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15131 Triton Ln - CofO (110)
1 • JJ e HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION Business Address 15131 Triton Ln. Suite 118 Business Owners Name Aleksandr Petrosyan Business Name Night Vision Services Business Type Scopes and binoculars service and repair Qrd Floor— The Applicant Must Apply In -Person) Date July 1, 2017 Zip Code 92649 Telephone No. r 7V Bus. Phone 817-453-9966 Property Owner Information (required) Tenant/Emergency Contact (required) Name Boise Business Park, LLC Name Diana Nikitina Address 5142 Boise Avenue, Suite 101 Home Address 1409 Travis Cir South City Huntington Beach State/Zip CA 92649 City Irving State/Zip TX 75038 Telephone No. 714-899-2791 Telephone No. 214-893-3720 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or X Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ONO CHECK ALL THAT APPLY: ❑ Change of Business Owner N Change of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business 662� Z jttf eLj ■ Are you requesting that the electricity be turned on? ❑Yes M No ■ Will operations produce dust/wood shavings or similar material? ❑Yes MNo ■ Will operations involve the repair or replacement of automobile parts? ❑Yes AND If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes N No ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes © No ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes ®No ■ The following best describes my operation: N Office Only ❑ Retail Sales ❑Medical/Dental ❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑Other ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes N No 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 KNO For Official Use Onlx I Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: "W Date: 7 f? � 0 Area: Area: Area: No. of Stories: Entitlement #: Use Permitted: Y / N Occ Load: Occ Load: Occ Load: TIF Review: Y/ N Zoning: Parking Meets Code (for use): Y / ITT Building Reviewed By Initials:—zf:::�Date: 2i° (1 I I Conditions of Approval or Other Notes: ► J6 nifMJ4+4 iV- X k prey & (royeLO 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: Night Vision Services Property Address: 15131 Triton Ln. Suite 118 City: Huntington Beach Contact Person: Nora Minassian Title: Zip Code: 92649. Accountant Type of Business: Scopes and binoculars service & repair Telephone: 818-244-9793 Fax Number: e-mail address: nora@calTaxService.com Applicant (pr& name \C a RflgV Signature: Date: • 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[:] No❑■ 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- HUNTINGTON BEACH FIRE DEPARTMENT FIRE PREVENTION DIVISION Fire Only 2000 MAIN STREET • HUNTINGTON BEACH, CA 92648 File #: 0 (714) 536-5676 • FAX (714) 374-1551 FP: FIRE PREVENTION - BUSINESS DATA SHEET For new Certificates of Occupancy Business Name: Night vision services Start Date:7/1/2017 Business Address: 15131 Triton Ln, suite 118, Huntington Beach, CA 92649 Number Street Unit Zip Code Billing Address: @same as business Business Contact: Nora Minassian & V/� ,-, 818-244-9//7��9/n3� / nora@carraxService.com Emergency Contact: -e gQ(i �S R!��'7�C f 6�6p (24-hour) Name Phone Email Description of Business: Scopes and binoculars service$repair Will there be any of the following uses on the premise? ❑ Storage >6 feet ❑ Welding ❑ Special amusements (escape room or similar) ❑ Motor vehicle repair If yes, describe: Will there be any of the following equipment (E =existing equipment, A = adding or new equipment) _ Dry cleaning — list solvent _ Industrial oven — list fuel _ Propane patio heaters —# of heaters, # of spares _ Cooking equipment (fryers, ovens, pizza conveyor, etc.) Backup generators — list fuel _ Walk in refrigerators or coolers — list size, refrigerant _ Spray booth or dipping tank _ Tents or air supported structure _ Grinding/milling equipment that creates _ Fuel dispensing (including storage tanks) combustible dust _ Carbonated beverage system — list total pounds of CO2 If yes, provide details (e.g., number, fuel, size, etc.) Does the building have any of the following features (E =existing feature, A = adding feature) Sprinkler system _ Fire alarm system Other detectors (e.g, methane) Private fire hydrants _ Fire pump If yes, provide details Does the business handle any of the following: _ Other fire suppression system _ Smoke detectors Other alarm system _ Battery systems Methane barrier or other methane control installed YES NO - 55 gallons or more of a liquid hazardous material or hazardous waste. ❑ p Compressed gas (or liquid/cryogenic equivalent) of 200 cubic feet or more ❑ 0 Inert compressed gas (e.g., argon, nitrogen, helium) of 1,000 cubic feet or ❑ 0 more. 500 pounds or more of a solid hazardous material or hazardous waste. ❑ 0 Extremely hazardous material or radioactive material ❑ 0 I certify, under the penalty perjury, that the ab ve information is true and correct to the best of my knowledge. Signature: Title: 061,9,VY4 Date: