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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