HomeMy WebLinkAbout15246 Transistor Ln - CofO (4)TOTAL
DRDER: SAND DOLLAR 714.842--1146 ��
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SIUPPLEM`kTAL 'INF;4RMATfON
1. ,
.BUSINESS ADDRESS
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2.
Person to 'contact in case of emergencX' 5'"V
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Telephone number: 15 I-5,I0
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3.
Does the building in question, have electricity?
Yes
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(a) If No, are you requesting that the electricity. : be
❑ Yes
turned on?
❑ . No
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4.
The building is sprinklered?
❑ Yes
❑ No
5.
Operations will produce dust / wood shavings or. similar .
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material?
❑' Yes
-No
6.
Operations ' will involve the repair or replacement of
D. Yes ,
_automobile ; parts?
No
If Yes:
(a) Describe the:,components repaired or replaced.
a
(b) Does : the operation involve the use of an open #lame?
❑Yes
a
79 No
7.
TheL business is drinking,` dining or. . assembly,; use ° that will ,
result in an occupant load, of more than 50; persons.
No
No
8.
The follown est describes my, operatid;
fice On
Re Sales
�anerhouseu actur r�q ! Distribution : (describe, process, .and end product)
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Restaurant > Take hut' Food
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Medical / Dental
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Other (describe)
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:8UP c6 zALINFORMA'r»r -.
South Coast
AIRQUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000
AIIt QUALITY FEIt1VII CH1ECI�LIST
for nonresidential buildings only
Company Name: Alin UPr101/Pi(�7U1/1
Location.of
City:
Zip Code: q)2gq
II
Coin act Person: �hyw Title: VPSP�,GY
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Telephone, Number: � � � i'a3I0 Fax Number:
P _1
Type o'f Industry/Business: blood l pwdur,477, wd ail
To apply for a nonresidential building permit, you musfcomplete Haas checklist. If you have any
questions about completing this checklist, phase call (800) 388-21.21.
YES
NO
L. Will the facility have a charbroiler?
2. Will any internal-combustion ;engine with greater than:50 horsepower
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operate at the facility.(excluding motor. vehicles)? [ ]
[
3. ` Will operations at the facility involve mixing, blending, or processing of
'
solvents, adhesives, paints or coatings? :.
41 Will dust or -smoke be generated atthe facility?
5. Will refining of any liquids or solids be done at the facility? [ ]
6- 'Will any plating or coating of materials be done at the facility? [ ]
{X]
7: . Wilt any combustion equipment rated greater than:2;00%000 BTU/hr be
operated at thefacility
8.. Will any acids, solvents, .or motor fuel be used or stored, at the facility? [ ]
]
9. ; Will;any oigaruc liquids or gases be reacted or produced?
10. Will any ovens be used to dry or cure products at the facility? ' [ ]
11. Will' any, FC (Freon) recycling machines operate at the facility? [ ]
[ G]
1C�
Applicant:i/1Gt
( d i V l Signature:O
'��Ut i �iG Cd 1�C ,9Y(tl�t
(Print name clearly)
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If you have marked "NO" in � the boxes, an air quality permit is 99t needed this time,
and this checllist is your written releas :
If you marked "YES'' in any of the boxes, you must.contaet the South Coast Air Quality
OTI,CE 4F REQU4MMENTS
GCiVERNME,INT CODE SECTION 65850.2 (AB3205)
CaliforniaState Law, (Goveirunent, ode 65M.2) 'prohibits the Building Departments from
issuing a final certificate of occupancy, unless' all requirements of the local;air. ' J:ity agency are
met.- All applicants are, required to complete the air qualitu.perrnit checklist. The checklist is
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designed to aid the ap' I canf'for a nonresidential permit only. If the answer -to any of
he questions is q`YES,4' the Buildup; Department must obtain a written release from the local air
quality agency verifying that the applicant is in compliance.
1. All nonresidential building permit applicants :Host complete this checkist.
2. if the .answers to all questions arc " NO ' the Building Department pan accept t_he checilist
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Asthe - Y- -tteii release.-
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3. If any questions are answered. "YES," , the applicant mast contact the AQM by calling
(800) 2$8-2121 to determine whether air quality permits are required for any equipment
which m,ay b� operated at the site. If the AQMD deteririiites.that air'quality permits are
notrequiredr. that all requirerrients have beennet; a written release mill beissued
i
4. If air quality permits are. required and applic tions leave not been submitted; the applicant
rriust submit the necessary permit applications) and appropniate, fees before a written
release urill be issued.
AQMD is conitritted to expediting all clearance letter requests. However, it may take several
weeks to verify compliance with 61.1 requirements. Therzfore; you are advised tr, contact AQVID
immediately after apilyixlg for buiidin perr}uts.
(0 0) 388-2121
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