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Home My WebLink About15181 Springdale St - CofO (5)Mca• CERTIFICATE OF OCCUPANCY 020i� Ij CITY OF HUNTINGTON BEACH - DEPT. OF PLANNING & BUILDING APPLICATION IfUNiINGMN EAU (3rd Floor — The Applicant Must Apply In -Person) Business Address �� S H n0JA. IG 91- 64fi o n _0e,4V, l Date Business Owners Name e5 Zip Code �7q Business Name A=1 CM E11)(11VOh eGi A i 4-KTyiG . Telephone N . 1.4 371 -3333 Business Type EhV1roV1MtV -U( Q ;uI-tih Bus. Phone l q2 �37 - N; Property Owner Information (required) Tenant/Emergency Contact (required) Name 1/ o eYkies LLG Name JAMc-61tArio Address 2 & It p LA A( a WI , 51A& 270 Home Address Ty 41 �5jnooUiret Qr, CityMi, iah lGTState/Zip G� g2.(PA( City l M t ri State/Zip GA 41z(v f' Telephone No. ( �//q q 4) 3 fS-74 qa t°)(f /08 Telephone No. ��'� r7 3 L " %� 23 (j/#)?,25 3053 ceir THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Exi ting Building IS THIS BUILDING FIRE SPRINKLERED? Yes ❑No CHECK ALL THAT APPLY: ff Change of Business Owner CIrChange of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity be turned on? ❑Yes Mfl o ■ Will operations produce dust/wood shavings or similar material? ❑ Yes 53<o�f ■ Will operations involve the repair or replacement of automobile parts? ❑Yes L o If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes o ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes [fffNio ■ Will there be storage racks, gondolas, or shelvin exceeding 5feet 9 inches in height? X es ❑No ■ T following best describes my operation: ffice Only El Retail Sales ❑Medical/Dental arehouse /Manufacturing/Distribution Restaurant/Take-Out Food ❑ Other ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes [0'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 2 No For Official Use Only Occ Group: _ Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials:Date:L l7 614.9r- Area: Area: C100 _sT, Area: No. of Stories: Entitlement #: Occ Load: Occ Load: Occ Load: TIF Review: Y/ N Zoning: ::I . Building Reviewed By Initials:_JL1W Date: Conditions of Approval or Other Notes: 47176 Grease Interceptor Verified Inspected By Initials: Date: South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 P Y p I c (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: Ah'l (I cAn EhVtronwleab l SReP_IAW_5,1hc• Property Address: 191 gw' City:�J,[Ylt?,OIAtDYJl%I • p Zip Code: Z% ��' Contact Person: tlG{/nes-1yL/uhd Title: ! tta_5 den t Type of Business: C0175141hhy Telephone: ( 71#-) 37-1 _ ;3 F 3 3 Fax Number: (7/Y)37�1 f 3 3 3 e-mail address: •ram L29ae,5 • GD M Applicant (print name):J�ilW65 F. M�C1 N Lgsignature: c Date: a9�L r . • Will the facility have any of the ollowing equipment? Yes ❑ No [l� 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[:] NoR 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- 01(9 Y Depar6 mt .r o fanning Building t 7 -- r , •sue Ir - 2000 Main street � i � - Huntington Beach, CA 92648 ' Phone (114) `. 36 5241 Fax (714; 374-1647 �` Occupancy > 15173 �iNN WRE ,4 Transistor Ln VON DER AHE PARTNERS APN 145-532-06„�. ,»-� �._.