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7421 Vincent Cir - CofO (2)
• HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY , 020 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor - The Applicant Must Apply In -Person) Business Address 1 Lk Z ( VI \ram Le nA 1 ' C c -e, Date \ - .a �_•__j_�1_ Business Owners Name "ak G:t (A P \ C, Zip Code Q\ Z to LA Y7 v Business Name "\\.Q _ Y)�IL C b Iv-, V?A Telephone No.10.1 ji `1 1a`-(-i Z Business Type : nJQ=Q V-rnhrk C"Or Bus. Phone I \y $4i Sotl1 Z Property Owner Information (required) Tenant/Emernencv Contact (required) Name ��Y� L, `�1rn:.� Name Q Ajji & Address l le $ 65 5, Per c Alc fAve. Home Address �k T QoiS,eCct PVC City 1,,kcL-gA -J� 64 N State/Zip CJ4 Q 14 2.. City )fxTJh�\\ YLG� State/Zip 64 A 0o 10 Telephone No. -1 \4 i-(\ 2: t)to2 \ Telephone No. OMC1 2 V03 15 R D 5 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or O Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ 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 ONO • Will operations produce dust/wood shavings or similar material? ❑ Yes ONO • Will operations involve the repair or replacement of automobile parts? []Yes ©f b If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes 2-No • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes ©'No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes p'No • The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental [2'Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes 2-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 G2No Grease Interceptor Verified For Official Use Only Occ Group: (3 Occ Group: S -1 Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials:�=W Date: Conditions of Approval or Other Notes: Inspected By Initials: Date: Area: 1200 Area: `I`T1-c, Area: No. of Stories: i Entitlement #: Use Permitted: Y / N Occ Load: N - Occ Lbad: To - Occ Load: TIF Ravin: ,Y/ N Zoning: 1 (�- Parking Meets Code (for use): Y / N Building Reviewed By Initials:Date.-L44LLI South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 http://www.agmd.gov E}'o 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: C11 e-� ty-\ cL-c ).jl Q Qt-i % am L 0 i c:. D ON Yana, r b k Q world 5 Property Address: ILA -Z t V \r C e nA G\j" C\ U City: A� i �4k G V'1 Zip Code: C1 2.10 `k Contact Person: rAV I GI. Title: -PIre-A M of Type of Business: 5-\one V'o.(OYI LCYlAOr- Ii\- ;,'Fvr (-q65 Telephone: "f \ 4 �.7 (4 L412 Fax Number: `IkLA VA'2- F1035 E-mail Address: _.u&WaalmY.c.Y`kV i� ,I i,ac-, Applicant (print name): Last i :V WmV k, C, Signature: Date: l o C� 1 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 E5No 2. Will the facility resul of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes o 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes 2Ko 4. Will the facility have use of above or.underground storage tank? ❑Yes 2<0 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 ❑fQo (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) []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 ❑Mixing/Blending of Liquids and/or Powders ❑Molding /Extruding/Curing of Plastic ❑ Pharmaceutical/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). j Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-524t. Fax: (714) 374-1647 -- Occupancy Application I Property. • -- 7421 Vincent Cir BAIR GORDON L APN 159-201-28 Certificate of Occupancy Application 1 Aoolication Binder Num Street Unit BId Job Address 7421 VncentCir APN 159-201-28 RD 3514 Zoning JIG Lot = Tract 12368 Block File Number CofO? 02014-006856 Yes B2017-002491 No E2017-002536 No i i i Entered By Zuniga, Allissa� Date Entered 10/28/2014 Default Inspector Moreno, David 1 Status Issued Permit Type Certificate of Occupancy Issue Permit? M— Date 10128/2014� Origin Counter Issued By jPermitl Building Use - City �1 Planner Edwards, Ethan Building Use - County � New Building? Plan Checker I Lee, Eddie Description Internal Notes BLEWORKS` * CofO Number CO2014-006856 Choose Print All CofO Type Permanent Sheets to Issue Issued By Permit1 Single C/O CofO Status I Issued 777 Fees and Payments Inspections CofO Date Issued 10/28/2014 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO Expiration _ 10/28/2014 License Number IA130474 Business Name MARBLEWORKS Business Type Manufacturing / Whol Business Phone (714) 847-6472 Proposed Use WAREHOUSE/OFFICE Former Use WAREHOUSE/OFFICE Conditions B.L. #A130474 Click the « button to copy the Business License information into the Certificate of Occupancy. Business Licenses Business Name A130474 MARBLEWORKS Approved Occupied Area (Sq Ft) 6,120.00 j # of Stories! Change of Owner? Elec. Available? i Drinking I Dining > 50 Occupants? Change of Use? Want Electricity On? Welding !Open Flame? Change of Occupant? Sprinklered? ❑' Automobile Repairs? Additional Occupant? El Dust / Wood? Auto Parts Desc. :Occupancy G• . ... Group Description Area Construction Type Occupancy Load S-1 WAREHOUSE 4920 10 S-1 B WAREHOUSE OFFICE 4920 1200 10 12 Group Definitiolmoderate-hazard Storage Use - Building or structure, or a portion thereof, occupied for storage uses that are not nhceifieri �e (:rni �n C_9