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Home My WebLink About126 Main St - CofO (27)D 200%0/079 • Y� J� 1hY HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020O CITY OF HUNTINGTON BEACH — DEPT. OF BUILDING & SAFETY APPLICATION 714/536-5241 (3'd Floor — Must Apply In -Person) usiness License # A 2oGq 12 Date 31 a 1'-9 usiness Address ►zcfl S-r. OMIT tot Zip Code c12soy B usiness Owners Name Ara Pn, � Telephone No. -i ►y 37Lt • 2:5-i usiness Name �OpF 4Spoc=T. INC . '—ILlBus. Phone -Im 37ti • ez-kc(6 usiness Type IZI�7 A i t✓ ✓ Property Owner Information (required) Tenant/Emergency Contact (required) Name 7-E,no," ame Address 30t t `I rIA �5T, Home Address gOSO LA Eelephone City Fig . State/Zip C� c�Lt8 ity Fa�,N-r --% Vr��State/Zip CA 'tz�c)8 No. 11 `A �� tt�� elephone No. -J 14 8 213 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or [XExisting Building CHECK ALL THAT APPLY: 1-10 C, (iN-Nt� 'OF V5mEF ❑ Change of Property Owner ❑Change of Occupant ❑Change of Use ❑Additional Occupant ■ - Indicate former type of business ■ Are you requesting that the electricity be turned on? Yes 0 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 Yes NOD If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? Yes Q No ❑ ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ONO ❑ ■ The following best describes my operation: ❑ Office Only kRetail Sales ❑ Medical/Dental ❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (describe process and end product) ❑ Other (describe) For Official Use Only Occ Group: -1 Area: -3 Q04 Occ Load: 7- Occ Group: h'1 Area: tas:�oS — Occ Load: (;'-+- Occ Group: Area: Occ Load: Total Sq Ft Occupied: No. of Stories: Z TIF Review: Y Bldg. Permit # Entitlement #: Zoning: S QS ^ G?-_ Plnr Initials: Date:E6AO Plan Plan Chkr InitialsDate: A16n Insp Initials: Date: Conditions of Approval or Other Notes: /ate SiOLMAM4 if rx-J V S-E 1'>O"IFS Inspection Date: (G:BuildingAdmin/WebDocuments/Cer ificateofOccupancy) South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-3529 • http:// www.aqmd.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: VkuN-n t4cr orl &x2-F ANo ART Property Address: ► -(o ' `Aa`' Srp�Oi 1 a '- G" City: HV, • Zip Code: ` zc-,,iF3 Contact Person: Marv, Type of Business: f-E,�,i� Fax Number: 1 iy 19,75-o -SAS Applicant (print name): Y-Skl ABz-_rrEr_ Signature: Date: Title: C-N- Telephone: ' 7H - 3714 - 2-37 3 e-mail address: ei- hC1nSA ' �'�"� 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❑ Nom 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- Revised June 2005 HUNTINGTON BEACH FIRE DEPARTMENT HAZARDOUS MATERIALS DISCLOSURE OFFICE 2000 MAIN STREET • HUNTINGTON BEACH, CA 92648 (714) 536-5676 • FAX (714) 374-1551 HAZARDOUS MATERIALS DISCLOSURE INFORMATION MANDATORY REPLY REOUIRED;PRIOR TO ISSUANCE OF BUSINESS LICENSE ;.Complete and return to the Business License Division PLEASE PRINT RD#: Business Name: VAvNn t%kaTbN S-1 r +GMA -T, WC • Phone: -714 - 37H - 2-3-7 Business Address: Imo' t" AIN $T . 'a l01 gZtPC1 ?2 Number Street Unit Zip Code Owner/Manager: AAOot-A PPDate Business Will Start Operation: Description of Business: California's emergency response network requires all businesses to notify their local emergency response agency if they store or use hazardous materials above certain threshold quantities. In the City of Huntington Beach, the emergency response agency is the Fire Department, and the method of notification is by filing a Hazardous Materials Disclosure Package with the Fire Department's Hazardous Materials Disclosure Program office. Types of hazardous materials that must be disclosed include: oils, solvents, paints and coating materials, gases (compressed or cryogenic), fuels, and hazardous wastes. You are required to submit a Hazardous Materials Disclosure Package if you store or use hazardous materials in quantities equal to or greater than the following amounts: ➢ 500 pounds of a hazardous solid ➢ 55 gallons of a hazardous liquid ➢ 200 cubic feet of a gas (or the compressed or liquefied equivalent) ➢ Extremely hazardous materials that exceed the threshold amounts listed in 40 CFR 355 Appendix A ➢ Radioactive materials that exceed the amounts listed in 10 CFR sections 30, 40 or 70 ➢ Hazardous wastes that exceed any of the thresholds amounts listed above ➢ Other materials determined to pose a significant hazard to human health and safety, or the environment Disclosure is NOT required for the following types of hazardous materials: ➢ When contained in a food, drug, cosmetic or tobacco product. ➢ When packaged for direct distribution to consumers (retail products). ➢ When the materials are stored, used, or handled at a facility for less than 30 days. ➢ Infectious waste generated by health care facilities. Please indicate which category most appropriately describes your business: 10 No hazardous materials are, or will be, used, handled or stored at the above location. ❑ Hazardous materials are present, but in quantities less that the amounts listed above. ❑ Hazardous materials are used, handled, and/or stored at or above the amounts listed above. A Fire Department representative will contact you at a later date to verify the above information and determine if you need to file a Hazardous Materials Disclosure Package. If you have any questions about the Hazardous Materials Disclosure Program, please call (714) 536-5469 or (714) 536-5676. You can also obtain additional information on the City's website at www.surfcity-hb.org in the Fire Department page under the section Fire Prevention. I certify, under the penalty of perjury, that the above information is true and correct to the best of my knowledge. Signature: Home Phone: 7I tI - 579 • Z52S Date: 3 3 d`1_ -3-