HomeMy WebLinkAbout15206 Transistor Ln - CofO1Oi B
J
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY An1-tao -7
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
(3d Floor — The Applicant Must Apply In -Person)
Business Address /SZofi :24,uatr e Lev. Date / 'sel
Business Owners Name A tr%Jo,(^ knw 061 Zip Code (o
Business Name A/Ew Telephone No. 7/11-&W-W,63
Business Type agg Az4 Bus. Phone W-U�c)-NyG3
Property Owner Information (required) Tenant/Emergency Contact (required)
Name J 014 MQ 1�=4r ggA, ,� �, TALC Name 7W- oMA5 , ,�-ffr,rs<�uJ
Z
Address -(.411 `-A ��.44 #1lifIome Address /g(i�Z Lii3�R UQ Af'T 3
City My4 1� I E,j g) State/Zip_PA_ 7 [,q( CityAuNh7 ,V BcAc+t State/Zip GA q Zee/ to
Telephone No. `F �I 'Z y� �j U Telephone No.
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or D-Existing Building
IS THIS BUILDING FIRE SPRINKLERED? 5UYes ONO
CHECK ALL THAT APPLY:
❑ Change of Business Owner K Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business ?
■ Are you requesting that the electricity be turned on? ❑Yes 1KNo
■ Will operations produce dust/wood shavings or similar material? ❑ Yes C No
■ Will operations involve the repair or replacement of automobile parts? ❑Yes XNo If yes: Describe the
components repaired or replaced. All a
■ Does the operation involve the use of welding or open flame? ❑ Yes 9 No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
❑ Yes �S No
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes kNo
■ The following best describes my operation: JROffice Only ❑ Retail Sales ❑Medical/Dental
❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other
■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes .Q No
If you answered yes, please proceed to the next question.
• Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes CK No
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Planning Initials:11Z " Dater jZ ri
Conditions of Approval or Other Notes:
Area:3
Area:
Area:
No. of Stories:
Entitlement #:
Use Permitted: Y / N
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning: 1 L
Parking Meets Code (for use): Y / N
Building Reviewed By Initials: 0141;515ate: V31/I 9
Grease Interceptor Verified. Inspected By Initials: Date:
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
E (909) 396-3529 a http:// www.agmd.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:
Property Address: 1 G-Zd(o T&IRu i5ivR W
City: jJKNT(NLj0/j ?-pei-vLK Zip Code: W- lIq
Contact Person: goZr %Hr,M Title: 11.pAi,4ilwo
Type of Business: HA?-ter1ro4 Telephone: 71 y - (ofat) -Li 41o3
Fax Number: e-mail address:
Applicant (print name): j1il&T jj( gMA5 Signature: , ���vw�• Date: 9 ry /7
Will the facility have any of the following equipment? Yes ❑ No K
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 l 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[—] Nc&
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-