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Home My WebLink About16152 Beach Blvd - CofO (101)J� HUNTINGTON BEACH Business Business Business Business CERTIFICATE OF OCCUPANCY 020 - CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor - The Applicant Must Apply In -Person) Date Zip Code Telephone No. (01 `1 Bus. Phone( -1 1 `l 1 S R_2 - U L1`%5 Property Owner Information (required) • Tenant/Emergency Contact (required) Name t-in+iv- E ke �� \ ay," Q� Name�� wn PAc.k'i� Address 1(o eacb \VJ -� 7_00 Home Address 1(o0� :-L 11 %v" City �4_(V State/Zip C-A O) 2 6`'17City 46 State/Zip CA g 2(oLf� Telephone No. 19 - 1� 4_7 - Z-S3 Telephone No. -1 I LI THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or xisting Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes g,No CHECK ALL THAT APPLY: ❑ Change of Business Owner [:]Change of Occupant ❑ Change of Use )g� Additional Occupant • Indicate former type of business • Are you requesting that the electricity be turned on? ❑Yes 93 No • Will operations produce dust/wood shavings or similar material? ❑ Yes 54NO • Will operations involve the repair or replacement of automobile parts? [-]Yes F No If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes l 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 -XNo • 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 � 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 On/y Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: I\ Bldg. Permit # Planning Initials: U Inspected By Initials: Date: Date: Conditions of Approval or Other Notes: Area: 11,0� Occ Load: (( Area: Occ Load: Area: Occ Load: No. of Stories: TIF Review: Y/ N Entitlement #: Zoning: Use Permitted: ti/lding N Parking Meets'Code (for use) Y N Reviewed By Initials:_ lAL Date: (5U/ South Coast 161 Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 1 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) .1 Company Name: B \V vn r_� uv, Property Address: ko` Y L `f( -P (Klq ' Y�NyU 5U-) Ct 1 \6 U City: 1_�_ V-) Zip Code: Ql 611—? Contact Person: K 0- e-f J1 cL T S C_ c( o.S Title: L C c e S C, c m C. fiuv- t S/ Type of Business: (_ �t0 �n d-Uly Telephone: � �,-% - Ll 5 GJA Fax Number: E-mail Address: c �--C C -' n q V) (f 01' ✓1 U YVt a \A . C CA7 Applicant (print name): 1�Q eC(V1 Q, T 5b6cel Signature: -ate: I2- IV13 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 UAo 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes J1Dlo . 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes -0,10 4. Will the facility have use of above or underground storage tank? ❑Yes -,9jNo 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes NNo 6. Will the facility result in the use of the equipment listed below? ❑Yes ONO (Select all that apply) ❑Abrasive Blasting Cabinet/Room ❑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 ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) ❑Mixing/Blending of Liquids and/or Powders ❑Molding /Extruding/Curing of Plastic ❑ Pharm ace utical/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). (Lb _ 46ioO Department of Planning & Building "'� 2000 Main Street mm 11 Huntington Beach, CA 92.648 Phone: (714) 536-5241 Fax: (714) 374-1647 �` _ Occupancy Application 16152 16152 Beach Blvd 173 HUNTINGTON EXECUTIVE PARK APN 107-781-07 Application Binder Num Street Unit Bld Job Address 16152 Beach Blvd 180 APN 107-781-07 RD 3116 Zoning CG Lot 64 Tract P0061 Block 2 File Number Cofo? E2005-009706 No P2005-009707 No 02005-009960 Yes 02006-000881 Yes B2006-001699 Yes E2006-001700 No 02006-005208 Yes 02006-006811 Yes 02007-000263 Yes 02007-000267 Yes 02007-000648 Yes 02007-000649 Yes Entered By Hipsher, Ren:c:he =1=1 Date Entered 01/18/2007 Default Inspector Brown, James Status jPendinq Permit Type Certificate of Occupancy _ Issue Permit? n Date Origin Counter ' Issued By C~� Building Use - CitY ^1 Planner 1,1ames, Jane Building Use - County New Building? Plan Checker-- — — - Description Internal Notes Certificate of Occupancy CofO Number CO2007-000649 Choose Print All CofO Type Permanent Fees and Payments _ Sheets to Issue Issued By C � Single C/O Cofo Status Pending Inspections Cofo Date Issued —� Temp. CofO Issued W Date Printed Utility Release Date Temp. COFO Expiration License Number A259407 Business Name T R I Business Type Professional / Other Business Phone (714) 965-7694� Proposed Use Former Use Conditions Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A229686 PARTY PLANNING SVC & RENTAL A012940 SYLVAN LEARNING CENTER A141102 A D D NEURO PSYCHOLOGICAL A251002 SYLVAN LEARNING CENTER - HUN Approved Occupied Area (Scl Ft) 0.00 # of Storiesi DChange of Owner? Elec. Available? I❑—iIi Drinking I Dining > 50 Occupants? Change of Use? Want Electricity On? I Welding I Open Flame? Change of Occupant? 0 Sprinklered? D. Automobile Repairs? Additional Occupant? Dust / Wood? Auto Parts Desc. �! Occupancy Group/Load Group Description Area Construction Type Occupancy Load Group Definitio