HomeMy WebLinkAbout15015 Goldenwest St - CofOr
CERTIFICATE OF OCCUPANCY 020 1$- 28 1
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
HUNTINGTON BEACH (3rd Floor — The Applicant Must Apply In -Person)
Business Address �� ^� n\A�eS S'f J, f - Date �- g
Business Owners Name �c/� �� �� ( �, %��.Zip Code
Business Name o n Telephone No. �lj�l S13 }
Business Type
Bus. Phone pQNJ: J:NO It.
Property Owner Information (required)
Tenant/Emergency
Contact (required)
Name 9, S.'A Q SS
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°I Name AS11 09-a` S% '-'in
Address iA'.S c_t.QE^M1a
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Home Address 5,55"
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City L—.A
State/Zip g ��
Telephone No.
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Telephone No. Ll
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THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or I Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner X] Change of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business 1 n tiC1y1 Y C, 4"
• Are you requesting that the electricity be turned on? ❑Yes ® No
• Will operations produce dust/wood shavings or similar material? ❑ Yes [RNo
• Will operations involve the repair or replacement of automobile parts? ❑Yes [4No If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes 14 No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes M 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 [0 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 ONO
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
For Official Use On/y
Occ Group: to
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials: Date: 7 It 115
Inspected By Initials: Date:
Area: 1�
Area:
Area:
No. of Stories: I
Entitlement #:
Use Permitted: Y / N
Conditions of Approval or Other Notes: O"i k V S'e "M
Occ Load:
Occ Load:
Occ Load:
TIF Revieyu;�Y/ N
Zoning: !M
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: Date 'IF
6(6 -- t281
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:
Property Address:
City: LI Zip Code:
Contact Person: Sl4t"51An.Un Title: n why i
Type of Business: avf (`0-(0 Telephone: (/1 a !1 — N-J to 43
Fax Number: E-mail Address: IYL q n kA d V�IaaJ` 1\'- RL,U u►4W •L►M
Applicant (print name): Signature: _ Date: I
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 F4No
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes 6�No
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes [ONo
4. Will the facility have use of above or underground storage tank? ❑Yes [RNo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes ®No
6. Will the facility result in the use of the equipment listed below? ❑Yes allo
(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
❑ Pharm aceutical/N utrace utical
❑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
❑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-CUT-SMOG (1-800-288-7664).
Department of Planning & Building
P ��.
2000 Main Street
iHuntington Beach, CA 92648
i Phone: (714) 536-5241 Fax: (714) 374-1647
CERTIFICATE OF OCCUPANCY
HOSSEIN SHALCHI/JAVAD VARZAQNDEH
COLLEGE BOOKS INC
15015 GOLDENWEST ST
HUNTINGTON BEACH CA 92647
Address:
15015 Goldenwest St
Permit Number:
02008-001657
Business Name:
COLLEGE BOOKS INC
Business Type:
Retail
Current Use:
RETAIL/BOOKS
Occupant Groups -__Description: j (Area:
M STORES 1500
,Conditions of Approval:
Contacts:
Contact Type:
Name:
Business Owner
Address:
City / State:
Zip:
Contact Type:
Name:
Property Owner
Address:
City / State:
Zip:
HOSSEIN SHALCHI/JAVAD VARZAQNDEH
15015 GOLDENWEST ST
HUNTINGTON BEACH CA
92647
ANN POWELL
17631 FITCH
IRVINE CA
92714
Cert. Number
Date Printed
CO2008-001657
07/02/2018
Issue Date: 05/27/2008
TCofO Issue Date:
TCofO Expiration:
Approved Sq Ft.: 1,500.00
# of Stories:
Occupant Load:
50
Phone: (714)373-9191
Cell: ( )
Fax: ( )
Pager: ( )
Phone: (949)474-8900
Cell: ( )
Fax: ( )
Pager: ( )