HomeMy WebLinkAbout5232 Bolsa Ave - CofO (59)CERTIFICATE OF OCCUPANCY 020
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
HUNTINGTON BEACH
Business Address SZ3 L TgoLe.A_ J&ue-S.,
(3rd Floor — The Applicant Must Apply In -Person)
ex.
Business Owners Name i3 (:dEX77k'JA.- A&y!
Business Name TC.77I4-0 ,',
Business Type :aul tsl) I vo 4 �onl TCx�
Date
ZipCode
Telephone No.-J4-�(,�z--�64�
Bus. Phone 77/4--37-3-0ZW
Property Owner Information (required) Tenant/Emergency Contact (required)
Name Pal u L L, C _ a.T & Name �: f,cl —7-C.
Address 6M 5pn.t w�, Ft w-Ln ST. Home Address 5 �� �C � J of �.�'T 7)2f ✓U
City eos7ri- M b S rs- State/Zip CA • 262<o City , (3 . State/Zip If-4, 19 Zl �
Telephone No. IMF 613 — bb l -+- Telephone No. `3-/ j —&1LZ` 96 0Z
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or xistip�g Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes 0"No
CHECK ALL THAT APPLY:
❑ Change of Business Owner 0116hange of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business
• Are you requesting that the electricity be turned on? 9Yes ❑ No
• Will operations produce dust/wood shavings or similar material? ❑ Yes Lilo
• Will operations involve the repair or replacement of automobile parts? ❑Yes R Igo If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes zZ
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 perso s? ❑ Yes O No
• Will there be storage racks, gondolas, or shelving exc edng 5 feet 9 inches in height? [:]Yes ;No
• The following best describes my operation: Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food C"Other
• 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 &TNo
Grease Interceptor Verified
For Official Use Onl
Occ Group: " f
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials: Date:
Conditions of Approval or Other Notes:
Inspected By Initials: Date:
Area: t 0
Area: q
Area:
Occ Load: I 2
Occ Load: `7
Occ Load:
TIF Review: Y/ N
Zoning: lam(
Parking Meets Code (for use):r�(// N
S:I c r c�( Building Reviewed By Initials:Date:yz1-- 1 Ci
A ► J— 1
No. of Stories:
Entitlement #:
Use Permitted:
!11
l F 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: _
Property Address:
G .
City: %1u rJTI W & -r611J ► 1�►- Zip Code: 9 Z G
Contact Person: Title: (,'U Q
Type of Business: -Ru k ILU r Yvc, ���1i��c-TCt� Telephone: 3-19- -- 3 ,�4-3—O —Z-v0
Fax Number: E-mail Address: I -Se- /� 0 ^' C_> coo"
Applicant (print name): i - Sign Date: ZS fq
1. Will the facility release air pollutants, including but ngt-limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes Rlqo
2. Will the facility res4o-° f fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? []Yes IP�No
3. Will the facility result of hazardous material including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes o
4. Will the facility have use of above or underground storage tank? ❑Yes RTNoo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes 011 o
6. Will the facility result in the use of the equipment listed below? ❑Yes [t�1VO
(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/Nutraceutical
❑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).
i
01q,s3z
Department of Planning & Building
2000 Main Street 1
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647 - Occupancy Application
5212 Bolsa Ave �� LICATAALFONSO
5212 APN 145-014-51
Application Binder
Num Street Unit Bldg
Job Address 5232 1 Bolsa Ave 5 1 1 APN 145-014-51 RD 2910
Zoning IL Lot 2� Tract P0136 Block 45
File Number CofO? .
02010-000785 Yes
02013-001100 Yes
02013-007494 Yes
02014-003832 Yes
02014-003833 Yes
02015-005680 Yes
02016-000554 Yes
02016-006979 Yes
02017-000380 Yes
E2017-000414 No
E2017-001297 No
02017-001678 Yes
Entered By Woo, Melanie j Date Entered 03/15/2017
Default Inspector Martin, Brian Status iPending
Permit Type Certificate of Occupancy �l Issue Permit? Fj Date
Origin Counter Issued By �— T
Building Use - City Planner Wong, Chris���
Building Use - County New Building? Plan Checker Woo,,Melanie�
Description ""PRECISION WOODWORKS —
Internal Notes
CofO Number 602017-001678 Choose Print All CofO Type Permanent Fees and Payments
Sheets to Issue
Issued By Single C/O CofO Status Approved Inspections
F
Date Issued Temp. CofO IssuedDate Printed
elease Date Temp. COFO Expiration
License Number
Business Name
Business Type
Business Phone ( ) ��
Proposed Use IWOODWORK ASSEMBLY
Former Use IWAREHOSUE
Conditions
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
167602 FRACON
TROPOLITAN FILING SYSTEMS
256936 ST FASTENERS
119810 INC
Approved Occupied Area (Sq Ft) �es
# of
�, Change of Owner?
Elec. Available?
❑.
Drinking / Dining > 50 Occupants?
Change of Use?
El Want Electricity On?
Welding / Open Flame?
Change of Occupant?
Sprinklered?
Automobile Repairs?
QAdditional Occupant?
Dust / Wood? Auto Parts Desc.
,Occupancy G. . •.•
Grout) Description Area
Construction Type Occupancv Load
S-1
WAREHOUSE
1050
2
S-1
B
WAREHOUSE
OFFICE
1050
900
2
9
Group Definitio Moderate -hazard Storage Use - Building or structure, or a portion thereof, occupied for storage uses that are not