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Home My WebLink About10052 Adams Ave - CofOr A �CP.0 i OCCUPANCY' A PPL 1� �I AT F OCC P-_NCY CITY 7 1MNT N G17-01 BE_��C`H - DER ART IN T fly~ B D� G S-A.FT T t 4pply 17,- e Aso i) 0 Va ) Z� BuBush License Bu- � / j� cirBSS d ,irUS y ¢ r r! J 1�Z�-u" 1 Business Nacre r' L G, f elerhoi�: Business Type D nl e';t) SS S T Property Owner InI or_nation J Btsiness Owner Name )VI) J Fame ", :� Addres^ i i` 9 >J to --Home dressL City_-_r b d c i` Ill-i r/ l`� 93 9?3"CityCAM Tel. 2- 7 THIS'USE WOULD BE DESCRIBED AS: 171 ONewly Constructed Building or 4Ex-1stiag Building CHECK ALL THAT APPL'Y : f ©Chance of Owner �Charnge of Occupant Change of Use ©Additional Oc ,uparit Indicate former use, if any Q le11 `? a v Does the building have electricity? Yes j4 Tio If No, axe you requesting that the electricity be turned, Yes No The building is sprinklerzd? Yes T o Operations v:.ill product dus!-us,!shavings or similar material? Yes NoZI Operations will involve the repair or replace;nent of automobPe parts Yes 0 No If yes: Describe the components repaired or replaced. Does the operation involve the use of welding or nr)en flame? Ycs C No 2 The business is drinking, dining or assembly use that will result in an occupant load of raoi- than 50 persons. Yes o The fallowui.,'best describes my operation: 0Office Omly CRetail Sales ❑Medicai/Dental ORestaurant/Ta_ke Out Fovu ClWarehouse ❑Nlanufacturing/Distribution (describe process and end product) Other (describe,) 'j Office Use Only. ! Zoning: Sq Ft Occ Group: =/ Occ Load; ,r Stories: Parking Spaces; _ TIF n;-.view; Y! N Building Pen11 t F Entitlement Collarnents ,, f1�t �% � tiNP-a' Plam-ter Initials; _ _ Bld�/Plai1 Checker Initials: �— Amt Paids: Paid BE, OrF Find Iaspacrion r ioC16, on CofO m Coast South oas Air Quality Management District 21865 E. Copley Drive Diamond Bar, CA 91765-4182 (909) 396-3529 htpp://ww-w.zgmd.gov Air Quality Permit Checklist California Government Code 65850.2 prohibits cities from issuing a Certificate of Occupancy 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 QualitylYlanagementDistrict (AQi\/iD). Company Name: rev fi : Property Address; �C m 5 Tv" City: \>ria., p✓,e Zip Code: _ -- Contact person: � Title: ti T Type of Bu.mess: 1A c'N rP- S i' rt T-A S Telephone: / W /` ,Sc q,? Applicant: (print naive) f,5-j V) No R)1'1OSignature: Aj Will the facility have any of the following equipment? Yes No Charbroiler Dry cleaning machine Spray Booth Printing Press (screen/lithographic/flexograpliic) Internal combustion engine (greater than 50IU) (excluding motor vehicles) Boiler/combr - ,n equipment ,greater than 2 million BTU/hr. maximum input) Abrasive bias. _g cabinet/room N ghouse/cartridge type dust filter/scrubber I,✓Iato� fuel storaDe and dispensing equipment • Will any of the following operations be performed? Yes ❑ No Application of paints or adhesives Etching, plating,. casting, or melting of metals Molding and blending of liquids and/or powders Storage of acids, solvents, orgy-ic liquids or fuels Production of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke or strong- t-dors • If you answered "No" to both questions, this check�ist is your clearance from AQ YM- • If you answered "Yes" to either question, you must contact AQMD to determine if air quality permits are required. If permits are needed, AQNfD will assist you in submitting permit application(s) and then provide you with a clearance letter. You can call AQ111D at their Small Business .Assistance Office at (800) 388-2121.