HomeMy WebLinkAbout18377 Beach Blvd - CofO (96)• R
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 113
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Address 18377 Beach Boulevard, Suite 333
Business Owners Name Stefanie N. West
Business Name Law Office of Stefanie N. West
Business Type Sole Practitioner Law Office
(3rd Floor — The Applicant Must Apply In -Person)
Date 12/13/2018
Zip Code 92648
Telephone No. 9494158517
Bus. Phone 9494158517
Property Owner Information (required) Tenant/Emergency Contact (required)
Name Prism Properties Investment Name Stefanie N. West
Address 18377 Beach Blvd., Suite 333 Home Address 215 5th Street
CityHuntington Beach State/Zip CA 92648 City Huntington Beach State/Zip CA 92648
Telephone No. (714) 393-4969 Telephone No. 845-309-5335
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or IN Existing Building
IS THIS BUILDING FIRE SPRINKLERED? IN Yes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner ❑ Change of Occupant ❑ Change of Use ❑p Additional Occupant
• Indicate former type of business Office Space
• Are you requesting that the electricity be turned on? ❑Yes X No
• . Will operations produce dust/wood shavings or similar material? ❑ Yes ❑p 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 ❑p No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes ❑p No
• The following best describes my operation: 0 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 ENO
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 Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials: Date:
Area: Occ Load:
Area: Occ Load:
Area: Occ Load:
No. of Stories: TIF Review: Y/ N
Entitlement#: Zoning: f 1-4
Use Permitted Y N Parking Meets Code (for us N
wilding Reviewed By Initials: Date:
Conditions of Approval or Other Notes: A 17C7 1 it o L _ b
Yi
v N-'3.12s
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-41.82
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: Law Office of Stefanie N. West
Property Address: 19377 Beach Boulevard, Suite 333
City: Huntington Beach, CA
Zip Code: 92648
Contact Person: Stefanie N. West Title: CEO; Attorney at Law
Type of Business: Law Office Telephone:.949-415-8517
Fax Number: 949-299-0117 E-mail Address: snwest.law@gmail.com
Applicant (print name): Stefanie N. West
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 100 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 ❑■ 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 FiflNo
(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)
❑BoilerMater Heater (max. heat input = or > 1 million BTU/hr)
❑Charbroiler/Smoker
❑Coffee Roaster/Afteebunner
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extruding/Curing of Plastic
❑Pharmaceutical/Nutraceutical
❑Plasma/Laser Cutter
❑ 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).
0((3 - eS
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application
18377 333 &
Beach Blvd
APN 930-034-63
Certificate of Occupancy Application
Application Binder
Num Street Unit Bldg
Job Address 18377 Beach Blvd 333 APN 930-034-63 RD 3515
Zoning ISP14 Lot = Tract = Block
File Number Cofo?
02016-001278
02016-004041
Entered By ]Niemczyk, Sandy
Default Inspector
Permit Type
Origin
Building Use - City
Building Use - County
Description
Internal Notes
Vic
e of Occupancy
=10, New Building?
ENE CAPITAL INC
Date Entered 05/31/2016
Status 1pending
Issue Permit? Date 1
Issued By—�
Planner
Plan Checker
of Occupancy
CofO Number CO2016-004041 Choose Print All CofO Type Permanent Fees and Payments
Sheets to Issue
Issued By Single C/O CofO Status Pending Inspections
F
Date Issued Temp. CofO Issued Date Printed
elease Date Temp. COFO Expiration
License Number A290866
Business Name GEMSTONE CAPITAL INC
Business Type I Professional / Other
Business Phone (714) 248-5676
Proposed Use 1OFFICE
Former Use OFFICE
Conditions (OFFICE TO OFFICE
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A242560 SYSTEM 107 INC
A274397 PACIFIC MOON REAL ESTATE INC
A290866 GEMSTONE CAPITAL INC
A292119 AAA REALTY AND LOANS
Approved Occupied Area (Scl Ft) 0.00
# of Stories���
oChange of Owner? Elec. Available? Drinking I Dining > 50 Occupants?
Change of Use? Want Electricity On? Welding I Open Flame?
❑ Change of Occupant? �' Sprinklered? Automobile Repairs?
Additional Occupant? �; Dust / Wood? Auto Parts Desc.
Occupancy Group/Load
Group Description Area Construction Type Occupancy Load