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Home My WebLink About15052 Edwards St - CofO (4)J� 1 HUKnNCrON REACF Business Addr Business Own, Business Nam, Business Type CERTIFICATE OF OCCUPANCY 020 1 5 - 3 CITY OF HUNTINGTON BEACH — DEPT. OF PLANNING & BUILDING APPLICATION (3`d Floor — The Applicant Must Apply In -Person) Date `7 2`2 ( S- Zip Code 1 Q 2-(o 14 �- Wrelephone No.1IL?- (0©0 -63yq %$us. Phone %L 0 -836� Property Owner Information (required) Tenant/Emer ency Contact (required) Name ` Ct AA 'Q ba V1gVi UJ Name--G 0 1 6efv YIQR 4cc VI Address O Home Address " City�N '`itlS -t, V- State/Zip (� /z Gi 16TS?2 city�i�'VjW�Q� State/Zip (� RO 12 Telephone No. liq - bclR - -72),5-2 Telephone No. 60S'—-T01y - 31 �- THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ YesTo CHECK ALL THAT APPLY: `�, Change of Business Owner 'Change of Occupant El Change of Use ❑ Additional Occupant ■ Indicate former type of business °l ■ Are you requesting that the electricity be turned on? ❑Yes o ■ Will operations produce dust/wood shavings or similar material? ❑ Yes 'KNo ■ Will operations involve the repair or replacement of automobile parts? ❑Yes �To If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes No ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes -PiCNo ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes X,;o ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑Medical/Dental [Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food Other j4441v_d/ ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes No 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 ANO For Official Use Only Occ Group: l) Occ Group: Occ Group: Total Sq Ft Occupied: Ci4 Bldg. Permit # Planning Initials:1Af:;0 Date::T___z_16 15- Area: P'Mirr i G v' ) Area: Area: No. of Stories: I Entitlement #: Occ Load: Occ Load: Occ Load: V. TIF Y/V. Zoning: C9 Building Reviewed By Initials: <:�—Date: 1 r Grease Interceptor Verified Inspected By Initials: Date: �a South Coast s Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 L[L, '�.' (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: City: Zip Code: 612_69 Contact Person: J ,�, �kq �%J W01 V) n W �\, Type of Business: \400N N2fAjUQPTelephone: 576o7— 0+' r2,) (07 Fax Number: I e-mail address: UY ValY�UY1C,��Im�� b��' �' COM Applicant (print name): u_ GLU 9i\g'nature: nKkUJAA2�I)� • 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 I 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❑ NoN3,-' 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- B SALON 1600 16 B SALON 3600 1B Group Definiti Business Use - Building or structure, or a portion thereof; used for office, professional or service -type transactions } including storage of records and acco urits.