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Home My WebLink About613 6th St - CofOL, • Jj HUNTINGTON BEACH Business CERTIFICATE OF OCCUPANCY 20 - CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION Business Owners Name Business Name - (3rd Floor — The Applicant Must Apply In -Person) (Q J 2 / S+K-ee�- Date 3,7Zi b Zip Code I rj3&- 3,;70 Business Type Bus. Phone �3�- qq cell Property Owner Information (required) Tenant/Emergency Contact (required) Name r jW-7/� C05S i�� D Name `(VMt, t6koAAA,tVL4,` Z �`��N^ (PoVe / Address "1 ft Bert (✓e' Home Addressi1 � too'p 6nAtAA .AV�� City i'CLA 44niUN YR tate/Zip �17-b `�� City O I IDWeK State/Zip G4- q 0 76 Telephone No. (7r'�) (/ I 3°I Sit Telephone No. J1 ,-'7', ' 0,0 90 — 56,q THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No CHECK AA THAT APPLY: Change of Business Owner �hange of Occut , Change of Use ❑ Additional Occupant • Indicate former type of business S "panA5 , �iok • Are you requesting that the electricity be turned on? ❑Yes 9No • Will operations produce dust/wood shavings or similar material? ❑ Yes 2dC • Will operations involve the repair or replacement of automobile parts? ❑Yes �Z If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes o 1 • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 perso ElYes'ly� No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inche height? pYes nrNo • The following best describes my operation: ❑ Office Only Ne Retail SalesSC%edical/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 840 If you answered yes, please proceed to the next question. • Does your facility currentlyhave a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes Ego Grease Interceptor Verified For Official Use Only,y� Occ Group: � J Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning InitiaDatey Conditions of Approval or Other Notes: Inspected By Initials: Area: /i Area: Area: No. of Stories: Entitlement #: Use Permitted / N Date: Occ Load: /0 Occ Load: Occ Load: TIF Review: Y N Zoning-i�. Parking Meets Code (for use);,V N 11 Building Reviewed By Initials: Date: 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: Property Address: ,f?KV SVK,s -gel City: vvi I �uj MI6_ '� Zip Code: 1, Contact Person: 1 ko "kV I Title. oW0,60- Type of Business: icy CIS Telephone: 0ILI) -97,&77Ib Fax Number: ,,gy�f 1p 'I E-mail Address: � S i Ccc,� - /oM V Applicant (print name): t �%v1A VeK0 I Signature: Date: 1. Will the facility release air pollutants, including but n limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes o 2. Will the facility rV01 of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes 3. Will the facility result of hazardous materia , including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? []Yes EZNo 40 4. Will the facility have use of above or underground storage tank? ❑Yes 53 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes to 6. Will the facility result in the use of the equipment listed below? ❑Yes LSO (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 ❑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).