Loading...
HomeMy WebLinkAbout121 Main St - CofO (10)• JJ HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020jo - 7 ;3 3 CITY OF HUNTINGTON BEACH - DEPT. OF PLANNING & BUILDING APPLICATION 714/536-5241 (3`d Floor — Must Apply In -Person) Business License # zu :;� 6 S— /6 Date /12-- / /o Business Address Z� // 1 7A„t) S� . Zip Code ?a Y� Business Owners Name Gass Telephone No. Business Name T� C�©� r'� r'A ,,���av,� cc swor Bus. Phone Business Type Property Owner Information (required) Tenant/Emergency Contact (required) Name ` Pry"5ge L)lzAae'd` . Name ,4446;,9r 9, 0 7 Address oZ j Pec o r\ Home Address /.) ( City _State/Zip & City /7/ State/Zip �,6Z 6 yd'7 Telephone No. �/q — G �� / `� , Telephone No. -P-!q— THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building CHECK ALL THAT APPLY: Change of Property Owner �,r.Change oOc'cu^p,nt ❑Change of Use ❑Additional Occupant ■ Indicate former type of business K 9-MY ■ Are you requesting that the electricity be turned on? Yes❑, _ Ne ■ Is the building sprinklered? Yes3� No❑ ■ Will operations produce dust/wood shavings or similar material? Yes❑ ■ Will operations involve the repair or replacement of automobile parts YesL components repaired or replaced. ■ Does the operation involve the use of welding or open flame? Yesu Noo ■ Will the business be a drinking, dining or assembly use with an occupan Yes [I - Ne' if yes: Describe the of more than 50 persons? ■ The folio ing best describes my operation: ❑ Office Only etail Sales F� Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (describe process and end product) Other (describe) For Official Use Onl P , Medical/Dental Occ Group: Area: �Z; J:' -, Occ Load: 7 731 Occ Group: Area: Occ Load Occ Group: Area: Occ Load: Total Sq Ft Occupied: ✓�� No. of Stories: TIF Review: Y/ N Bldg. Permit # Entitlement #: Zoning: C:::_? CS - ('Z Pinr Initial/Os Date �a Plan Chkr Initials: ,.��.-Rate: �7 O Insp Initials: L Date: k2 71�it0 Conditions of Approval or Other Notes: Inspection Date: South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-3529 a, 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: Cjg�C �c� y « Property Address: / 2 ( ' s"4 , City: OJ /3 1 Zip Code: Contact Person: Type of Business: Fax Number: Applicant (print name): Signature: Date: Title: Telephone: e-mail address: Will the facility have any of the following equipment? Yes ❑ N 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 I 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❑ N� 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-