HomeMy WebLinkAbout15062 Bolsa Chica St - CofO6Z011
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY �—
CITY OF HUNTINGTON BEACH —
DEPT. OF PLANNING & BUILDING APPLICATION
714/536-5241
(3'd Floor — Must Apply In -Person)
Business License # A ZS 3D 3 6 Date 2i ,',}N LJA 2,012.
Business Address i Sd6 2 3O L,S/1 CI-1 1 CA ,2D. Zip Code Z 64
Business Owners Name E_LC-MCWT MA-T122IAL�> Tr:-"nl0LOCTy Telephone No.714-- 092-19b�
Business Name PLC-MCNT nMik7L-DIAL� Bus. Phone SA^A
Business Type M/krG1e, ("A _s -rF%T LPrA
Property Owner Information - (required) Tenant/Emergency Contact (required)
Name MPrTFP_t,4LS 7FCH J-V Lo C^i Name J I w\ ?_ 1 L.�
Address SO 2 (60 L�Srr �K 1 [A Home Address '5(2 A L7 Pr V 1 S 7A
City K vNT19670d bFRG-1 State/Zip 6 City C nR on//) State/Zip CCU 72 Z
Telephone No. W LF M 2 - Telephone No. 714 2. 2 7 — 3 Z O
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or VExisting Building
CHECK ALL THAT APPLY: _
❑ Change of Property Owner ❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business CO M P A M'j W rM 1% CH 4tJ trE
■ Are you requesting that the electricity be turned on? Yes Q 1 Nog
■ Is the building sprinklered? Yes X , No ❑
■ Will operations produce dust/wood shavings or similar material? Yes❑ , No?§-,,
■ Will operations involve the repair or replacement of automobile parts Yes Nog If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes 0 No;K
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes QNo K
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes ElNo K
■ 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) MA-TL''► iALs -rCX- tj( LAB
For Official Use Onl
Occ Group: Area: �`/ , nv';� Occ Load:
Occ Group: Area: , 0'y-'a Occ Load: 3 n
Occ Group: Area: Occ Load:
Total Sq Ft Occupied: 30,, 6"%`4 No. of Stories: 2 TIF Review: Y/ N
Bldg. Permit # Entitlement #: Zoning: —r I
Plnr Initials: Date: 1Plan Chkr Initials:_,:fZ__Date: �-Insp Initials: S%� Date:
Conditions of Approval or Other Notes:
eJ��-Atpr�
Inspection Date:
South Coast `.
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
(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: C��M MA l �� -WCq JV0 Lo G
w
Property Address: I S-0 (oz- O 4 CH ( CAI
City: i{ Zip Code: 7-� �f
Contact Person: J I M �� �� Title:
Type of Business: "I ST i 4 Telephone: 7 01 g9 2
Fax Number: ') (Lf � q 2, F j� e- 1 ad es J t M � 1 L
/N►�^rt' , CoM
Applicant (print name): Signature:
Date: L( 30 201 Z
• Will the facility have any of the following equipment? Yes ❑ No k
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❑ NqPQ
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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