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Home My WebLink About15039 Goldenwest St - CofO (6)714/536-5271 Business License # Business Address Business Owners Name Business Name -i+"k Business Type 14M� CERTIFICATE OF OCCUPANCY 020_ 2 - 06Z 2 2 CITY OF HUNTINGTON BEACH DEPT. OF PLANNING & BUILDING APPLICATION (3rd loor - Must Apply In -Person) DatehllwIZ _ -7 Zip Code 4W.., U -1 rou 5011 Telephone No. -71� F 4S I Bus. Phone 11 Q43�t f00 Property Owner Informati6n (required) Tenant/Emergency Contact ( equired) Name iB P - Name m i nlftN,4i , t l�eu i �l Address=(,zi iir Home Address PA -ME 1'4 1w City State/Zip Cft I City y\J)xir4iiJ� State/ZipC cjLG 3 Telephone No. Telephone No. %) y 0,3 Ci THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner x Change of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business AM 13 i IR7V W iiP rain,/ CiL-7J7EYK • Are you requesting that the electricity be turned in? Yewoll • Is the building sprinklered? Yes ❑Noy • Will operations produce dust/wood shavings or similar material? YesONOY • Will operations involve the repair or replacement of automobile parts Yes ONo y 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? Yes ONO L • The following best describes my operation: ❑ Office Only ❑ Retail Sales VMedical/Dental ❑ Restaurant/Take Out Food ❑ Warehouse /Manufacturing/Distribution (describe process and end product) ❑ Other (describe) For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Area: 15 Igo C, Occ Load:(t) Area: Occ Load Area: Occ Load TIF Review: Y/ N Zoning: i Plnr Initials: DateAllellZ Plan Chkr Initial Date -Ij ILP10—Insp Initials: Date: 1 L Conditions of Approval or Other Notes: 3k Inspection Date: Y No. of Stories: Entitlement #: South Coast Air Quality Management District 21865 E. Copley Drive Diamond Bar, CA 91765-4182 (909) 396-3529 htpp://www.agmd.gov Air 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 (AQMD). Company Name: Nh /1.I1-1jz--i-oN T—biGt - 1 (C3 i cn i ! IY<Tt C Property Address: 150 2-q GO /aaj j s t 5 -f— City: ihAj1 a1Vj tCed— Zip Code: C- 2�([ Contact Person: Title: 4Pt i 4)iSixdmk Type of Business: '�t4 a j L46L, Telephone: O —7k L. j _7 k jLt Applicant: (print name) Signature: TVk �'06rou 8etf-» SJRGiMl vtrils II C_ Will the facility have any of the following equipment? Yes ONo Charbroiler Dry cleaning machine Spray Booth Printing Press (screen/lithographic/flexographic) Internal combustion engine (greater than 50HP) (excluding motor vehicles) Boiler/combustion equipment (greater than 2 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge type dust filter/scrubber Motor fuel storage and dispensing equipment Q Will any of the following operations be performed? Yes QNO Application of paints or adhesives Etching, plating, casting, or melting of metals Molding and blending of liquids and/or powders Storage of acids, solvents, organic liquids or fuels Production of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke or strong odors OIf you answered "No" to both questions, this checklist is your clearance from AQMD. q 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 (800) 388-2121. 714/536-5271 Business License # Business Address Business Owners Name Business Name -i+"k Business Type 14M� CERTIFICATE OF OCCUPANCY 020_ 2 - 06Z 2 2 CITY OF HUNTINGTON BEACH DEPT. OF PLANNING & BUILDING APPLICATION (3rd loor - Must Apply In -Person) DatehllwIZ _ -7 Zip Code 4W.., U -1 rou 5011 Telephone No. -71� F 4S I Bus. Phone 11 Q43�t f00 Property Owner Informati6n (required) Tenant/Emergency Contact ( equired) Name iB P - Name m i nlftN,4i , t l�eu i �l Address=(,zi iir Home Address PA -ME 1'4 1w City State/Zip Cft I City y\J)xir4iiJ� State/ZipC cjLG 3 Telephone No. Telephone No. %) y 0,3 Ci THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner x Change of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business AM 13 i IR7V W iiP rain,/ CiL-7J7EYK • Are you requesting that the electricity be turned in? Yewoll • Is the building sprinklered? Yes ❑Noy • Will operations produce dust/wood shavings or similar material? YesONOY • Will operations involve the repair or replacement of automobile parts Yes ONo y 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? Yes ONO L • The following best describes my operation: ❑ Office Only ❑ Retail Sales VMedical/Dental ❑ Restaurant/Take Out Food ❑ Warehouse /Manufacturing/Distribution (describe process and end product) ❑ Other (describe) For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Area: 15 Igo C, Occ Load:(t) Area: Occ Load Area: Occ Load TIF Review: Y/ N Zoning: i Plnr Initials: DateAllellZ Plan Chkr Initial Date -Ij ILP10—Insp Initials: Date: 1 L Conditions of Approval or Other Notes: 3k Inspection Date: Y No. of Stories: Entitlement #: South Coast Air Quality Management District 21865 E. Copley Drive Diamond Bar, CA 91765-4182 (909) 396-3529 htpp://www.agmd.gov Air 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 (AQMD). Company Name: Nh /1.I1-1jz--i-oN T—biGt - 1 (C3 i cn i ! IY<Tt C Property Address: 150 2-q GO /aaj j s t 5 -f— City: ihAj1 a1Vj tCed— Zip Code: C- 2�([ Contact Person: Title: 4Pt i 4)iSixdmk Type of Business: '�t4 a j L46L, Telephone: O —7k L. j _7 k jLt Applicant: (print name) Signature: TVk �'06rou 8etf-» SJRGiMl vtrils II C_ Will the facility have any of the following equipment? Yes ONo Charbroiler Dry cleaning machine Spray Booth Printing Press (screen/lithographic/flexographic) Internal combustion engine (greater than 50HP) (excluding motor vehicles) Boiler/combustion equipment (greater than 2 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge type dust filter/scrubber Motor fuel storage and dispensing equipment Q Will any of the following operations be performed? Yes QNO Application of paints or adhesives Etching, plating, casting, or melting of metals Molding and blending of liquids and/or powders Storage of acids, solvents, organic liquids or fuels Production of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke or strong odors OIf you answered "No" to both questions, this checklist is your clearance from AQMD. q 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 (800) 388-2121.