HomeMy WebLinkAbout4911 Warner Ave - CofO (47)J�
HUNTINGTON BEACH
Business Addre:
Business Owner
Business Name
Business Type _
Pro ert
Name
Address
city A
Telephone .
CERTIFICATE OF OCCUPANCY 020 I9 - 0 501
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor — The Applicant Must Apply In -Person)
I_ .lon
6
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
IS THIS BYLDING FIRE SPRINKLERED? Yes ❑ No
CHECK !_ THAT APPLY: f
Change of Business Owner han e o O upant ❑Change of Use _,,additional Occupant
• Indicate former type of business a OP
• Are you requesting that the electricity be turned —on? ❑Yes 2rNo
• Will operations produce dust/wood shavings or similar material? ❑ Yes VNo
• Will operations involve the repair or replacement of automobile parts? ❑Yes lo 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 pers s? ElYes'�j
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes rNo
• The following best describes my operation: ❑ Office Only ❑ Retail Sal s Medical/Dental
❑ Warehouse/Manufacturing/Distribution El Restaurant/Take-Out Food Other �/
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes No
If you answered yes, please proceed to the next question.
• Does your facility current) have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes 00
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:�'Q
Bldg. Permit #
Area: els-10
Area:
Area:
No. of Stories:
Entitlement #:
Occ Load:
Occ Load:
Occ Load:
TIF Review -
Zoning: (—,e
No
Q Use Permitted: Y / N Parking Meets Code (for use): Y / N
Planning Initials:MDate: I-oLq I Building Reviewed By Initials: e5�—gate: r IQ
tr n h G I
Conditions of Approval or Other Notes: _IY`� _ buyky� 5 f C �1C11')g e G
- -Sale uses„ -
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: CDkkuw -nuy" I
Propert Address: *2A
City: _ all Zip Code:
Contact Person. coLelTitle: Mi�
Type of Business: \ ,-/ Telephone: q �✓��
Fax Number: E-mail Address: oc• C
M q
Applicant (print name):EJ�NImLi_ �.P.�.-d Signature: / Date: VIM
1. Will the facility release air pollutants, including but r/t limited to, dust fumV gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes MNo
2. Will the facility reof fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes o
3. Will the facility result of hazardous mate�ri , including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes JANo
4. Will the facility have use of above or underground storage tank? ❑Yes E240
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes No
6. Will the facility result in the use of the equipment listed below? ❑Yes [ Vo
(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 /Extruding/Curing of Plastic
❑Baghouse/Dust Collector ❑Pharmaceutical/Nutraceutical
❑Bakery Oven (gas fired) ❑Plasma/Laser Cutter
❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Printing/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).
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647
4911 Warner Ave 219 CALIFORNIA N2 ASSOCIATES
4911 APN 178-263-25
Occupancy Application
Application Binder
Num Street Unit Bld
4 Job Address 911 Warner Ave 214 � APN 178-263-25 RD 3209
Zoning ICG Lot = Tract 86 Block 16
File Number CofO?
02017-000579 Yes
F2017-000891 No
02017-001724 Yes
M2017-005422 No
02017-005952 Yes
B2017-006439 No
02017-006732 Yes
M2017-007146 No
X2017-007147 No
M2017-007148 No
M2017-007149 No
02017-007901 Yes
Entered By Bolls, Derek
Default Inspector Benbo,, Jeff
Permit Type Certificate of Occupancy
Origin Counter
Building Use - City
Building Use - County I New Building?
Description `"*MAKO MAT MARINE—
Internal Notes
Date Entered 11/29/2017
Status I Issued
Issue Permit? jLjI Date 11/29/2017
Issued By jPermitl �l
1 Planner I Bourgeois, Nicolle
Plan Checker ILee, Eddie
CofO Number CO2017-007901 j Choose PlintAll CofO Type Permanent Fees and Payments
_..-.__...,.,,.....__ ............. Sheets to Issue Inspections
Issued By Permitl Single C/O CofO Status Issued
CofO Date Issued 11/29/2017
Temp, CofO Issued Date Printed
Utility Release Date
Temp. COFO Expiration 11/29/2017
—••--••—
Click the « button to copy the Business License
License Number
information into the Certificate of Occupancy.
Business Name
Business Licenses Business Name
Business Type
A208848
MAKO MATT'S MARINE
A223078
LAW OFFICE OF TIMOTHY D MYEF
Business Phone ( ) -
A181498
SKIN CARE BY STEFFANY
A196716
RATANA SORNBUTNARK
Proposed Use RETAIL
Former Use BARBER
Conditions
Approved Occupied Area (Scl
# of Stories 12
Change of Owner?
'Eli Elec. Available?
1 Drinking I Dining > 50 Occupants?
Change of Use?
Want Electricity On?
0. Welding I Open Flame?
Change of Occupant?
Sprinklered?
Automobile Repairs?
Additional Occupant?
Eli Dust / Wood? Auto Parts Desc.
,Occupancy Group/Load
Grouo Description Area
Construction Type Occupancy Load
M
SALES
850
29
M
SALES
850
29
Group Definitio
Mercantile Use - Building or structure, or a portion thereof, used for the display and sale of merchandise, and involves
ctnnc� of nnnric warp-- nr mprrhnneiice incirlantal to such numnces and arressihle to the public.