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HomeMy WebLinkAbout15131 Triton Ln - CofO (27)Fo9w �y� r `r I �CERTIFICATE OF OCCUPANCY ., 020 �j - CITY OF HUNTINGTON BEACH DEPT. OF PLANNING & BUILDING APPLICATION HUNTINGTON BEACH 714/536-5241 (3rd Floor — Must Apply In -Person) Business License # _ RIcsq —7a�P Is. Date � A � 3 11 Business Address_„'�3�Z Y,�, CQQ _ Zip Code Business Owners Name C 2 Telephone No(v( 13 0 j Business Name C , o'C k0Vn uzk Bus. Phone (S Q Business Type _-00 Ski wc-- Ie n Property Owner Information (required) Tenant/Emergency Contact (required) Name _(3>C'k h 2>",S�rleS PQ"(k Name—zon (U ('k(',2 . Address S ILI gal S a AVe 41 10 Home Address i ne i ©ti City H State/Zip `( City u .D Q—r) State/Zip Telephone No. i ( q� �q q " QI —7 1 Telephone No. (q �q ) 55 BB — C? In THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or l�' ,Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner []Change of Occupant ❑ Chan ge of Use ❑Additional Occupant ■ Indicate former type of business /J ■ Are you requesting that the electricity be turned on? YesNOD ■ Is the building sprinklered? Yesq No❑ ■ Will operations produce dust/wood shavings or similar material? Yes❑ , Nab ■ Will operations involve the repair or repllaacement of automobile parts YesQ NOV If yes: Describe the components repaired or replaced. /�/( ■ Does the operation involve the use of welding or open flame? Yeso Nod ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes QNo 5 ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes E]No k ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental f Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (describe process and end product) S+v ro �G Poor (2dt s �J) er(o e Other (describe) For Official Use Only CO Occ Group: Area: Occ Load: Occ Group: Area: 'L Occ Load Occ Group: Area: Occ Load: Total Sq Ft Occupied: No. of Stories: TIF Review: Y/ N Bldg. Permit 0Entitlement #: Zoning: L Plnr Initials: Date: Plan Chkr Initials:Date: l Z 11 Insp Initials: Date: S 4i. Conditions of Approval or Other Notes: 6� 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: CSIO,jr.rz, CS�0,11 SL41ldt?2s Property Address: g (q A DD (30[5q Ave, I City: I� _Okk Zip Code: Contact Person: D(>r\ 6lpwac2 0Or C- Title: owy)el- Type of Business: CMS60CkIon Telephone: ---ti l Y0 Fax Number: ���� �$�-p�. -mail address:gk�m�IdYSI a7� Applicant (print name): Don Signature: / towaCL Date: • Will the facility have any of the following equipment? Yes ❑ No;S 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❑ Novp-�-hj 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- 3aa- 9303