HomeMy WebLinkAbout20002 Beach Blvd - CofO (8)J�
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 - 0104
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor - The Applicant Must Apply In -Person)
Business Address 'IC )-- ?Y-'�h u& 5 -e, G \% LA
h
Business Owners Name eone,
Business Name QfCLAHj?, Caoq w S,88Q9
IL
Business Type smo> (f—a�Le/
Date ' l
Zip Code 1 �•`p�
Telephone No.iN66
Bus. Phone
Property Owner Information (required) Tenant/Emer enc Contact (required)
Name- �bc'. Name 'le(}j 9f,
AddressLVWe�_ �P�.�•M ��� Home Address
City WJA i(\54yr\ i%a" State/Zip CA- ���`�� City & p,�K- A<ft-( State/ZipLA
Telephone No. 1"�W "`D��� Telephone No. �ty1A n�p - "ly
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
IS THIS BUILDING FIRE SPRINKLERED? les [ No
CHECK ALL THAT APPLY:
g Change of Business Owner UrChange of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business
• Are you requesting that the electricity be turned on? ❑Yes TANo
• Will operations produce dust/wood shavings or similar material? ❑ Yes `E�No
• Will operations involve the repair or replacement of automobile parts? ❑Yes EpNo If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes Eft -No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ YesV No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes t�No
• The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food Cft Other
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes ff 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 41No
Grease Interceptor Verified
For Official Use Onl
Occ Group: y-1
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials: Date:
Conditions of Approval or Other Notes:
Inspected By Initials: Date:
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load: 2
Occ Load:
Occ Load:
TIF Revie��Y�/�
Zoning:
Parking Meets Code (for use): Y / N
1
Building Reviewed By Initials: Dater
4
South Coast
AV Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Phone Number (909) 396-3529 http://www.agmd.gov
A p 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).
A"
Company Name:
Property Address
City: \k") n-,A0C\ NQxcd_S4 Zip Code: � {�
Contact Person: ��1� Q�d?,, Title: (%1d1�T , €* 0`r
Type of Business: 5v1,,6; 6-cAV r- Telephone:
Fax Number: E-mail Address:
Applicant (print name): c"('bc-- Signature: Date:
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 +0
2. Will the facility reult of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
[]Yesengines? Yes No
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes QjNo
4. Will the facility have use of above or underground storage tank? ❑Yes E No
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes *0
6. Will the facility result in the use of the equipment listed below? ❑YesfJo
(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
❑Coffee Roaster/Afterbunner
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extruding/Curing of Plastic
❑ Pharm aceutical/N utrace utical
❑Plasma/Laser Cutter
❑Printing/Coating/Drying f
❑ Production of Fumes/Dust/Smoke/Odors
❑Refrigeration Systems (containing > 50 Ibs of refrigeration
❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven
❑Dry Cleaning Equipment ❑Spray Booth
❑Electrostatic Precipitator ❑Storage of Acids/Solvents/Organics Liquids/Fuels
❑Fermentation
❑Gasoline Storage & Dispensing Equipment
❑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).
q-UGo°1
Department of Planning & Building -
2000 Main Street
Huntington Beach, CA 92648
Phone: (71.4) 536-5241. Fax: (714) 374-1647
20002 Beach Blvd MOBIL OIL CORP
APN 151-282-03
Certificate of Occupancy Application
Occupancy Application
Num Street Unit Bldg
Job Address 20002 Beach Blvd I APN 151-282-03 RD 3916
Zoning CG Lot 12 Tract S0006 Block 11
File Number Cofo?
B2005-007936 No
02006-000119 Yes
02009-003671 Yes
B2010-000455 No
B2011-004652 No
02014-006016 Yes
C2016-002174 No
B2017-001193 No
F2017-001242 No
F2017-001243 No
B2017-001797 No
02017-003084 Yes
Entered By Kong, Sokar Date Entered 05/15/2017
Default Inspector Andino, Richard Status Issued
Permit Type Certificate of Occupancy - Issue Permit? Date 05/15/2017
Origin Counter Issued By jPermit2
Building Use - City . �- Planner Burden, Kimo
Building Use - County. New Building? Plan Checker
Description I *** C & J AUTO REPAIR ***
Internal Notes
CofO Number CO2017-003084 Choose PlintAll CofO Type Permanent
_._-._.............. Sheets to Issue - ---I----
Issued By Permit2 Single C/O CofO Status Issued
Fees and Payments
Inspections
Cof0 Date Issued 05/15/2017 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration 05/15/2017�
License Number
Business Name
Business Type
Business Phone
Proposed Use JAUTO REPAIR
Former Use JAUTO REPAIR AND GAS STATION
Conditions
DChange of Owner?
111 Change of Use?
DChange of Occupant?
DAdditional Occupant?
Group Description Area
Click the << button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A144702 FIVE STAR EXXON MOBIL
A254334 FIVE STAR AUTOMOTIVE
A259681 FIVE STAR AUTOMOTIVE *REF
A261268 GOLDEN STATE SMOG CHECK TE:
Approved Occupied Area (Sq Ft) 11,000.00
# of Stories11
Elec. Available? Drinking / Dining > 50 Occupants?
Want Electricity On? Welding / Open Flame?
Sprinklered? U' Automobile Repairs?
0, Dust / Wood? Auto Parts Desc.
Construction Type Occupancy Load
B
AUTO REPAIR
1000
5
B
AUTO REPAIR
1000
5
Group Definitio
Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions,
includino storaoe of records and accounts.