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HomeMy WebLinkAbout10081 Adams Ave - CofO (3)• JJ HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY �20� - � CITY OF HUNTINGTON BEACH — DEPT. OF PLANNING & BUILDING APPLICATION 714/536-5241 Business License # Business Address 10081 Adams Ave. Business Owners Name Orchard Supply Hardware Business Name Orchard Supply Hardware Business Type Retail - Hardware (3d Floor— Must Apply In -Person) Date Zip Code 92646 Telephone No. (818) 454-1064 Bus. Phone (818) 454-1064 Property Owner Information (required) Tenant/Emergency Contact (required) Name Western Realty c/o Bruce Cowgill Name Orchard Supply Hardware c/o Brent Mandel Address 2760 E. Spring St. Ste. 200 Home Address 6450 Via Del Oro City Long Beach State/Zip CA 90806 City San Jose State/Zip CA 95119 Telephone No. (562) 490-0098 Telephone No. (818) 454-1064 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or ® Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner NChange of Occupant ❑Change of Use ❑Additional Occupant ■ Indicate former type of business Ralph's ■ Are you requesting that the electricity be turned on? YesO Nor ■ Is the building sprinklered? Yes® No❑ ■ Will operations produce dust/wood shavings or similar material? Yes❑ No® ■ Will operations involve the repair or replacement of automobile parts YesO No® If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? YesO No® ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes []No N ■ The following best describes my operation: ❑ Office Only ® Retail Sales ❑ Medical/Dental ❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (describe process and end product) Other (describe) For Official Use Only {� 2 l Occ Group: Area: '✓- I I 'J1 Occ Group: Area: Occ Group:j Area: Total Sq Ft Occupied: / No. of Stories: Bldg. Permit # K Entitlement #:_ Plnr InitiatV-'l l Date:1 Plan Chkr Initials: Date: Conditions of Approval or Other Notes: Inspection Date: Occ Load: 1231 Occ Load Occ Load: TIF Review: Y/ N Zoning: Insp Initials: Date: b� �-� � 11 South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 p ' (909) 396-3529 • http:// www.aqmd.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: Orchard Supply Hardware Property Address: 10081 Adams Ave. City: Huntington Beach Zip Code: CA 92646 Contact Person: Ruben Gonzalez Title: Sr. Project Mgr. Type of Business: Mercantile Telephone: 9( 49) 430-7016 Fax Number: e-mail address: ronzalez@pmdginc.com Applicant (print name):Ruben Gonzalez Signature: Date: 7/25/16 • Will the facility have any of the following equipment? Yes ❑ No X❑ 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 l 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❑ No© Application of paints or adhesives 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). -2-