The URL can be used to link to this page

Home My WebLink About15075 Goldenwest St - CofOCERTIFICATE OF OCCUPANCY 020j0- *'S� 0 S 1 CITY OF HUNTINGTON BEACH - DEPT. OF PLANNING & BUILDING APPLICATION Business Address 15075 GOLDENWEST ST HUNTINGTON BEACH CA 92647 Business Owners Name VY NGUYEN & MARK OZUROVICH Business Name ACTIVE STRENGTH & CONDITIONING LLC Business Type PERSONAL TRAINING Property Owner Information (required) Name BUSINESS PROPERTIES (3'd Floor— The Applicant Must Apply In -Person) Date 10/18/2016 Zip Code 92647 Telephone No. 714-357-8240 Bus. Phone Tenant/Emergency Contact (required) ame VY NGUYEN Address 17631 FITCH Home Address 15032 FLEMING ST City IRVINE State/Zip CA92614 CityWESTMINSTER State/Zip CA92683 Telephone No. (949) 474-8900 Telephone No. 714-554-4085 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or F±l Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes NNo CHECK ALL THAT APPLY: ❑ Change of Business Owner p Change of Occupant 0 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 ONo ■ Will operations involve the repair or replacement of automobile parts? ❑Yes N No If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes N No ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes N No ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes E No ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/Dental ❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food D OtherPERSONAL ENRICHMENT ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes ■❑ No 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 For Official Use Only Occ Group: pJ Occ Group: Occ Group: Total Sq Ft Occupied: 23 Bldg. Permit # Planning Initials-0 Date:I� b WIVN 1 Area: Occ Load: Area: Occ Load: Area: Occ Load: No. of Stories: t TIF Review- Y/ N Entitlement #: Zoning: Building Reviewed By Initials�Qate: 1 lV, Conditions g A pro al or Other Notes:��b 11 f nA OAT -d- W1P/ x( I c Grease Interceptor Verified Inspected By Initials: Date: South Coast Air Quality Management District t, k6 - Sos1 21865 Cople Y Drive, Diamond Bar, CA 91765-4182 A (909) 396-3529 • http:// www.aq►nd.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: ACTIVE STRENGTH & CONDITIONING LLC Property Address: 15075 GOLDENWEST ST City: HUNTINGTON BEACH Contact Person: VY NGUYEN Zip Code: 92647 Title: BUSINESS PARTNER Type of Business: PERSONAL TRAINING Telephone: 714-357-8240 Fax Number: 714-373-2355 e-mail addres ACTwESC.HB@GMAIL.COM Applicant (print name): VY NGUYEN Signature:` Date: 10/18/2016 • Will the facility have any of the following equipment? Yes ❑ No 0 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❑ NoW 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- .o