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Home My WebLink About15203 Springdale St - CofOJ.� HUNnNCTON REACF CERTIFICATE OF OCCUPANCY 020 LS - S" I9 CITY OF HUNTINGTON BEACH - DEPT. OF PLANNING & BUILDING APPLICATION Business Address 15203-05 Springdale Street, Huntington Beach CA 92649 Business Owners Name Brian Zeek and Dee Dee Brooks, respectively Business Name Surf City Financial Group & Surf City Insurance Services, Inc. Business Type financial services and insurance services Property Owner Information (required) NarneVon Der Ahe Real Estate Services AddreSS26440 La Alameda, Suite 270 City Mission Viejo Telephone No. (949) 348-9690 State/ZipCA 92691 (3rd Floor — The Applicant Must Apply In -Person) Date July 22, 2015 Zip Code 92649 Telephone No. (714) 377-1400 Bus. Phone (714) 377-1400 Tenant/Emergency Contact (required) Name Dee Dee Brooks Home Address 5302 Hendricksen Drive City Huntington Beach State/Zip CA 92649 Telephone No. (714) 377-1400 71 q 5 q2 -Z THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or El 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 Environmental Consulting (moved next door to a smaller suite) ■ Are you requesting that the electricity be turned on? ■❑Yes ❑ No ■ Will operations produce dust/wood shavings or similar material? ❑Yes ■❑No ■ Will operations involve the repair or replacement of automobile parts? ❑Yes NNo If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes ❑■ No ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes ❑p No ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes ■I No ■ The following best describes my operati ■ O€ ❑ Retail Sales ❑Medical/Dental ❑ Warehouse /Manufacturing/D 1 stri butiake-Out Food ❑Other ■ 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 N No (2 L,5�— 7/1 �� 11V For Official Use Only Occ Group: Area: 1b Occ Load: Occ Group: Area: Occ Load: Occ Group: Area: Occ Load: Total Sq Ft Occupied: 19 L No. of Stories: TIF Review: Y/ Bldg. Permit # Entitlement #: Zoning: tom. Planning Initials Date:"2?J'�'7• Building Reviewed By Initials:_Qate: Conditions of Approval or Othe Notes: � &—Lv v� d� Grease Interceptor Verified Inspected By Initials: Date: South Coast Air Quality Management ement District 21865 Copley Drive, Diamond Bar, CA 91765-4182 1', roci (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. Surf City Financial Group/Surf City Insurance Services, Inc. Property Address: 15203-05 Springdale City: Huntington Beach Contact Person: Dee Dee Brooks Type of Business: Financial/Insurance Zip Code: 92649 T,fl.. Pres., Surf City Ins. Svs., Inc. Telephone: (714) 377-1400 Fax Number: (714) 377-1401 e-mail addre s: deedee@surfcftyfnsurance.com Applicant (print name): Dee Dee Brooks Signature: Date: July 22 2015 • 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❑ 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-