HomeMy WebLinkAbout15061 Springdale St - CofO (34)•
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
3rd FI Th A 1' #" t o I I P
( oor — e pp scan us pp y n- croon)
Business Address
Business Owners Name
Ousiness Name ` `��,_� 1060 40 p
Business Type �MrkQ , % h n p
Property Owner Information (required)
ame
ome Address
Date E
• ••- (+►�
i • 1 •� -�
CA U W41 Citytffi State/XM��
Telephone No. 0
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or ----,El Existing Building
IS THIS BUILDING FIRE SPRINKLERE6'? 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 ❑ No
0 Will operations produce dust/wood shavings or similar material? ❑ Yes No
• Will operations involve the repair or replacement of automobile parts? ❑Yes No If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes No
0 Will the business be a drinking, dining or assembly use with an occupant load of more than 5 ersons? ❑ Ye`sES. 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 '& 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? ❑ YesXNO
If you answered yes, please proceed to the next question.
0 Does your facility c rrently have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ YesVo
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load: ! r / 2--
Occ Load:
Occ Load:
TIF Revie Y
Zoning: �'"•
Parking Meets Code (for use): Y / N
Planning Initials: Date:1-1-7 - Building Reviewed By
Initials:<:a�ate: I�
5612TQ-rV-Aj
tyy�ir -J�� P1 (
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:
Contact Person: AV
Type of Business:_
Fax Number:
Applicant (print name):
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�j o
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes Flo
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes �Vo
4. Will the facility have use of above or underground storage tank? ❑Yes No
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes o
6. Will the facility result in the use of the equipment listed below? ❑YesNo
(Select all that apply)
❑Abrasive Blasting Cabinet/Room ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
❑Air Conditioning System (containing > 50 Ibs of refrigerant)
❑Application of Paints/Adhesive/Resins
❑Baghouse/Dust Collector
❑Bakery Oven (gas fired)
❑BoilerMater Heater (max. heat input = or > 1 million BTU/hr)
❑Charbroiler/Smoker
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extrudi ng/Cu ring of Plastic
❑ Pharmaceutical/Nutraceutical
❑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
El 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).
HUNTINGTON BEACH
Business Add
CERTIFICATE OF OCCUPANCY 020 �-
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
,066'C I V, C .
Business Owners Name VAL„ olL, (�l C J
Business Name VL' u w ("' 1 r' C -
Business Type
(3rd Floor — The Applicant Must Apply In -Person)
�Iv
Date
Zip Code ' �7 Z�'L(
Telephone No. � j "� � 32
Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name `V ti Lvc� �vu�c c -Q,l Name Ircxb n fr�S
Address Home Address (off%5
City ���� State/Zip Z %ity State/Zip I G L( C
Telephone No. ��( �l 2 i;O -516)(L3; Telephone No.
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or xisting Building
Ye
IS THIS BUILDING FIRE SPRINKLERED? s ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner Khange of Occupant ❑ Change of Use ❑ Additional Occupant
Indicate former type of business I" 1Jvuj i --
• Are you requesting that the electricity be turned on? ❑Yes 2vo
Will operations produce dust/wood shavings or similar material? ❑ Yes [Koo
• Will operations involve the repair or replacement of automobile parts? ❑Yes pd(o If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes nRo
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes E NO
• Will there be storage racks, gondolas, or shelving excee ng 5 feet 9 inches in height? ❑Yes ED/No
• The following best describes my operation: Office Only [I Retail Sales ElMedical/Dental
ElWarehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food []Other
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes Vdo
If you answered yes, please proceed to the next question.
Does your facility current!oave a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes 2no
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials: _Date: 3(e
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Conditions of Approval or Other Notes: 6441C1L A, 6
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning: ( 61
Parking MeetslCode (for use): Y / N
Building Reviewed By Initials: Date:
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
y4jwalu tic
Property Address:
2_�
City: ft
Zip Code:
Contact Person:
r-\
Title: L v
Type of Business:
SdcGi(
Telephone:
Fax Number:
E-mail Address: .6 C41 __
U U.;CL1�{ 4-
Applicant (print name):
WL
Signature:
Date:
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 L<O
2. Will the facility result f fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes N
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes [moo
4. Will the facility have use of above or underground storage tank? ❑Yes ❑eo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes []J6
6. Will the facility result in the use of the equipment listed below? ❑Yes o
(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 /Extrudi ng/Cu ring of Plastic
❑ Pharmaceutical/Nutraceutical
❑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).
Opp- iB31
Department of Planning & Building
2000 Main Street:
Huntington Beach, (.,A 92648
Phone: (714) 536-5241 Fax: (714) 374..1647
M
Occupancy Application
File Number
CofO?
F2010 006013
No
_
Entered By Zuniga, Allissa Date Entered j 08/0812013
E2011-004093
P2011-004094
No
No
Default Inspector Ford Bill Status g
p jPendin
02011-004314
Yes
Permit Type Ce ificate of Occupancy Issue Permit? I Date
--
B2011-004593
E2011-004595
No
No
Origin Counter Issued By
M2011-006981
F2011-007196
No
No
Building Use - City Planner Beckman Hayden
P2012-001067
No
Building Use- County New Building? Plan Checker
C2012-002415
No
02013-002868
Yes
Description
OFFICE TO OFFICE***WESTWOOD PRODUCTION INC***
02013-004944
Yes
Internal Notes
r!
t
CofO Number 1CO2013-004944 j Choose PrintAll CofO Type Permanent - Fees and Payments
Issued By
Sheets to Issue Inspections
; Single CIO CofO Status Pending
CofO Date Issued I_..
j Temp. CofO ►ssuedT___ Date Printed'
Utility Release. Date
_ _
�
Temp. COFO Expiration
��T
License Number Number A285417. I
Business Name WESTWOOD PRODUCTION INC
Business Type Professional / Other
Business Phone (310) 562-114453
Proposed Use !OFFICE
Former Use IOFFICE
Conditions OFFICE USE FOR GRAPHIC DESIGN & VIDEO
THREE UNITS TOTAL= STE'S 208, 209, 210
OFFICE TO OFFICE- NO C OF 0 REQUIRED
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A240542 NOTARY DIRECT NATIONWIDE LLC
A255946 HORIZON PREGNANCY CENTER
A188910 SHRADER &ASSOCIATES
A188912 MEDBY MICHAEL l
Approved Occupied Area (Sq Ft) 0.00
#of Stories
Change of Owner?
Elec. Available?i
Drinking / Dining > 50 Occupants?
Change of Use?
Want Electricity On?
Welding / Open Flame?
Change of occupant?
Sprinklered?
Automobile Repairs?
Additional Occupant?
Dust / Wood?' Auto Parts Desc.
Group Description
Area
Construction Type Occupancy -Load
Group