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Home My WebLink About15182 Triton Ln - CofOe a • HUNTINGTON BEACH ./ _,a CERTIFICATE OF OCCUPANCY 020 �- J CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor — The Applicant Must Apply In -Person) Business Address 15-1 D 2 LAI. -It-10 1 Date a ` a - / F Business Owners Name Zip Code �oz Business Name /TJ SZ/pio`�1 Telephone No. �15/' % ZS '(SEAS Business Type cSC�czw Bus. Phone �- T Property Owner Information (required) Tenant/Emergency Contact (required) Name '/&c,s"Y- /CLS /4TS Alelz Name 6- 2171 ► L/!-t.11K6X C— Addres/s �Z ff /C?&J-A 120/ � . Home Address S`py �%� �(�/,0, City %T1/ 911�/�Al k State/Zip City State/Zip C ' Telephone No. —]% N r� a a �. Telephone No. I THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Mo Building IS THIS BUILDING FIRE SPRINKLERED? El Yes CHECK ALL THAT APPLY: ❑ Change of Business Owner range of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business C -o n i7 py , Co"p rvcf • Are you requesting that the electricity be turned on? ❑Yes Flo / • Will operations produce dust/wood shavings or similar material? ElYes ENO • 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 No • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 perso ? ❑ Yes p No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes No • The (lowing 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 E o If you answered yes, please proceed to the next question. • Does your facility currently ve a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes 2NO Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # t Planning Initials: 1 Date: Conditions of Approval or Other Notes: Area: Area: ;7�1tt Area: No. of Stories: Entitlement #: Use Permitted/ N Occ Load: Occ Load: Occ Load: TIF Review Building Reviewed By 05 ti Y/ N Zoning: 1 1, Parking Meets Code (for use): Y / N Initials:— Date: ��'lr' South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (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). Company Name: 1 Q Sc1 po Kota Property Address: ( 61,8 Z iV—1 for j C.-"ilk . -i4_- (o I City:�UUDLfiUAJ /� C. Zip Code: q2 6c(G Contact erson: L5(QDNMO J 112uionV) -4- Title: OU-�A) U) V2 _ Type of Business: SCj21`�) wilyilAfL,51 Telephone: 114 - 72 8 ' N 72--Fb Fax Number:A) /4-- E-mail Address: L�ilAhVph0iy c&. /VjC1,4_ N Ca • CaM Applicant (print name):�Y3�JIOnAi 100010V1-4- Signature: 0>o�m Date: 1. Will the facility release air pollutants, including but no 'mited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes o 2. Will the facility resyJfi'of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes WNo 3. Will the facility result of hazardous materiar,ncluding but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes 4. Will the facility have use of above or underground storage tank? ❑Yes ONO 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes to 6. Will the facility result in the use of the equipment listed below? 04es ❑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) ❑Mixing/Blending of Liquids and/or Powders ❑Application of Paints/Adhesive/Resins ❑Molding /Extrudi ng/Cu ring of Plastic ❑Baghouse/Dust Collector ❑Pharmaceutical/Nutraceutical ❑Bakery Oven (gas fired) EIPI sma/Laser Cutter ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) VPrinting/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) ❑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). ,f Department of Planning & Building . � 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY THUY LY JUSTICE PROTECTION SERVICES 15182 TRITON LANE #101 Huntington Beach CA 92649 Cert. Number CO2017-005719 Date Printed 08/27/2018 Address: 15182 Triton Ln 101 Issue Date: 08/30/2017 Permit Number: 02017-005719 TCofO Issue Date: Business Name: TCofO Expiration: Business Type: Approved Sq Ft.: 4,980.00 Current Use: WAREHOUSE/OFFICE # of Stories: 1 Occupant Groups: I Area: loccupant Load: B OFFICE 1806 19 S-1 OFFICE 2614 5 iConditions of Approval: WAREHOUSE/OFFICE USE ONLY Contacts: Contact Type: Name: THUY LY Phone: (714) 841-4184 Business Owner Address: 15182 TRITON LANE #101 Cell: ( ) City / State: Huntington Beach CA Fax: ( ) Zip: 92649 Pager: ( ) Contact Type: Name: BOLSA BUSINESS PARK, LLC Phone: (714) 315-2832 Property Owner Address: 5142 BOLSA AVE. #101 Cell: ( ) City / State: HUNTINGTON BEACH CA Fax: ( ) Zip: 92649 Pager: ( )