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Home My WebLink About15313 Pipeline Ln - CofOCERTIFICATE OF OCCUPANCY 0201 - I Ot;_�;' CITY OF HUNTINGTON BEACH DEPT. OF PLANNING & BUILDING APPLICATION / 14/0JD-04 / 1 V9` (3'd Floor - Must Apply In Person) Business License # ,�R ` ✓ Date 22�312m Business Address = Fle�rr.tt I-Nr Zip Code �2�y Business Owners Name( J1n eCV Telephone No. Business Name 0 Bus. Phone �----- Business Type Property Owner Information (required) Tenant/Emergency Contact (required) Name tt,�Y ,n't� rl�r� Name _,SE�c7_xA NL-64,O Address Home Address ty�61 5i >01YV54-eAk ate.. City State/Zip City f4(6- State/Zip Telephone No. ` 75' -- 4510 Telephone No. O)L5 ) yi, , ^2IV % THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or CHECK ALL THAT APPLY: ❑ Change of Property Owner P Ch ■ Indicate former type of business L LAxisting Building of Occupant I"Change of Use ❑ Additional Occupant ■ Are you requesting that the electricity be turned on? Yes UNoP"' ■ Is the building sprinklered? Yes 6Ko ❑ ■ Will operations produce dust/wood shavings or similar material? YesONoe'�' ■ Will operations involve the repair or replacement of automobile parts Yes F�< ❑ If yes: Describe the components repaired or replaced. �jytzwr M ad-z. ■ Does the operation involve the use of welding or open ame? Yes Rgo ❑ ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ONo ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Restaurant/Take Out Food ❑ Warehouse/Manufacturing/Distribution (describe process and end product) P'Other (describe) tAu4o6!>4 S ")q Fs,- c>�6 c Pis_ S For Official Use Only Occ Group: 'rL, Area: 1504 Occ Load: Z Occ Group: Area: (Z Occ Load: 14 Occ Group: Area: Occ Load: _ Total Sq Ft Occupied: No. of Stories: TIF Review: Y/ Bldg. Permit #, Entitlement #: Zoning: L Plnr Initials: Date:2'jV11 Plan Chkr Initials. % Date: IInsp Initials: -01-^ Date: lL Conditions of Approval or 41 South Coast Air Quality Management District 21865 E. Copley Drive Diamond Bar, CA 91765-4182 (909) 396-3529 htpp://www.agmd.gov Air Quality Permit Checklist California Government Code 65850.2 prohibits cities from issuing a Certificate of Occupancy 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: (rj 3 I '� '� c,0 �` `�-�- Dr. City: (-4-1 Zip Code: Contact Person: (�b��t�-� ✓Vt-t� �9-p Title: Type of Business: J 'w Cam' Cctv'5 Telephone: Applicant: (print name) (C N1�� lJ Signature: - FjWill 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 50HP) (excluding motor vehicles) Boiler/combustion equipment (greater than 2 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge type dust filter/scrubber Motor fuel storage and dispensing equipment 0 Will any of the following operations be performed? Yes []No Application of paints or adhesives Etching, plating, casting, or melting of metals Molding and blending of liquids and/or powders Storage of acids, solvents, organic liquids or fuels Production of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke or strong odors Q If you answered "No" to both questions, this checklist is your clearance from AQMD. Q 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 (800) 388-2121.