HomeMy WebLinkAbout15156 Transistor Ln - CofO (7)tis..s3 -o
Certificate of OccuAan o
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH - DEPT. OF BUILDING & SAFETY
4' Floor -Must Apply In -Person)
� I `J - v
Business License # A� 1 Date %" 2� 2 / d
Business Address %S I-ei T13lr- !?R YS' Zip Code 5�z6Y9
Business Owners Name �_r� t14L Telephone No7/Y"SY_76f13
Business Namesocr-??2dr--J Bus. Phone
Business Type „P,-,7 ., �'u jV4,,Lr
Property Owner Information (required) Tenant/Emergency Contact (required)
Name V ID N to P 0- b VOYT 1 S Name
Address LA k L 01 Home Address
City V l tate/Zip q City 4-Vll n State/Zip p26 YS' l4if'
Telephone No. qti qt 73L r 9b Telephone No. % /5��4 z 73p"
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or sting Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner R'"Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? YesONoP--
■ Is the building sprinklered? Yes Ei o❑
■ Will operations produce dust/wood shavings or similar material? YesQNoL?"__
■ Will operations involve the repair or replacement of automobile parts Yes QNo e'--- If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes ONo
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ONo yG, C. /: 2p-z"rc
■ The following best describes my opee ation:gra-,�;-nly ❑ Retail Sales ❑ Medical/Dental
❑ Restaurant/Take Out Food 1 Warehouse /Manufacturing/Distribution
(describe process and end product)
❑ Other (describe)
For Official Use Only
Occ Group: S Area: Z00 Occ Load: 7-
Occ Group: 51 Area: ZtAC�� Occ Load : 5
Occ Group: _ Area: Occ Load:
Total Sq Ft Occupied: No. of Stories: I TIF Review: Y/
Bldg. Permit # Entitlement #: Zoning: 1
Plnr Initiatr-N_ Date: Plan Chkr Initial : Date: 2 ko Insp Initials: Date:
Conditions of Approval or Other Notes:
Inspection Date:
(G:Building/Forms/document id goes here)
•
South Coast
Air Quality Management District
21865 E. Copley Drive
Diamond Bar, CA 91765-4192
(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: lrl-(-6
City: �� /�
Zip Code: 5 26 y�
Contact Person: o- z1r/f-1q
Title:
Type of Business: eC't er,,fTZ.���r,
Telephone: () r 8990� 36 X�
Applicant: (print name �,,�„rL �s/ " D/��.�'�
Signature:
��ir/As!ic�
DWill the facility have any of the following equipment?
Yes QNo P--
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 QNo
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
®ff -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.