HomeMy WebLinkAbout428 Main St - CofO (30)t
JJ
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor - The Applicant Must Apply In -Pierson)
Business Address L{ a I `^fir V S 90 lrl P) (,A Ye Date 9W1.
Business Owne
Business Nam(
Business Type
Zip Code �1;1:6 Y&
Telephone No. + I V " 34
Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name l%Y V' O ,0Y) f Name , CZ_
Address 9,JQ0 9 (A Home Address �� ( ow V, S q U.qi/`�
City. ycb'D In P[f r�State/Zip(�c 4 iR City ,A In, e`Sta e/Zip '9 l
Telephone No. 0 "� 7 9 Telephone No.�
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? Q Yes ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner Change of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business
• Are you requesting that the electricity be turned on? ❑Yes EgNo �
• Will operations produce dust/wood shavings or similar material? El Yes n o
• Will operations involve the repair or replacement of automobile parts? ❑Yes [jf`lo If yes: Describe.the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes 12' No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes pJNo
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? []Yes ff No
• The following best describes my operation: Office Only ❑ Retail 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 2f4o
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 nfllo
Grease Interceptor Verified
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Inspected By Initials:
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Date:
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning: Sps
Use Permitted: Y / N Parking Meets Code (for use): Y / N
Planning Initials: 1�5 Date: ! - 1 -7- 1 1 Building Reviewed By Initials. _Date:
Conditions of Approval or Other Notes: X� 4'mcl 6�Vk c__ U Je- � V `w� � dP- O C G� aV) .
(-'V C C1l�i Ce
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:
City:
Contact Person:
Type of Business:
Fax Number: /n
Applicant (print na
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 111,61-
2. Will the facility re�sul'°� fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑,
Yes l�o '
3. Will the facility result of hazardous material , ' cluding but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes BfKlo
4. Will the facility have use of above or underground storage tank? ❑Yes to
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes ENO
6. Will the facility result in the use of the equipment listed below? ❑Yes ❑ o
(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
❑ Pharm ace utical/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).
01cl -03613
Department of Planning & Building i,
2000 Main Street i
Huntington Beach, CA 92648
Phone: (71.4) 536-5241 Fax: (714) 3741647
428 IMain St 205 VANDERFORD MAMIE L
428 APN 024-134-03
Occupancy Application
Certificate of Occupancy Application
Anolication Binder
Num Street Unit Bld
Job Address 428 Main St 205 APN 024-134-03 RD 4014
Zoning SP5-6-CZ Lot 36 Tract 356 Block 403
File Number Cofo?
M2004-032245 No
M2005-032602 No
P2003-031042 No
P2003-032123 No
P2004-033618 No
P2004-034853 No
P2005-035487 No
02004-012644 Ye:
02005-012907 Ye:
02005-012933 Ye:
02005-012967 Ye:
Entered By
Default Inspector
Permit Type Certificate of Occupancy
Origin
Building Use - City
Building Use - County
Description
Internal Notes
New Building?
Date Entered 02/03/2005
Status Pending
Issue Permit? Date
Issued By
Planner Kelley, Jason
Plan Checker JSFeZrt, Vic
CofO Number CO2005-012967 Choose Print All CofO Type Fees and Payments
Sheets to Issue Inspections
Issued By Single C/O CofO Status Pending
CofO Date Issued Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration
Click the « button to copy the Business License
License Number information into the Certificate of Occupancy.
Business Name THE EQUITY CONSULTANTS Business Licenses Business Name
Business Type MORTGAGE BROKER A251718 APEX LENDING SERVICES LLC
A216406 O C HARDWOOD
Business Phone (949) 609-1191 A181034 BERN KRYSTAL
A252482 ROBERT KOURY PROPERTIES
Proposed Use Approved Occupied Area (Sq Ft) 500.00
Former Use NEW BLDG # of Stories 54
i --
Conditions
LI
Change of Owner?
0
Elec. Available?
D Drinking I Dining > 50 Occupants?
Change of Use?
Want Electricity On?
Welding I Open Flame?
❑
Change of Occupant?
�;
Sprinklered?
�; Automobile Repairs?
I�
Additional Occupant?
Dust / Wood? Auto Parts Desc.
,Occupancy Group/Load
Group Description
Area
Construction
Type Occupancy Load
-
B
5
B
5
Group Definitio
A building or structure, or a portion thereof, for office, professional or service -type transactions, including storage of
recnrds and accounts- eatino and drinkino establishments with an occupant load of less than 50.