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HomeMy WebLinkAbout16902 Bolsa Chica St - CofO (19)HUNnNG ON MEALY CERTIFICATE OF OCCUPANCY 0201 0 L0 U CITY OF HUNTINGTON BEACH — DEPT. OF PLANNING & BUILDING APPLICATION (3"d Floor -The Applicant Must Apply In -Person) Business Address 10 1 U Z- 09 1-5_A Cff I C:4 '5Z 77` 4D1 Business Owners Name C f LA-1 b 6 1 1- 6C Q ;-- — Business NameCi1416 6r V6EZ..z 14-, lox,4i SA-1-5 Business Type P & 6 9 n/ A-LU,+---77Q--1 Date /'_ -- 19 Zip Code' 9 Z(o V of Telephone No.7i l-3i'-,6 -000o Bus. Phone"71 �t, f 47- J O 6 7 Property Owner Information (required) Tenant/Emergency Contact (required) Name _EA- LW IV6 I�EAVE3; -6V 1V D A-'i 1,0A1 Name CfZ)6 6 t it 6 E 2 -r Address16442 ,L%4 el+te-A- 57— *:S03 ® Horne Address762 2 4,04-16y City�16 �3rtate/ZipC/�- g?.�Gg City/htNi ,'State/Zip 24� Telephone No.714 - e4 to- `-M l /► eSk Telephone No. 7� "l—. J ,00 6 M A-iz A500t/+"1*3 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or xisting Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes vo CHECK ALL THAT APPLY: ❑ Change of Business Owner hange of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business C Z'N 4FML ED FEt c-C— ■ Are you requesting that the electricity be turned on? ❑Yes o ■ Will operations produce dust/wood shavings or similar material? ❑Yes �o ■ Will operations involve the repai or replacement of automobile parts? ❑Yes vgo If yes: Describe the components repaired or replace D v(L l �/(�-- ■ Does the operation involve the u e of welding or open flame? ❑ Yes o ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes �'IVo ^" ■ Will there a storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes o ■ The following best describes my operation: Office Only ❑ Retail Sales ❑Medicaltal ❑Warehouse/Manufacturing/Distribution ❑Restaurant/Take-Out Food ❑Other • Will any meat products including beef, poultry, and/or fish bee 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 For Official Use Only Oce Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Area: Area: Area: No. of Stories: Entitlement #: Occ Load: Occ Load: Occ Load: TIF Review: _Y/I Zoning. - Planning [nitials:Date: '- l • I61 . Building Reviewed By Initials: Date: Cgndi � of Approval or Other Notes: 1 V — b O .L-c,- \\ Grease Interceptor Verified Inspected By Initials: Date: 0161 - d LNO 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: C Property Address: I (0 ©2 / 1� c f5=� City VN`il Nb`-j-Ve-J Zip Code: 9 2-6- tt $ Contact Person:CRA16 6c C_jrR!—'title: C7aA-1� Type of Businessy/-k'L Vq- j 10^/ Telephone: 0 G Fax Number 0 e-mail address: Applicant (print name)CAMb 61 api—signature: Date: • Will the facility have any of the following equipment? Yes ❑ NoXL--- 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 l 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- Departrnent of Planning & Building 2000 Main Street Huntington Beach, CA 92648 Phone: {71.4) 536-5241 Fax: (714) 374-1647 �' Occupa ncy A pplica tion 16902 Bolsa Chica St 201 BANK ORANGE CITY 16902 APN 146-601-32 I ---_..._._.. Application Binder Num Street Unit Bld Job Address 16902 Bolsa Chica St 201 APN 146-601-32 RD 3210 Zoning CG Lot 4� Tract P0164 Block 31 File Number CofO? B2009-000672 No E2009-000673 No B2010-003725 Yes 02010-005670 Yes P2010-006700 No E2011-004234 No M2011-004235 No 02011-004589 Yes B2013-001154 No M2013-003277 No 02013-005065 Yes 02014-003472 Yes Entered By Woo, Melanie Date Entered 06/06/2014 Default Inspector Coble, Russell�Status Pending Permit Type Certificate of Occupancy Issue Permit? Date Origin Counter �j Issued By-----� Building Use - City FPlanner lVillasenor, Jennifer Building Use - County I In! New Building? Plan Checker Description 1OFFICE TO OFFICE--SEAFLEX INC'— Internal Notes CofO Number CO2014-003472 Choose Print All CofO Type Permanent Fees and Payments _ Sheets to Issue Issued By Single C/O CofO Status Pending Inspections CofO Date Issued Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration]] -•••-••--••-- Click the « button to copy the Business License License Number A289143 information into the Certificate of Occupancy. Business Name SEAFLEX INC Business Licenses Business Name Business Type Professional / Other A161568 LOMBARD CONSTRUCTION SERVI A094294 VANDERGRIFF JAMES Business Phone (310) 548-9100 A124596 GARY SHIFFMAN LAW OFFICE A178512 EQUITY CONCEPT INC A Proposed Use 10FiIEE Approved Occupied Area (Sq Ft) 0.00 Former Use OFFICE # of StoriesU Conditions OFFICE TO OFFICE, NO COFO REQUIRED I DChange of Owner? Elec. Available? ❑ Drinking / Dining > 50 Occupants? Change of Use? Want Electricity On? Welting / Open Flame? Change of Occupant? i^J Sprinklered? Automobile Repairs? Additional Occupant?j Dust / Wood? Auto Parts Desc. Occupancy Group/Load 3roup Description Area Construction Type Occupancy Load Group