 1 .7.3- I/l �t
Fax Number: E-mail Address: PdAPW i^ Av 0_
Applicant (print name): Kytfr), Cvn�rtr,4i Signature: Date: IA/IV&P
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 �No
2. Will the facility r su of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes o r
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes J�No
4. Will the facility have use of above or underground storage tank? ❑Yes .a No
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes4RNo
6. Will the facility result in the use of the equipment listed below? ❑Yes tj9N_0
(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
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extruding/Curing of Plastic
❑ Pharm aceutical/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
Huntington Beach, CA 92648 t
Pho.ae: (714) 536-5241 Fax: (714) 374-1647 --- Occupancy Application
15131 ITriton Ln 108 DELAURA EVERETT J 3
15131 APN 145-014-54
Application Binder
Num_
Job Address 15131
Street Unit _ - Bldg ._
Triton Ln 109 I APN 145-014-54
RD 12910 i
Zoning IL
— ` ^ _ _ Lot IL
Tract P0128 Block 49 1!71
File Number
F62011-005624
CofO?
No Entered By Koren, Jeremy
_ 1/1_ _
Date Entered 115/2012
E2011-005625
02011-006175
No
Yes
Default Inspector Kirby, Kevin
Status ' Issued
i
P2011-006280
No
Permit Type Certificate of Occupancy
I I
Issue Permit? Date 102/04/2013
a
P2011-006282
E2011-006283
No
No
Origin Counter
-'
-
Issued By Cochran, Brian
02012-002945
02012-004848
Yes
Yes
--�
Building use -City
j Planner Medel, Rosemary
02012-004849
Yes
Building Use - County �� New Building? Plan Checker Lee, Eddie
02012-005472
Yes
02012-006196
Yes
Description WAREHOUSE/OFFICE ""SUNSET CONTRACTORS"
02012-006914
Yes
Internal Notes
CofO Number CO2012-006914) Choose Print All CofO Type Permanent
Sheets to Issue -
Issued By Cochran, Brian I Single CIO CofO Status Issued
CofO Date Issued 02/04/2013
Utility Release Date
Temp. CofO Issued
Temp. COFO Expiration
License Number IA270739
Business Name SUNSET CONTRACTORS—
Business Type lContractor _
Business Phone j(818) 216-3563
Proposed Use II WAREHOUSE/OFFICE
Former Use OFFICE/STORAGE
Conditions
1 f
UUUD
Change of Owner?
Change of Use?
MChange
of Occupant?
®
Additional Occupant?
Group Description Area
Fees and Payments
Inspections
Date Printed
02/04/2013
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A197956 A-MED HEALTH CARE CENTER
A118666 C B S DECK COATING
1A158872 ACTION APPRAISERS
A048828 LYNCH CONSTRUCTION INC
Approved Occupied Area (Sq Ft) 1800.00
# of Stories
Elec. Available?
���❑JJJ
Drinking / Dining > 50 Occupants?
® Want Electricity On?
Welding / Open Flame?
nSprinklered?
Automobile Repairs?
13 Dust / Wood? Auto Parts Desc.
Construction Type Occupancy Load
S-1
WAREHOUSE
600
2
S-1
�B
WAREHOUSE
OFFICE
600
200
2
2
I
Group Definitio Moderate -hazard Storage Use - Building or structure, or a portion thereof, occupied for storage uses that are not
(classified as Group S-2.
Type Name field must be blank to add/change Contractor, Designer or Engineer Same As
Property Owner Contractor Designer / Engineer Mobile Phone ( ) -
Property Owner Name BOLSA BUSINESS PARK Pager
IBusiness Owner
;Tenant Company IState License Type (�
Address 5142 BOLSAAVE #101 Self Insured 1 Non -Employer?
City / State / Zip HUNTINGTON BEACH Override Contractor
Expiration Dates?
Email
Date Overridden
Phone (714) 899-2791 x Fax ( ) -
Overridden By