HomeMy WebLinkAbout15201 Triton Ln - CofOJ�
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 tl-- 0� Via, �
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3d Floor — The Applicant Must Apply In -Person)
Business Address 15 2y l--rxinN 1_A6E 0VNTlN (rzuN 8kAcI4, M 647 Date 4 � 18 111
Business Owners Name EIJC.0f£ IWV--%0 � Zip Code '72-617
Business Name E1Jc4f-E ifJr'EPL%09,s Telephone No.9yl S-51 _013 0
Business Type W hAf-t ov3f- Bus. Phone V 5'5 Y 0730
Property Owner Information (required) Tenant/ required)
Name JMAES A. OciaLce- Tr`v5T Name FWAN G-MgAtM
Address 3g384 bobVIA11JE Mrc"A&Ll DC, Home Address 3-51I SY`Y"% P' ,
City +Mv4 % E , A State/Zip GA 125b3 City f lei miyarom 66A04 State/Zip CA ` 2_&qj
Telephone No. f4 j ' 7-i 1001 Telephone No. 626 ` 95 7980
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or RListing Building
IS THIS BUILDING FIRE SPRINKLERE ? ❑ Yes R�o
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 RrNo
■ Will operations produce dust/wood shavings or similar material? ❑Yes R�o
■ Will operations involve the repair or replacement of automobile parts? ❑Yes RQ o If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes ❑No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑Yes G?rNo
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Oe i0 .
■ The following best describes my operation: El Office Only ❑ Retail Sales ❑Medica ental
CKVarehouse/Manufacturing/Distribution ❑Restaurant/Take-OutFood ❑Other
■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes 2�40
If `you answered yes, please proceed to the next question.
• Does your facility Curren y have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑Yes bZNo
For Official Use Only 1
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning InitialsDate: h
Area: L{ 0 0 O
Area: �;730
Area:
No. of Stories: 1
Entitlement #:
Occ Load: S
Occ Load: S
Occ Load:
TIF Review: Y/ N
Zoning:
Building Reviewed By Initials: Date. — .
Conditions of Approval or Other Notes: W ar—YlLry u �
Grease Interceptor Verified Inspected By Initials: Date:
HUNTINGTON BEACH FIRE DEPARTMENT
FIRE PREVENTION DIVISION Fire Only'
2000 MAIN STREET • HUNTINGTON BEACH, CA 92648 File #:
(714) 536-5676 • FAX (714) 374-1551 FP:
FIRE PREVENTION - BUSINESS DATA SHEET
For new Certificates of Occupancy
Business Name: 'EN LOSE INTeptc4-$ Start Date:
Business Address: TPLIT nP 6AIIJ�-
Number Street Unit Zip Code
Billing Address: ❑same as business
Business Contact: J A K-E N F_W �_4--Y'-
9" 5-36 1173 (aft
Emergency Contact: f yp,`J v P'"04A 04 `W '7dgo F*AA11AM0_ ENCOA'C-EU, C"vl
(24-hour) Name Phone Email
Description of Business: WAk �'bvx_ /'Tcsr>Nj; rtic,L.+-fY
Will there be any of the following uses on the premise?
�torage >6 feet
If yes, describe: _
2<Velding []Special amusements (escape room or similar) [-]Motor vehicle repair
Will there be any of the following equipment (E =existing equipment, A = adding or new equipment)
_ Dry cleaning — list solvent
Propane patio heaters —# of heaters, # of spares
Backup generators — list fuel
Spray booth or dipping tank
_ Grinding/milling equipment that creates
combustible dust
If yes, provide details (e.g., number, fuel, size, etc.)
_ Industrial oven — list fuel
_ Cooking equipment (fryers, ovens, pizza conveyor, etc.)
