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HomeMy WebLinkAbout15102 Bolsa Chica St - CofOr HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH 02014- DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor - The Applicant Must Apply In -Person) Business Address PSI OQ- CtA t Cp� 5y Business Owners Name C©R 0 P-p OrJ C LEM VT- Business Name I LEMedT- M, -TFRiA LS -TCNNo Logy Date 2-26-1% Zip Code 9z( ` 7 Telephone No. 7fq,N2-t?k Business Type -rmT LAS I Bus. Phone Property Owner Information (required) Tenant/Emergency Contact (required) Name C�L�� WkLSod �-JS T Name CL.EM(� M rM' �u�. Address KATFLO Home Address I S;OWL PaM CIS (fdi CityS 401-0 State/Zip �� (��� CA City & —State/Zip CA q2L /0 Telephone No. 7 I H " Sa-7 - q 4- GO Telephone No. % 14 39 a - (I W THIS USE WOULD BE DESCRIBED AS: ❑Newly Constructed Building or N 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 business • Are you requesting that the electricity be turned on? ❑Yes []No • Will operations produce dust/wood shavings or similar material? ❑ Yes [ENo • Will operations involve the repair or replacement of automobile parts? []Yes EjNo If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes 0 No • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑Yes [5 No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑ Yes © No • The following best describes my operation: ❑Office Only ❑ Retail Sales ❑ Medical/Dental Warehouse /Manufacturing/Distribution ❑Restaurant/Take-Out Food ❑ Other 5T-RMOr C • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑Yes 13No 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 ❑N Grease Interceptor Verified For Official Use Onl Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: 140D Bldg. Permit # Inspected By Initials: Date: Planning InitialDate: "7-9 i Conditions of Approval or Other Notes: Area: 10 (o Occ Load: 3 Area: 2 Occ Load: ?T Area: Occ Load: No. of Stories: TIF Review: Y/ N Entitlement #: Zoning: I 1 ,- Use Permitted: 1' N Parking Meeetts,Code (for use)-"/ N Building Reviewed By Initials: ► r A` J Date:- ?: 29/( T South Coast eLijAir 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: ELE M cw C^ (MP" I 1 to L-S —17E C-H O Property Address: i s (0 � g00 0 b i I I^_ 4 9 r- G- City: H 13 Zip Code: q0 � Contact Person: J I M t2 i Title: & V�l Type of Business: M4 TMVtU S - 1 13 Telephone: 71 y (07A , ) g 6 Fax Number: E-mail Address: �a IM L,&llei CLFMFrJ , WM Applicant (print name): `T� n^E 12t Signature: G Date: 1. Will the facility release air pollutants, including but not limited to, dust fumes, gas, mist, odors, smoke, apor, or a combination of these to the atmosphere? ❑Yes BNo 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes [JNo 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? []Yes [3No 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 GNo 6. Will the facility result in the use of the equipment listed below? ❑Yes ONo (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 []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-CUTSMOG (1-800-288-7664). i Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY CHRISTOPHER BUCKSTEIN Cert. Number CO2011-005945 DYNAMIC CONSTRUCTION SERVICES Date Printed 12/28/2017 15102 BOLSA CHICA ST #G HUNTINGTON BEACH CA 92649 Address: 15102 Bolsa Chica St G Issue Date: 10/20/2011 Permit Number: 02011-005945 TCofO Issue Date: Business Name: DYNAMIC CONSTRUCTION SERVICES TCofO Expiration: Business Type: Contractor Approved Sq Ft.: 1,400.00 Current Use: OFFICE & WAREHOUSE # of Stories: 1 Occupant Groups: Description: Area: Occupant Load: B OFFICE 200 2 S-1 STORAGE Conditions of Approval: 1200 3 Contacts: Contact Type: Name: CHRISTOPHER BUCKSTEIN Phone: (714)323-7568 Business Owner Address: 15102 BOLSA CHICA ST #G Cell: ( ) City / State: HUNTINGTON BEACH CA Fax: ( ) - Zip: 92649 Pager: Contact Type: Name: WILSON TRUST Phone: (714) 349-1413 Property Owner Address: 8121 KATELLA AVE Cell: ( ) City / State: STANTON CA Fax: ( ) Zip: 90680 Pager: ( )