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