HomeMy WebLinkAbout15161 Triton Ln - CofO (3)A
CERTIFICATE OF OCCUPANCY 020 j-
�J CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
HUNTINGTON BEACH
(3rd Floor — The Applicant Must Apply In -Person)
Business Address V {` t Date
Business Owners Name f Zip Code 61
Business Name 00 ��y lephone o. ®®'�
Business Type � Bus. Phon(
Pronaty Owner Information (required) Tenant/Eme encContact (re uired)
Name Name PJ
Addr ss i Home vAddresslAA A G 4s 1
City I�State/Zip %�/ _ City C. State/Zip L
Telephone N . �� 1 hP Telephone No l!'�
THIS USE WOULD BE DESCRIBED AS:
0 Newly Constructed Building or XrBuilding
IS THIS BUILDING FIRE SPRINKLERED? ❑No
CHECK ALL THAT APPLY:
❑ Change of Business Owner ❑ C an e of Occupant El Change of Use 'Additional Occupant
■ Indicate former type of business 615
■ Are you requesting that the electricity be turned on? ❑Yes XNo
■ Will operations produce dust/wood shavings or similar material? ❑ Yes ANCI
■ Will operations involve the repair or replacement of automobile parts? ❑Yes io If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes ANO
■ 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? ❑YesPdo
■ The following best describes my operation: 0 Office Only ❑ Retail Sales ❑Medical/Dental.
■ larehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other
illany meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes YNO
If you answered yes, please proceed to the next question.
• Does your facility cue tly have a grease control device (i.e. grease trap or grease interceptor)?
Check one: El No
For Official Use 0n1
Occ Group:
Occ Group: 5 k
Occ Group:
Total Sq Ft Occupied: 24 q (�
Bldg. Permit #
Planning Initials: -1 I1 Date: I
Conditions of Approval or Other Notes:
Area: 1 D
Area: [/4 ,
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load: l O� -
Occ Load: 2.9
Occ Load:
TIF Review: Y/ N
Zoning: I L_
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: MW Date: 9/i 2-ill 8
addI M a. l P4414 fO
0
Grease Interceptor Verified Inspected By Initials: Date:
South Coast
Air Quality Management ement District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Q (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).
r
Company Name: J�Kj
jpbwf � G
Property Address:
City:
Contact Person:
Type of Business:
Fax Number:
Applicant (print n;
Zip Code: e-
_Date:
Will the facility have any of the following equipment? Yes ❑ Y 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❑ Noo
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).
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reffil
u
Department of Planning & Building '
2000 Main Street 1
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647 - Occupancy Application
15165 1 Triton Ln sutntEmvu eooH R & VEM
15161 WN 145,014-57
Of • •. •• Icall OM
Application Binder
Num Stroet___ Unit Bldg,
Job Addressl 15161 ITriton Ln J APN 1145-014-57 RD ,2912 0
Zoning IL ; Lot t' I Tract ;PO� 128 ! Block T9
File Number Coto?
02014.002604 I Yes
B2416-006692 No
02017-003914 Yes
Entered By Moo, Melanie
Default Inspector I Martin, Brian
Permit Type Certificate of Occupancy
Origin Counter
Building Use - City I��--�
Butdng Use • County iLF ...... JLJ New Bwldag?
Description "'AIRE RITE —
Internal Notes
Date Entered 06115Y100117~�
Status ilssued w�
Issue Permit? 0 Date 0611512017
Issued By [Pertttt3
Planner Kelley, Jason —�
Plan Checker Camahan, Mark
CofO Number CO2017-003914 Choose NntAll Coto Type Permanent Fees and Payments
- ---
Issued By Permit3
Sheets to Issue
Singfe cc CofO Status Issued inspections
CofO Date Issued 06/1512017
Temp. CofO Issued
Date Printed
UtLiity Release Date L�
Temp. COFO Expiration
06/15/2017
License Number ~�
Click the << button to copy the Business License
information into the Certificate of Occupancy.
Business Name '
Business Licenses Business Name
Business Type A
A105256
B R LABORATORIES INC
A045460
Y G LABORATORIES INC
Business Phone (} -
A288121
GORILLA STATIONERS LLC
A299395
AIRE RITEAC & REFRIGERATION II
Proposed Use WAREHOUSE/ OFFICE Approved Occupied Area (Sq Ft) 24,967.00
Fortner Use ISAME
It of Stories 1=
Conditions
•WAREHOUSE & OFFICE USE. NO ADDITIONAL SF OF OFFICE ADDED. OFFICE USE OVER 10%.
ADDITIONAL OCCUPANT TO OCCUPYAPPROX 11,798 SF
01 Change of Ouner? 11 Elec. Available? n Dmddng / Dk*V > So Occupants?
13, Change of Use? o Want EearicityOn? Wing/Open Flame?
IRChange of Occupant? D Sprinklered? Automobile Repairs?
QAdditional Occupant? D Dust / Wood? Auto Parts Desc.
Group Description Area Construction Tvpe Occupancy Load
B
OFFICE
10773
108
B
S-1
OFFICE
WAREHOUSE
10773 ...
14194
108 _
29
Group Defmiti Business Use - Building or structure, or a p
including storage of records and accounts.
Type `dame fw_Id mLst be blank to add'change Cmr V or. Ces?gna or Ergneer
Property Owner Contractor Designer / Engineer F-1
Prop' Owner Name BR LAB
Tenard
Business Owner Company
Applicant - �---
Address 15161 TRITON LN
city IState Izip HUNTINGTONBEACH CA192i
Email
Phone (714) 891-0206 x Fax O -
SameAs
Mob iL- Phone ( ) -
Pager ( )
State License Type I
QSet Insured / Non -Employer?
Q a -armde Contra=
Expiration Oates?
Date Overridden r
Overridden By I €