HomeMy WebLinkAbout16691 Gothard St - CofO (170)J�
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 1�&- '�02
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Address 1666 S
Business Owners Name
Business Nam(
Business Type
(3rd Floor — The Applicant Must Apply In -Person)
Date DP CL , /0 , ",?ad
Zip Code 92-64'
Telephone No.�/a _ , Z
T
Bus. Phone
Property Owner Information (required) Tenant/Emergericy Contact (required)
Name ram, aJ 1, 'r A P2 c, C & A Lty- &QCZgh5 Name � , �(7
Address �����y S�' Home Address 77,3/
City,. State/Zip '7 City ,GO(1YlMr State/Zip�7� ?� 3
Telephone No.�1TT�2� �:. 1_'� '7 Telephone No. /QT J�'k
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or VExisting Building
IS THIS BUILDING FIRE SPRINKLERED? 9Yes ❑ No
CHECK ALL THAT APPLY:
p Change of Business Owner Change of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business LAM"0)4-`- 4 i a
• Are you requesting that the electrify bye turned on ❑ es 9No
• Will operations produce dust/wood shavings or similar material? ❑ Yes ONO
• Will operations involve the repair or replacement of automobile parts? ❑Yes Flo If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes 9 No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes eNo
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes eNo
• The following best describes my operation: IrOffice 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 M-1110
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 E N0
Grease Interceptor Verified
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Inspected By Initials: Date:
Planning Initials: Date:
Conditions of Approval or Other Notes
Area: 4
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load: I
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning: I si)
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: ! Date: ,� / l3
vsee u v O'd
1
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: _
Property Address:
City: 446 (�u�-,&ACL Zip Code: (t 11 L62. 3
Contact Person: Title: 1iiQ51j, J
Type of Business: 1& `r Telephone: 7la 0& —1�?ZC(y r
Fax Number: 1,E-mail Address:
Applicant (print name): —Signature: Signature: Date:
1. Will the facility release air pollutants, including but t limited to, dust fumes, gas, ist, odors smoke, vapor, or a
combination of these to the atmosphere? ❑Yes but
2. Will the facility res�rlrof fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes Nc
. , t- r ,
3. Will the facility result of hazardous materiajs, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes gNo
4. Will the facility have use of above or underground storage tank? ❑Yes Z/No
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes [gN/o
6. Will the facility result in the use of the equipment listed below? ❑Yes [f]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)
❑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
❑Pharmaceutical/Nutraceutical
❑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
El 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 i
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647 -- Occupancy Application
16691 Gothard St X GOTHARD BUSINESS CENTER
1272 APN 142-492-11
�6e_iffflcate of Occupancy .. •
Application Binder
Num Street Unit Bldg
Job Address 16691 Gothard St IS I APN 142-492-11 RD 3214
Zoning JIG-FP2 Lot Tract 7534 Block
File Number CofO?
E2012-002092 No
02012-004612 Yes
0201.2-005404 Yes
B2012-007329 No
E2012-007330 No
M2012-007332 No
F2012-007344 No
02012-007468 Yes
02013-001121 Yes
02013-001189 Yes
02013-002332 Yes
02013-004002 Yes
Entered By LWatson, Daniel
Default Inspector Moreno, David
Permit Type Certificate of Occupancy
Origin Counter
Building Use - City l IF —
Building Use - County
Date Entered 06/27/2013
Status IIssued
Issue Permit? M Date 07/16/2013
Issued By Cochran, Brian—�
I Planner
New Building? Plan Checker
Description j—'STUDIO S--ADD OCC TO —WAGDAM LLC DBA
Internal Notes
•Occupancy
CofO Number CO2013-004002 Choose Print All CofO Type Permanent Fees and Payments
-•--.. _....._._..... SineessClOto ssue -----
Issued By Cochran, Brian 9 CofO Status Issued Inspections
CofO Date Issued 07/16/2013 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration 07/16/2013
A286945
Click the « button to copy the Business License
License Number
information into the Certificate of Occupancy.
Business Name ISTUDIO S
Business Licenses Business Name
A246766
SOUTH SHORE PRODUCTS INC
Business Type I Professional / Other
A229886
ART BY SERAFIN
Business Phone (714) 312-9757
A128706
STATE FARM INSURANCE AGENCY
A109960
BLUE CHIP PEST CONTROL INC
Proposed Use
Former Use
Conditions
Approved Occupied Area (Sq Ft)
# of Stories
11
Change of Owner?
Elec. Available?
❑: Drinking / Dining > 50 Occupants?
nChange
of Use?
Want Electricity On?
Welding / Open Flame?
Change of Occupant?
Sprinklered?
Automobile Repairs?
nAdditional
Occupant?
�; Dust / Wood? Auto Parts Desc.
Occupancy . .
...
Group Description
Area
Construction Type Occupancy Load
S-1
WAREHOUSE
545
2
S-1
B
WAREHOUSE
OFFICE
545
80
2
1
Group Definitio Moderate -hazard Storage Use - Building or structure, or a portion thereof, occupied for storage uses that are not
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