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Home My WebLink About15261 Connector Ln - CofO (5)CERTIFICATE OF OCCUPANCY 020 (S_ - '57 1 CITY OF HUNTINGTON BEACH - DEPT. OF PLANNING & BUILDING APPLICATION HUNnNCrON BERCF Business Addressff,`�_�,- Business Owners Name Wt 'l, Business Name G<.P Business Type Solt, l < < ` rd Floor - The Applicant Must Apply In -Person) n ,J7Q4 Date Zip Co_de 91 ' r 4 5 Telephone No7/h/ 3 ;;13 ��y Bus. Phone Propelly Owner Information (required) Tenant/Emer enc Contact (required) Name r, I;Fe 1 n f Name c. V!V '- v e h 3 )3 S Address d! /�'�r �h St Home Address,-, 1.3.V"C city a "67c, State/ZiCity% y C., - ite/Zip Telephone No. Telephone No. 21G7' THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building IS THIS BUILDING FIRE SPRINKLERED? 0Yes ❑No CHECK ALL THAT APPLY: Change of Business Owner ❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity be turned on? ❑Yes No ■ Will operations produce dust/wood shavings or similar material? ❑ Yes C1lo ■ Will operations involve the repair or replacement of automobile parts? ❑Yes 01' o If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes 0"No ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes 0 No ■ Will there be storage racks, gondolas, or shelvingexceeding 5feet 9 inches in height? ❑Yes 3<0 ■ Tr, following best describes my operation: I✓Office Only ❑ Retail Sales ❑Medical/Dental I fWarehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑other ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes If you answered yes, please proceed to the next question. • Does your facility curreratly have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes Ef No For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # 1 i 6 ,. Area: Area: Area: No. of Stories: 'L Entitlement #: M• Occ Load: j 0<3 Occ Load: Occ Load: TIF Review: Y/ N Zoning: _-TL� Planning Initials:&L—Date: 6 -6 -17 Building Reviewed By Initials: &!!-=-- Date: A/Vlj- _Af Conditions of Approval or Other Note �,�-� �(1�1 iY _01�J S L S - F. ,Q i � v U "v / 5 Grease Interceptor Verified Inspected By Initials: Date: i W South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 _." (909) 396-3529 • http:// www.agmd.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: Property Address: l Ca 6 / C y7nrc Z� r- 1- P)C City: Y1,11(: �:j &" Vic,, t C Zip Code: 5a 6 �f Contact Person: f� be l VVJ Ae1(ry) Title: Type of Business: �'G &\ ,i Telephone: Fax Number: / e-mail address: N ` I,,d(�, %�• C dm Applicant (print name): l 4f tl o Signature: - Date: _ • Will the facility have any of the following equipment? Yes ❑ No ET— 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- O7rtii5' --5--4- i I g} 1 FF ei + ell Y" 7 7L-- T-NAKT IMPROVEMENT 71 fall., ,