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)
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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).
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