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HomeMy WebLinkAbout126 Main St - CofO (10)y y� t ✓ r•0 JJ HUNTINGTON BEACH Business License CERTIFICATE OF OCCUPANCY U200 S 3 CITY OF HUNTINGTON BEACH DEPT. OF BUILDING & SAFETY APPLICATION 714/536-5241 2l:l (3`a Floor — Must Apply In -Person) Business Address tV-P MAA.19 '51' W102 Business Owners Name F'01a 2 A SC. r_hv )PC. Business Name 'MC SCADOe C>1-4 C6(n iGi L1-5 Business Type iC is C , Ga�1r-�i Z:5 ; Ceti y_ Date 0 S/0 dJ Zip Code qZ 40 4 q Telephone No. `1W- 2t4 -1 1P Bus. Phone Proi)ertv Owner Information (required) Tenant[Emer2enev Contact (required) Name Z t;5 Q epLT l tE;S Name y, Address Jrb� �i) "--6A Hom Address Ob � wn �3 City M1s�jt ,)y 1 e-3 z> state/Zip lk q uq 2 City State/Zip &k U $bZ Telephone No. �� 1 �� �-C'7�� Telephone No. �i �� aik— Q)L THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or )Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner N(Qhange of Occupant ❑Change of Use ❑Additional Occupant ■ Indicate former type of business 0&ta't i ■ Are you requesting that the electricity be turned on? Yes; No ■ Is the building sprinklered? YesX . No❑ ■ Will operations produce dust/wood shavings or similar material? Yes NOA ■ Will operations involve the repair or replacement of automobile parts Yes Nok If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? Yes Q Nod;, ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes []No' ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse /Manufacturing/Distribution %Restaurant/Take Out Food (describe process and end product) ❑ Other (describe) i For Of1icial Use Only Occ Group:— Occ Group: Occ Group: Total Sq Ft Occupied: 3 Z Bldg. Permit # Occ Load: Occ Load: Occ Load: TIF Review: Y/ N Zoning: 5 — G 2._ Plnr Initials: Dater Plan Chkr Initials: Date: l i Insp Initials: G Date: Conditions of Approval or Other Notes: Area: 37 y Area: Area: No. of Stories: Entitlement #: Inspection Date: to �L 0 (G:BuildingAdmin/WebDocuments/CertificateofOccupancy) 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: C.<.(fQ4,j1 6" Gczx�>Q, tNc-, Property Address: 12 -o N 'S-' 102- City: �U"Imo, Zip Code: q S& Contact Person: &J.uTAS Ox Title: 0-101 - n Type of Business: . 0(:�O Y-AUJ , L924L 6X.;�i�pc Telephone: Fax Number: {Lj 62, �; - 7624- a,,4ail address: 01WA S l t Applicant (print name): Signature: l%G i�►S ~�'�'� Date: • Will the facility have any of the following equipment? Yes ❑ No 1�(I 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- Revised June 2005 anllcol� N bered qs vWk ii MEN 440 cftarw Ivaco vowin, At OMEMMIAMMA "I Ar*a PWO Som Room Ckmi Raffa Me d "Not i in 0awasi ]CH.M02 4�2 Is M, I a Ptep*,tww'Cmhier' 515' 3N 0411 Ri, orop IQ., 215- 13M CL72 A, amvwm 107, 100 0-64, &I'mout I CIS ol 3w 04M NO '617 lea Q-67 Tom olocup WON, "prm � Am Almmad and hm $*Idarrs. Tho wd-ro buming, Is prok-tivd byrw aminmak