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Home My WebLink About17011 Beach Blvd - CofO (274)• >p J� HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 G122 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor — The Applicant Must Apply In -Person) Business Address 17011 Beach Blvd Suite 1140 Huntington, CA 92647 Business Owners Name Business Name Genuent Global LLC. Business Type Staffing Date 10/17/2018 Zip Code 92647 Telephone No. 714-465-1179 Bus. Phone Property Owner Information (required) Tenant/Emergency Contact (required) Name Sylvia Rodriguez Name TeD F6 07 Address 17011 Beach Blvd, Suite 430 Home Addressyio\\ s_', S'c Xyb City Huntington Beach State/Zip 92647 City State/Zip Telephone No. 714-841-9095 ext 234 Telephone No. °[`19- U'�4 n 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 Occupant ❑ Change of Use ❑ Additional Occupant • icate former type of business • Are you requesting that the electricity be turned on? ❑Yes ENO • Will operations produce dust/wood shavings or similar material? ❑ Yes ■❑No. • Will operations involve the repair or replacement of automobile parts? []Yes ❑N 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 ❑■ 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 ❑p 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 ENO Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: Date: 2-(� 18 Area: Area: Area: No. of Stories: Entitlement #: Use Permitte : Y N Building Reviewed 6 Conditions of Approval or Other Notes: 01FT7_* 1(2 - Tb O(__V__ I Cif Occ Load:- Occ Load:- Occ Load: TIF Review: Y/ N Zoning: Parking Meets Code (for u�)J/ N y Initials: Date: cib[ 7 ow 7 AQMD 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: Genuent Global LLC. Property Address: 17011 Beach: Blvd Suite 1140 City: Huntington Beach Zip Code: 92647 u Contact Person: Caressa.N 9 Yen: Title. Operations Manager IT Staffing Type of Business: g Telephone: 714-465-1179 Fax Number: 7147596-4081 E-mail Address: cnguyeen@genuent.clolm Applicant (print name): Caressa Nguyen Signature: F �22�¢a�� /I/ gjf._ Date: 1017i20.1e T- 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 ENO 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 IN 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) ❑Mixing/Blending of Liquids and/or Powders ❑Application of Paints/Adhesive/Resins []Molding /Extruding/Curing of Plastic ❑Baghouse/Dust Collector ❑Pharmaceutical/Nutraceutical ❑Bakery' Oven (gas fired) ❑Plasma/Laser Cutter ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Printing/Coating/Drying ❑Charbroiler/Smoker: ❑ 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 ❑Spray Booth ❑Electrostatic Precipitator ❑Storage of Acids/Solvents/Organics-Liquids/Fuels ❑Fermentation ❑Storage 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).