Loading...
HomeMy WebLinkAbout15131 Triton Ln - CofO (107)HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 - QOuRS-(,p CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor - The Applicant Must Apply In -Person) Business Address15131 Triton Ln. suite 111 Date 2/1 /2018 Business Owners Name Erik Peterson Zip Code 92649 Business Name Intec Network Solutions Inc. DBA Intec Telephone No.714-580-6980 Business Type contractor Bus. Phone 714-475-6675 Property Owner Information (required) Tenant/Ememency Contact (required) NameBolsa Business Park Name Erik Peterson Address5142 Bolsa Ave. suite 101 Home Address 16172 Ballantine Lane cityHuntington Beach State/ZipCA/92649 cityHuntington Beach State/Zip CA/92647 Telephone No.714-8992791 Telephone No. 714-580-6980 THIS USE WOULD BE DESCRIBED AS: ❑Newly Constructed Building or m Existing Building IS THIS BUILDING FIRE SPRINKLERED? ®Yes [:]No CHECK ALL THAT APPLY: ❑ Change of Business Owner 0 Change of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business • Are you requesting that the electricity be turned on? []Yes ®No • Will operations produce dust/wood shavings or similar material? ❑ Yes 0No • Will operations involve the repair or replacement of automobile parts? []Yes ®No 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 m No • Will there be storage racks, gondolas, or shelving exc feet 9 inches in height? m Yes ❑ No • The fo t describes my operation: Offs my ❑Retail Sales ❑ Medical/Dental rehouse IN ja6ufacturing/Distribution estaurant/Take-Out Food ❑ Other • at products including beef, poultry, and/or fish be cooked or fried onsite? []Yes ®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 ON Grease Interceptor Verified For Official Use Only Occ Group: S� 1 Occ Group: �} Occ Group: Total Sq Ft Occupied: %(4'1�7 Bldg. Permit # Planning Initials:,./1L-Date: 2 Conditions of Approval or Other Notes: Inspected By Initials: Date: Area: SOS - Area: 9 0 Area: No. of Stories: Entitlement #: Use Permitted- N Occ Load: Occ Load: 1 Occ Load: TIF Review: Y/ N Zoning: Parking Me is Code (for us 0N Building Reviewed By Initials Date: nw.Lz On -a�5-6 South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA.91765-4182 Phone Number (909) 396-3529 http://www.agmd.gov p a 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:Intefc Network Solutions, Inc. dba Intec t Property Address: � 13 ( 1 &17DK( Lj,f, 5(-)�7r city: Huntington Beach Zip Code: 92649 Contact Person:Erik Peterson Title: President Type of Business -contractor Telephone:714-580-6980 Fax Number:none E-mail Address: erik@intecsocal.com Applicant (print name):Erik Peterson Signature: Date. 2/1 /18 1. Will the facility release air pollutants, including but not limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? DYes ®No 2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? QYes ZNo 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? QYes ®No 4. Will the facility have use of above or underground storage tank? QYes oNo 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? QYes ®No 6. Will the facility result in the use of the equipment listed below? QYes Olo (Select all that apply) []Abrasive Blasting Cabinet/Room ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) []Air Conditioning System (containing > 50 Ibs of refrigerant) []Mixing/Blending of Liquids and/or Powders []Application of Paints/Adhesive/Resins []Molding /Extruding/Curing of Plastic []Baghouse/Dust Collector Pharmaceutical/Nutraceutical []Bakery Oven (gas fired) ❑Plasma/Laser Cutter ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) []Printing/Coating/Drying ❑Charbroiler/Smoker ❑ Production of Fumes/Dust/Smoke/Odors []Coffee Roaster/Afterbunner []Refrigeration Systems (containing > 50 Ibs of refrigeration []Deep Fryer (excluding equipment located at eating establishment)ElSoldering Oven ❑Dry Cleaning Equipment []Spray Booth []Electrostatic Precipitator Storage of Acids/Solvents/Organics Liquids/Fuels []Fermentation atorage Silos (sugar, flour, etc.) []Gasoline Storage & Dispensing Equipment If you answered "No" to any of the above questions and your facility will not have the following equipment listed, 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). 