HomeMy WebLinkAbout15165 Triton Ln - CofOC
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 2-ot-5—
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor - The Applicant Must Apply In -Person)
Business Address I 's-16 %� � 4'a, Date
Business Owners Name Zip /y !1�/ �AI�J��61 Zip Code Z-Ly 9
Business Name -02pr.i fir 4-'_ 4i,2-2/ t Z4C E-� Telephone No. 214Y
Bus. Phone /y
Business Type � M:;r ,rt Lwr �c� ��t✓ T
Property Owner Information (required) Tenant/Emergency Contact (required)
Name �- �`L3--� - `a 14 oak—c2a�U -ame
Address L„& Home Address /041,( F, I a,6&4
City yvu � `State/Zip 1A, !Z`7 (p V 9 City-V=ZNkA42s State/Zip GA fZ�
Telephone No. / !rl_IV!_D' �z Telephone No.
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or K Existing Building
IS THIS BUILDING FIRE SPRINKLERED? io Yes ❑ No
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 ONO
• Will operations produce dust/wood shavings or similar material? ❑ Yes Flo
• Will operations involve the repair or replacement of automobile parts? ❑Yes 14No If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes 4 No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes Qr No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes q No
• The following best describes my operation: ❑ Office Only ❑ Retail Sales ILMedical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes kNo
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 jeo
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:, r%q
Bldg. Permit #
Planning Initial, —"; Date: 3 / U
Area: g. 8��i Occ Load: IS'
Area: Occ Load:
Area: Occ Load:
No. of Stories: TIF Review:�l�/ N
Entitlement #: Zoning: �,..
Use Permitted: Y / N Parking Meets Code (for use): Y / N
Building Reviewed By Initials_ Date: 3 �1
Conditions of Approval or Other Notes: I �'J U >-ill yyxnjx
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
-kPhone Number (909) 396-3529 http://www.agmd.gov
++ P D
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: nw-, s 414 C I—A3 . �e
Property Address: / �/ /2 5,7 ,r/
City: Zip Code:
Contact Person:Z �rR Vkd AI U G1 title: �i(r
Type of Business:Telephone: %/ rf —
Fax Number: E-mail Address: b f`t1 �GLL�'fC-g Cg2w
Applicant (print name): / ,O ;j=C.,--�T ��Signature: Date:
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? ❑Yes VNo
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes �lo
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes VNo
4. Will the facility have use of above or underground storage tank? []Yes RNo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑YesWNo
6. Will the facility result in the use of the equipment listed below? ❑Yes ❑No
(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)
❑Application of Paints/Adhesive/Resins
❑Baghouse/Dust Collector
❑Bakery Oven (gas fired)
❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr)
❑Charbroiler/Smoker
❑Coffee Roaster/Afterbunner
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extruding/Curing of Plastic
❑ Pharmaceutical/N utraceutical
❑Plasma/Laser Cutter
❑ Printing/Coating/Drying
❑ Production of Fumes/Dust/Smoke/Odors
❑Refrigeration Systems (containing > 50 Ibs of refrigeration
❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven
❑Dry Cleaning Equipment ❑Spray Booth
❑Electrostatic Precipitator ❑Storage of Acids/Solvents/Organics Liquids/Fuels
❑Fermentation
❑Gasoline Storage & Dispensing Equipment
❑Storage Silos (sugar, flour, etc.)
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).
TFile Number CofO?
B1997-058571
No
01989-007710
Yes
M2006-001188
No
02014-002604
Yes
B2016-006692
No
02017-003914
Yes
02018-001553
Yes
Entered By Watson, Daniel Date Entered 05/01/2014
Default Inspector Ford, Bill Status Expired
Permit Type Certificate of Occupancy Issue Permit? Date
Origin�Issued By
Building Use - City Planner Edwards, Ethan
Building Use - County UIJ New Building? Plan Checker Lee, Eddie
Description ]—GORILLA STATIONERS LLC—
Internal Notes
of Occupancy,
CofO Number CO2014-002604 Choose Print All CofO Type Permanent Fees and Payments
Issued 8y Frisby, Sheets to Issue ----
• - Inspections
y, Chad Single CIO CofO Status Issued
CofO Date Issued 06/24/2014 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration
License Number A288121 _-- —
Business Name IGOMLLAsTAnONERS LLC
Business Type I Retail
Business Phone (714) 845-3969
Proposed Use IWAREHOUSE
...................-...- .
Former Use SAME
Conditions
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A105256
B R LABORATORIES INC
A045460
Y G LABORATORIES INC
A288121
GORILLA STATIONERS LLC
A299395
AIRE RITEAC & REFRIGERATION II
Approved Occupied Area (Sq Ft) 13,000.00
# of Storied 1
11 Change of Owner?
Elec. Available?
D Drinking ! Dining > 50 Occupants?
DChange of Use?
Want Electricity On?
D Welting ! Open Flame?
Change of Occupant?
❑I Sprinklered?
D Automobile Repairs?
Additional Occupant?
❑ Dust / Wood? Auto Parts Desc.
Occupancy Group/Lcad
Group Description Area Construction Type Occupancy Load
S-1/13
WAREHOUSE
13000
75
S-1/B
WAREHOUSE
13000
75
Group Definitio
Type ` Name field must be blank to addrehange Contractor, Designer or Engineer Sartre As
Property Owner Contractor Designer / Engineer Mobile Phone
Property Owner Name BODH SUBHERWAHL Pager ( ) -
Tenant I _ ._.._
Business Owner Company I I State License Type
Address 115161 TRITON
City / State / Zip I HUNTINGTON BEACH
Email
Phone ( ) - x Fax ( ) -
Self Insured / Non -Employer?
a Override Contractor
Expiration Dates?
Date Overridden
Overridden By
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