HomeMy WebLinkAbout15272 Newsboy Cir - CofO (3)r • CERTIFICATE OF OCCUPANCY 020*-CCI�05
J� CITY OF HUNTINGTON BEACH -
DEPT. OF PLANNING & BUILDING APPLICATION
HUNTINGTON BEACH 714/536-5241 (3`d Floor— Must Apply In -Person)
Business License # L\a-7 q O4 I Date 2-17-5113
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Business Address /$2 7Z 1Ueft)s g6V L-rl e. o/E Zip Code '92L y
Business Owners Name B,ei/shy my ,Dge k4A6!!i" Telephone No. / ; 90 /
Business Name �5V6iUt 67',4GF 1-N0— Bus. Phone 71y
Business Type,er�/G�
Property Owner Information (required) Tenant/Emer enc Contact (required)
Name Name j
Address / froe) �� A, -IL, ct Home Addres 3/Y tffleev6sA lk /
City �kjyt-6 r4c),,� f 4 State/Zip �j Z� V City State/Zip Cf4- %o7s� 2-
Telephone No. 71Vi51V--8a37 Telephone No. 7 /,11 416.5 76- Z
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or $ Existing Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner ❑Change of Occupant ❑Change of Use WAdditional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? Yes El N6C
■ . Is the building sprinklered? Yes No❑
■ Will operations produce dust/wood shavings or similar material? Yes ❑ . Now
■ Will operations involve the repair or replacement of automobile parts Yes El No5C If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes El Nord'
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ONo 1<
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes ONoV
■ The following best describes my operation: Office Only ❑ Retail Sales ❑ Medical/Dental
0 Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food
(describe process and end product)
Other (describe)
For O ff cial Use Only
Occ Group: Area: 0, E 67 Occ Load: GO -7
Occ Group: ��' --i Area: Occ Load: �2
Occ Group: Area: Occ Load:
Total Sq Ft Occupied: No. of Stories: ! ZZ , TIF Review- Y/ N
Bldg. Permit # Entitlement #: Zoning:
Plnr Initialsi-VIILDate: 41110 Plan Chkr Initials:. Date: Insp Initials: Date: g
,i Conditions of Al
or Other Notes:
Inspection Date:
3/ 13- f M (/-S-
souttcoast
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: 6-d6-;;J-t
Property Address: /5Z 72- Ne056&Y G'nta/6
City: 17Z/Vf LJ6*0 Zip Code:
Contact Person: DaK�- "*41&5-
Type of Business: :j,ee-d/GS
9zG V?
Title:
Telephone: -74'/65
Fax Number: -l►q Z,5o i'Loj e- dress:Rx 04*lefvt* as
Applicant (print name): ,. Signature:h
Date: -6
• Will the facility have any of the following equipment? Yes ❑ No R
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[:] Non
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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