HomeMy WebLinkAbout19019 Bushard St - CofO (10)14
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HUNTINGTON BEACH
Business Add
CERTIFICATE OF OCCUPANCY 02C 16 — I
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor - The Applicant Must Apply In -Person)
Business Owners Name Ue- Le '.S C.nf'
Business Name C.( onOIQC 1 I 4 cf, �n�l`S
Business Type ` c- r 1ea .rn
Date
Zip Code G (�
Telephone No.
Bus. Phone'V/Tq6�; - 605-9
Property Owner Information (required) Tenant/Emergency Contact (required)
Name Name
Address 10/6 - W C.I k 4v, Home Address O/-S'- mi AV&
City ��icx���,�r� State/Zip-0� City ka nh elyyn State/Zip Ch _ !JcfiT
Telephone No. - 2.3 Telephone No. qIT - ql5:: - 5 4,5' 1
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or A Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes] No
CHECK ALL THAT APPLY:
Z Change of Business Owner ❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business be, t r i e- er-n
• Are you requesting that the electricity be tti ned on? ❑Yes [1�,1 No
• Will operations produce dust/wood shavings or similar material? ❑ Yes %I No
• Will operations involve the repair or replacement of automobile parts? ❑Yes [%No If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes Ik No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes Ok No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes IN No
• The following best describes my operation: ❑ Office Only ❑ Retail Sales , ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food QQ Other
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes j Rfo
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 §QNo
Grease Interceptor Verified Inspected By Initials: Date:
For Official Use Only /,►
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: ('Z60 _
Bldg. Permit #
Planning Initials:Date: 0-6-18
Conditions of Approval or Other Notes:
Area: _ ( �� .
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load: - l ez
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning:
Parking Meets C e (for us ): Y N
Building Reviewed By Initials:,= ate, �� Zfv�l�
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: � �d'o-0—nen/s
Property Address: C o
City: ith Zip Code: g09,16
Contact Person: "�.�!-M 1E Title: i2%N_9Lr
Type of Business: D6!q Cl& nos— Telephone:IT q�Jr D/)$
Fax Number: E-mail Address:
Applicant (print name): 1 I�(�ature: 0)3UUQ_ AUjrp i_�/..WJ bate:
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 [XNo
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes rj�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 NNo
4. Will the facility have use of above or underground storage tank? ❑Yes $No
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes WNo
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)
❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extruding/Curing of Plastic
❑ Pharmaceutical/Nutraceutical
❑Plasma/Laser Cutter
❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Printing/Coating/Drying
❑Charbroiler/Smoker ❑ 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).
M Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647
CERTIFICATE OF OCCUPANCY
Cert. Number C01998-002657
Date Printed 11/06/2018
Address: 19019 Bushard St
Issue Date:
01/14/1999
Permit Number: 01998-002657
TCofO Issue Date:
Business Name: TI CLEANERS
TCofO Expiration:
Business Type: CLEANERS
Approved Sq Ft.:
1,200.00
Current Use:
# of Stories:
1
Occupant Groups: Description: Area:
Occupant Load:
B
12
[Conditions of Approval:
*DRY CLEANING FIRE PERMIT REQUIRED
—�
Contacts:
Contact Type: Name: MGR SERVICES INC
Phone:
(909) 981-4466
Property Owner Address: 01425 W FOOTHILL 200
Cell:
( )
City / State: UPLAND 91786
Fax:
( )
Zip:
Pager:
( )
6/1
age
® South Coast Air Quality Management District Permit No.
21865 Copley Drive, Diamond Bar, CA 91765-4178 G54973
PERMIT TO OPERATE A/N 608394
This initial permit must be renewed ANNUALLY unless the equipment is moved, or changes ownership.
If the billing for the annual renewal fee (Rule 301(d)) is not received by the expiration date, contact the District.
Legal Owner ID 188827
or Operator: T 1 CLEANERS
19019 BUSHARD
HUNTINGTON BEACH, CA 92646-2431
Equipment Location: 19019 BUSHARD HUNTINGTON BEACH, CA 92646-2431
Equipment Description :
DRY CLEANING MACHINE, PETROLEUM SOLVENT, FIRBIMATIC, MODEL NO. ECOGREEN 35,
CLOSED LOOP, WITH A REFRIGERATED CONDENSER -
Conditions :
OPERATION OF THIS EQUIPMENT SHALL BE CONDUCTED IN ACCORDANCE WITH ALL DATA
AND SPECIFICATIONS SUBMITTED WITH THE APPLICATION UNDER WHICH THIS PERMIT IS
ISSUED UNLESS OTHERWISE NOTED BELOW.
