HomeMy WebLinkAbout15131 Triton Ln - CofO (106)•
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 - 3
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
1617
� 13rd Floor - The Applicant Must Apply In -Person)
Business Address `b\3__Vr:�rocs \Con - 02(,'-%q Date to•
Business Owners Name
rbro• \ on Zip Code �2tc�lq
Business Name t-ooto Aron, \n Telephone No. _41y. 33y-$
Business Type c l Bus. Phone -Tky• 33y•(„4'�R
QS
Property Owner Information (required) Tenant/Emergency Contact (required)
Name t1ldrtin4 Q)MN," , Q)Lke)�nea6 Pork k\C. Name b--,�or O`-gon
Address 5\ya 4�o bo, Aug- Home Address "NZko2
City 6ea0N State/Zip CA gZLy q City State/Zip CA ca2 a 84L
Telephone No. -- %ti - $gg- a-T% Telephone No. L1- G-6-- 6C,-t %
THIS USE WOULD BE DESCRIBED AS: 1
El Newly Constructed Building or YJ Existing Building
IS THIS BUILDING FIRE SPRINKLERED? dYes ❑ 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 ❑ No
• Will operations produce dust/wood shavings or similar material? ❑ Yes 13" 0
• Will operations involve the repair or replacement of automobile parts? ❑Yes 12<0 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 tha persons? El Yes 2/No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? es 40*)_
• Th following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/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 &'fVo
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 [ZNo
Grease Interceptor Verified
For Official Use Only
Occ Group:
Occ Group: V -
Occ Group:
Total Sq Ft Occupied: �C7
Bldg. Permit #
Planning Initials�Date:
Conditions of Approval or Other Notes:
Inspected By Initial
Area: 4
Area: o
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Date:
Occ Load: 5
Occ Load: 3
Occ Load:
TIF Review: tY/ N
Zoning: f
V
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: Date // \
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Phone Number (909) 396-3529 http://www.agmd.gov
+ � 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: loop P<,m'b, \-<\ CC
Property Address: EVOUt, , `���� "�.;\,cn \r.
City: Zip Code: CU-6'A q
Contact Person: %ha�.Z" a Q L ckSor Title: '-I� F r � c.e ca,d \ 9-
Type of Business: iA;5UyV o\c,. Telephone: _411A- 1`?,,k-
Fax Number: E-mail Address: the proS Ca moP pro`s . corn
Applicant (print name): n ro, c` -8on Signature: Date: to-\\-\%
1. Will the facility release air pollutants, including but t limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes L No
2. Will the facility resyJt of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes No
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes Flo
4. Will the facility have use of above or underground storage tank? ❑Yes [TKO
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes S?(No
6. Will the facility result in the use of the equipment listed below? ❑Yes [ N'o
(Select all that apply)
❑Abrasive Blasting Cabinet/Room
❑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
❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
❑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
❑Coffee Roaster/Afterbunner ❑Refrigeration Systems (containing > 50 Ibs of refrigeration
❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven
❑Dry Cleaning Equipment
❑Electrostatic Precipitator
❑ Fermentation
❑Gasoline Storage & Dispensing Equipment
❑Spray Booth
❑Storage of Acids/Solvents/Organics Liquids/Fuels
❑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).
k j
Department of planning & Building
2000 Main Street i
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax; (714) 374-1647 - Occupancy Application
15131 1 Triton Ln 101 DELAURA EVERETT J
15131 APN I145-014-54
Application Binder
Num Street Unit Bldg
Job Address F15131 Triton Ln 102 1 APN 145-014-54 RD 2910
Zoning IL Lot Tract P0128 Block 49
File Number CofO?
02013-005779 Yes
02013-005939 Yes
E2014-001074 No
02014-001080 Yes
02014-002878 Yes
02014-003435 Yes
02014-006492 Yes
E2014-006499 No
P2015-000767 No
02015-005354 Yes
02015-006187 Yes
02017-000666 Yes
Entered By Woo, Melanie
Default Inspector Martin, Brian
Permit Type Certificate of Occupancy
Origin (Counter
Building Use - City I F—
Date Entered 02/01/2017
Status Issued
Issue Permit? ®!Date 02/01/2017
Issued By Permit4
1 Planner Wong, Chris
Building Use - County Ii__I New Building? Plan Checker Woo, Melanie
Description I '"RELIABLE INDUSTRIAL SUPPLIERS""
Internal Notes
Certificate of Occupancy
CofO Number ICO2017-0006661 Choose Print All CofO Type Permanent Fees and Payments
J Sheets to Issue Inspections
Issued By Permit4 Single C/O CofO Status Issued
CofO Date Issued 02/01/2017 Temp. CofO Issued Date Printed
Utility Release Date —�' Temp. COFO Expiration 02/01/2017
License Number
Business Name
Business Type
Business Phone
Proposed Use WAREHOUSE/ OFFICE
Former Use ISAME
Conditions INO MODIFICATIOI
AS FORMER USE.
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A197956 A-MED HEALTH CARE CENTER
Al18666 C B S DECK COATING
A158872 ACTION APPRAISERS
A048828 LYNCH CONSTRUCTION INC
Approved Occupied Area (Sci Ft) 740.00
# of Stories'
IOR TENANTS SPACE. CHANGE OF OCCUPANT ONLY, SAME
Change of Owner? Elec. Available? 0 Drinking / Dining > 50 Occupants?
Change of Use? Want Electricity On? Welding I Open Flame?
Change of Occupant? Sprinklered? Automobile Repairs?
Additional Occupant? 0I Dust / Wood? Auto Parts Desc.
';Occupancy • • •.•
rrntm Description Area Construction Type Occupancy Load
B
OFFICE
430
5
B
S-1
OFFICE
STORAGE
430
310
5
1
Group Definitiol Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,