HomeMy WebLinkAbout15262 Connector Ln - CofOJa HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 13 - 0 q §'I �. CITY OF HUNTINGTON BEACH — DEPT. OF PLANNING & BUILDING APPLICATION 714/536-5241 (3'd Floor - Must Apply In -Person) Business License # A `2--�- --�- l f --�, Date 7! z31 13 Business Address I �ZLZ Zip Code 1?-&q Business Owners Name J—ArtN V Sk?KS LLC. • Telephone No. eCO.370• 07`f S- Business Name 'TI M m y S Wl(-S Bus. Phone Business Type Property Owner Information (required) Tenant/Emergency Contact (required) Name AV k-Lc:3 L LO_. Name i oze-m yIJCL-+�S- Address 15-Zrp tjoeC-Top- zjJ • Home Address 17o f- City H ° 3 . State/Zip f1- qZ4 q 7 City 4 pgeri— ItAC" State/Zip OA Telephone No. -I[q- &3 • ?1q- 38ay Telephone No. %(1-( • $S-Z- THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or )74-1—i-xisting Building CHECK ALL THAT APPLY: ❑ Change of Property Owner ❑ Change of Occupant ❑ Change of Use ■ Indicate former type of business ■ Are you requesting that the electricity be turned on? Yes EJ No ❑ ■ Is the building sprinklered? Yes) , . No❑ ■ Will operations produce dust/wood shavings or similar material? Yes ❑ N ■ Will operations involve the repair or replacement of automobile parts YesQ. Nox If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? Yes El N,091- ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ONO. ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes)4No ❑ ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental ,rehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (describe process and end product) Other (describe) For Official Use On1y Occ Group: s--� Occ Group: F--� Occ Group: Total Sq Ft Occupied: 2 Bldg. Permit # Area: Area: Area: No. of Stories: 2 Entitlement #: C2!kdditional Occupant Occ Load: I 0 Occ Load: --'] Occ Load: / G> TIF Review: Y/ N Zoning: 1 L, Plnr Initials: -A?Nr . Date: 113P1an Chkr Initials:��Date:2 zu Insp Initials: Date: 7` 1 q Conditions of Approval or Other Notes: 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: :"t MMA� j�VS LL0--- Property Address: I -�-Z (, Z- C0&3 ���'�qL 0 City: !4 , --i; • Zip Code: Contact Person:e��� Type of Business: L/JAZOOL6C Fax Number: % f y ' 3-7 9 - q ©OF — Applicant (print name):�tZ6-KY 0 JW&Aature Date: y9. Title:SI l ; Telephone: -71q- e-mail address: f 7/ Z.3 f 1-3 Will the facility have any of the following equipment? Yes ❑ No 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 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-