The URL can be used to link to this page

Home My WebLink About15061 Edwards St - CofO (10)•_441a MI-tJ mbb;M ffwtnNGrOr+ �� Business Business Business Business CERTIFICATE OF OCCUPANCY 020D - CITY OF HUNTINGTON BEACH - DEPT. OF PLANNING & BUILDING APPLICATION (3rd Floor— The Applicant Must Apply In -Person) Date Zip Code Telephone No. n rrr ��L� Bus. Phone , I l Property Owner Informatio (re wired Tenant/Emer enc Contact (re uired) Name Name Address Home Add ess City State/Zip City State/Zip Telephone J%� a�t�Telephone No. 2 i THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or ❑ Exis ing Building IS THIS BUILDING FIRE SPRINKLERED? GYYes Mo 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 PLNo ■ Will operations produce dust/wood shavings or similar material? ®Yes Mo ■ Will operations involve the repair or replacement of automobile parts? ®Yes [$No If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ® Yes ONo ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? 13 Yes At No ■ Will there be storage racks, gondolas, or shelvi g exceeding 5feet 9 inches in height? ®Yes &No ■ The following best describes my operation: ,lOffice Only ❑ Retail Sales ❑Medical/Dental ❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑Other ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? C] Yes E1LNo If you 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 ® No For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials:_DDate: u 22 •0 Area: Area: Area: No. of Stories: Entitlement #: Occ Load: Occ Load: Occ Load: TIF : r ,YIN Zoning: Building Reviewed By Initials: Date: Conditions of Approval or Other Notes: 6f9 cE "P C3FFie-F, ey t1 g 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.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: OVK— T(4 q 1�!M- Property Address: ISW &k'e" � L. City: A.Zip Code: 9 Contact Person: _Title: 6,44&t Type of Busi. Fax Number: Applicant (pr Will the fi Charbrorler 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? YesC] Noll 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- 13-419q HUNTINGTON BEACH FIRE DEPARTMENT � HAZARDOUS MATERIALS DISCLOSURE OFFICE 2000 MAIN STREET - HUNTINGTON BEACH, CA 92648 VldhwF (714) 536-5676 - FAX (714) 374-1551 HAZARDOUS MATERIALS DISCLOSURE INFORMATION MANDATORY REPLY REQUIRED PRIOR TO ISSUANCE OF BUSINESS LICENSE Complete and return to the Business License Division Business Name: V1 r Phone: Business Address:LA—alk— N tuber Street Unit zip C0�/ 4q ode Owner/Manager: /i Date iness Will Start Operation: Description of Business: The Hazardous Materials Disclosure Program (California Health and Safety Code, Section 25500-25519), was established to provide local emergency responders with information that can assist in responding to an emergency incident involving a hazardous material. Businesses subject to hazardous material disclosure must electronically report the type, quantity, and procedures used to control hazardous materials they use in their daily operations. If your business has or uses hazardous materials equal to threshold you must electronically file a hazardous material disclosure. Typical thresholds are 55-gallons for liquids, 500 pounds for solids, and 200 cubic feet for gases, with exemptions in some specific areas. Retail products do not apply to thresholds. Answer the following questions: YES NO My business has 55 gallons or more of a liquid hazardous material or hazardous waste. ❑ This is based on largest container size or cumulative of smaller containers (e.g., Eleven (11) 5-gallon containers of the same material). You may answer NO if the only material you have is virgin lubricating oil and you do not exceed five (5) drums (275 gallons), one drum per type of oil (e.g., various grades, ATF, etc.). If you generate used oil into a 55 gallon drum or larger, you must answer YES). My business has compressed gas (or liquid/cryogenic equivalent) of 200 cubic feet or ❑ more (e.g., carbon dioxide, oxygen, propane). You may answer NO if you are a medical, dental, or veterinarian office and you store no more than 1,000 cubic feet of each nitrous oxide, nitrogen, or oxygen. You must answer YES if you are a food establishment and have carbonated beverage system with 1,000 cubic feet (13.5 gallons) of carbon dioxide in gas or liquid form. My business has inert compressed gas (e.g., argon, nitrogen, helium) of 1,000 cubic feet ❑ or more. My business has 500 pounds or more of a solid hazardous material or hazardous waste. ❑ F��t My business has extremely hazardous material or radioactive material in quantities that ❑ exceed threshold amounts listed in 40 CFR 355 or a hazardous material that could potentially pose a significant hazard to human health and safety, or the environment. By selecting YES for one or more of the above responses, hazardous material disclosure is required. See reverse for additional information. I certify, unde �e en of perjury, that the above information is true and correct to the best of my knowledge. Signature: Titlew! �� Date: r) v