HomeMy WebLinkAbout15102 Bolsa Chica St - CofO (30)4
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 0200 - 0 C)A ' _®Z
CITY OF HUNTINGTON BEACH —
DEPT. OF BUILDING & SAFETY APPLICATION
714/536.5241
(3'd Floor - Must Apply In -Person)
Business License # tka34-7a7 Date 0 9 / 3 / 0 9
Business Address 15102 Rn1Ga C'hi cna R,9 Su E Zip Code 92649
Business Owners Name Jnan Smay Telephone No. 562-927-1205
Business Name Women's Empowerment Partnership, Inc Bus.Phone
Business Type Contractor
Property Owner Information (required) Tenant/Emergency Contact (required)
Name Tndustri al Rnsi npss (-entprg Name J-Aan Smay
Address PO Box 967 Home Address 16872 Bolero Lane,
City Stanton State/Zip CA 90680 City HB State/Zip 92649
Telephone No. 71 4-527-6031 Telephone No. 562-927-1 205
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or X Existing Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner Mhange of Occupant ❑Change of Use ❑Additional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? Yes 0 No CX
■ Is the building sprinklered? Yes❑ No❑
■ Will operations produce dust/wood shavings or similar material? YesCJ NON
■ Will operations involve the repair or replacement of automobile parts Yes❑ NoX If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes Nq�
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ❑No
■ The following best describes my operation: GgOffice Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse [Manufacturing/Distribution D Restaurant/Take Out Food
(describe process and end product)
11 Other (describe)
For Official Use Only
Occ Group: o b Area: 'u 0y Occ Load:
Occ Group: S l L) Area: 1 1yq Occ Load:
Occ Group: Area: Occ Load:
Total Sq Ft Occupied: (62,4 4 No. of Stories: TIF Review: Y/ N
Bldg. Permit # Entitlement #: Zoning:
Plnr Initials: Date:/3 a Plan Chkr Initials ) Date: 3 o Insp Initials: A%/ Date: IA (Z7 !�
Conditions of Approval or Other Notes:
Inspection Date:
c2--5
T° South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
=`t„,;,..• (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: Women's Empowerment Partnership, Inc
Property Address: 15102 Bolsa Chica Road
City: HB Zip Code:
Contact Person: Joan Smay
Type of Business: Contractor
Fax Number:
Applicant (print name): Signature:
Joan Smay
Date
92649
Title: Pres
Telephone: 562-927-1 205
e-mail address:
03 Sep 249
Will the facility have any of the following equipment? Yes ❑ Nof
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[—] No[R
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).
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