2. THIS EQUIPMENT SHALL BE PROPERLY MAINTAINED AND KEPT IN GOOD OPERATING
CONDITION AT ALL TIMES.
THIS EQUIPMENT SHALL ONLY USE PETROLEUM SOLVENT WITH AN INITIAL BOILING POINT
NOT LESS THAN 375 DEGREES FAHRENHEIT AS A DRY CLEANING FLUID.
4. THE TOTAL QUANTITY OF SOLVENT THAT IS REPLENISHED IN THIS EQUIPMENT SHALL NOT
EXCEED 20 GALLONS PER MONTH AVERAGED OVER.ANY 12 MONTH PERIOD.
THE OPERATOR SHALL INSPECT AND CLEAN WITH A WET CLOTH THE FOLLOWING EQUIPMENT
ON EACH DAY OF OPERATION: THE GASKETS AND EDGES OF THE LOADING DOOR, LOADING
DOOR LINER, LINT FILTER, AIR FILTER, AND WASTEWATER SEPARATOR. IF ANY OF THE SEALS
OR GASKETS SHOW SIGNS OF WEAR (e.g. CUTS OR TEARS) SUCH THAT THEY WILL NOT PROVIDE
AN IMPERVIOUS SEAL AGAINST LIQUID OR VAPOR LEAKAGE OR AIR LEAKAGE INTO THE
MACHINE, THE DRY CLEANING MACHINE SHALL NOT BE OPERATED UNTIL THOSE SEALS OR
GASKETS ARE REPLACED.
6. MATERIAL SAFETY DATA SHEETS FOR ALL DRY CLEANING SOLVENTS USED AT THIS FACILITY
AND SUBJECT TO DISTRICT RULES SHALL BE KEPT CURRENT AND MADE AVAILABLE TO
DISTRICT PERSONNEL UPON REQUEST.
ALL WASTE MATERIALS WHICH HAVE COME INTO CONTACT WITH ANY SOLVENT SHALL BE
STORED IN ENCLOSED CONTAINERS AND DISPOSED OF IN ACCORDANCE WITH THE
REQUIREMENTS OF THE DEPARTMENT OF HEALTH SERVICES.
ORIGINAL
d&JR-1—T?L(
®� South Coast Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4178
• ' PERMIT TO OPERATE
Page 2
Permit No.
G54973
A/N 608394
8. IN ADDITION TO THE RECORDKEEPING REQUIREMENTS OF RULE 1102, RECORDS OF SOLVENT
USAGE, INSPECTIONS AND REPAIRS SHALL BE MAINTAINED TO PROVE COMPLIANCE WITH
CONDITION NUMBERS 4 AND 5. THESE RECORDS SHALL BE RETAINED ON SITE FOR AT LEAST
TWO YEARS AND SHALL BE MADE AVAILABLE TO SCAQMD REPRESENTATIVES UPON REQUEST.
9. PETROLEUM SOLVENTS USED IN THIS EQUIPMENT SHALL NOT CONTAIN ANY CARCINOGENIC
AIR CONTAMINANTS IDENTIFIED IN RULE 1401, TABLE 1 AS AMENDED ON MARCH 4, 2005.
10. THIS EQUIPMENT SHALL COMPLY WITH THE REQUIREMENTS OF RULE 1102.
ORIGINAL
®� South Coast Air Quality Management District Page 3
21865 Copley Drive, Diamond Bar, CA 91765-4178 Permit No.
G54973
PERMIT TO OPERATE A/N 608394
NOTICE
In accordance with Rule 206, this Permit to Operate or copy shall be posted on or within 8 meters of the equipment.
This permit does not authorize the emission of air contaminants in excess of those allowed by Division 26 of the
Health and Safety Code of the State of California or the applicable Rules and Regulations of the South Coast Air Quality
Management District (SCAQMD). This permit cannot be considered as permission to violate existing laws, ordinances,
regulations or statutes of other government agencies.
Executive Officer
v
BY LAKI TISOPULOS, PhD/LK04
11/14/2018
ORIGINAL