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HomeMy WebLinkAbout15131 Triton Ln - CofO (105)HUKHNC,TON REAO Business Addi Business Owr Business Nam Business Type CERTIFICATE OF OCCUPANCY 020 (r - CITY OF HUNTINGTON BEACH — DEPT. OF PLANNING & BUILDING APPLICATION (3'd Floor — The Applicant Must Apply In -Person) Date .2O aids Zip Code 92(04 9 Telephone No.-714 375- ►YgT Bus. Phone 1 14 375- 1-t 4? Property Owner Information (required) Tenant/Emer enc Contact (required) Name Eder&& cic6g 11gla"r,a- Name 59t.& w.) u c. Address 514.2. bn\sk 1Aag, Wh-e- ►ok Home Address $11 Z— City_ JF b CA State/Zip JIU4-q City [AJ5 State/Zip 4 2-L �l Telephone No. 714 % q 9 `,1 ?9 l Telephone No. "714 3 7 L '8 ? THIS USE WOULD BE DESCRIBED AS: / ❑ Newly Constructed Building or 2 Existing Building IS THIS BUILDING FIRE SPRINKLERED? +Yes []No CHECK ALL THAT APPLY: ❑ Change of Business Owner 2f Change of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity be turned on? 0' 'es ❑ No ■ Will operations produce dust/wood shavings or similar material? ❑Yes &21�o ■ Will operations involve the repair or replacement of automobile parts? ❑Yes Gal to If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes L^o ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes 0No ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes 42Ko ■ The following best describes my operation: ❑ Office 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 CYNo 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 j `` A For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: DatejM� Conditions of Apfoy4l or Other Notes: Area: A Area: Area: No. of Stories: Entitlement #: r Occ Load: Occ Load: Occ Load: TIF Review: Y/ N Zoning: �1 Building Reviewed By Initials: Date: 1 j Grease Interceptor Verified Inspected By Initials: Date: South Coast Air Quality Management ement District 21865 Copley Drive, Diamond Bar, CA 91765-4182 a (909) 396-3529 • http:// www.aqmd.gov Air Quality Permit Checklist California State Law Code 65 85 0.2 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: t 5 Property Address: 16131 I �!'ac,T'drJ .a.r.JQ� uNt'� 116 City: 142 ( Zip1Code: gZU4-9 Contact Person: ����2A"e, Title: 1-l��f�10 DA Type of Business :Sgk,Sc �J�S , Us. Telephone: -714 3516- 1-1 ?1 Fax Number: e-mail address: vwwZJ Mkr6) L)aS*a'd' Sia`w—' C 0m Applicant (print name): -,x. Tea Signature: �J,(a Date: 20J,n.1.r 2v15 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❑ Noz, 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 W [Trito 01 LA6kA:EVERE17 5131 i nin 5131 APN,, 11 "l 4,154,; 4 `4Applidaff6n Binder 1,1111 ... ......... . ....... ... . . . ............ . .............. . .. .. . . ... ...... .................. ... Num StreetUnit Bl Job Address 15131 ITriton Ln 115 APN RD 010 Zonlng�M1-A- Lot tract Block k ,F7 File Number CofO?' 4 i. 02001-010044 Yes Entered Byf M 'Date Entered 10/0-1f1991` 02002-010774 Yes Default ]Inspector, StatusIssued 02004-012802 Yes 01997007696 Yes Permit Type'. Certificate of Occupancy Issue Permit? Date J12/04/1991 02003-011826 Yes 4- 41 02603-011853 Yes Origin Issued By. 4 01990-007696 Yes 4-= 0260 00 4346 Building Use - City Planner 0-6 5-Yes Q 1 992-QOT697 Yes Suildingbse-rCoA j New Sufldin97 Plan Checker Dick, Lloyd 02001-010174 Yes 02001-010064 Yes �Descrip66n 01991-007698 Yes 'Int' real Motes CofO Number Col 991-007698 Choose PrintAfl CofO Type, Fe I ps-,,and Payments She ets to 1�sue Inspections Issued By Single C/O CofO Status, Issued CofO Date Issued 12/0411991 Temp. CofO Issued Date,Prifited: Utility Release Date Temp. COFO Expiration . . .... ...... .. .......... . Crick the-<<,buttomto-colpy the Business License Ucense Number t 4, 1 information into the Certificate of Occupancy. + Business Name H. R. SOUHANIA SONS IPsiness,Licenses Business,,Name fA-1 97956A-MED,HEALTH CARE,,CENTER4 Business Type ICANDY MANUF.�CTURINP A118666C B S DECK COATING Business Phone J,(714) 895-7717 A' W72 ACTION APPRAISERS, A048828 LYNCH CONSTRUCTION INC . .. .... .. .. ... . i'i' 4, Approved Occupied Area (Sq Proposed Use Ft) 698.00 Former Use,, # 6(Stories COMPUTER Conditions, M. Change of Owner? Elec. Available?Drinking Dining > 50 Omupants?� A 4 Change of Use? Want Electricity On? Welding Open Flame? Change of Occupa nt'? tprinklered? Automobile Repairs? Additional Occfxpant*7 - F] Dust Wood?' Auto Parts Desc. �b Grou, Description Area. Constru&io tjpeccupancy Load B-2 13-2 6f 'Group Definiti 4k