HomeMy WebLinkAbout15131 Triton Ln - CofO (23)e
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020
CITY OF HUNTINGTON BEACH -
DEPT. OF PLANNING & BUILDING APPLICATION
(3d Floor— The Applicant Must Apply In -Person)
Business License # Q2!2o? 5-q- Date
Business Address 151sl —rton Inne. Sv 4 Zip Code 1
Business Owners Name Me- Qh "nAln , Telephone No.9� Z?35�IeO'
Business Name i �,,� 1 ,� n (►. fin �. (Z�c.t,ar S� Bus. Phone S b rn, e
Business Type t1n
Property Owner Information (required) Tenant/Emergency Contact (re%anp"fl,
'•ed)
Name r Name Jl 6 50l?
Address . dG'eAn UC �&cWme Address 7 9IZ � 2 nt/a ye
City State/Zip City An&&,)6(/ State/Zip 4 -rA 9Lr,
Telephone No. W 3r. Telephone No. [ Qw) ZSr 3��oG+
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or e�,Existing Building
IS THIS BUILDING SPRINKLERED? Yes ❑ No 6L
CHECK ALL THAT APPLY:
❑ Change of Business Owner ❑ Change of Occupant
■ Indicate former type of business__ rf)M '�VA4r
■ Are you requesting that the electricity be turned on?
■ Will operations produce dust/wood shavings or similar mate
❑Change of Use
'Y"Vu-V-
YesZ No ❑
❑Additional Occupant
es❑ Now
■ Will operations involve the repair or replacement of automobile parts Yes ❑ Nod] If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes[] Now
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes Nok
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes❑ Nol
■ The following best describes my operation: -.Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food
■ Will the Food Service Establislunent Generate Fats, Oils Greases? Yes❑ NQ/
■ Does the Facility Have a Grease Interceptor? Yes El NOW
■ Other (describe)
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials: Date:
Approval or Other Notes:
Area: a Q13
Area: LP VV
Area:
No. of Stories:
Entitlement #:
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/
Zoning: L
Building Reviewed By Initials: Date*?Z�41
Grease Interceptor Verified Inspected By Initials: Date:
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
(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: &� . Zip Code: el
Contact Person: ClSoh:W )1121S1 Title: 10Lj
Type of Business: Telephone: C C-L- q
Fax Number: e-mail address:
Applicant (print name):
Signature: �Q
Date: /Dzz Xzz 1.
Will the facility have any of the following equipment? Yes ❑ NoZ
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[:] No[Ep
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
��
SS } T
15131 jTriton Ln'
108 DELAURA EVERETT J
15131 ' APN 1`45-014-54
Num i
Street Un'tt Bld
Job Address 15131 Triton Ln 103 APN 145-014-54
Zoning IL
Lot
CofO?
File Number
Entered By MacLyman, Jean
02007-002195
Yes
02007-002839
Yes
Default Inspector Coble, Russell
B2007-003928
No
B2007-003931
No
Permit Type Certificate of Occupancy t:
E2607-003934
No
M2007-003935
No
OriginCounter
E2007-003936
No
Building Use -City
M2007-003937
No
02007-005804
Yes
Building Use - County �❑ New Budding? Plat
02007-006167 .:
Yes
F2007-006521
No
Description' EXCEL INTEGRATION, INC"'
02007-007679 ''
Yes
Internal Notes
sr CO2007-007679 Choose PnntAll CofO Type Permanent
Sheets to Issue
ly MacLyman, Jean 'Single C/O CofO Status Issued
ed 10/30/2007
Temp. CofO Issued`
ite
Tempi COFO Expiration
Click the « button to copj
A267950
information into the,Certifii
EXCEL INTEGRATION INC -
Business Licenses
Contractor
A159726 DON
A197956 A -MI
(714) 742-9716
A118666 C B`
A158872 ACT
e WAREHOUSE/OFFICE
Approved Occ
e
s
"'USE PERMITTED PER IL
DISTRICT "OFFICE SHALL BE LESS THAN
SUITE,.,
No mezzanine or storage over the office.
Change of Owner? Elec Available?
Occupancy Application
Gonzales, Andrew
Lee, Eddie
se?
Want Electricity On?
wel<
;upant?
Sprinklered?
Auto
ccupant?
Dust / Wood? Auto Parts Desc. `
110/30/2007 f
800.00
of Stories] 1
AREA OF
I®1 �I�Y•1�[�]t�„�1;i�I�I�71�•�T�F��� �� \ � � � ,p�� ° o\� ���� ��`��,�� �� ���
Group.:. Description" Area Construction Type Occupancy Load
B OFFICE 200 2
B _ OFFICE 200 2
S-1 WAREHOUSE 600 2
Group Definiti'i A building or structure, or a portion thereof, for office, professional or service -type transactions, including sto
records and accounts; eating and drinking establishments with an occupant load of less than 50