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Home My WebLink About15250 Transistor Ln - CofO (7)APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH - DEPARTMENT OF BUILDING & SAFETY (3r`� Floor — Must Apply In -Person) _ Business License # Date Os Address /1�. o �,eA�uSi.� �b� .�AwE �u�V'Tiry�;L w C C �q�01 y Business'Name _? 1azduT c5QAE2 �� 2Esr �,� 9.2 %�_ Telephone �. Business Type ^�2AZE&& di_ /0kFy -X-1 i S Pc r ;- Pro ertv Owner Information Business Owner Name Name f-APU ZoFJJ_A dA_ Address 2 e•f.¢� L/a_ /a�g,,1�,o, S'�� 7.�24 pHome Address City _/y� s e�.6ra Lbe_3'0 CA Te'1.� .9G9dCitY, r� T�,ur�,v � TeI.L�� THIS USE WOULD BE DESCRIBED AS: 9,24 ®Newly Constructed Building or nExisting Building CHECK ALL THAT APPLY: ®Change of Owner WChange of Occupant ❑Change of Use ❑Additional Occupant Indicate foriner use, if any D�' ► (�;, Does.the building have electricity? Yes IN NoC� If No, are you requesting that the electricity be turned on? Yes El No IR The building is sprinklered? Yes No Operations will product dust/wood shavings or similar material? Yes ® No. Operations will involve the repair, or replacement of automobile parts Yes C No W If yes: Describe the components repaired or replaced. Does the operation involve the use of welding or open flame? Yes ® No The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. Yes ® No The following best describes my operation: Office Only ❑Retail Sales ❑Medical/DentaI ❑Restaurant/Take Out Food ❑ Warehouse ❑Manufacturing/Distribution (describe process and end product) ® Other (describe) ...,_ .. .. _. . _ .. .. ... Office Use Only. !,Zoning: L. Sq Ft Occupied:. Oce Group: Occ Load: 11E, # Stories: Parking Spaces: TIF Review: Y/ N Anit Paid$: Paid BEFORE Final inspection Building Permit # /1 Entitlement #:n Coinnlents: 't 'et�"� i �� t=CQ �` Cam_ 3 Planner. Initials ?� p Bldg/Plan Checker Initials: CofO # . ..:.,.ter:;- ...... � ............. ....� .� .,.... .........,. HAZARDOUS MATERIALS DISCLOSURE INS'®ItMATI®N Huntington Beach Fire Department California Health and Safety Code requires the Fire Department to regulate businesses that handle hazardous materials. Motor oil; hydraulic fluids, gasoline, dry cleaning fluid, etc., are considered hazardous materials and must be disclosed. If you use, handle or store hazardous materials or waste materials equal to or in excess of the following basic quantities, your are required to disclose: • 55 gallons of liquid • 500 pounds of solid • 200 cubic feet of compressed gas • Any amount of radioactive materials • Any amount of Class A, -explosive • Any amount of chemicals known to cause cancer • Any amount of commercial pesticides • Reportable quantity of any chemical on EPA Extremely Hazardous Materials Substance List Disclosure is not required for the ;following: 1. Hazardous substances contained in food, drug, cosmetic or tobacco products. 2. Upon approval of the Fire Chief, hazardous materials contained sol :ly in consumer products packaged for use by and distributed to the general public.,. However, pesticides, herbicides, and ammonium nitrate fertilizers over the required disclosure amounts are not exempt from disclosure. 3. The transportation of hazardous materials accompanied byshippingpapers prepared in accordance with the provisions of 49 Code of Federal Regulations. 4. Infectious waste generated by health care facilities that are regulated under Title 22 of the Califomia Administrative Code. Check one of the following: V No chemicals are used, handled or stored at this business. Chemicals are used, handled or stored at this business, but do not meet the requirements for disclosure Chemicals are used, handled or stored at this business. .Disclosure forms will be sent to you. Amounts will be verified by the Fire Department during annual inspections. It is unlawful for any person to knowingly violate any provision of this ordinance. I certify, under the penalty of perjury, that the above information is true and correct to the best of my' knowledge. Signature Date ILI) .Home Phon - / Please call 714-536-5676 with questions regarding the Hazardous Materials Program. 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: ///�K'O %�Aruu. 6cl 02 �Aryg— City: 4,V Q7—oti, Re- Zip Code: Contact Person: Title: ,Q j Type of Business: /��Ql3r-IF �. ,1�Eru��1 i D Telephony -- S / Applicant: (print name) O"A2) Signature: - �joe4-P 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 50I3P) (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 • Will any of the following .operations be performed? Yes ❑ No 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 • 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. Ifpen-nitsare 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. �E +S�r 3 CE-RTWICATE OPOCCUPANCY EVALUATION FORM �{ �iil �4REA. GENERAL BUILDING MFORNAIMN tial11e�irr� Ati;?sasa aadEf siu sV D A ;'pe.'ri e r rs.0 J ErnsigExcyrwntaci: Phegiamribm - 345-~� f [ten -urg-) iz 3 Oo!-upanqr Iriaes - primary use(s) & g:;. fi.: r#csrr CtiS :a to , Yr E.¢EISe; it SF - JIC Q14rh[ili lsdaroma I t+EBB u, a.�- $«S3F::�,•.,.-'•383E�812!EO:��S✓1E�fSiiFi— �;�� ,. - _.. ` ... S Four u1f,dart.: [nl mixad u_a amoh a sa"m# Wcrt s_..ra....,,�...�...�.,,_.._A aa.C--!..JZ{she . —A_#plan rmS 9F Ffm,Ir �.Ma 1 i � _ f ESE&i-; A I � :3i �� • �. ' i YARDYARD I Ll PARX". E- -ice 0 00 F. Lo SAMPLE ,SSBOBL Y USE ! f �'STREET. NAME � - I `,;G�BUiLti k,*rC7RiUCe�t rfi{scstaarc 0 EsalFfa �a�.isC]C sa:, 0 Initials: EXHIBIT A SITE PLAN EngtneerDr. ------- ...um.... ) _ � _a � k� 7 ■� ® __ ® § m§\Gk or . m 6 £ q s k1-31 ƒ r7=1 nAlHIM111 (A ni k ` Addenda, Page I zi� Initials: Initials: EXHIBIT B FLOOR PLAN Addenda, Page 2 Initials: