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15150 Transistor Ln - CofO (3)
HUNTINGTON BEACH 0 CERTIFICATE OF OCCUPANCY 714/536-5241 1 5-532 oaoQ__ - CITY OF HUNTINGTON BEACH = DEPT. OF BUILDING & SAFETY APPLICATION 11�_ Floor — Must Apply In -Person) Business License# A2.ozi,r:, v Date R 22/68 Business Address 15�5b 1--, Zip Code 926.-VO Business Owners Name f2iz% .,-� \JAsn, A,-3 Telephone No(�a) SA-2-• 11+L 0 Business Name '�E�- r��kv:�, 1 �. Bus. Phone( iQ 8 fit-t*t o Business Type Property Owner Information (required) Tenant/Emergency Contact (required) Name V:QA:�F, L,(, Name'f3yo&,1 Address ° (,_ (a," L, 56 Z-] O Home Address City &&'&,'�I f , . 410- State/Zip CA Tu 9 I City sA z % State/Zip Telephone No(` qOt) Telephone No. THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Z Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner ,Change of Occupant ❑Change of Use ❑Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity be turned on? Yes NOR ■ Is the building sprinklered? Yes No ❑ ■ Will operations produce dust/wood shavings or similar material? Yes , No ■ Will operations involve the repair or replacement of automobile parts Yes No If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? YesO NOR ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes O No 54 ■ The following best describes my operation: V Office Only ❑ Retail Sales ❑ Medical/Dental Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (describe process and end product) ❑ Other (describe) For Official Use Only Occ Group: Area: c(© 0 Occ Load: _ K Occ Group: Area: 00 i� Occ Load Occ Group: Area: Occ Load: Total Sq Ft Occupied:., 110c70 0 No. of Stories: TIF Review: Y/ Bldg. iins LofApproval Entitlement #: Zoning: L Plnr InJ. � Plan Chkr Initials: —Date: � � a'Insp Initials: r Date:EV "� Condi or Other Notes: , U Acc 52e 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:j�L Property Address: 1515o City: Zip Code: Contact Person: zi A,-3 U,42i>� MA,.J Title: �?_asrtx�i.tT Type of Business: ___C40jh,,4,"'? Telephone: (Zi4) 6U-14-1 o Fax Number: ( T7- ta40 e-mail address: hovel , .�� 0 a Applicant (print name): Signature: ] ?Z Date: • Will. the facility have any of the following equipment? Yes ❑ No 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-