HomeMy WebLinkAbout15581 Product Ln - CofO (123).a
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 If -
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor — The Applicant Must Apply In -Person)
Business Address 1 62 g i ?rD6[LkCk�e-, oC—
Business Owners Name gY' R loot W .I
Business Nam(
Business Type
Date 12 - 10 - j g
Zip Code 9a to4-1
Telephone No.
li l�SBus. Phone
Property Owner Information (required) Tenant/Emerciency Contact (required)
Name Wo �mv - AaoA UV I Name Nei MA) r
Address cn Home Address J loati2 IUA W Ln °
City tate/Zip lA • City Yt�11rl��UYI Vl State/Zip
Telephone No)q5i-- C551 '"3'14 Telephone No. 5 c " Gt�10- 1 17
THIS USE WOULD BE DESCRIBED AS:
ElNewly Constructed Building or LJ Existing Building
IS THIS BUILDING FIRE SPRINKLERED? VYes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner Nr hange of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business le
• Are you requesting that the electricity be turned on? Yes ❑ No
• Will operations produce dust/wood shavings or similar material? `-.❑ Yes �No
• Will operations involve the repair or replacement of automobile parts? []Yes [Mlo If yes: Describe the
components repaired.or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes MNo
U • 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
• JqV following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
CK Warehouse/Manufacturing/Distribution' ❑ Restaurant/Take-Out Food ❑ Other Of
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes o
If you answered yes, please proceed to the next question.
• Does your facility currentiy have a grease control device (i.e. grease trap or grease interceptor)?
Check one: []Yes S?No
Grease Interceptor Verified
For Official Use Only
Occ Group:
Occ Group: S
Occ Group: .
Total Sq Ft Occupied: 120C,
Bldg. Permit #
Planning Initials: L Date: C/�' 0'
Inspected By Initials: Date:
Area: Occ Load: 2
Area: IcIA- Occ Load: 3.
Area: Occ Load:
No. of Stories: 1 TIF Review: Y/ N
Entitlement #: Zoning: I Lr
Use Permitted: Y / N Parking Meets Code (for use): / N
g Reviewed By Initials: D9 Date: tZ t° (`-
Conditions of Approval or Other Notes: I Q ETAd L MA/0��
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).
Coml
Props
City:
Conti
Type of Business: � � El U,i ,Vfn QJrI V Telephone: `.i' -51 '?;,L4 U
Fax Number: ', E-mail Address: MOWG O
Applicant (print name): r 1 Signature: Date:
1. Will the facility release air pollutants, including but n9t limited to,,dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes C§Ko V
2. Will the facility res��lt of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes o
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes &Ko
.1
4. Will the facility have use of above or underground storage tank? ❑Yes &�rNo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes OdNo
y
6. Will the facility result in the use of the equipment listed below? ❑Yes Vlo f
(Select all that apply)v
❑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
❑Coffee Roaster/Afterbunner
❑Mixing/Blending of Liquids and/or Powders
1d'
❑Molding /Extruding/Curing of Plastic �>
❑ Pharmaceutical/N utraceutical
❑Plasma/Laser Cutter
❑ Printing/Coating/Drying
❑ Production of Fumes/Dust/Smoke/Odors
r
❑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/O�ganics 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).
Department of Planning & Building ,
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application
15561 Product Ln 1 C6 WINOS I LP 1
15581 APN 145-451-02 1f
Application Binder
Num Street Unit Bldg_
Job Address 15581 Product Ln C6 APN �145 451-02 RD 3011
Zoning 100-IL-20000 - Lot 9 Tract i7999 Block F�
File Number
02013 002467
CofO?
Entered By Bolls, Derek
Yes
02013-002705
02013-006176
Yes
Yes
Default Inspector Ford, Bill
02013-007634
Yes
Permit Type Certificate of Occupancy
02014-001968
Yes
-
E2014-006338
No
Origin Counter
02015-00
02015-004533 4533
Yes
Yes
Building Use - City
02015-005948
Yes
Building Use -County �n New Building?
02015-006094
Yes
L0.
02015-007352
Yes
Description rMOTORCYCLE TRANSPC
02015-008686
Yes
Internal Notes
Date Entered 1� 1/18/2015
Status Expired
Issue Permit? FA to Date
Issued By Permits -�
Planner Beckman, Hayden
Plan Checker Kato, Richie
Certificate of Occupancy
CofO Number CO2015 008686 Choose Print All CofO Type Permanent Fees and Payments
— Sheets to Issue — Inspections
Issued By I Permitl Single C/O CofO Status Issued
CofO Date Issued 11/18/201 Temp. CofO Issued
Utility Release Date Temp. COFO Expiration
License Number
Business Name L
Business Type
Business Phone (( )
Proposed Use WAREHOUSE / OFFICE
Former Use I WAREHOUSE / OFFICE
Date Printed
11/18/2015
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
IA121046 SOLID SOLUTIONS MANUFACTUR
A225812 MOLZA TOOL
A163040 NITRO RECORDS
A155426 H V N ENVIRONMENTAL SRVS
Approved Occupied Area (Scl Ft) 1,200.00
# of StoriesFl---)
Conditions I INTERIOR STORAGE / WAREHOUSE USE APPROVED. NO RETAIL SALES.
DChange
of Owner?
Elec. Available?
Drinking / Dining > 50 Occupants?
Change of Use?
rQ
I i
L❑J
Want Electricity On?
Welding / Open Flame?
lll`JJJ
Change of Occupant?
Sprinklered?
�nl Automobile Repairs?
Additional Occupant?
❑
Dust / Wood? Auto Parts Desc.
Occupancy Group/Load
Group Description Area
Construction
Type Occupancy Load
B
OFFICE
120
2
B
S-1
OFFICE
WAREHOUSE
120
1,080
2
3
Group Definitio1Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
,including storage of records and accounts.
Type ` Name field must be blank to add/change Contractor, Designer or Engineer Same AS
Property Owner
Contractor
Designer / Engineer Q
Mobile Phone
Property Owner
Business Owner
Business
Name
BURKE REAL ESTATE GROUP, INC
Pager
Tenant
Company
State License Type
Address
1260 E. BAKER ST #100
U Self Insured / Non -Employer?
City / State / Zip
COSTA MESA CA 92626
G Override Contractor
Expiration Dates?
�
Email
Phone
(714) 824-6007 x Fax ( ) -
Date Overridden I
Overridden By