HomeMy WebLinkAbout18249 Gothard St - CofO (9).;.Il
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 ift- 02 gX
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Address If-2 L11 akMA442
Business Owners Name ll4 old yGfi?7aU
Business Name 7&1•I,OSfi M
Business Type _
Q d Floor - The Applicant Must Apply In -Person)
/O! Date 01/oLtl ZOIC/
DOyi S ar Zip Code 9Z i� y
POA: Tim ew 7Z Telephone No. 6-91-19 36)',A0c:5?
I.Clirr A Bus. Phone (7/e/) 7 ya 29 g I
v
Property Owner Information (required) Tenant/Emer enc Contact (required)
Name 0 7701C Name DO'fl§ 6o rl
Address 70%1 W Home Address q10 N 'S
City W5 State/Zip h' 9!' City AXAUAX, State/Zip a 01
Telephone No. C lyq) O $ 64/ Telephone No. Ogee) 351 - P.0 33
THIS USE WOULD BE DESCRIBED AS:
O Newly Constructed Building or C"Existing Building
IS THIS BUILDING FIRE SPRINKLERED? 1 Yes ONO
CHECK ALL THAT APPLY:
❑ Change of Business Owner P16hange of Occupant ❑ Change of Use ❑ Additional. Occupant
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? UYes ❑ No
■ Will operations produce dust/wood shavings or similar material? ❑ Yes Lilo
■ Will operations involve the repair or replacement of automobile parts? ❑Yes U o If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes 11�<o
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes o
■ 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 bee cooked or fried onsite? ❑ Yes polo
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 &KNo
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total. Sq Ft Occupied: QVZ
Bldg. Permit #
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load:
Occ Load:
Occ Load: J
TIF Revie�: � N �-�
Zoning: �� Ar6
Parking Meets Code (for use): Y / N
Planning Initials 9'�CDate: ` I!1�f-�,�,,, folding Reviewed By Initials
Conditions of Approval or Other Notes: Wtw -To !2j>/'Z
a!�o
l
Grease Interceptor Verified. Inspected By Initials: Date:
pool South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
M (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:
U
City: Zip Code: q V� 6 VT
Contact Person: �!RWi 0rn24W Title: IQWM "v
Type of Business: ,_ _ly� Telephone: M tlo) 5&-) -jls
Fax Number: e-mail addrA.Yes
b0�s�211i1'l0 �'rza I owt
Applicant (print name): DO- S &Ydi� Signature:. Date: _ 2Vmm
• Will the facility have any of the following equipme No �2`_
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�2/
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).
N
—OZSdZ
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application
18249 1 Gothard St 1 102
18249 APN 111-075-06
Application Binder
Num Street Unit Bld
Job AddressF8249 Gothard St 101 1 1 APN 111-075-06 RD 3514
Zoning JIG Lot Tract Block
File Number CofO?
02004-012207 Yes
02006-007169 Yes
02006-007852 Yes
02006-007855 Yes
B2006-008315 No
62007-002020 No
02011-002780 Yes
F2011-006056 No
F2011-006095 No
02013-002112 Yes
02015-003109 Yes
02017-006917 Yes
Entered By Woo, Melanie Date Entered 10/19/2017
Default Inspector Coble, Russell Status issued
Permit Type Certificate of Occupancy Issue Permit? M Date 09/18/2018�
Origin Counter v�am� Issued By 1Permit3
Building Use - City Planner Cortez, Joanna
Building Use - County I II! I, New Building? Plan Checker Woo, Melanie
Description ]"`WEST COAST
Internal Notes
CofO Number CO2017-006917 Choose PrfntAll CofO Type Permanent
Sheets to Issue - -- _ - -
Issued By Permit3 Single C/O CofO Status I Issued
i
Fees and Payments
Inspections
CofO Date Issued 09/18/2018 Temp. CofO Issued ! � Date Printed
Utility Release Date Temp. COFO Expiration . 09/18/2018
_ �
License Number
Business Name
Business Type
Business Phone
Proposed Use WAREHOUSE/ OFFICE
Former Use ISAME r
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A236016 WARKENTIN DENTAL AESTHETICS
A257520 TRIANGLE INSTALLERS
A233924 FOXCO EQUIPMENT SALES INC
A259507 INTERNATIONAL SUPPORT SYSTE
Conditions ISTORAGE RACKS ABOVE 5' 9" WILL NEED PERMITS AND
Approved Occupied Area (Scl Ft) 13,000.00
# of Stories11
Change of Owner?
11 Elec. Available?
�Drinking / Dining > 50 Occupants? ;
DChange
of Use?
Want Electricity On?
Welting / Open Flame?
Change of Occupant?
�. Sprinklered?
0
Automobile Repairs?
13,
Additional Occupant?
�j Dust / Wood? Auto Parts Desc.
�!
�occupancy
Group/Loid
Group Description
Area
Construction Type Occupancy Load
S-1
WAREHOUSE
2400
5
S-1
WAREHOUSE
2400
5
B
OFFICE
6001
6
Group Definitio
Moderate -hazard Storage Use -Building or structure, or a portion thereof, occupied for storage uses that are not