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Home My WebLink About15262 Pipeline Ln - CofO (4)J� HUNTINGTON BEACH Business Business Business Business Business CERTIFICATE OF OCCUPANCY 0200 CITY OF HUNTINGTON BEACH — DEPT. OF BUILDING & SAFETY APPLICATION 714/536-5241 'S (3rd Floor - Must Apply In -Person) Date W0 i D1 Zip Code Telephone No. ( - _ " 6 Bus. Phone (V Property Owner Information (required) Tena t/Emer enc Contact (required) Name S Name Address S l� . Gtn (n^ Home Address 'Z L City f]W&L 14 State/Zip rA 15Z [aq_qCity Qi'"f1jAW_ State/Zip Z Telephone No. sn3- gstvG Telephone No. __ i �— ��— Co THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or oxisting Building CHECK ALL THAT APPLY: ❑ Change of Property Owner 8117ange of Occupant ❑Change of Use Jdditional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity turned on? Yes' No❑ Aaw_ WP Akl ■ Is the building sprinklered? YesY No❑ ■ Will operations produce dust/wood shavings or similar material? Yes❑ No[p/, ■ Will operations involve the repair or replacement of automobile pdr6 Yes❑ Nole(� If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? Yes El No ■ Will the bus' ess be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ❑ No IV ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental �zwarehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (d�e� rube process and end I°duct) C�Other (describe) c5` 16Z 69 1��fe V) a For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: 3 6 Bldg. Permit # Area: v� Occ Load: " Area: C610>?14 Occ Load: Area: Occ Load: No. of Stories: TIF Review: Y/ N Entitlement #: Zoning: Plnr Initials: Dater' l6 Plan Chkr Initials Date: Insp Initials: Date: q, "'OF"' LCI IV. W." South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-3529 • http:// www.agmd.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: t "°�.�-�(., (66dt OW- SSJ Lt--h 6A/ Property Address: �JZ p �'"Re taA�_V_ City: Zip Code: Contact Person: �-aY'Y IYIR S lYV1G� Title: �Q__ 1 S Type of Business:fN-Q tn'Ni1-��}`� Telephone:� Fax Number: .�� l e-mail address: KS�`l ooe Applicant (print name):i�l �w* gi�ature: w i dA , Ln, Date: • Will the facility have any of the following equipment? Yes ❑ No 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❑ Nom-l" 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- it 45" 12 tJ IF E L -TF =FV- E r X.'57 . EXIT E C r I . W-FER5 South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-3529 • http:// www.agmd.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: ��L K QS C'Ysr2u� vW Property Address: /52 2 p�o��.✓�"�� City: 17'-,Z3 Zip Code: d9z Contact Person: 6(A --�I5 Title: OWNER — Type of Business: CGGmG9AL. can► c►o2 Telephone: "7t4- 139 S2 ZZ Fax Number: e- it addjressisµ�^yA.con^ Applicant (print name).�l£. Signature: Date: • Will the facility have any of the following equipment? Yes ❑ Nlod Charbroiler Dry cleaning machine Spray booth Printing press (screen/lithographic/flexographic) Internal combustion engine greater than 50 BP (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). bA