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Home My WebLink About15081 Edwards St - CofO (24)MCI HuhmNGTON REACT CERTIFICATE OF OCCUPANCY 020 IS cl CITY OF HUNTINGTON BEACH — DEPT. OF PLANNING & BUILDING APPLICATION (3'd Floor - The Applicant Must Apply In -Person) Business Address S� Ga- Date 6194e5 Business Owners Name � Zip Code 0,,2!r2 c� �- Business Name / TelephoneNoCZL,!L)!,-&- 4-701 Business Type 1 C-1n.— Bus. Phone&i�D1- Propelly Owner Information (require Tenant/Emergency Contact (required) Name {� i / �J�Per Ic AddressJO G:9 Home Address .Io:z .2 ??;2 a..k_-c= City - - tate/Zip ^ " "i " " Cityj�� 1)eN (moo mate/Zip rq-- C? Z 94 � Telephone No.Telephone No(-7 j 4 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ONo 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 LINO ■ Will operations involve the repair or replacement of automobile parts? ❑Yes 6No If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes 9 No ■ Will the b910 ess be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes MNo ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/Dental ❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food (Other 5r--V, -c ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes o Ifyou answered yes, please proceed to the next question. • Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes ETNo For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: 2�a Bldg. Permit # Planning Initials: Date: ( S Conditions of qjov 1 or Other Notes: Area: Occ Load: 12 Area: Occ Load: Area: Occ Load: No. of Stories: TIF Revie � / N Entitlement M Zoning: Building Reviewed By Initials' Date: Grease Interceptor Verified Inspected By Initials: 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: GA-p- 'o o, !�� Property Address: A'S—O $�- City: 411, (j2�v� Zip Code: 1�1_ 2 4L3 Contact Person: 1?ej if l2- IJ 61-y-[r2tffitle: ® w ar) �e_� Type of Business:, Ve,_Y�eAh� e_$ iz telephone: Cod ) 3'2i r - 4 -7 0 Fax Number: e-mail address: e_� 7/�661��-d- �"�"�• Applicant (print name):P�MFg. tjCaj c-kjgnature: 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 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❑ NoE 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-