HomeMy WebLinkAbout15061 Springdale St - CofO (17)if
•
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 I-7 - XSG
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3'd Floor — The Applicant Must Apply In -Person)
Business Address `
�! �Y ,
. Gl a
Date _
Business Owners Name
�'�t�1
Zip Code
4�3,;
Business Name
E
1
Telephone No. 3/0BusinessType
J1
Bus. Phone W-'S
Property Owner Information
(required)
Tenant/Emergency
Contact (required)
Name ZIA d PAo57j9rfi'"
Name Alari s
Address
2 .4, A;2
Home Address
2
City State/Zip a
City LK /W State/Zip -
Telephone No.
Telephone No.
THIS USE WOULD BE DESCRIBED AS-
0 Newly Constructed Building or 4xi ting Building
IS THIS BUILDING FIRE SPRINKLERED? ZYes ONO
CHECK A,LL THAT APPLY:
Change of Business Owner ❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business — S
■ Are you requesting that the electricity be turned on? ❑Yes ZNo
■ Will operations produce dust/wood shavings or similar material? []Yes GX0 �
■ Will operations involve the repair or replacement of automobile parts? ❑Yes ft�'No If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes o
■ Will the busi ess be a drinking, dining or assembly use with an occupant load of more than 50 persons?
El Yes 90
■ Will there be storage racks, gondolas, or shelvin xceeding 5feet 9 inches in height? ❑Yes 21<0
■ The following best describes my operation: 90ffice Only ❑ Retail Sales ❑Medical/Dental
❑Warehouse/Manufacturing/Distribution ❑Restaurant/Take-OutFood ❑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 ❑ No
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: _
Bldg. Permit #
Planning Initials: Date:�G;�`
Conditions of Approval or Other Notes:
Area: Occ Load:
Area: Occ Load:
Area: Occ Load:
No. of Stories: TIF Review: Y/ N
Entitlement #: Zoning:
Use Permitted • Y / N Parking Meets Code (for use). Y / N
Building Reviewed By Initials: Date:
Grease Interceptor Verified Inspected By Initials: Date:
- South Coast
Air Quality Management District 01�_ aCg s
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 A dies:
City:
Contact Person:
�570
Type of Business:�i� Telephone: 988'�
Fax Number: e-mail address: etl aQ 1.
Applicant (print name): #all yZC-_ Signature: Date:
• 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 an of the following operations be performed? Yes[] No[�'
Y g P
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-
Department of Planning & Building ,
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application
15061 Springdale St 112 BECKER NICK C
15061 APN 145-531-37 G�%_ a�5
Cerfificate of Occupancy Applicaflon
Application Binder
Num street Unit Bldci
Job Address 15061 911
Springdale St 112 APN 145-531 37 RD 2
Zoning CG Lot I� i Tract P0159 Block 11 j
File Number COO?
02008-000640 Yes
B2008-004441 Yes
02009-002356 Yes
02009-006253 Yes
02010-001471 Yes
02010-002735 Yes
02010-003580 Yes
02010-004373 Yes
02010-004375 Yes
02010-004376 Yes j
B2010-004959 No
02010-005658 1 Yes
Entered By Martin, Sarah Date Entered 10/11/2010
Default Inspector Kirby, Kevin Status jPending
Permit Type Certificate of Occupancy Issue Permit? ;Date
Origin �C`o`un�ter� Issued By
i �
Building Use -City PlannerArabe, Jill Ann
Building Use - County ]i] New Building? Plan Checker
Description OFFICE TO OFFICE
Internal Notes ITHE RELIANT NETWORK
of Occupancy
CofO Number CO2010-005658 Choose Print All CofO Type Fees and Payments
Sheets to Issue Inspections
Issued By Single C/O CofO Status Pending
CofO Date Issued Temp. CofO Issued Date Printed
Utility Release Date _ Temp. COFO Expiration��
License Number IA277922
Business Name ITHE RELIANT NETWORK
Business Type IProfessional / Other
Business Phone (877) 674-7502
Proposed Use OFFICE
........... .... .
Former Use ! OFFICE
Conditions
Click the << button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A240542 NOTARY DIRECT NATIONWIDE LL(
A255946 HORIZON PREGNANCY CENTER
A188910 SHRADER &ASSOCIATES
A188912 MEDBY MICHAEL
Approved Occupied Area (Sq Ft) 0.00
.......__._ ... .
# of Stories
U' Change of Owner?
Elea Available?
D!
Drinking / Dining > 50 Occupants?
Change of Use?
Di Want Electricity On?
Welding / Open Flame?
Change of Occupant?
nn Sprinklered?
Automobile Repairs?
a: Additional Occupant?
Dust / Wood? Auto Parts Desc.
Occupancy Group/Load
Group Description Area Construction Type Occupancy Load
I
Group Definiti