HomeMy WebLinkAbout15150 Transistor Ln - CofO (4)0
•
J. 0
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY O20n '& ,
CITY OF HUNTINGTON BEACH -
DEPT. OF PLANNING & BUILDING APPLICATION
714/536-5241
Business License # f
Business Address U
Business Owners Name
Business Name
Business Type
Name _
Address
city Ni
Telephone No.
(3rd Floor —Must Apply In -Person)
Home Address Q Z ' "le Sf. 6-11
City � State/Zi CA 97lgffl
Telephone No.
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or )(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? Yesq No' 1
■ 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 q NoX If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yesq No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes gNox
■ 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 Official Use Only
`,00 4
Occ Group:
Area:
Occ Group:
Area: U t-t rb
Occ Group:
Area:
Total Sq Ft Occupied: IA
No. of Stories: I
Bldg. Permit #
Entitlement #:
Plnr Initials:
Occ Load: 3
Occ Load: 3
Occ Load:
TIF Review: Y/ N
Zoning: / —
Date: Plan Chkr Initial��` Dat �� Insp Initials: V Date:
Conditions of Approval or Other Notes:
$%- '5-5-�V
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: A. S. V V( S� INC.
Property Address: � c3 l so —rr(,1,( K;S [ 4v,
City: ip Code:
Contact Person: V200 Title: 5 � Type of Business: ��'' ,. nn U Telephone: — 30 f
YP �IU�G p �� ��
Fax Number: ma'1 address. _
Applicant (print name): Signature:
S�lbo 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❑ N0
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-