HomeMy WebLinkAbout21554 Newland St - CofO (9)• j Ap
J
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Address-9-1 5-6- �
Business Owners Name &%kc
Business Name
Business Type
` (3rd Floor - The Applicant Must Apply In -Person)
qw 14%ftj 5 � : Date ! p ` 11q
Byr1 Zip Code 1,446
C C. Telephone Nob 14{ 5-sr—'-f &A
c Bus. Phone f ;�1 -S q
1A
Prollert Owner Information require Tenant/Emergency Contact (required)
Name 1\S '� 11 ,t L. Name b( 4eAtAe,Anv',cr
Address coS(o gan1 Tay� A%/ Home Address 3 De.
City .1GL\ State/Zip City L� /ylck 4- State/Zip Ci� f,O(�1$
Telephone No. 155 - 6631 Telephone No. eBF 6 SE8 5- '1814
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or PKExisting Building
IS THIS BUILDING FIRE SPRINKLERED? XYes ❑ 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? 1*es ❑ No
• Will operations produce dust/wood shavings or similar material? ❑ Yes 2No
• Will operations involve the repair or replacement of automobile parts? ❑Yes Flo If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes .K No
• 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 5 feet 9 inches in height? ❑Yes N�No
• The following best describes my operation: 12TOffice Only ❑ Retail Sales ❑ ,Medica /De tal
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food 0Other u v-^fq��
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑-Yes o
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 ❑No
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use On/y i
Occ Group: ^1
Occ Group: >�
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initialst'rl�Date: 1 .!>j-j9
Conditions of Approval or Other Notes:
Area:
Area: fif1?a
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load:
�7
Occ Load:
?�
Occ Load:
TIF Revie :
Y/ N
Zoning:
L..L�Z
Building Reviewed By
ulou✓1t
Parking Meets Code (for us ): Y / N
Initials: Date: 1 �(
/r , )A PV1bc4SP f D Fri c Q.
South Coast
I Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Phone Number (909) 396-3529 http://www.agmd.gov
� o
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: %-:;VV 6WAA k)
Property Address: t 5,rL4
City: G
Contact Person: VgMMjAV-t We,
Type of Business: v kwlr
Fax Number:
IVIA-
Applicant (print name): Tq
Zip Code: qM0 q6
Title: 0WVkq r
Telephone:. — " 6 —Or
ail Address: w1 I . C-0V-%
Signature: /4, 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 ;RNo
2. Will the facility re It of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes to
3. Will the facility result of hazardous materi s, including but not limited to, chemical, plastics, rubber,
paints, and other parts cleaners? ❑Yes No
4. Will the facility have use of above or underground storage tank? ❑Yes klo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic
6. Will the facility result in the use of the equipment listed below? ❑Yes Dlo
(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
❑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
ns, solvents,
❑Yes Klo
e.g. back-up generator)
❑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).
Nor, 'Inn
Department of planning & Building
2000 Main Street
1
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (71.4) 374-1647 - Occupancy Application
21584 1 Newland St ITARNUTZER BYRON M
21582 APN I148-121-03 lip
of Occupancy Application
Application Binder
Num
Job Address 21554 Newland St APN 148-121-03 RD 4217
Zoning IL-O-CZ Lot 13 Tract S0006 Block 11
File Number CofO?
02014-000112 Yes
02014-000206 Yes
02014-000821 Yes
02014-002224 Yes
B2014-002619 No
02014-003329 Yes
02014-004297 Yes
02014-004511 Yes
02014-006975 Yes
02014-007000 Yes
02014-008104 Yes
Entered By IClark, Dennis
Default Inspector I Knight, Steve
Permit Type Certificate of Occupancy
Origin Counter
Building Use - City
Building Use - County New Building?
Description "`GOODDOGBEDS.COM"•
Internal Notes
CofO Number CO2014-008104 Choose Print All CofO Type Permanent
_ Sheets to Issue
f Issued By Permit4 Single C/O CofO Status Issued
CofO Date Issued 12/23/2014 Temp. CofO Issued
Utility Release Date Temp. COFO Expiration
License Number A268107
Business Name JGOODDOGBEDS.COM
Business Type IManufacturing / Whol
Business Phone (714) 319-0353 1
Proposed Use OFFICE / STORAGE
Former Use OFFICE / STORAGE
Conditions
Date Entered 12/23/2014
Status Issued
Issue Permit? 0 Date 12/23/2014
Issued By jPermit4
Planner Arabe, Jill Ann
Plan Checker Iciark, Dennis
Fees and Payments
Inspections
Date Printed
12/23/2014
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A209048 PROGRESSIVE PLUMBING SYSTEI
A234270 DYANNE VAN PETER OCCUPATIOI\
A246918 SOUTHERN CALIFORNIA FITNESS
A158746 AV I DESIGN
Approved Occupied Area (Sq Ft) 1,100.00
# of Stories
Change of Owner?
Elec. Available?
Drinking / Dining > 50 Occupants?
Change of Use?
Want Electricity On?
o Welding / Open Flame?
Change of Occupant?
❑ Sprinklered?
Automobile Repairs?
Additional Occupant?
0 Dust / Wood? Auto Parts Desc.
Occupancy Group/Load
Grouo Description
Area
Construction Type Occupancy Load
B
OFFICE
300
3
B
S1
OFFICE
WAREHOUSE
300
800
3
3
Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
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