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Home My WebLink About15061 Springdale St - CofO (15)J� tp HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION Business Address] GlP Business Owners Name Business Name oce Business Type (3rd Floor — The Applicant Must Apply In -Person) Date ?2l .:Stu . -Z;i Zip Code °t 2 G 9-k j Telephone Bus. Phone Property Owner Information (required) Tenant/Emergency'Contact (required) Name!36,,& —joaP LLC- Name Nt',joLA Sal.' icovV_ Address 2 5 3 c� ��} � �Ut . 2Z� Home Address 3 SZ &tjgj -e+ l.aK_c.. city }� Ana State/Zip e P• Iq 2 ftS City W13 State/Zip A qZG t(A Telephone No.11gq . ZS0 — 1040 Telephone No. �'1 `'� • Sv �d 66 � Cow-• 6-. . :5x vets w. ovx, Z•f . THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Pf Existing Building IS THIS BUILDING FIRE SPRINKLERED? 9Yes ONO CHECK ALL THAT APPLY: ❑ Change of Business Owner VChange of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business b ■ Are you requesting that the electricity be turned on? ❑Yes MNo ■ Will operations produce dust/wood shavings or similar material? ❑Yes PNo ■ Will operations involve the repair or replacement of automobile parts? ❑Yes ElKo 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 5No ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes lffNo ■ The following best describes my operation: )n Office Only ❑ Retail Sales ❑Medical/Dental ❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes �ffNo 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 PrNo For Official Use Onl Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: _ Bldg. Permit # Planning Initial Date: il _l Conditions of Approval or Other Notes: Area: Occ Load: Area: Occ Load: Area: Occ Load: No. of Stories: TIF Review- Y/ N Entitlement #: Zoning Use Permitted: / N Parking Meets Code (for use) / N Building Reviewed By Initials: Date: , if) "r 0 n,, 014' 0 r-&4.. Grease Interceptor Verified Inspected By Initials: Date: Oki- �810 - South Coast � 1-7 � ' �� o 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: r-preC—t-C-- Property Address: 15,061 City: IA.& Zip Code: C126 Contact Person:Le, Title: Type of Business: P..e �r sc 11 n Telephone: 0 1::l - 3 t G Fax Number: 0'+1 • 31G. 103 13 e-mail address: Q g_ — ca o Applicant (print name):W .a 5-o"*^,7r«Signature: Date: 2/ • Will the facility have any of the following equipment? Yes ❑ No4 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[] 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 . vt.a-f` 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-