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Home My WebLink About15222 Connector Ln - CofO (2)AOL Certificate of OccuiDancv No. 0200 . Lk in Lj 714/536-5241 Business License # D &IR Business Address r^ PJAfcc.7'oit L r4 A& Business Owners Name CoA,e ✓ L Business Name /✓J y�E-2s K f} C i Al G r.-J C- Business Type FAH / L .? 12,4 c. E TEA Al APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH - DEPT. OF BUILDING & SAFETY (3'd Floor — Must Apply In -Person) r` Date 71910 ra Zip Code'y Z 6 y 9 Telephone No.9y? -Z9q • 9a3 6 Bus. Phone 7j %.( _ sg V -766a Property Owner Information (required) Tenant/Emergency Contact (required) Name izo s a-2T 14 T-H o m P 5 0'j Name 6 R &- y L. Address (0 3 / -7 iJ -5 G ,4 a s o A/ Home A dress 22 A2Ba Q City Cy c JE2 Cr r State/Zip C 11 ?,oz., o City L�.J ,B Mate/Zip Cl)-y ZG6 a Telephone No. _3 2-3 - E3 70 r 90 2. / Telephone No. 57'7147 — 29* 9tp 3,6 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or KExisting Building CHECK ALL THAT APPLY: ❑ Change of Property Owner )("'Change of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricit be turned on? YesONol(- ■ Is the building sprinklered? Yes;&00 ■ Will operations produce dust/wood shavings or similar material? YesON0V ■ Will operations involve the repair or re lacement of automobile parts Yes )lo ❑ If yes: Describe the components repaired or replaced. E c .4e 5 ■ Does the operation involve the use of welding or open flame? Yes)&o ❑ ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ONo)< ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Restaurant/Take Out Food ❑ Warehouse /Manufacturing/Distribution (describe process and end product) 'Other (describe) ' g 11 G C' Al For Official Use Onl Occ Group: Area: 1 0, 9-13 0 Occ Group: ! Area: ��, 6-syq Occ Group: Area: Total Sq Ft Occupied: No. of Stories: Bldg. Permit # Entitlement #: Occ Load: 2 j Occ Load : /O Occ Load: TIF Review: Y Zoning: t l- Plnr Initials: Date1'q'LTPlan Chkr Initials: IIate: Y 9 ©6 Insp Initials: Date: Conditions of or Other Notes: Inspection Date: -I V- iV� �H (G:BuildinglForms/document id goes here) 4 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: 1-f yL'2S ?eAr_ / AJ6 --CAI G Property Address: J S 22 z C 0 A, AJ E'G T'o ✓e ., R- A.J City: ' Iv V 1,3C AcY Zip Code: 9 Z (o ({ % Contact Person: 6 A 2 t" 4.. /�% �` 2-T Title: P/P4.3 ., O C—AJ7` Type of Business: /'AAl i i y 1?Acr T A AO Telephone: () 7/ 4 D Applicant: (print . My�-g Sign OWill the facility have any of the following equipment? Yes ONo 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 Will any of the following operations be performed? Yes ENO 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 DIf you answered "No" to both questions, this checklist is your clearance from AQMD. OIf 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.