Walk in refrigerators or coolers — list size, refrigerant
Tents or air supported structure
Fuel dispensing (including storage tanks)
_ Carbonated beverage system — list total pounds of CO2
Does the building have any of the following features (E =existing feature, A = adding feature)
Sprinkler system _ Other fire suppression system
_ Fire alarm system _ Smoke detectors
_ Other detectors (e.g, methane) _ Other alarm system
_ Private fire hydrants _ Battery systems
Fire pump _ Methane barrier or other methane control installed
If yes, provide details
Does the business handle any of the following:
YES NO
55 gallons or more of a liquid hazardous material or hazardous waste.
❑ C/
Compressed gas (or liquid/cryogenic equivalent) of 200 cubic feet or more
❑
Inert compressed gas (e.g., argon, nitrogen, helium) of 1,000 cubic feet or
❑ I
more.
500 pounds or more of a solid hazardous material or hazardous waste.
❑
Extremely hazardous material or radioactive material
V2/,
ElL�
I certify, under the penalty of perjury, that the above information is true and correct to the best of my knowledge.
�� � E 1ks �A,-jA
Signature: Title. Date.
South Coast 01-? �a�6
Air Quality Management ement 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: E1v Cam Jo eXiog-S
Property Address: I S DI 7-f-1Tnn! CANE
City: 4VNT1N&T0N �Raptc-A Zip Code: I Z 6 `f 7
Contact Person: J;A Y-F— t� F yi KAf.14- Title: E H S M ANA GE9—
Type of Business: WAI-EE Telephone: Ill 53 & 1773
Fax Number: N IPPA- e-mail address:
Applicant (print name): JP1<f- N vj(-e-C- Signature: G Date:
• Will the facility have any of the following equip ent? Yes ❑ No 2
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 I 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[:] Nod
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-
Departmejnt of Planning & Building ,
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application
15201 Triton Ln �j SIKM PROPERTIES LLC
5111 APN 145-014-22
Certificate of Occupancy Application
Application Binder
Num street Unit Bid _
Job Address 15201 Triton Ln APN 145-014-22 RD 2910
Zoning IL Lot Tract P0102 Block 43 i
File Number Cof0?
M2005-032861 No
02005-013000 Yes
01994-000317 Yes
02001-009866 Yes
01994-007717 Yes
01994-007718 Yes
02010-004728 Yes
02010-004752 No
02011-000413 Yes
E2011-000679 No
02013-002825 Yes
02016-008290 Yes
Entered By Niemczyk, Sandy
Default Inspector Martin, Brian
Permit Type I Certificate of Occupancy
Origin lCounter
Date Entered 11/15/2016
Status Issued
Issue Permit? R Date 11/15/2016
Issued By Permit3
Building Use - City Planner Bourgeois, Nicolle
Building Use- County U New Building? Plan Checker Lee, Eddie i
Description
Internal Notes
Certificate of Occupancy
CofO Number 602016-008290 Choose Print All CofO Type Permanent Fees and Payments
Sheets to Issue Inspections
Issued By Permit3 Single C/O CofO Status Issued
CofO Date Issued 11/15/2016 1 Temp. CofO Issued Date Printed
Utility Release Date y Temp. COFO Expiration 11/15/2016
License Number
Business Name
Business Type
Business Phone () -
Proposed Use :MANUFACTURING
Former Use ;SAME
Conditions MANUFACTURING/WAREH
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A161172 MOJICA POLISHING CO INC
Al61732 TRITON ENGINEERING
A231490 PACE METAL WORKS
A277570 MARINA STRENGTH AND CONDITI
OK
Approved Occupied Area (Sq Ft) 4,500.00
# of Stories,) ' I!
Change of Owner?
Elec. Available? Drinking t Dining > 50 Occupants?
Change of Use?
Want Electricity On? Welding / Open Flame?
®
Change of Occupant? Q
Sprinklered? Automobile Repairs?
Additional Occupant?
Dust / Wood? Auto Parts Desc.
Occupancy Group/Load
Group Description Area Construction Type Occupancy Load
F-1
4000
40
F-1
4000
40
B
500
5
Group Definiti
Factory Industrial Moderate -hazard Use - Building or structure,, -or a portion thereof, used for the assembling,
disassembling, fabricating, finishing, manufacturing, packaging, repair, or processing operations which are not