HomeMy WebLinkAbout16882 Gothard St - CofO (24)J�
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 / �S' �' Z ���-j- ,t j- - Itr—,+ la.�.• N
Business Owne
Business Name
Business Type
Date 4 - Z 6) - 167
Zip Code 9 7.6 Y ?
Telephone No.
Bus. Phone "'%
Property Owner Information (required) Tenant/Emergency Contact (required)
Name 't/OA r-r Name Oe-SS r l A A/ )
Address V21 UV_ Al/` Home Address (G o 57- A ff
City %� v .,� 9 & 4 State/Zip 9 7_9 W7 Citys� l A U State/Zip lq o7 q o
Telephone No. `-% i �-( "' �' 1 l S l Telephone No. ,1(f- `7176 " 1Z V L
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or & Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes .RT No
CHECK ALL THAT APPLY:
er ,Change of Occupant Change of Use ❑ Additional Occupant
• Indicate former type of business c�a ,- tea_+,A)
• Are you requesting that the electricity be turned on? .R,Yes ❑ No
• Will operations produce dust/wood shavings or similar material? abaft (91;)
• Will operations involve the repair or replacement of automobile parts? []Yes ,5�No If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes X . No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes j9 No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes Eq. No
• The following best describes my operation: ❑ Office Only X 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 N 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 MNo
Grease Interceptor Verified
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: 29b3
Bldg. Permit #
Planning Initials-31 Date:
Conditions of Approval or Other Notes:
Inspected By Initials:
Area: 29 �0
Area: 200_;
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y N
Date:
Occ Load: 3
Occ Load: (o
Occ Load:
TIF Review: Y/ N
Zoning: A
Parking Meets Code (for use) N
Building Reviewed By I
�v 19 -
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:
s
Property Address: ! ' ' V c:Boji.A A
City: f�,.�S�t_r �'s��. Zip Code: !IZ�6 V r2
Contact Person:_jesle->'' Title: Cam.✓�v�2.
Type of Business: �,d.•n,~/_ "��� o1ct-� C Telephone:
Fax Number: E-mail Address:
Applicant (print name): 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 &No
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes XNo
3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes ZNo
4. Will the facility have use of above or underground storage tank? ❑Yes ZNo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes_jNo
6. Will the facility result in the use of the equipment listed below? ❑Yes %No
(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
❑ Pharmaceutical/N utraceutical
❑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).
Department of Planning & Building
2000 Main Street }
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (71.4) 374-1647 �`- OccupancyApp] ication
16882 1 Gothard St I A TNERSHIP L P
16882 APN 142-221-22
Auolication Binder
Num Street Unit Bldg
Job Address 16882 Gothard St A & B I APN 142-221-22 RD 3214
Zoning IG Lot Tract u Block
File Number CofO?
82011-006243 No
C2011-006536 No
C2011-006592 No
62011-007116 No
E2011-007117 No
02012-003802 Yes
02012-005907 Yes
B2012-006903 No
02013-000708 Yes
E2013-001016 No
M2013-001034 No
02013-003453 Yes
Entered By Daley, JasmineL.
Default Inspector Moreno, David
Permit Type Certificate of Occupancy
Origin Counter
Building Use - City
Date Entered 06/05/2013
Status IIssued
Issue Permit? M Date 07/16/2013
Issued By ICochran, Brian
1 Planner INguyen, Tess
Building Use - County New Building? Plan Checker :Daley, Jasmine
Description ONLINE TRAINING --THE DETAILING PROS INC.--
Internal Notes
CofO Number CO2013-003453 Choose Print All CofO Type Permanent Fees and Payments
Sheets to Issue
Issued By Cochran, Brian Single C/O CofO Status Issued Inspections
F
Date Issued 07/16/2013 Temp. CofO Issued Date Printed
elease Date Temp. COFO Expiration 07/16/2013
License Number IA286753
Business Name THE DETAILING PROS
Business Type Professional / Other
Business Phone (888) 959-6367
Proposed Use OFFICE/STORAGE
Former Use OFFICE/STORAGE
Conditions
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A162762 BIG KAUTO
A142336 SACOMPUTERS
A206856 HOCKEY OUTLET
A233962 SPORTCLEAN
Approved Occupied Area (Sq Ft) 12,963.00
# of Stories11
DChange of Owner?
Elec. Available?
0
Drinking / Dining > 50 Occupants?
11Change of Use?
Want Electricity On?
Welling I Open Flame?
®' Change of Occupant?
�; Sprinklered?
Automobile Repairs?
Additional Occupant?
❑� Dust / Wood? Auto Parts Desc.
—�
9ccupancy
Group Description Area
Construction Type Occupancy Load
B
OFFICE
296
3
B
S-1
OFFICE
WAREHOUSE
296
2667
3
5
Group Definitio Business Use - Building or structure, or a portion thereof, used for office, professional or service -type transactions