HomeMy WebLinkAbout14520 Delta Ln - CofOy
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HUPfTINGTON BEACH
Business Licen
Business Addre
Business Owne
Business Name
Business Type.
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH -
DEPT. OF PLANNING & BUILDING APPLICATION
714/536-5241 (3`d Floor— Must Apply In -Person)
Date 3 1 n /
Zip Code zy o 0 6
Telephone No. 91/ 1- 6S0
Bus. Phone -L-
Proeertv. Owner Information (required) Tenan mergency Contact (required)
Name ti .c Name 14; - &# 4/,, d,J;n e-
Address a 6 d 5. 9,,„v Sl , (,,' ` / o o Home Addre s 7q lam . 3 r i dc2c,o o d 1�
City (,,o- k- 1-7z f., State/Zip C-A � 6 L 6 City M h , e :.� State/Zip C-A a z 'rb e
Telephone No. :. I ci _ Z ti - („ o o Telephone No. -41 q - 9 / q - 7- 6
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or xisting Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner ❑Change of Occupant ❑Change of Use ❑Additional Occupant
■ Indicate former type of business „ ' trc
■ Are you requesting that the electricity, be turned on? YesQ No
■ Is the building sprinklered? YesYesg, . No[]
■ Will operations produce dust/wood shavings or similar material? Yes❑ . N
■ Will operations involve the repair or replacement of automobile parts YesO No If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? YesQ No;<
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes QNo ❑
■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
VWarehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food
(describe process and end product) _Tf,Gt- i? j4n d,y
Other (describe)
For Official Use Only H- 3 c$ oFc-c�)
Occ Group: 5 Area: w5 , "% Occ Load: 131
Occ Group: Area: 2 �6 t, C., Occ Load
Occ Group: Area: o j- 3I V -- Occ Load: �5S
Total Sq Ft Occupied: 2(02 No. of Stories: ( TIF Review: i
Bldg. Permit # Entitlement #: Zoning:
Plnr Initials: PqisDate: 1( Plan Chkr Initials:_4L---_Date: 3 t 1 ll Insp Initials: Date:
Conditions of Approval or Other Notes:
L�p1CL�1 ta�S� raS� 1 �itC� w� 1►J spq - Ptl�n,l.11i. G� my a9 4- " Spurr- 11YIs LQ
l'_�ary PiQ�llcuS w ac��tr�D .
�Inspection Date:
V
IL aZV&Kt�,
South Coast
11
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
wi:-i (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:
Property Address: -De-A, Lcn.e, ) utT CO)
City: �u�`���5 &aJ Zip Code: �l0 0 6 I
Contact Person: kr;f �S%¢ hs•� Title: �/I'4 � k h%s -
Type of Business: M c •, J -jr er Telephone: q- 61 :2 - 9106
Fax Number: e- ail address:
Applicant (print name): 'I, M ll a,,,f Signature: —S
Date:
• 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 BP (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? Yesd No0
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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