HomeMy WebLinkAbout15242 Transistor Ln - CofOPOE
HUNTINGTON BEACH
Business Address
Business Owners
Business Name _
Business Type _
CERTIFICATE OF OCCUPANCY 'W0 ,�- f0 l
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Wd Floor —The Applicant Must Apply In-Perwnl
Date
Zip Code
Telephone No. T y :2 z:3,
Bus. Phone Qam &..
Property Owner(re ui ed) I T a t/E r enc (required)
Name �/Qj/ ��s_ - --L�Name
Addre Home Address a-7
C44 , i State/Zi , v �Z�Q'/ - lCity a State/Zip
Telephone No. Q'-- 3 5G Sf yG Telephone No. 1 Lf — SAD - l't('Q-f e a -
THIS USE WOULD BE DESCRIBED AS:
O Newly Constructed Building or 10Exi Ing Building
IS THIS BUILDING FIRE SPRINKLERED? Xes DNo
CHECK ALL THAT APPLY: F
0 Change of Business Owner O Change of Occupant O Change of Use O Additional Occupant
• Indicate former type of business
■ Are you requesting that the electricity be turned on? []Yes 06No �
• Will operations produce dust/wood shavings or similar material? OYes IE(So
■ Will operations involve the repair or replacement pf automobile parts? OYes fi1No If yes: Describe the
components repaired or replaced. I
■ Does the operation involve the use of welding or open flame? O Yes UfNo
• Will the bus' ess be a drinking, dining or assembly use with an occupant load of more than 50 persons?
O Yes 11T No //
• Will there be storage racks, gondolas. or shelving (exceeding 5feet 9 inches in height? MYes ONo
■ Thy following best describes my operation: O Tice Only O Retail Sales OMedical/Dental
arehouse istribution O RL-smurant/Take-Out Food ❑Other
■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? (] Yes FRINo
ifyou anstti•ered yes. please proceed to the nest question.
• Does your facility curret}t'1'y have a grease control!device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes f No
For Official Use Only.
Occ Group: r-> Area:
Occ Group: Area:
Occ Group: Area:
Total Sq Ft Occupied: No. of Modes:
Bldg. Permit # I Entitle ent #:
Use Perni tted: Y / N
Planning Initials:Date: 1 3l 1
Conditions of Approval or Other Notes:
Occ Load: I
Occ Load: `-
Oce Load:
TIF Review: Y/ N
Zoning: 11--
Parking Meets Code (for use): Y / N
Building Reviewed By Initials:.l
Grease Interceptor Verified Inspected By Initials: Date:
y ..
'16:.'7_ 6a h1.
• , 1
s 1 South Coast
' Air Quality Management District
21865 Copley Drive, Diamopd Bar. CA 91765-4182
(909) 396-3529 e http:// wwlw.agmd.gov
Air Quality Permit Checklist
California State Law Code 65850.2 prohibits ities from issuing an occupancy permit to a
business without clearance from the local air uality. agency. This checklist will determine if you
need to obtain clearance from the South Coast Air Quality Management District (AQMD).
.� /I19I1i�It-
w
-can)
Applicant (print name): Signature: v—Date:
• Will the facility have any of the following a uipment? Yes ❑ No
Charbroiler
Dry cleaning machine
Spray booth
Printing press (screen/lithographic/flexogmphie)
Internal combustion engine greater than 60 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 he performed! Yes❑ Nolp/
Application of paints or adhesives I
Etching, plating, casting, or melting of mbtals
Molding, extruding, or curing of plastics I
Mixing and blending of liquids and/or powders
Storage of acids, solvents, organic liquid. 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
applicationMD at their s) and then provide you with a clea�ance letter. You can call A permit
Business Assistance Office at 1-900-CUT-SMOG (1-800-288-7664). Q tr Smmaalll