HomeMy WebLinkAbout15021 Goldenwest St - CofO (2)FOB
CERTIFICATE OF OCCUPANCY 020 -
CITY OF HUNTINGTON BEACH —
DEPT. OF PLANNING & BUILDING APPLICATION
HUNTINGTON BEACH (3`d Floor —The Applicant Must Apply In -Person)
Business License #- - Date q .S • ld
Business Address ��-z_( Zip Code —
Business Owners Name z_ Telephone No"'
Business Name Bus. Phone
Business Type
Pronertv Owner Information. (required) • ' Tenant/ m r enc Co tact (required)
Name- S 2 Name
Address ome Address"' Y'70 ,n '
City=- 2rVIA-e— State/Zip ,�-7 "1 ity:-QPhecAct State/Zip
Telephone No. '°j �1--471--9gy0 Telephone No: 70-7— 747-- S0-53
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or xi ting Building
IS THIS BUILDING SPRINKLERED? YeNo ❑
CHECK ALL THAT APPLY:
Change of Business Owner hange of Occupant ❑Change of Use ❑Additional Occupant
■ ndicate former type of business
■ Are you requesting that the electricity be turned on? Yell No ❑
■ Will operations produce dust/wood shavings or similar material? Yes❑ N014
■ Will operations involve the repair or replacement of automobile parts Yes No/X If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes 0 ❑
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes[] Not
■ Will there be storage racks, gondolas, or shelving exceeding 5feet t? Yes[] ��
■ The following best describes my operation: ❑ Office Only detail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ElRestaurant/Ta -
■ Will the Food Service Establishment Generate Fats, Oils Greases. Yes❑ o❑
■ Does the Facility Have a Grease Interceptor? Yes❑ NOX
■ Other (describe)
For Official Use Only �n
Occ Group: 1' 1
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning lnitials: Date: j�-
Area: L4 `lam
Area:
Area:
No. of Stories:
Entitlement #:
Occ Load: l
Occ Load:
Occ Load:
TIF Review: Y/
Zoning: C_�,
Building Reviewed By Initials: Date:
Conditions of Approval or Other Notes: ReTA� L, - mov-tmw ux:: fta-W4 V,�
205XW010- % -
Grease Interceptor Verified Inspected By Initials: Date:
South Coast • '
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
(909) 396-3529 • http:// www.aqmd.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: (S V2—<
City:
Contact Person: . �, �, Title:
Zip Code:
Type of Business: cl Telephone:
%CSl�SI
Fax Number: e-mail address:
Applicant (print name)z�j—r Signature:
C-U, -4-Date: - t
• 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 �,7
Will any of the following operations be performed? Yes❑ Now]
Application of paints or adhesives v
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 detennine 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
TEMPORARY CERTIFICATE OF OCCUPANCY
CYCLE GEAR Cert. Number CO2014-003122
C/O JACK BRANDON Date Printed 11/19/2014
15021 GOLDENWEST BLVD.
Huntington Beach CA 92647
Address:
15021 Goldenwest St
Permit Number:
B2014-003122
Business Name:
CYCLE GEAR #128
Business Type:
Retail
Current Use:
RETAIL
Issue Date:
TCofO Issue Date:
11/19/2014
TCofO Expiration:
12/19/2014
Approved Scl Ft.:
4,115.00
# of Stories:
1
Occupant Groups: Description: Area: Occupant Load:
M SALES 4115 107
Conditions of Approval: J
TEMP CERT. OF OCC GOOD FOR 30 DAYS: CONDITIONS ARE TO COMPLETE ALL OUTSTANDING FINAL CORRECTIONS - SEE
CORRECTION NOTICE
Contacts:
Contact Type: Name: CYCLE GEAR Phone: ( ) -
Business Owner Address: 15021 GOLDENWEST BLVD. Cell: ( ) -
City / State: Huntington Beach CA Fax: ( ) -
Zip: 92647 Pager:
Contact Type: Name: BUSINESS PROPERTY BRK Phone: (949) 474-8900
Property Owner Address: 17631 FITCH Cell: ( ) -
City / State: IRVINE CA Fax: ( ) -
Zip: 92714 Pager: ( ) -
� I y -3) 22-
S CITY OF HUNTINGTON BEACH
Department of Building & Safety
q Telephone: 714/536-5241
13 CORRECTION NOTICE LJ INSPECTION REPORT
L1 Certificate of Occupancy 13 Electrical L3 Plumbing Ll Mechanical 0 Building
Job Address «ort Lot Permit(s) No. i i z:z-
-R OF— N?7Z0j A'--
-�r�i , lxi —tAc7a,-"R
ca
kS Li> e-W c50 L<Ae
I -Sk-j .rZ-�ICTL- 6-4 �L
All building violations indicated must be corrected within thirty (30) days. Failure to
correct the indicated building violations within thirty (30) days will result in the issuance
of an administrative citation. Your Correction period ends Continued
failure to correct outstanding violations will result in additional administrative citations
with fines up to $1,000.00.
Permits Required
• Building L3 Fire Q Electrical 0 Plumbing 0 Mechanical E3 Demo
Plans Required
• Building Ll Fire El Electrical (includes title 24) El Plumbing 0 Mechanical
• Plan Check Submittal Form L3 TI Correction List Form
Date 11)i
LTime Inspector Signature
G:Building/Forms/Inspection/CorrNoticelnspReportforCofO
a 14-31 12