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Home My WebLink About17162 Gothard St - CofO (6)C ! J� HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 ( 5-5 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3d Floor - The Applicant Must Apply In -Person) Business Address ! 2 (r-d4''MA- PP S.T_ d Q c* 5 26U9- Date ) t1l)JI9 Business Owners Name 00,4 k) Zip Code q 2 G V ? Business Name a3 RJ iL oeym Telephone No. �2/ y- Y 4S -f__1Ut' Business Type (d fao-rlo d Bus. Phone 7 i t4- y& s -5-u 0 N Property Owner Information (required) & �_N E_ Address ai 12 L P L^Y A- D(7 City P ON'no o State/Zip Telephone No. :) 6k- Wi_ L Tenant/Emergency Contact (required) lame k t-W r-P Si yo Some Address 1 ,?Z / a V Oi� 'Ulk2 City �H (S State/Zip Chi- C 26 Telephone No. q0C1 — 1 0 7— zq a O THIS USE WOULD BE DESCRIBED AS: O Newly Constructed Building or E�T_xisting Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes >allo CHECK ALL THAT APPLY: Change of Business Owner El Change of Occupant El Change of Use El Additional Occupant ■ Indicate former type of business Coi'JVP-A-e. fz ■ Are you requesting that the electricity be turned on? ❑Yes g No ■ Will operations produce dust/wood shavings or similar material? []Yes qNo ■ Will operations involve the repair or replacement of automobile parts? ❑Yes ONo If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes g No ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes Eg�NO ■ Will there be storage racks, gondolas, or she ' itrg-5feet 9 inches in height? ❑Yes 44No ■ The following best describes my operatio �Of�On�❑Retail Sales ❑Medical/Dental ❑Warehouse /Manufacturing/Distribution e-Out Food ❑ Other ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes k No 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 allo For Official Use Onl Occ Group: Occ Group: Occ Group: Total. Sq Ft Occupied: _ Bldg. Permit # Planning Initials(ifi% Date: ` 50' lei itions of Approval or Other Notes: Area: Occ Load: Area: Occ Load: Area: Occ Load: No. of Stories: TIF Revievl: 16. Entitlement #: Zoning: I Use Permitted: Y / N Parking Meets Code (for use): Y / N Building Reviewed By Initials: Date: o is 07Fy 5IE -- QFI—_ i OFF_ re) OtF.CZ—_ Grease Interceptor Verified Inspected. By Initials: Date: f South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (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: 3 J 1 L 1p CAS i s C- Property Address: L 2, G-O MAQ S; ' City: i4jn17-I w (ram 0i R cf�n Zip Code: 614, Contact Person: C'�JA3 G- 0 Title: 0 Type of Business: Cw Telephone: Fax Number: `71 u - rZ k-2 — 4 `l. � � e-mail address: Applicant (print name): Signature: Date: • Will the facility have any of the following equipment? Yes ❑ No ❑ Charbroiler Dry cleaning machine Spray booth Printing press (screen/lithographic/flexographic) Internal combustion engine greater than 50 HP (excluding motor vehicles) Boiler/combustion equipment (greater than 1 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge-type dust filter/scrubber Motor fuel storage and dispensing equipment • Will any of the following operations be performed? Yes❑ No❑ Application of paints or adhesives Etching, plating, casting, or melting of metals Molding, extruding, or curing of plastics Mixing and blending of liquids and/or powders Storage of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke, or strong odors If you answered "No" to both questions, 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). -2- ofCl -G6S5 Department of Planning & Building 2000 Main Street I Huntington Beach, CA 92648 Phone: (714) 536-5241. Fax: (714) 374-1647 —' Occupancy Application Property•�� 17162 Gothard St MACLEITH PAUL W APN 111-024-22 Certificate of Occupancy Application Application Binder Num Street Unit Bld Job Address 17162 Gothard St APN 111-024-22 RD 3314 Zoning IG Lot = Tract Block File Number CofO? 61996-052023 No 01990-004617 Yes 01993-004618 Yes 01995-004619 Yes 02017-002300 Yes E2017-004020 No Entered By Bolls, Derek Default Inspector Coble, Russell Permit Type Certificate of Occupancy Origin Counter Building Use - City Building Use - County Description 1--Q3 INC— Internal Notes New Building? CofO Number CO2017-002300 Choose Print All CofO Type Permanent Sheets to Issue Issued By Single C/O CofO Status Pending Date Entered 04/12/2017 Status IPending Issue Permit? ❑ Date Issued By Planner jBurden, Kimo Plan Checker {Lee, Eddie Fees and Payments Inspections CofO Date Issued Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration License Number Business Name Business Type Business Phone Proposed Use 1OFFICE Former Use OFFICE Conditions jPERC.U.R95-47/ Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A239408 Q 3 INC A013388 M VIRGINIA MACLEITH CPA A099486 BEACH FRONT CONSTR A108920 BEACHFRONT DEVELOPMENT Approved Occupied Area (Sq Ft) 2,100.0r0 # of Stories12 1' Change of Owner? Elec. Available? Drinking / Dining > 50 Occupants? Change of Use? !� Want Electricity On? n Welding / Open Flame? 0i Change of Occupant? G Sprinklered? Automobile Repairs? Additional Occupant? Dust / Wood? Auto Parts Desc. 'Occupancy• • •.• Grouo Description Area Construction Type Occupancy Load B OFFICE 2100 21 B OFFICE 2100 21 Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions, ,nnl, ,.Jinn cfnrone of rer•nrrVc �nrl �rrnun}e