HomeMy WebLinkAbout10035 Adams Ave - CofO (9)e
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 M - 4'SH (c,
CITY OF HUNTINGTON BEACH —
DEPT. OF PLANNING & BUILDING APPLICATION
714/536-5241
Business License # A 2°,7os 6
Business Address 003-T &b4itS 1D Htt
Business Owners Name CM UN Pe -
Business Name e5 C &n b.S
Business Type b12.L1 Clemei'S
(3rd Floor — Must Apply In -Person)
Date
Zip Code CA Y21N4
Telephone No. 719-968-0$9`j
Bus. Phone IQ-968 --0919
Property Owner Information (required) Tenant/Emergency Contact (required)
Name RrL4 e A , COlt� l Name r_HU N Hef- YZ
Address l p C Y'n 5T, S 700 Home Address 2121 AIah"Aa ST, 11I
City )'00 _8mck State/Zip CA 10,8P6 City HUh'iift'tDN Be�ChState/Zip Ci- 9_26�49
Telephone No. 2- 4 9 0— D 0 qB Telephone No.
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or 'Existing Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner ,(Change of Occupant El Change of Use ❑Additional Occupant
■ Indicate former type of business tk45 Jef_1E=- .
■ Are you requesting that the electricity be turned on? Yes 0 No ❑
■ Is the building sprinklered? Yesl No❑
■ Will operations produce dust/wood shavings or similar material? Yes❑ , Nojo
■ Will operations involve the repair or replacement of automobile parts Yes No;K If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? YesD NoAl
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ONo )I
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes ONo R1
■ The following best describes my operation: ❑ Office Only X Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food
cribe process and end product)
ther (describe) DM clewers �
For Official Use Onl
Occ Load:
Occ Load:
Occ Load:
1('o
TIF RevieY/ N
Zoning:
Plnr Initials: "� Date: Plan Chkr Initials: Date:*6 ZJ Insp Initials Date: c
Occ Group: Area: (000 Yap
Occ Group: Area:
Occ Group: Area:
Total Sq Ft Occupied: Woo No. of Stories:
Bldg. Permit # Entitlement #:
('nn,iitinnc of Annrnvnl nr ()f11Pr NntPc-
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Inspection Date:
M
X South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
r (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: BP,4 cl-emer-s
Property Address: I t7p3� AJa" 5 Ag'
City: fl1AK_'y13f°'J f5eaCh Zip Code:
Contact Person: C f [Q J flee \rz
Type of Business: Df i Offer-S
Fax Number:
Applicant (print name): CNUN He? n Signature:
Date:
CA 926�6
Title:
Telephone:
e-mail address:
c.t C"L -
W vler
r�14-q68 _o87R
Will the facility have any of the following equipment? Yes No ❑
Charbroiler
Dry cleaning machine
Spray booth
Printing press (screen/lithographic/flexographic)
Internal combustion engine greater than 50 HP (excluding motor vehicles)
Boiler/combustion equipment (greater than 1 million BTU/hr. maximum input)
Abrasive blasting cabinet/room
Baghouse/cartridge-type dust filter/scrubber
Motor fuel storage and dispensing equipment
Will any of the following operations be performed? Yes[:] NoM
Application of paints or adhesives Vy
Etching, plating, casting, or melting 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
If you answered "No" to both questions, 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).
spa
0
South Coast
.. Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4178
(909) 396-2000 • www.agmd.gov
EQUIPMENT LOCATED AT: 10035 ADAMS AVE STE 115
HUNTINGTON BEACH,CA 92646
LEGAL OWNER CO. ID: 161128
OR OPERATOR BEST CLEANERS, HWA YONG CHUNG
10035 ADAMS AVE STE 115
HUNTINGTON BEACH,CA,92646
PERMIT/APPLICATION RENEWAL
- - - - - - - - - - - - - - - - - - - - - - - -
PERMIT/ EQUIPMENT DESCRIPTION
APPL NBR
- - - - - - - - - - - - - - - - - - - - - - - -
BILLING YEAR: 2012
G4924 DRY CLEANING EQUIP PETROLEUM SOLVENT
DATE:12/04/2012
NEXT RENEWAL
DATE
12/01/2013