HomeMy WebLinkAbout15131 Triton Ln - CofO (109)r
HUNTINGTON BEACH
Business Address
CERTIFICATE OF OCCUPANCY 0201 - 2
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
15131' Gt� i vn��FlNE, Ur.++T t t
(3'd Floor — The Applicant Must Apply In -Person)
Date 1-16--2-41;11a
Business Owners Name R IC HARb ALA►y Ft SHE R Zip Code C^ c)z c,+9
Business Name t N S`CP. — LOCK + N C Telephone No. j G� sgz lteq
Business Type t_tr,H i GNr+TvCBRiNc ASSEMIN-/ Bus.Phone -rL49®` otw
Property Owner Information (required) Tenant/Emergency Contact (required)
Name t30LSA goSt GSS PA2.K LLC Name DE602AH T:r15HER
Address 5142. 601_238 avc, SurrE lot Home Address 3:z29 MorZ►zz bRwE
City H uwr 1 N rc-roN QEAC H State/Zip CA 9 2(,49 City ` VKrr 1NCTCW &Ao_H State/Zip C� 11644
Telephone No. ? 14- 899 2-79 t Telephone No. 5 G2 59 2 +589
THIS USE WOULD BE DESCRIBED AS:
0 Newly Constructed Building or /Existi g Building
IS THIS BUILDING FIRE SPRINKLERED? E]No
CHECK ALL THAT APPLY:
❑ Change of Business Owner M Change of Occupant ❑ Change of Use OAdditional Occupant
■ Indicate former type of business ►JEW coMpa'�jy
■ Are you requesting that the electricity be turned on? ❑Yes Bff o
■ Will operations produce dust/wood shavings or similar material? ❑ Yes ENO
■ Will operations involve the repair or replacement of automobile parts? ❑Yes C o If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes o
■ Will the businne s be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes 21 o /�
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes 2Ko
■ The following best describes my operation: El Office Only El Retail Sales ❑Medical/Dental
❑Warehous /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other
■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes p<o
If you answered yes, please proceed to the next question.
• Does your facility current y have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes P No
For Official Use Only
Occ Group: Area: 1 SD
Occ Group: (� Area:
Occ Group: Area:
Total Sq Ft Occupied: No. of Stories: _
Bldg. Permit #
Planning Initials:IL._Date:
Occ Load: 2
Occ Load: 1
Occ Load:
TIF Review: Y/ N
Entitlement #: Zoning:
Use Permitte / N Parking Meets Code (for use) 0 N
Building Reviewed By Initials: bg Date: 1 1�
Conditions of Approval or Other Notes: ( S Qk==
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 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: 1'JSTA-L_0CK IQC
Property Address: r 513 ► _rrz a N La tjr , u i 3
City: H u NT l ►J G-r D N &5 ACH Zip Code:
Contact Person: 2,cHArza A. F& 5 H L rz Title: P RC- 5 tZ� i N i
Type of Business: 1-t GH-r- /assc-mb� Telephone:
itA- got °i<<a
Fax Number: e-mail address:
Applicant (print name):24RArtn A.Fst-ie2Signature: ` 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❑
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
Noel
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-
0 Zak- 0 0 Zj
Department ofPlanning& Building
2000 Main Street
Huntington Beach, CA 926-18 t
Phone: (71.4) 535-5241. fax; (71.4) 374 1647 ` Occupancy Application
File Number CofO? [
E2014-001074 No Entered By jBolls, Derek Date Entered 1'02017
02014-001080 Yes
02014-002878 Yes Default Inspector Martin,Brian Status Issued
F_-.- _
02014-003435 Yes Permit Type lCerti�ficate of Occupancy Issue Permit? Date 0610112017
02014-006492 Yes
E2014-006499 No Origin Counter — Issued By
P2015-000767 No
02015-005354 Yes ' Building Use -City Planner Bui, Jessica
02015-006187 Yes Building Use -County New Building? Plan Checker Lee, Eddie
02017-000666 Yes - ---
E2017-000825 No Description ***HOMELAND SECURITY PRODUCT DESIGN***
02017-003504 Yes
r---- -- -- —�
CofO Date Issued 06/01I2017 Temp. CofO'Issued i Date Printed';
Utility Release Date 1� Temp. COFO Expiration F 06/01/2017
License Number
Business Name
_i
Business Type
Business Phone
Proposed Use OFFICE I MANUFACTURING —�
Former Use OFFICE I STORAGE —
Conditions
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A197956 A-MED HEALTH CARE CENTER
A118666 C B S DECK COATING
A158872 ACTION APPRAISERS
A048828 LYNCH CONSTRUCTION INC
Approved Occupied Area (Sq Ft)
# of Stories
ASSEMBLY I MANUFACTURING USE
l t
Change of Owner?
j Elec. Available?
FJ
Drinking / Dining > 50 Occupants?
Change of Use?
Want Electricity On?
Welding! Open Flame?
Change of Occupant?
l Sprinklered?
Automobile Repairs?
0
Additional Occupant?
Dust 1 Wood? Auto Parts Desc.
Group Description Area Construction Type Occupancy Load
B OFFICE 150 2
iB OFFICE 150 2 .
F-1 MANUFACTURING 650 7
Group Definitio'Business Use -Building or structure, or a portion thereof, used for office, professional or service -type transactions,