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Home My WebLink About15319 Pipeline Ln - CofO (3)F r • Jj HUNTINGTON BEACh Business Addr, Business Own( Business Nam( Business Type CERTIFICATE OF OCCUPANCY 020_L- `'I 101 CITY OF HUNTINGTON BEACH - DEPT. OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor — The Applicant Must Apply In -Person) Date Zee I G Zip Code LG Telephone No. ?t y 3 Lbt o?, Bus. Phone Q_A_� Property Owner Information (required) Tenant/Emergency Contact (required) Name L Name Lr-. w S o +,, Address Home Address 5 S City C , �, c tate/Zip. !t &3yto5 City Yam, (-, c State/Zip rev &30 (oqj Telephone No. 4 5 (. 2 t�1- 2 L0 U Telephone No. Cc (o — -2 04D THIS USE WOULD BE DESCRIBED AS: [Newly Constructed Building or IS Existing Building IS THIS BUILDING FIRE SPRINKLERED? eyes ONo CHECK ALL THAT APPLY: e Change of Business Owner (.CX nge of Occupant OChange of Use Additional Occupant ■ Indicate former type of business " B.- 0.: j ■ Are you requesting that the electricity be turned on? $DYes O No ■ Will operations produce dust/wood shavings or similar material? @Yes ONO ■ Will operations involve the repair or replacement of automobile part? &Yes ONO If yes: Describe the components repaired or replaced. Inc C,, An'r 4 ■ Does the operation involve the use of welding or open flame? O Yes 45 No ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? QYes (�No ■ WiIl there be storage racks, gondolas, or shelving exceeding 5fect 9 inches in height? QYes trio ■ The following best describes my operation: OOffice Only ORetail Sales OMedical/Dental Warehouse /Manufacturing/Distribution ORestaurant/Take-Out Food 00ther dv & p tj ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? Oyes Q),No If you answered yes, please proceed to the next question. • Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)? Check one: ()Yes 6No For Official Use Only 1 Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning InitialsdL Date: I [(p Conditions of Approval or Other Notes: Area: ` _l q o Area: Area: No. of Stories: Entitlement #: Occ Load: 3 Occ Load: 21 Occ Load: TIF Review: Y/ N Zoning: V I Building Reviewed By Initiaal LI-L-13 1 � 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 airqualityagency. This.checklist will determine if you need to obtain clearance from the South Coast Air Quality Management District (AQMD). Company Name: Property Address: City: If Contact Person: Title: 01 Zip Code: 2 Type of Business: _Telephone:► H/ y u Fax Number: e-mail address: ►ram Applicant (print name): J?!l �� Signat ur r— Date:l?�l� • Will the facility have any of the following equipment? es ,IN No ❑ Charbroiler Dry cleaning machine Spray booth ,,Oc-- :Printingpress (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 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- ffifflSouth Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4178 6 ` p [ (909) 396-2000 - www.agmd.gov Ol Clearance Letter May 31, 2016 CITY OF HUNTINGTON BEACH, COUNTY OF ORANGE BUILDING AND SAFETY DEPARTMENT SUBJECT: Building Permitting under California State Government Code 65850.2 This is to confirm that the facility listed below has met or is meeting the requirements of Section 42303 of the Health and Safety Code and the South Coast Air Quality Management District (SCAQMD), as of the above date, by fulfilling one of the following: X Applicant has permit(s) from the SCAQMD Applicant has filed for permit(s) with the SCAQMD* Applicant is exempt from permit requirements Applicant has complied with filing requirements of Rule 222 *Thu Clearance Letter is not a Permit to Construct/Operate. EQUIPMENT: One (1) Spray booth. FACILITY NAME & LOCATION: GRUMPY'S METAL INC 15319 Pipeline Ave Huntington Beach, CA 92649 Sincerely, ava Nannea Cox Air Quality Engineer II Small Business Assistance Office (909) 396-3025 heox@aqmd.gov Cleaning the air that we breathe...'