HomeMy WebLinkAbout15315 Pipeline Ln - CofO (6)CERTIFICATE OF OCCUPANCY 020L�'- t3 c:)
CITY OF HUNTINGTON BEACH —
DEPT. OF PLANNING & BUILDING APPLICATION
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Business Address 15315 Pipeline Lane
Business Owners Name Ralph J. Bill
Business Name Graphic Process Automation, DBA Sup -position
Business Type Light Assembly and Fiekeil-6a1ee• w{tp,.�j/r�,E.
(3rd Floor — The Applicant Must Apply In -Person)
Date 12-21-2015
Zip Code 92649
Telephone No. (714) 899-3020
Bus. Phone (714) 899-3020
Property Owner Information (required) Tenant/Emergency Contact (required)
NameWFl, LLC Name Ralph J. Bill
AddresS525 West Congress Street Home Address 3591 Aquarius Drive
CityPacific State/ZipMo City Huntington Beach State/Zip 92649
Telephone No. (636) 257-2171
Telephone No. (714) 899-3020
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or El Existing Building
IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ■❑No
CHECK ALL THAT APPLY:
❑ Change of Business Owner p Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business Empty
■ Are you requesting that the electricity be turned on? ❑■ Yes ❑ No
■ Will operations produce dust/wood shavings or similar material? ❑Yes ONo
■ Will operations involve the repair or replacement of automobile parts? ❑Yes ❑■ No If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? ❑ Yes ❑■ No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes N No
■othere las, or shelving exceeding 5feet 9 inches in height? ❑Yes ❑■No
best describes my oper do . ❑ Office Only N Retail Sales ❑Medical/Dental
Manufacturing/Distribution estaurant/Take-Out Food ❑Other
including bd/or fish bee cooked or fried onsite? ❑ Yes ❑■ No
ext question.
• Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes ❑ No
For Official Use Only `
Occ Group: r' 1
Occ Group:
Occ Group:
Total Sq Ft Occupied: cY0
Bldg. Permit #
Planning Initials: Date:i, 1-1- IS
Conditions of Approval or Other Notes:
Area: f 6- G" O
Area:
Area:
No. of Stories:
Entitlement #:
Occ Load: I
cel-
Occ Load:
Occ Load:
TIF Review:/ N
Zoning: I
Building Reviewed By Initials_ � ate: 12 �
Grease Interceptor Verified Inspected By Initials: Date:
South Coast
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: Graphic Process Automation
Property Address: 15315 Pipeline Lane
Citv: Huntington Beach
Zip Code: 92649
Contact Person: Ralph J. Bill Title: President
Type of Business: Assembly/Retail Telephone:714.899.3020
Fax Number: e-mail address: sup.position.com@gmail.com
Applicant (print name): Ralph J. Bill Signature: Date: 12-21-2015
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❑ Now
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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MANUFACTURING
1600
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Group Definiti
Factory industrial Moderate -hazard Use - Building or structute,'or a potion thereof, ;used for the assembling,
disassembling, fabricating, finishing; manufacturing, packaging, repair or processing operations which are not