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HomeMy WebLinkAbout150 5th St - CofO (4)6?"o \ b (--) 002:bg CERTIFICATE OF OCCUPANCY CITY OF H;UNi'INGTON 13EACH — DEPT. OF BUILDING & SAFETY APPLICATION HUNTINGTON DE,ACH 7I4/536-5241 W" Floor --Must Apply iA-Person) �l Business License # v-11' Ci Date Business Address 37h_je,Zip Code Business Owners Name �hnac�Al UUay/ilwjdy Telephone No. W-YtQ -Z1.3 0 BusinessName,;Z � Vtl ytdjyLde,4qa0t= Lt—r Bus. Phone 0 - Wo -2loo Business Type &l q 0eenQVj Property Owner Information (required) Tenant/Emer enc r Contact (required) Name 'M to Name Address f0922 Wal vwond y'd #C104 Home AddressCvD��Mat-f- City llvw"Q ^State/Zip 1 G42S City :20nja Anna State/Zip _CA g.;? J65 ' Telephone No. 5023 - gpd- - 006 y Telephone No. 4-1- 71.p9- q735— T IS USE WOULD BE DESCRIBED AS: I Newly Constructed Building _.; or D Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner OChange of Occupant ❑Change of Use []Additional Occupant ■ Indicate former type of business 1,111i ■ Are you requesting that the electricity be turned on? YesQ No0 ■ Is the building sprinklered? YesV NoD ■ Will operations produce dust/wood shavings or similar material? YesO , No 0 ■ 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? YesQ No! • Will the business be a drinking, diming or assembly use with an occupant load of more than 50 persons? Yes QNo ❑ ■ The following best describes my operation: IN Office Only 0 Retail Sates 0 Medical/Dental D Warehouse /Manufacturing/Distribution 0 Restaurant/Take Out Food (describe process and end product) ❑ Other (describe) For Official Une Only ►.1 ,, Occ Group: T_� 2�—� / Area: 31 D Occ Load: 3 Occ Group: Area: Occ Load Occ Group: Area: Occ Load: Total Sq Ft Occupied- No. of Stories: TIF Review: Y/ N Bldg. Permit #L'a0 Entitlement 0: Zoning: ••,A�nn Plnr Initiais:��Date:� Plan Chkr Initials: �' Date "21' � O Insp Initials: VM Date: Conditions of Approval or Other Notes: Inspection Date: South Coast f Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 e e (909) 396-3529 a http://www.aqmd.gov Air Quality Permit Checklist California State Law Code 65850.2 prohibits cities from issuing an occupancy pernut 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:—vvn10CVVV W411I4wOC 7 h E')Z'Ca5 r LLC Property Address: /50 -5" fit. 2g4 F1' ✓, City: -dwahwjag I t'itrlti Zip Code: g2LAf( Contact Person:4 t~K- R24iy&Z Title: ►lvi%r✓ Type of Business: Telephone: q,4q -4/40- 213Co Fax Number: qQ61- 4qD - 2141 (J e-m ' ess:PPGit•cireZ 61 ihnotoq�laM�iCrs•rart Applicant (print name): � Mi(n45ignature: _ . Date: 3*j jig, l Id • Will the facility have any of the following equipment? Yes ❑ No Charbroiler Dry cleaning machine Spray booth Printing press (screen/lithographic/flexographie) .Internal combustion engine greater than 50 HP (excluding motor vehicles) Boiler/combustion equipment (greater than I million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouselcartridge-type dustfilter/scrubber Motor fuel storage and dispensing equipment o Will any of the following operations be performed? Yes[j Nolf Application of paints or adhesives Etching, plating, casting, or meIting 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 1f you answered "No" to both questions, this checklist is your clearance from AQMR 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-