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HomeMy WebLinkAbout18080 Beach Blvd - CofO (27)t • JAR HUNTINGTON BEACH Business Business Owne Business NamE Business Type CERTIFICATE OF OCCUPANCY 020 - CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION IN , -f (3rd Floor - The Applicant Must Apply In -Person) Date (�— 14 — A Zip Code Telephone No.g� —g 0 $a Bus. Phone-�1��1 1 Property Owner Information (required) Tenant/Emergency Contact (required) Name �,q- L L_ �ti] 1 L L �- Name CM,T- Address C� (� s — qs o3 Home Address t 61 Ncz City k-i- . State/Zip 7 mL 6 City State/Zip e �} IS Telephone No. LIT L1 S� ?a- Telephone No. -1 % b© atJ1— �; U THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or D 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 • Indicate former type of businesses- o lkA't. fj�• • Are you requesting that the electricity be turned on? ❑Yes ONO • Will operations produce dust/wood shavings or similar material? ❑ Yes %No • Will operations involve the repair or replacement of automobile parts? [-]Yes IkNo If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes K No • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes Rk No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes 0�k No • The following best describes my operation: ❑ Office Only E; 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 KNo 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 Only Occ Group: R Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: Date: IZ .& t6- Area: Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: Occ Load: Occ Load: TIF Revie Y Zoning: Parking Meets Code (for use : Y / N Building Reviewed By Initials: `;' �- Date: Conditions of Approval or Other Notes: pl� ----X 55 5CP14I VVES 05LZIM r0015J? 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: -V l =lam l 1 J lV mot— k Property Address: )!' D R Q �-Ezlk C-14 City: r� Zip Code: Contact Person: NAA Je \� '�5-�%�.�1 Title:/�� 1 r Type of Business:' �t�LS"CZ�i'E�rTelephone off'( �(3� �� r Fax Number: E-mail Address: M 1``�� Qom: i`� �f► I �i -�3� vYw Applicant (print name): N&A T" % "n'� � u1 Signature: Zj f 6 Dater 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 JRNo 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes WNo 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes b`No 4. Will the facility have use of above or underground storage tank? ❑Yes QNo 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑YesoNo 6. Will the facility result in the use of the equipment listed below? ❑Yes �ZNo (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 ❑ Pharmaceutical/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 . I ❑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 t r t 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). C�t(�--+Ci'59 Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 G ill Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application Beach Blvd 103 PIGUILL 18080 EM JAIME E 18080 - APN 157-481-05 AoDlication Binder Num Street Unit Bldg Job Address 18080 Beach Blvd 103 APN 157-481-05 RD 3516 Zoning SP14 I Lot l= Tract P0056 Block 33 File Number CofO? 01990-001171 Yes 01989-001172 Yes 02006-007933 Yes C2007-004657 No B2010-003817 No B2010-005117 No E2010-005118 No 02013-005215 Yes 02013-005686 Yes 02014-004875 Yes F2015-003755 No 02016-001271 Yes Entered By Niemczyk, Sandy Date Entered 02/23/2016 Default Inspector Moreno, David Status jPending Permit Type ICertificate of Occupancy Issue Permit? Date Origin lCounter Issued By Building Use City I1— Planner Building Use - County L New Building? Plan Checker - ---- — — Description Internal Notes CofO Number CO2016-001271 I Choose Print All CofO Type Permanent Fees and Payments Sheets to Issue Issued By Single C/O CofO Status Pending Inspections CofO Date Issued Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration Click the « button to copy the Business License License Number A295159 information into the Certificate of Occupancy. Business Name A C PODIATRY GROUP INC Business Licenses Business Name Business Type Professional / Other A185956 NGUYEN LOAN N A174338 ANGEL AUTO SALE Business Phone (949) 212-8675 A165820 S M LAUTOMATION DESIGN LTD A147416 HIDDEN VALLEY TAX & BKKP Proposed Use 1OFFICE Approved Occupied Area (Sci Ft) 0.00 Former Use OFFICET # of Stories Conditions 10FACE TO OFFICE NO C OF O REQD Change of Owner? LJ Elec. Available? Drinking / Dining > 50 Occupants? QChange of Use? Want Electricity On? Welling I Open Flame? ❑ Change of Occupant? Sprinklered? Automobile Repairs? DAdditional Occupant? LJ Dust / Wood? Auto Parts Desc. Occupancy Group/Load Group Description Area Construction Type Occupancy Load Group Definitio