HomeMy WebLinkAbout15081 Edwards St - CofO (20)'/-A,PPLICATION FOR C"E"IMFICATE OF OCCUPA,NCY(P'.3Q"U3
CITY OF HUNTINGTON BEACH - DEPARTMENT OF BUILDING &AXETN."
f 34,Ho or - Abist Apply In-Pers42ti,,
Business License
Date
7
BuSiMSSN-amc Telephone
Businesi Type.
Bumess Owner
s_1 iRI,1
A
Addresj flme Addressf city
THIS USF, WOULD REDESCIUBED AS:
UNevO-,, Constructed building or Building
CHECK ALL i-11TAT APPIL VA:
W-rgeofUvvner UChan&pofOccupant Q Additional Occupant
Indicate ffinyt,.-r use, i!aM
Does the bmid.m.,,4have clectricitv'Yes ,3 No U
If No. are you req)aesting that the electiieity be tomed on',' Year U No 0
I"he building issprink-lered? Yc:S 0 NOD
Op,mations will product dust:' ood :.havingcar similar irat.-rivT' Yes No EJ
Operations .011 involvethe parts Yes t-J N103
If yvs, Describe the components rermuvdior replaced
Doet', the operation invoke the use of ,veldingov opm llaine,� Y050 No M
Ili.- i'jusines,,; isdrinking, dining ter a.5sembly tj,,,,o ifult voll tesult in an occupant load
t&more than 50 Persons, Yer, Q IN' o 0
flie folitming best deseribeq my operation:
001-fi�--Only URetailUes El -N1er*JcaI,'Dcr,1aI Ulkestaurant".'ak-C Out Food OWarehouse
U;M, iuf4wr."vgDistribution (describe process and end product)
Other (describe)
WIP M
Office C5C 011ty.. .12
Zoning; Sq Ft Occupied OCC Group :,12-- Oce Load.....L
4, Stones. Parking SpacesTIF Review V N Amt'Paid$,
PAId
Building PQnnit 4 Entitlement
Comments:-.-
- ,Oz�..'��--:,-.Ik�.--I--.4���4-.---',
Planner Initials: fildgiPlan Checker Init
iy"pA
South, Coast
Air Quality Management District
21365 E. ` -apeY Drive
Diarr;ond Bar, CA 91765.4182
(9n9) 396-35291atpp:1/wvww.agmd.gry
Air Quality Permit Ch eld st
California Government Coda; 65850.2 prohibits cities from issuing a Cert ftcat,*Hof occupancy to a business
without clearance from the local air quJity agency, This checklist will determine if you nerd to obtain
clearance from the South Coast Air duality Management District (AQ..MD).
C ',Name.-
,
ompatuy Fame: ,...�'�,w,.::.�},4,YaH."'..w-� .. { ,• 1��7 '�,e
!�mperty Address:
C.tty, Zip Code
Contact Person., Title <+
*"ype of Business:
A beret: mint n trne
Will the facility havoc any of tine follewing equipment? Yes No a
Charbyoiler
Dry cleaning machine
Spray Bootie
Printing P ss(screenflithogritphie/flexographic)
Internal combustion engine (greater than 50HP) (excluding motor vehicles)
Built ricombution equipment (greater than 2 million STU/hr. maximum input)
Abrasive blasting cabinetlroom
Baghousdeartridge type dust filter, scrubber
Motor fuel storage and dispensing equipment
• Will any of the following operations be prrfd-ned? Yes No
Application ofpaints or a.dheives
Etching, plating, c sting,, or melting of metals
Moldhig aid blending of'liquids and/or pow ,aYs
Storage of acids, solvents, organic liquids or fuels
Production of acids, solvents, organic liquid.;, or fuels
Production of fumes, dust, smoke or strong odors
a 1"you answvered "No" to bath questions, this checklist is yVur cicarancc from AQ:14D.
w If you answered "Yes"' to either question, you, must contact AQMD to dof,:irmme if air quality permits are
required, If permits are needed, AQNfD will assist you in submitting pem:itt application(s) and then, provide you
with a 4lcaranc+* letter. You can call AQN11) at their Sr:,Ull nuslness Assistance Office at (800) 388-21 1.