HomeMy WebLinkAbout15052 Springdale St - CofO (15)\I
ra
714/536-5271
Business License #
CERTIFICATE OF OCCUPANCY 020 iz. - 4 IvS
CITY OF HUNTINGTON
DEPT. OF PLANNING & BUILDING APPLICATION
3'dFloor — Must Apply In -Person)
Business Address / ;SG .:J2 S� r,'�, A ���/p S-f 4 (l_C • R .
Business Owners Name 717 e e--
Business Name ' o u
Business Type S 4-2" e:4 r e
Date 3 , 2-_ d f L
Zip Code Z
Telephone No.
Bus. Phone (7 i y (4
EEgpelly Owner Tnfnr*r' f— -required) Tenant/Emergency Contact (required)
Name _ 4 _ Name -TO 'a 1-1 h 4 P
Address r � Q d C, Home Address 676 2
City tate/Z' 9 Z [(� !_City State/Zip g z 6 7
Telephone No. �� ti) — 0 31 ,�' Telephone No. (77 /y) 6 �/J. _ 3 y 2-
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Y Existing Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner Ig Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? Yes 0 No)Z
■ Is the building sprinklered? Yes 0No0
■ Will operations produce dust/wood shavings or similar material? Yes 0 Nobs
■ Will operations involve the repair or replacement of automobile parts Yes ❑ No
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes ONo CK
If yes: Describe the
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ONo q
■ Will there by storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? Yes ❑ No X
■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food
(describe process and end product)
9 Other (describe) e'a-v X.
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: LA GO
Bldg. Permit #
Area: GSO A?
Area:
Area:
No. of Stories: 2-
Entitlement #:
Plnr Initials: ate:loOther
Chkr Initials:
Conditions of Approval Notes:
Occ Load:
Occ Load:
Occ Load:
S
TIF Review: Y/ N
Zoning:
r
Date: Vknsp Initials: Date:
Inspection Date:
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 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:
Property Address:
City:
Contact Person:
Zip Code: 9 2-6 4
Title: Zs � �. .
Type of Business: Telephone: (7)/4-r — 6!.2,
Fax Number: email address: , LA X,
Applicant: (print name)�c. C �.L c— Signature: ^� Date:
Will the facility have any of the following equipment? Yes 0 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 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).
\I
ra
714/536-5271
Business License #
CERTIFICATE OF OCCUPANCY 020 iz. - 4 IvS
CITY OF HUNTINGTON
DEPT. OF PLANNING & BUILDING APPLICATION
3'dFloor — Must Apply In -Person)
Business Address / ;SG .:J2 S� r,'�, A ���/p S-f 4 (l_C • R .
Business Owners Name 717 e e--
Business Name ' o u
Business Type S 4-2" e:4 r e
Date 3 , 2-_ d f L
Zip Code Z
Telephone No.
Bus. Phone (7 i y (4
EEgpelly Owner Tnfnr*r' f— -required) Tenant/Emergency Contact (required)
Name _ 4 _ Name -TO 'a 1-1 h 4 P
Address r � Q d C, Home Address 676 2
City tate/Z' 9 Z [(� !_City State/Zip g z 6 7
Telephone No. �� ti) — 0 31 ,�' Telephone No. (77 /y) 6 �/J. _ 3 y 2-
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Y Existing Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner Ig Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? Yes 0 No)Z
■ Is the building sprinklered? Yes 0No0
■ Will operations produce dust/wood shavings or similar material? Yes 0 Nobs
■ Will operations involve the repair or replacement of automobile parts Yes ❑ No
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes ONo CK
If yes: Describe the
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ONo q
■ Will there by storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? Yes ❑ No X
■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food
(describe process and end product)
9 Other (describe) e'a-v X.
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied: LA GO
Bldg. Permit #
Area: GSO A?
Area:
Area:
No. of Stories: 2-
Entitlement #:
Plnr Initials: ate:loOther
Chkr Initials:
Conditions of Approval Notes:
Occ Load:
Occ Load:
Occ Load:
S
TIF Review: Y/ N
Zoning:
r
Date: Vknsp Initials: Date:
Inspection Date:
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 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:
Property Address:
City:
Contact Person:
Zip Code: 9 2-6 4
Title: Zs � �. .
Type of Business: Telephone: (7)/4-r — 6!.2,
Fax Number: email address: , LA X,
Applicant: (print name)�c. C �.L c— Signature: ^� Date:
Will the facility have any of the following equipment? Yes 0 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 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).