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HomeMy WebLinkAbout15150 Transistor Ln - CofO (2)V-7 Ho HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020A - ©°l?Ay CITY OF HUNTINGTON BEACH — DEPT. OF PLANNING & BUILDING APPLICATION 714/536-5241 Business_ License # Imo) 's ca &' Business Address , Business Owners NameLE `l Business Name Business Type S� (3d Floor - Must Apply In -Person) Date --2-ll `Kl"- z Zip Code Telephone No.7,, Bus. Phone Property Owner Information (required) Tenant/Emergency Contact (required) Name s �� .�y`tLL�r c /�"- Name Address,!2� Home Address City State/Zip Zilt gZ6t,/7City Pi State/Zip4,,� Z f ll Telephone No. `71'q 1a l Telephone No. 9 re-1 — i5 —1 % Cl THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner Change of Occupant El Change of Use ❑Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity be turned on? Yes[] NOW ■ Is the building sprinklered? Yes No❑ ■ Will operations produce dust/wood shavings or similar material? Yes❑ . Nov ■ Will operations involve the repair or replacement of automobile parts YesEl No)e If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? Yes(] No�r ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ONo'X ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes 0NoA ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (describe process and end product) Other (describe) For Q icial Use Onlx Occ Group: Area: / Occ Load: Occ Group: Area:Occ Load: Occ Group: Area: Occ Load: Total Sq Ft Occupied: No. of Stories: TIF Rev`ew: Y/ Bldg. Permit # Entitlement #: Zoning: L L- Plnr Initials D�.VHan Chkr Initial �_�Date I !'�'. Insp Initials_ Date: ! Z. Conditions of Approval or Other Notes: GV' �5�n1� /D(��'Ra1f3�T1'� lY� (��11T'S�• �� (qoo � �• Inspection Date: 235• Sy. South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-3529 • http://www.aqmd.gov 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: .'gyp ��Z� /i�/O AV/rq �lo�j LLB—. Property Address: /�/ SC'J / X ^I IS /S /a,C Z-,-v--, City: �, Zip Code: Z� n Contact Person: 4,,-qLE 12�hLl �'/� Title: � /J//� Type of Business: Telephone: %/l/—_/ �2— Fax Number: e-mail a dr ss: Applicant (print name): bA 4,4gnature: i "Gale ' 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[:] Nqk— Application of paints or adhesives tching, plating, casting, or melting of metals olding, extruding, or curing of plastics ixing and blending of liquids and/or powders torage 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-