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HomeMy WebLinkAbout15192 Triton Ln - CofO (3)Ae 714/536-5241 CERTIFICATE OF OCCUPANCY 0200� - L� CITY OF HUNTINGTON BEACH - DEPT. OF BUILDING & SAFETY APPLICATION -11 Business License # i-\ 4 10 WL Business Address C--, " \ 9 a.. `'� Business Owners Name So e r, -i, -� Business Name Z3 e- e e t, BusinessType (3rd Floor- Must Apply In Person) Date Q1 (Q ) E3 (:, Zip Code Q O p q Q Telephone No. j 1 4 , 991 Bus. Phone PropejV Owner Information (required) Tenant/Emer enc Contact (required) Name Me lAe-rc,-4 -.S . Name —�amM f�,- Address l �l i S _�t-a, r C 14 Home Address�- City , n gA Wtate/Zip CA _5 o 48 City , ,, � cx� State/Zip 12 Vt' 91I� Teiephone No. Telephone No. Lk - L THIS USE WOULD BE DESCRIBED AS: CE�L ❑ Newly Constructed Building or 1NBxisting Building CHECK ALL THAT APPLY: ❑ Change of Property Owner hange of Occupant ❑Change of Use ❑Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity be turned on? Ye , No[] ■ Is the building sprinklered? Yes0 No/k ■ Will opera�ions produce dust/wood shavings or similar material? Yes❑ , NoVO ■ Will operations involve the repair or replacement of automobile parts YesO NoW If yes: Describe the components repaired or replaced. Does the operation involve the use of welding or open flame? Yes N ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes 0No The following b wst describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental !Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (describe process and end product) Other (describe) For O icial Use Only Oc Group: _ Area: /9942� . Occ Load: "�c1 Occ Group:_ Area: Occ Load Occ Group:_ _ Area: Occ Load: Total Sq Ft Occupied _ " No. of Stories: _ TIF Review: Y/ N Bldg. Permit #_ 1 _ Entitlement #: Zoning: (� Plnr Initials: Date: ,&lan Chla Initials('"i D te: ° 1`1 Insp Initials: Date: l �� 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: S ���1� , �� C- Property Address: t \ C Z�- �v-��-o C", City: ` Zip Code: � Contact Person:©C- b Title:. Type of Business: Telephone: -2 Lt - ,BCt ` kA (a S" Fax Number: mail address: Qac-o '"n Applicant (print name): -PMc� Signature:�o- 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 e Will any of the following operations be performed? Yes❑ No[R 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- �„y,neHeu.t� bso= <� ((3 acc ) P-L cel c Aw; r a£ms"m . 11 1-1 1 if STORAGE