013-U756 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: Intec Network Solutions, Inc. Start Date:2/1/2018 Business Address:15131 Triton Ln. suite 111 92649 Number Street unit Zip Code Billing Address: ❑same as business Business Contact: Erik Peterson 714-475-6675 erik@intecsocal.com Emergency Contact: Erik Peterson 714-580-6980 erik@intecsocal.com (24-hour) Name Phone Email Description of Business: contractor 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) E 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. ❑ 0 Compressed gas (or liquid/cryogenic equivalent) of 200 cubic feet or more ❑ m Inert compressed gas (e.g., argon, nitrogen, helium) of 1,000 cubic feet or ❑ more. 500 pounds or more of a solid hazardous material or hazardous waste. ❑ m Extremely hazardous material or radioactive material ❑ m I certify, under the penalty of perjury, that the above information is true and correct to the best of my knowledge. Signatur_, ��� Title: President Date:2/1/2018 HUNTINGTON BEACH FIRE DEPARTMENT FIRE PREVENTION DIVISION FirFile #e Only 2000 MAIN STREET - HUNTINGTON BEACH, CA 92648 (714) 536-5676 - FAX (714) 374-1551 FP: IMPORTANT INFORMATION ABOUT HAZARDOUS MATERIAL DISCLOSURE If you are subject to hazardous material disclosure there are important steps you need to take. We encourage you to reduce your hazardous material inventory below disclosure amounts to avoid fees and inspections. However, if your business requires hazardous materials equal to or in excess of disclosure amounts, you must comply. A Fire Department representative will contact you to verify the information you submitted for your Business License. If you are subject to this program, you will need to: ❑ Disclose online, Businesses must disclose on-line either through either (but not both): o Orange County ESubmit portal (https://www.esubmit.ocgov.com/home/) o California Environmental Reporting System (CERS) (http://cers.calepa.ca.gov/) Business must disclose information on the following forms: o Business Activities o Business Owner/Operator o Chemical Description o An Annotated Site Map Identification o Emergency Plan. You are encouraged to proceed directly to either online disclosure system and begin the disclosure process. Failure to disclose is a violation and subject to significant fines and penalties. ❑ Annually review and certify your online disclosure. ❑ Update your Business Emergency Plan every three years. ❑ Pay an annual HMDP fee. The fee is determined based on number and quantity of hazardous materials handled at your facility. ❑ Inform your landlord if you operate in a leased or rental property that you are subject to hazardous material disclosure. These are done in writing and sample forms are available on our web site. ❑ Receive an inspection by the Fire Department's Hazardous Materials Program Specialist, at a minimum of once every three years. If you have question or are unsure whether you need to disclose please call (714) 536-5469 or (714) 536-5676. You can also obtain additional information on the City's website at www.surfcity-hb.org on the Fire Department page under the section Fire Prevention. 02010-006915 Yes 02011-050130 Yes 02611-000168 Yes 02011-000196 Yes 02011-002084 Yes 02011-002251 Yes B2011-003323 No M2011-003324 No 02011-003414 Yes 02011-003937 Yes 02011-004071 Yes E2011-004265 No Entered By Watson, Daniel Date Entered 07/25/2011 Default Inspector Kirby, Kevin Status I Finaled Permit Type Electrical Issue Permit? 0 Date 07/25/2011 Origin counter issued By I Permit2 Building Use - City Fc --m 1 _s 6711Commercial Misc Planner 1 Building Use - County 99.6 New Building? Plan Checker Description CEILING LIGHTS AND INSTA HOT WATER HEATER Internal Notes CofO Number - Choose Print All CofO Type Fees and Payments Sheets to Issue Issued By �� Single CX CofO Status j Inspections CofO Date Issued Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration License Number Business Name Business Type Business Phone Proposed Use Former Use Conditions Group Definitio Type Property Owner Property Owner Primary Contact Click the «button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A197956 A-MED HEALTH CARE CENTER Al 18666 C B S DECK COATING Al58872 ACTION APPRAISERS A048828 LYNCH CONSTRUCTION INC Approved Occupied Area (Sq Ft) # of Stories ' Name field must be blank to addichange Contractor, Designer or Engineer Contractor 1. Designer I Engineer l� Name DELAURAEVERETfJ Company Address 5142 BOLSA#101 City IState IZip HUNTINGTONBEACH CA 92649 Email Phone (714) 315-2832 x Fax ( ) - SameAsl 1 Mobile Phone ( ) -11 Pager (') - State License Type I Self Insured I Non -Employer? a Override Contractor Expiration Dates? Date Overridden Overridden By