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Home My WebLink About126 Main St - CofO• HUNTINGTON BEACH Business Add CERTIFICATE OF OCCUPANCY 020 J- CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION 6 Mfit' ly s +. -4 l0 \ J Business Owners Name rl tie �1 �2 i (` � c� � Business Name 'T1-iE iLOLL Business Type Tc- c_cz�J�M (3rd Floor — The Applicant Must Apply In -Person) ZIV,BDate Zip Code Telephone No. Bus. Phone Property Owner Information (required) Tenant/Emergency Contact (required) Name � � r) Name Merin SN k1 Address S 4-\n Home Address \ S S City State/Zip C^- ci Z6L{?? City ?—Wc OQ- C . State/Zip Telephone No. =�S R ® Telephone No. '32 3 Sco 66 G9 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building IS THIS BUILDING FIRE SPRINKLERED? es ❑ No CHECK A THAT APPLY: C01 hange of Business Owner ange of Occupant ❑ Change of Use ❑Additional Occupant • Indicate former type of business • Are you requesting that the electricity be turned on? ❑Yes ❑ No � • Will operations produce dust/wood shavings or similar material? El Yes t No� • Will operations involve the repair or replacement of automobile parts? []Yeso If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes EFNo • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 pe`rson El Yes �o • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches ' height? ❑Yes lo • The following best describes my operation: �❑ 9ffice Only NER"Retail Sales ElMedical/Dental El Ware house/M an ufactu ri ng/D istri b uti on L Restaurant/Take-Out Food ❑ Other • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes V.P o If you answered yes, please pr- Geed to the next question. • Does your facility current) rave a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes o Grease Interceptor Verified Inspected By Initials: Date: For Official Use On/y Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning InitialsN a, —Date . Area: Area: Area: No. of Stories: Entitlement #: Use Permitted: DY N Conditions of Approval or Other Notes:,�— Occ Load: Occ Load: Occ Load: TIF Review: Y/ N Zoning :�>T �_ Parking Meets Code (for use): (9/ N Building Reviewed By Initials: Date: South Coast Air Quality Management District ` 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 http://www.agmd.gov Qn 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: Property Address:_ MA-' NJ City: I \_1 - :�� Zip Code: O�2 61 g Contact Person: '�� Uc'L f'2A__1\ Title: C-) rVC (' Type of Business: 54ce CCYr.'y-" Telephone: 2 c) c) Fax Number: E-mail Address: '-i- tJ C . �� s : nc ss @ �� ''c� Applicant (print name): Aa s A Ue 2 kra �" Signature: Date: o 1. Will the facility release air pollutants, including bu , not lilpited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes 2. Will the facility result o el -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes 4. Will the facility have use of above or underground storage tank? ❑Ye No 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yestmo 6. Will the facility result in the use of the equipment listed below? ❑Yes uxo (Select all that apply) ❑Abrasive Blasting Cabinet/Room ❑Air Conditioning System (containing > 50 Ibs of refrigerant) ❑Application of Paints/Adhesive/Resins ❑Baghouse/Dust Collector ❑Bakery Oven (gas fired) ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ❑Charbroiler/Smoker ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) ❑Mixing/Blending of Liquids and/or Powders ❑Molding /Extruding/Curing of Plastic ❑ Pharmaceutical/Nutraceutical ❑Plasma/Laser Cutter ❑ Printing/Coating/Drying Production of Fumes/Dust/Smoke/Odors ❑Coffee Roaster/Afterbunner ❑Refrigeration Systems (containing > 50 Ibs of refrigeration ❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven ❑Dry Cleaning Equipment ❑Electrostatic Precipitator ❑Fermentation ❑Gasoline Storage & Dispensing Equipment ❑Spray Booth ❑Storage of Acids/Solvents/Organics Liquids/Fuels ❑Storage Silos (sugar, flour, etc.) If you answered "No" to any of the above questions and your facility will not have the following equipment listed, 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). H� HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 �- CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor - Business Address /�6 t h f n � 5u i �0 I ' r�1n �Dfl bQ Business Owners Name j ud 4 V11 lab 1M cow Business Name_ t.Ir lyNidonJ5 Business Type Tool The Applicant Must Apply In -Person) mil/ Date 3 l3 ,2o g Zip Code q�'f 5-b Telephone No. /y-56 l+ Bus. Phone Prooerty Owner Information (required) Tenant/Ememency Contact (required) Name_ CDQ5fhr,e Wesf ll t Name Orlando -rbbar Address"2)35A Si. e Home Address 63)), bonfile.- lo& City 4 ion �e6A State/Zip q24 (2 Ciry ( f\b State/Zip gt26Qe - Telephone No. ��y' 6S�gq�d Telephone) o. THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No CHECK ALL THAT APPLY: ' ❑ Change of Business Owner Change of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business e Are you requesting that the electricity be turned on? ❑Yes -2No • Will operations produce dust/wood shavings or similar material? ❑ Yes ,B'No e Will operations involve the repair or replacement of automobile parts? []Yes R No If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes Z' No e Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? [IYes pf No e Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? []Yes eNo • The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse/Manufacturing/Distribution ORestaurant/Take-Out Food ❑ Other • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? [:]Yes eNo If you answered yes, please proceed to the next question. e Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)? Check one: ,Yes ❑No Grease Interceptor Verified For Official Use Oni Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: 790y— Bldg. Permit # Planning Initials:�Date:?J 3 Inspected By Initials: Date: Area: Area: Area: No. of Stories: Entitlement #: Occ Load: 172 Occ Load: Occ Load: TIF Revie : Y/ N Zoning: 5 ` CZ Use Permitted: Y / N Parking Meets Code (for use): Y / N Building Reviewed By Initials:*—Date:Tl �g Conditions of Approval or Other Notes: -P-AM61M V SS 4AA1. 17 r'-4-1 