HomeMy WebLinkAbout15140 Transistor Ln - CofO (8)Certificate of Occupancy No. 02Wj—LU l3:4-(n
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH — DEPT. OF BUILDING & SAFETY
Business License # A,- 0 ;20 �;D
Business Address 15`I qO MA/v
Business Owners Name mA .=w ,.-
Business Name Si,2 S;Oc�-z.
Business Type P2 a'-")' C-
(3`d Floor — Must Apply In -Person)
Date ;1 ay 3 wag
Zip Code 9a l yq
Telephone No. 7/1,1 P9 of P& z,�'
Bus. Phone 71 y g y f •7coz8
Property Owner Information (r quired) Te nt/Emer me Contact (required)
Name f h N i)UL ,NaE HIPATN�!'S Name Smear— oc>a
Address 2-L4VD LA- AL A1'Y EOk 4 Z10 Home Address Z
City i itprj W&-froState/Zip q26��/ City A6 State/Zip y
Telephone No. 9�Q 1, ' ��� Telephone No. 3c) SS
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or F(Existing Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner Y Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? YesQNo❑
■ Is the building sprinklered? Yes ft lo❑
■ Will operations produce dust/wood shavings or similar material? YesQNoB"'-
■ Will operations involve the repair or replacement of automobile parts Yes QNo P1 If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes QNo fib
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes QNo V
■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Restaurant/Take Out Food ❑ Warehouse /Manufacturing/Distribution
(describe process and end product) 7 3
Other (describe)
For Of icial Use Onl
Occ Group: Area: Occ Load: '
Occ Group: Area: lip T Occ Load
Occ Group: Area: Occ Load:
Total Sq Ft Occupied: I No. of Stories• 2 TIF Review: Y/ N
Bldg. Permit # Entitlement #: Zoning: a
Plnr Initials:_ Date: 3 Plan Chkr Initials:�Date: W0Insp Initials: �P 67 Date:
Conditions of Approval or Other Notes:
i hOWMAQ pu959%T ro jg. pw?Ionl ND 12R7 0%ZU& wiLL APT bV— imy�9 jr
(G:Building/Forms/document id goes here)
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 a Certificate of Occupancy 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:
Type of Business:
Applicant: (print name
Zip Code:
Title:
Telephone: () 7 0�6 ZE/
Signature:
4�47� :V
El Will the facility have any of the following equipment? Yes EINo K
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 2 million BTU/hr. maximum input)
Abrasive blasting cabinet/room
Baghouse/cartridge type dust filter/scrubber
Motor fuel storage and dispensing equipment
OWill any of the following operations be performed? Yes ONo RK
Application of paints or adhesives
Etching, plating, casting, or melting of metals
Molding and blending of liquids and/or powders
Storage of acids, solvents, organic liquids or fuels
Production of acids, solvents, organic liquids, or fuels
Production of fumes, dust, smoke or strong odors
Q If you answered "No" to both questions, this checklist is your clearance from AQMD.
UIf 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 (800) 388-2121.