HomeMy WebLinkAbout101 Main St - CofO (83)J
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HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 -
CITY OF HUNTINGTON BEACH -
DEPT. OF PLANNING & BUILDING APPLICATION
714/536-5241
(3'd Floor — Must Apply In -Person)
Business License # A25 1 Date 12 f I LI/ 11.
Business Address ► ' I r l 'vi -,56. .4- Zip Code q 2U Q 8
Business Owners Name TNp. r)E60 A-vrteyiQ0,5r LLC Telephone No. -114- g(PI-521)
Business Name�nnocean V1/aa✓1dwi_,lE' ,4�rrwj��S PLC. Bus. Phone -714/-?tpl- S 2
Business Type adVzy-{73i61 aA�l2�cr
Property Owner Information (required) Tenant/Emergency Contact (required)
Name b ir-/ u4-i 1�ir-lov f- Co . ,LLC Name iei&iP✓ �Awj ���
Address -715-11T Rn Holds rJr�ic Home Address 345- �5+. 4-1-8,3
CityBrachState/Zip 920 Lh City -Tull State/Zip 92-j86
Telephone No. -71 of - 53b - &a a --I— Telephone No. `71y- ` SSIL / - `� 2l /
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or YExisting Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner change of Occupant []Change of Use ❑ Additional Occupant
■ Indicate former type of business Y►/w
■ Are you requesting that the electricity be turned on? Yes 0 No ❑
■ Is the building sprinklered? Yew No ❑
■ Will operations produce dust/wood shavings or similar material? Yes ❑ Ne
■ Will operations involve the repair or replacement of automobile parts Yes Nop If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes o Np�4-
■ Will the business be a drinking, dining or assembly use with an occupant,load of more than 50 persons?
Yes QNoV
■ Will there be storage racks, gondolas, or shelvi g exceeding 5feet 9 inches in height? Yes ONo i�-
■ The following best describes my operation: rOffice Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food
(describe process and end product)
Other (describe)
For Official Use On Q u3U
Occ Group: Area:
Occ Group: Area:
Occ Group: Area:
Total SqXccupied� 4 'No. of Stories:
Bld ermit # En ' ement #:
Occ Load: a
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning: s5a S _1�171_
Plnr Initials: 'Datel4 4.Plan Chkr Initia Dater �aInsp Initials: Date: 415'kx-
Conditions of Approval or Other Notes:
Inspection Date:
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
ar (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: Tnn0c_-6{o VV,0✓Idvvidr=7-Arnr--✓iC'as, LL C
Property Address: /6/ x4oin 6+ *-- 340
City: 7 Pa Ch Zip Code: 612045
Contact Person: r'` /'a/KP7 , of f 'GE hdGlniep— Title:
Type of Business: act V-Y*5 0, cJ Telephone: -VyL B of - 6 211
Fax Number: —7114 _ gtp1,,533 - e-mail address: eieat-4 reZIO
inv►oc.�a✓l am�°v%cr,�s toy
Applicant (print name): Signature:
miry
Date: /a/lU/ l
® Will the facility have any of the following equipment? Yes ❑ No
Charbroiler V
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❑ Nii
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).
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