HomeMy WebLinkAbout15151 Springdale St - CofOWA�
HUNT NMM KACF
CERTIFICATE OF OCCUPANCY 020-
CITY OF HUNTINGTON BEACH -
DEPT. OF PLANNING & BUILDING APPLICATION
(3'd Floor — The Applicant Must Apply In -Person)
Business Address 15151 SPRINGDALE ST Date 02-16-16
Business Owners Name CHRISTIAN KASSOFF Zip Code 92649
Business Name THE FTRM nF MFYFR ('HRTSTTAN g Assoc- INC Telephone No.714-9o2-2o50
Business Type THTRr) PARTY T,TARTT.TTY.j('nT.T,F('TTnNS Bus. Phone 71 4-902-2050
Property Owner Information (required)
Tenant/Emergency Contact (required)
Name VDAP PROPERTIES, LLC. Name CHRISTIAN KASSOFF
Address 26440 LA ALAMEDA SUITE 270 Home Address 610 INDIANAPOLIS AVE APT B
City MISSION VIEJO State/Zip CA 92691 City HUNTINGTON BCHState/Zip CA 92648
Telephone No. 949-348-9690 ext 108 Telephone No. 714-726-3673
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or ® 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 $7 No
■ Will operations produce dust/wood shavings or similar material? ❑ Yes E2No
■ Will operations involve the repair or replacement of automobile parts? ❑Yes 1]No If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes KI No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes C3 No
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes E3No
■ The following best describes my operation: 1R Office Only ❑ Retail Sales ❑Medical/Dental
❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other
■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes
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:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
7 l0
Planning InitialsAA D
Area:
Area:
Area:
No. of Stories:
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
Entitlement #: Zoning:
9 No
Building Reviewed By Initials: Date:
Conditions of Approval or Other Notes: oy-'o a 'to 61ytGE . 14c) co D goyit .
Grease Interceptor Verified Inspected By Initials: Date:
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
L (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: �h� '� . tw• �,-�� C�� w� $ S �ic(rc
Property Address: PSIS S Vic. hcT`P Sla'
City:Cks Zip Code:
Contact Person: C�11Ec✓� SS�itle: �,� G
Type of Business.7K Telephone: I `- �U 2-' )-05_6
Fax Number: (` -gcSe-mail address: A -r�`��
Applicant (print name): ignature: a e:
• 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[:] N
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).
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HUNTINGTON BEACH
Business License ##
Business Address 1
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CERTIFICATE OF OCCUPANCY 0200� . ,QD57*�
CITY OF HUNTINGTON BEACH —
DEPT. OF BUILDING & SAFETY APPLICATION
714/536-5241
Business Owners Name V Ate. \ h 1,.��
Business Name W M bb�M, d1MQ"D1r.5W-?
Business Type eft_ .'-i"A��
(3rd Floor - Must Apply In -Person)
Date %_,_ 20 0
Zip Code
Telephone No. 2 ---Ign
Bus. Phone 43
Property Owner Information (required) Tenant/Emergency Contact (required) OctName �1 ��r�--r`ri-�.,�^ klo► t de f ak Name � , , „ �_ V4V1 H2 y
Address �1, _ Home Address 2-S L `.
City City 4A&6y1V-16 State/ ip C.& (66
Telephone No. Telephone No.
C9& 440 Llq- &a:ni P 4Vag0 m, ssru'A vie-301 e.1A
THIS USE WOULD BE DESCRIBED AS: G 3 L(9-- 9 &5b
❑ Newly Constructed Building or*Existing Building
CHECK ALL THAT APPLY:
hange of Property Owner !,change of Occupant-Othange of Use ❑Additional Occupant
■ Indicate former type of business 54 ` C----
■ Are you requesting that the electricity be turned on? YesO NOD
■ Is the building sprinklered? Yes" No
■ Will operations produce dust/wood shavings or similar material? Yes , N04
■ Will operations involve the repair or replacement of automobile parts Yes Nd'jR If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes Nd*
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes QNo
■ The following best describes my operation: *Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food
(describe process and end product)
❑ Other (describe)
For Official Use Onl
Occ Group: Area: � l n Occ Load: Z l
Occ Group: Area: Occ Load:
Occ Group: Area: Occ Load:
Total Sq Ft Occupied: No. of Stories: TIF Review: Y
Bldg. Permit # Entitlement #: Zoning:
Plnr Initials Dater 14=441an Chkr Initials: Date: I G ■ Insp Initials: Date:
Conditions of Approval or Other Notes: -C �� O l? `
OFF1�'- ro oFt—LG�'� J
Inspection Date:
(G:BuildingAdmin/WebDocuments/CertificateofOccupancy)