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HomeMy WebLinkAbout15102 Bolsa Chica St - CofO (17)a' .f ®ll JJ HUNTINGTON BEACH iq5~ o I N- ?_,' CERTIFICATE OF OCCUPANCY 0200 =` _:� `Z- CITY OF HUNTINGTON BEACH - DEPT. OF BUILDING & SAFETY APPLICATION 714/536-5241 Business License # Business Address 1 'S I c Business Owni Business Nam( Business Type (3`d Floor — Must Apply In -Person) Date= _ O Zip Code Telephone No. %/ �Z Bus. Phone * Property Owner Information (required) Tenant/Emer enc Contact (required) Names �i�a� f �l� Ce„F ; B✓s �,�s A Name 2/! Address_ �� • a/�� _ Home Address S DSd- cityV" State/Zip ��:. _City �t.�ck�1,_ _State/Zip �D%/ -�-- Telephone No. (� �/ S� �- (oO3 / Telephone No. THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or U_Rgisting Building CHECK ALL THAT APPLY: ❑ Change of Property Owner R<Sange of Occupant ❑Chan e of Use ❑Additional Occupant ■ Indicate former type of business o a -e_W .e 'a— % - c ■ Are you requesting that the electricity be turned on? Yes Q NOD ■ Is the building sprinklered? Yeses No❑ ■ Will operations produce dust/wood shavings or similar material? Yes❑ NoP-"' ■ Will operations involve the repair or replacement of automobile parts Yes 0 No ©/ If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? YesQ NOD ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ❑ No ■ The following best describes my operation: 26ffice Only L .<.etail Sales ❑ Medical/Dental Warehouse /Manufacturing/Distributio 0 Resta ant/Take Out Food (describe process and end product) /ilC`'G✓ i e S ❑ Other (describe) C.� (✓V Sc For Official Use Onl Occ Group: )Area: ttoo ' p Oce Load: 1 l7 Occ Group: Area: A X-1-L Occ Load: Z. Occ Group: Area: Occ Load: Total Sq Ft Occupied: P No. of Stories: TIF Review: Y Bldg. Permit Entitlement #: Zoning:( L Plnr Initials: Date:k OPlan Chkr Initial . Date: 2 bl i sp Initials: Date: Al — of kf GINIMV royal oONonditio s tes: • 0 South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (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: �d�o Property /Address: / 5—/( ?_ /Jc�- „ c� lea � City: /%/� A,7 1�,/C 4 Zip Code: Contact Person: &h"?xy z4e0aX_ Type of Business: 04olz�C4 lie />LS Fax Number: � / y G� Applicant (Print name):LfxzieSignature: Date: 9,2-6,c,/- 1� Title: 62V__t_f Telephone: 71,i d-3 y address: Will the facility have any of the following equipment? Yes ❑ No Charbroiler Dry cleaning machine Spray booth Printing press (screen/lithographic/flexographic) Internal combustion engine greater than 50 HP (excluding motor vehicles) Boiler/combustion equipment (greater than 1 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge-type dust filter/scrubber Motor fuel storage and dispensing equipment Will any of the following operations be performed? Yes❑ No�/ Application of paints or adhesives Etching, plating, casting, or melting of metals Molding, extruding, or curing of plastics Mixing and blending of liquids and/or powders Storage of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke, or strong odors If you answered "No" to both questions, 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). -2- Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY BARRY LACOUR Cert. Number TOP SHELF PRODUCTS INC Date Printed 15102 BOLSA CHICA RD #A1 HUNTINGTON BEACH CA 92649 CO2009-004723 06/02/2015 Address: 15102 Bolsa Chica St Al Issue Date: 05/18/2010 Permit Number: 02009-004723 TCofO Issue Date: Business Name: TOP SHELF PRODUCTS INC TCofO Expiration: Business Type: Retail Approved Sq Ft.: 2,172.00 Current Use: OFFICE & WAREHOUSE # of Stories: 1 Occupant Groups: Description: rea: Occupant Load: B OFFICE L10172 10 S-1 AUTO REPAIR 6 Conditions of Approval: LIMITED VEHICLE EQUIPMENT/REPAIR USE PERMITTED. Contacts: Contact Type: Name: BARRY LACOUR Phone: (714) 903-8042 Business Owner Address: 15102 BOLSA CHICA RD #AS Cell: ( ) - City / State: HUNTINGTON BEACH CA Fax: ( ) - Zip: 92649 Pager: Contact Type: Name: Phone: (714) 527-6031 Cell: ( ) - CA Fax: ( ) - Pager: ( ) - WILSON TRUST Property Owner Address: 8121 KATELLA AVE City / State: STANTON Zip: 90680