HomeMy WebLinkAbout5412 Bolsa Ave - CofO (49)HUNnNG M REAO
Business Address
Business Owners
Business Name _
Business Type _
City
CERTIFICATE OF OCCUPANCY 0201q- 00
CITY OF HUNTINGTON BEACH -
DEPT. OF PLANNING & BUILDING APPLICATION
/J(3'd Floor —The Applicant Must Apply In -Person)
7, Bos ke t� Date •� �/
O Zip Code Z
�6nw L m fed Telephone No.
Bus. Phone I/J•z3o 39747
Information (required) (ktl l) kV/enantf erfzen& CbtJact (required)
Q
City
n
Telephone No. lel �3 Telephone No. 7t 7 rik
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or l' Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes gNo
CHECK ALL THAT APPLY:
❑ Change of Business Owner Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of businesspn 'J- X"W d )
■ Are you requesting that the electricity be turned on? ZYes ❑ No
■ Will operations produce dust/wood shavings or similar material? ❑ Yes ANo
■ Will operations involve the repair or replacement of automobile parts? ❑Yes D(No 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 X No
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes )VNo
■ The following best describes my operation: 19Office 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 No
If you answeredyes, 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 JXNo
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: 1610
Bldg. Permit #
Planning InitialsDate: 1,"t4" t
Area: $ZO
Area: BOO
Area:
No. of Stories: _
Entitlement #:
Occ Load:
Occ Load: :z.
Occ Load:
TIF Review- � �N
Zoning:
Building Reviewed By Initials:_ Date: =
Conditions of Approval or Other Notes: 3 cp_ / ulsk
Grease Interceptor Verified Inspected By Initials: Date:
6111 - bor lf
South Coast
;,, . Air Quality Management District
_ 21865 Copley Drive, Diamond Bar, CA 917654182
p (909) 396-3529 • http:// www.aqmd.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:
Prope
►69
City: a? ew zntwan LL Zip Code: ; LW "` /
Contact Person: �O i% iUTitle: 11P
Type of Business- rL t��4 tone: _!'
Fax Number:/SF a�7 -64Z4 e-mail address: 1 e SOr/q'�
Applicant (print name): Signature: "�'�� K� e:
• Will the facility have any of the following eq pmen Yes ❑ No (�
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 l 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❑ NOX
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).
-2-
i5
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647 -n ' OccupancyApplicati6n
5406 1 Bolsa Ave A BOLSA PARTNERS
5432 APN 145-014-61
of Occupancy Application
Application Binder
Num Street Unit Bldg
Job Address 5412 Bolsa Ave C APN 145-014-61 RD 2910
Zoning IL Lot U Tract P0102 Block 46
File Number CofO?
02004-012290 Yes
02005-007416 Yes
B2005-008229 No
B2005-008252 No
E2005-008253 No
02005-008472 Yes
02005-008504 Yes
M2005-009221 No
E2005-009222 No
02006-003844 Yes
02007-003257 Yes
02007-004182 Yes f
Entered By Tavakoli, Jasmine Date Entered 06/01/2007
Default Inspector Coble, Russell ��: Status Expired
Permit Type Certificate of Occupancy Issue Permit? Date 07/24/2607
Origin Counter Issued By Crmitl
Building Use - City -� Planner Nguyen, Tess
Building Use - County New Building? Plan Checker I Lee, Daniel
Description IOFFICE/WAREHOUSE * AGRIGENIC FOOD COMPANY —
Internal Notes
CofO Number CO2007-004182 Choose Print All CofO Type Permanent Fees and Payments
Sheets to Issue
Issued By Permitl Single C/O CofO Status Issued _j Inspections
CofO Date Issued 07/24/2007 Temp. CofO Issued Date Printed
Utility Release Date Temp. COFO Expiration 07/24/2007
License Number IA266431
Business Name AGRIGENIC FOOD COMPANY
Business Type IManufacturing / Whol
Business Phone (714) 642-1803
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A154372 STEARNS CONRAD & SCHMIDT CC
A228680 ROMAN'S CARPET SERVICE
A203838 BIOTEC-FOODS.COM
A045510 MAXWELL PETERSER ASSOCIATE!
Proposed Use I.OFFICEANAREHOUSE I Approved Occupied Area (Sq Ft) 11,620.00
Former Use SAME # of Stories11
Conditions No storage racks exceeding 6ft. high attime of inspection.
Sink area is being used as a counter only and no plumbing is connected.
Change of Owner?: Elec. Available? �i Drinking / Dining > 50 Occupants?
�j Change of Use? Want Electricity On? Welling 1 Open Flame?
Change of Occupant? Sprinklered?i Automobile Repairs?
Additional Occupant? Dust / Wood? Auto Parts Desc.
.Occupancy Group/Load
Group Description Area Construction Tvoe Occuoancy Load
B
OFFICE
820
8
B
S-1
OFFICE
STORAGE
820
800
8
3
Group Definitio A building or structure, or a portion thereof, for office, professional or service -type transactions, including storage of
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