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HomeMy WebLinkAbout15272 Jason Cir - CofO (2)J� HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 02010 - Z CITY OF HUNTINGTON BEACH — DEPT. OF PLANNING & BUILDING APPLICATION 714/536-5241 Business License # 4 1 Business Address /S� Business Owners Name Business Name SfFFi Business Type >a (3rd Floor — Must Apply In -Person) Date z% Zip Code Telephone No. 7/y�3D - 7,ZOD Bus. Phone '�/ y 3o-7a PropertyPropeqy Owner Information (required) Tenant/Emergency Contact (required) Name �%cC/�/V Name CD/L `ILA' I� Yfi� Address Sa V /3� Home . dress 5S City G F7Uk State/Zip 9 Cityzz k1l j `State/Zip C,¢ Telephone No..310- 3a 7 - g3 � y Telephone No. 3I0 - /�/-�( / 7 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or ,R Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner Xhange of Occupant ❑Change of Use ❑Additional Occupant ■ Indicate former type of business Lsf�Cfi� ��Pa� OG�/L°� w/� ■ Are you requesting that the electricity be turned on? YesQ No ■ Is the building sprinklered? Yes No❑ ■ Will operations produce dust/wood shavings or similar material? Yes❑ ' No)( ■ Will operations involve the repair or replacement of automobile parts YesO No// If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? YesQ Nok ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ONO X ■ The following best describes my operation: ❑ Retail Sales ❑ Medical/Dental /Manufacturing/Distribution ❑ Restaurant/Take Out Food >"�-"Varehouse scribe process and end product) Other (describe) 1219 M1 For Official Use Only ZJt���° Occ Group: Area: Occ Load: 4 Z Occ Group: Area: 1 �-Rq 5 SF Occ Load: 0 . Occ Group: Area: T Occ Load: Total Sq Ft Occupied: No. of Stories: TIF Review: Y/ N Bldg. Permit # Entitlement #: Zoning: / /- Plnr Initials:"ate Plan Chkr Initials: Date: Insp Initials: M W Date: 41t 5 1 �- Conditions of Approval or Other Notes: Inspection Date: X7 U 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: S'V?,�rr ho-0 Tx-" / Property Address: 1S6� 7,� all City: Zip Code: Contact Person: Title: Type of Business: 5 F'/CE��D�VD IthV/?1�1 8 '/Telephone: 1 M,0 %JVO Fax Number: % e-mail address: Co1eediw7es; o, Con, Applicant (print name)V1.gna ure: 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❑ No 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- ` S-1 WAREHOUSE 20676 42 S-1 -: WAREHOUSE - r 20676 -' -• - 42 ' B OFFICE 17995 180 Group Definibo - I Moderate -hazard Storage Use - Building or structure, or a portion thereof, occupied for storage uses that are not classified as Group S-2. - - � -.... r ,Type - Name field must be blank to addlchange Contractor. Designer or Engineer Same As L i Property Owner Contactor Designer l Engineer Montle Phone ( ) - Property Owner Business Owner Name HAGOP ENT LLC Pager' - [ Tenant Company State License Type Address 1522 W 134TH ST Self Insured / Non -Employer? ..City/ State _/Zip'GARDENA CA 90249 _ p OvemdeCor7 or ExprationDates? Email Phone (310) 327-8389 x Fax Date Overridden Overridden By