HomeMy WebLinkAbout5914 Warner Ave - CofO (5)CERTIFICATE OF OCCUPANCY 020 -
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
HUNTINGTON BEACH
Business
Business Owners Name
Business Name M P.
Business Type 1-
G
rl
(3rd
Floor - The Applicant Must Apply In -Person)
Date 0 1619
Zip Code 90) (9 y 9
Telephone No. ) 1 i-- eQ-7270
Bus. Phone % lu— 9 6I - 72 70
Property Owner Information (required Tenant/Emer enc Contact (required)
Name ar% OIL ('10440L IA. I.LGName N t>4&/Z OLC
Address
'' l L_ � 't Home Address ' ocT
City l�tkn�in &t�State/Zip �f. -(�4� City �RI)XNC Q State ip `t�G. / o16oZo
Telephone No. / 1 q - � ZS 50-7 Telephone No. 9 4 % - �b0- T 7 8C
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Z�Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes & NO
CHECK ALL THAT APPLY:
K Change of Business Owner ❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business G i Q� a & .9'tp IL a
• Are you requesting that the electricity be turned on? ❑Yes ®No i +:t o jn .? -o J
• Will operations produce dust/wood shavings or similar material? El Yes V
• Will operations involve the repair or replacement of automobile parts? ❑Yes Q No If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes :9 No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes [�J-No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes a No
• The following best describes my operation: ❑ Office Only WRetail Sales ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes .9 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 PgNo
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Onl
Occ Group: h�I
Occ Group:
Occ Group: C3
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials:Date:
Conditions of Approval or Other Notes
Area: (52-
Area:
Area:
No. of Stories:
Entitlement #:
Occ Load: 2
Occ Load: 2 c
Occ Load:
TIF Review: Y/ N
Zoning:
Use Permitted: Y / N Parking Meets Code (for use): Y / N
Building Reviewed By Initials:&` .Llate:l'
aV\
011-03890
0
- South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
,rrE. 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: &I'd4Q s4e
Gs
Property Address: J W a NQR- Ail e �
City: 4L4h"k n lq -[9" Be A C, Zip Code: c� o?
Contact Person: �F o o 6Q e,&- Pb L G Title: re r; C^)Qwf
Type of Business: -'. &,D& ��2� Telephone:- / 1 q_ 6G l ' 7 L
Fax Number: E-mail Address: P01. G SE C Cr L OARA L, /UC 7
Applicant (print name): Fs Nr-X6 cL&A NLG Signature: Date: / /3 g
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 LNNo
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes J5&1Vo
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes 4No
4. Will the facility have use of above or underground storage tank? ❑Yes R'No
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Ye&4;�jNo
6. Will the facility result in the use of the equipment listed below? ❑Yes C9,No 4
(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).
0
0141 -U 3Y
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714)536-5241. Fax: (71.4) 374-1647
5906 Warner Ave LUGO RICHARD C 8 DESORRAH M
5904 APN 163-080-10
Occupancy Application
Application Binder
Num Street Unit Bldg
Job Address 5914 Warner Ave APN 163-080 10 RD 3311
Zoning CG-FP2 Lot 21 Tract E0005] Block 11
File Number CofO?
02012-004522 Yes
02012-005510 Yes
02012-006258 Yes
C2012-006824 No
B2012-007306 No
E2012-007308 No
02013-001052 Yes
B2013-001174 No
02013-001263 Yes
02013-002450 Yes
E2013-002481 No
02013-002542 Yes
Entered By Chuor, Phillip Date Entered 04/30/2013
Default Inspector Dean, Mike Status jApproved
Permit Type Certificate of Occupancy Issue Permit? n Date
Origin {Counter ' Issued B
g I � I y
Building Use - City Planner Edwards, Ethan
Building Use - County r— n New Building? Plan Checker Chuor, Phillip
Description {"MR. KEGS'
Internal Notes
Certificate of Occupancy
CofO Number CO2013-002542 Choose Print All CofO Type Permanent Fees and Payments
_............_......-._. Sheets to Issue
Issued By Single C/O CofO Status Approved Inspections
CofO Date Issued Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration =11
License Number A286433
Business Name MR KEGS
Business Type I Retail
Business Phone ( ) -�
Proposed Use RETAIL
Former Use RETAIL
Conditions
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A243606 SPRINT
A091522 CLUB 5902
A166676 WIGNALLTRACY
A169788 ESSENTIALS BEAUTY SUPPLY/SAL
Approved Occupied Area (Scl Ft) 12,652.00
# of Stories 11
QChange of Owner? �j Elec. Available? ❑ Drinking / Dining > 50 Occupants?
Change of Use? �j Want Electricity On? ❑ Welding I Open Flame?
Change of Occupant? L J Sprinklered? Automobile Repairs?
Additional Occupant? n Dust / Wood? Auto Parts Desc.
,Occupancy• • •.•
('rnun Descrintion Area Construction Twe Occupancy Load
B
OFFICE
677
7
B
OFFICE
677
7
M
STORES
1146
38
S-1
WAREHOUSE
829
2
Group Definitio
Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
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