The URL can be used to link to this page

Home My WebLink About15182 Bolsa Chica St - CofO (6)714/536-5271 Business Licer. Business Addr, Business Own( Business Nam( Business Type CERTIFICATE OF OCCUPANCY 020JI - ES9 CITY OF HUNTINGTON BEACH DEPT. OF PLANNING & BUILDING APPLICATION (3`d Floor — Must Apply In -person) !Prert Owner Info ation (required)Name Nam Addres{�1 Hom City 1 _State/Zip ' Ca., city Telephone No. b (O0 D 1; 2-5 — Zc5rO Telel THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building CHECK ALL THAT APPLY: ❑ Change of Pro ert O Date 5 I -M ) 2.m 1 1 Zip Code Telephone No. C;k7--Z7 7_ � Bus. Phone (9- Z,1-1 p y caner ❑ hange of Occupant ElChange of Use ElAdditional Occupant • Indicate former type of business D-1 A 1-11 • Are you requesting that the electricity be turned on? Yes ❑ ■ Is the.building sprinklered? Yes EINa❑ • Will operations produce dust/wood shavings or similar material? Yes❑N ■ Will operations involve the repair or replacement of automobile parts Yes No components repaired or replaced. Does the operation involve the use of welding or open flame? Yes ONo • Will the bu iness be a drinking, dining or assembly use with an occupant oa Yes QNo • The folio ing best describes my operation: Office Only ❑ ,Retail Sales ❑ Restaurant/Take Out Food ❑ Warehouse/Manufacturing/Distribution (describe process and end product) YQU I ❑ Other (describe) For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # If yes: Describe the of more than 50 persons? ❑ Medical/Dental Occ Load: Occ Load:—.—. Occ Load: TIF Review: Y/ N Zoning: I L-- P1nr Initial Date:- 1,rk Plan Chkr Initials: Date: Ins Initials: Date: _ Conditions of Approval or Other Notes: Inspection Date: Area: Area: Area: No. of Stories: Entitlement #: (G:Building/Forms/document id goes here) MEN G i4re) 714/536-5271 Business Ligen Business Addrf Business Owne Business Name Business Type CERTIFICATE OF OCCUPANCY 020 CITY OF HUNTINGTON BEACH DEPT. OF PLANNING & BUILDING APPLICATION (3rd Floor — Must Apply In -Person) Pwverty Owner Infor ination (required) Name Nam Addre>s O PI-1 Hom City. ft�. State/Zip City Telephone No. b �d- 5 2-5 — Z50 Tele] THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building CHECK ALL THAT APPLY: Date 5 I-aq I Zn r Zip Code j =4p Telephone No.-2-0'rl;b Bus. Phone 0-- 2-1 7 -2-070 ❑ Change of Property Owner ❑ hange of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business ex'o CQ-- ■ Are you requesting that the electricity be turned on? Yes 0 ■ Is the building sprinklered? Yes 0No0 ■ Will operations produce dust/wood shavings or similar material? YesONo`� ■ 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? Yes ONo Will the bu iness be a drinking, dining or assembly use with an occupant ioa Yes ❑No' The follo ing best describes my operation: Office Only ❑ Retail Sales ❑ Restaurant/Take Out Food ❑ Warehouse /Manufacturing/Distribution (describe process and end product) 'I)roV ❑ Other (describe) _ For Official Use OnIX Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Area: Area: Area: No. of Stories: Entitlement #: Plnr Initial MIT Date: Plan Chkr Initials: Date Conditions of Approval or Other Notes: Inspection Date: of more than 50 persons? ❑ Medical/Dental Occ Load: Occ Load: Occ Load: TIF Review: Y/ N Zoning: I L- - Insp Initials: Date: 1, ( QBuilding/Forms/document id goes here) 11 0 HAZARDOUS MATERIALS DISCLOSURE INFORMATION Huntington Beach Fire Department California Health and Safety Code require the Fire Department to regulate businesses that handle hazardous materials. Motor oil, hydraulic fluids, gasoline, dry cleaning fluid, etc., are considered hazardous materials and must be disclosed. If you use, handle or store hazardous materials or waste materials equal to or in excess of the following basic quantities, you are required to disclose: • 55 gallons of liquid • 500 pounds of solid • 200 cubic feet of compressed gas • Any amount of radioactive materials • Any amount of Class A explosive • Any amount of chemicals known to cause cancer • Any amount of commercial pesticides • Reportable quantity of any chemical on EPA Extremely Hazardous Materials Substance List Disclosure is not required for the following: 1. Hazardous substances contained in food, drug, cosmetic or tobacco products. 2. Upon approval of the Fire Chief, hazardous materials contained solely in consumer products packaged for use by and distributed to the general public. However, pesticides, herbicides, and ammonium nitrate fertilizers over the required disclosure amounts are not exempt from disclosure. 3. The transportation of hazardous materials accompanied by shipping papers prepared in accordance with the provisions of 49 Code of Federal Regulations. 4. Infectious waste generated by health care facilities that are regulated under Title 22 of the California Administrative Code. Check o of the following: No chemicals are used, handled or stored at this business. Chemicals are used, handled or stored at this business, but do not meet the requirements for disclosure Chemicals are used, handled or stored at this business. Disclosure forms will he sent to you. Amounts will be verified by the Fire Department during annual inspections. It is unlawful for any person to knowingly violate any provision of this ordinance. I certify, under the enalty of per y, t t above information is true and correct to the best of my knowledge. Signatur DateGIL— Home Phone��%�� Please call 714-536-5676 with questions regarding the Hazardous Materials Program. i South Coast Air Quality Management District 21865 E. Copley Drive Diamond Bar, CA 91765-4182 (909) 396-3529 htpp://www.agmd.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 Quality Management District (AQMD). Company Name: Property Address: City: Contact Person: Type of Business: S errt k Zip Code: �— Title: Applicant: (print name)_Si Will the facility have any of the following equipment? Charbroiler Dry cleaning machine Spray Booth Printing Press (screen/lithographic/flexographic) Internal combustion engine (greater than 50HP) (excluding motor vehicles) Boiler/combustion equipment (greater than 2 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge type dust filter/scrubber Motor fuel storage and dispensing equipment 0 Will any of the following operations be performed? Yes [IN Application of paints or adhesives Etching, plating, casting, or melting of metals Molding and blending of liquids and/or powders Storage of acids, solvents, organic liquids or fuels Production of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke or strong odors OIf you answered "No" to both questions, this checklist is your clearance from AQMD. Q 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 (800) 388-2121.