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Home My WebLink About15080 Edwards St - CofO (7)07 APPLICXrION. FOR CL RTIFICATE OF OCCUP �'4 - " CITY OFEUNUINGTON BEA�CH - DEPARTIMENT OF B CILDENG S'z SAFEVIZ, ((Y" Flow — .1111VAPplybt-Parsolt) - Imo, 1 .."41. 0 -/� Business Lioease 0 Business B u S pvt'.o Home Addr� T i i 19 NSA—OU L b BE D L S c P 1) 3 E D AS,' C3NO�vjy Constructed Builaitig or (dr-xistiag Building I.r'r,- Me k T I, THAT APP LY D at e I All �v AP 07 T11 I. 4,0-1 Advit,'Jnal Oullp alit Uldicate forl1wr use, any Does the bitilditig I'lave alectricltY7 ye- ZY NoQ r \,To , �,_j If vc you requesting auat the electricity be turned izT yes The building is spriaklered? 'ves L) No 0. operwiOns will pv)duct dwlalm"jod 31,16alvilibn m. �illfflxmateria operation,o, Nvill fivolve the repair or roplace=at of automobile parts Yu ti If 7cs: Describo 6-0 =Ujlaileats repaired or replaced. Does TIle bugilless is drj,,L1djjg, dining or assembly use that will result ir, arL Occupant load of more than SO persons, '0 Flo 3, t (;eSQ;1sWes My The follovying W 4 operatio-w. otal URestaurant,'Tak.� 0'�'!; Nod office tally Detail Sales cl-Mcilcalil) ea (describe proaus atd end produt) Other (described O)U�4: ') ou t! Stories: -A TIF lt'- Suilding Iwo South Coast Air Quality Management District 21865 E, Copley Drive Diamond Bar, CA 91765-4182 (909) 396-3529 htppa/xvagrnd.gov Aix 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 (A.QIVID). Company Name; J [.t 1 .l a u Drz,. Property Address; �l 0 L3 W i�i Vr - - City; liujl IK/��i�� 13G�/ (,+fl Cal _ Zip Code" 2,6 _ , Contact Person: �GI L (`fit S I i S � -Title.. ©LUO/tlG get - Type of Business: L I � � a � Yl -�`d �2G� Telephone: () L4e 0 3 - 3 6 Ufa Applicant: (print name) IUGI* tkq b 1 b � Signature: I i , • Will the facility have any of the following equipment? Yes No Charbroiler Dry cleaning machine Spray Booth Printing Press (screen/lithographic/tlexographic) Internal combustion engine (greater than SUHP) (excluding motor vehicles) Boiler/combustion equipm nt (greater than 2 million BTT,J/br. maximum input) Ab:asivQ blasting cabinet/room Baghouse/cartridge type dust filter/scrubber Motor fuel, storage and dispensing equipment + Will a iy of the fallowing operations be performed? 'Yes � No Application of paints or adhesives Etrh?og, plating, casting, or meting of metals M,,)Wing Gild blending of liquids and/or powders Storage of acids, solvents, organic liquids or fuels Production cf acids, solvents, organic liquids, or fuels P.rodu�,rion of fumes, dust, smoke or strong odors • If you answered "No" W both questions, this checklist is your clearance from AQit,ID. * If you answered "Yes" to either quc:tion, you must contact AQMD to determine if air quality permits are required. If permits are needed,, AQ'ZyW will assist you in submitting permit application(s) and then provide ,-ou with a(alearancc letter. Y'uu can call A2'INID at their Small Business Assistance office at (800) 388-2121.