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Home My WebLink About15131 Triton Ln - CofO (112)Y CERTIFICATE OF OCCUPANCY 020 CITY OF HUNTINGTON BEACH — DEPT. OF PLANNING & BUILDING APPLICATION 714/536=5241 Business License # Business Address__LS-j Business Owners Name Business Name A6 Business Type <5;n-z I (3'd F100f — Must Apply I&P@l`MI) 3 CA Date -�WvW )A -�D 1� Lh-L Sttivbt. lbs Zip Code g1C_Ij v". Telephone No. _5d ,�-A5 64 �$ V-1 t6 Bus. Phone `1 Iq %5 B (oq I .- s—"--, nk n� ash Property Owner Information (required) Tenant/Emergency Contact (required) Name Name YA Z--,ACA ASb w �y Address SIy'L SC)UA Av-, �a101 Home Address (nyS1 6or -.\k ciu c, City �U-, . State/Zip G�z 1, A City State/Zip qa by i Telephone No. 1) -JI 1 � \ Telephone No. _] L4j S3 6 31 K THIS USE WOULD BE DESCRIBED AS: Newly Constructed Building or xisting Building CHECK ALL THAT APPLY: ---__ Change of Property Owner hange of Occupan Change of Use Additional Occupant ■ Indicate former type of business ■ Are you requesting that the elec ty be turned on? es , No ■ Is the building sprinklered? es No ■ Will operations produce dust/wood shavings or similar material? Yes ■ Will operations involve the repair or replacement of automobile parts Yes.** If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? Yes. o ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes , No ■ Will there be storage racks, gondolas, or shelvlestaurant/Take xceedi 5feet 9 inches in height? Yes ■ �W!�arehous best describes m my Retail Sales MedicaUDental /Manufacturin istributio Out Food , (describe process and end product) VKL Other (describe) A pqQ A*art, U � P, For Official Use Onl Occ Group: S Area: 60,3 Occ Load: 2 Oco Group: Area: Oce Load: Oce Group: Area: Occ Load: Total Sq Ft Occupied: 60 No. of Stories: j TIF Review- Y/N Bldg. Permit # Entitlement #: Zoning: Plnr Initials: 1 I Date: �� Plan Chkr Initials Date: `F II Insp Initials: l L- Date: Conditions of Approval or Other Notes: South Coast ' Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-3529 • 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: N6b>A va-1 {- ASS ac,�ac Property Address: 1115P�l -31 " v—T\ n �h r\/u * n City:7,,�A err Zip Code: 9-U-0� Contact Person: otyhi )S A� "1 Title: Type of Business: 1nAVI-GL� V Fax Number: Sb2 i-t7-6 5' —D Applicant (print name): Signatun S U Aj Date: Will the facility have any of the following equipment? Yes ❑ No Charbroiler Dry cleaning machine Spray booth Printing press (screen/lithographic/flexographie) 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? YesE] No q 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 5j%ggj CAS" � 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- Business License # Business Address Business Owners Name Business Name Business Type _ CERTIFICATE OF OCCUPANCY 020 - t CITY OF HUNTINGTON kACH DEPT. OF PLANNING & BUILDING APPLICATION (3'1 Floor — Must Apply In -Person) Date 51310611 Zip Coe 22C q y Telephone No.-71y-33D-y3c� Bus. Phone e < Pro rty Owner Information (required) Tenant/Emergency Contact (required) Name Coal °v 5"ks' Name ZJ;�T Pln i4p- Address Home Address _1(;,q;3 ) gpyd�.-fl Be. City `1 State/Zip qa�,yY City 11�� State/Zip CA 8 Vg Telephone No. r71q - �r Telephone No. ::71V, 33o S3 r 0 THIS USE WOULD BE DESCRIBED AS: El Newly Constructed Building o Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner 9 Change of Occupant ❑ Change of Use ❑ ■ Indicate former type of business Sg�c.—, Era- A,°nY GinS u : ■ Are you requesting that the electricity be turned on`? YesONo) ■ Is the building sprinklered? Yes )�No❑ ■ Will operations produce dust/wood shavings or similar material? Yes0No53j ■ Will operations involve the repair or replacement of automobile parts Yes ONo R Additional Occupant If yes: Describe the components repaired or replaced. Does the operation involve the use of welding or open flame? Yes ONo X Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes [No X The following best describes my operation: X Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Restaurant/Take Out Food ❑ Warehouse /Manufacturing/Distribution (describe process and end product) ❑ Other (describe) For Official Use Onl Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied:. Bldg. Permit # Area: Area: Area: No. of Stories: Entitlement #: Occ Load: Occ Load Occ Load: TIF Review: Y/ N Zoning: l67- Plnr Initials: ! l J Date: VJ �✓ << Plan Chkr Initials: Date: Insp Initials: Date: Conditions of Approval or they N tes: u Ca Inspection Date: (UBuilding/Forms/document id goes here) HAZARDOUS MATERIALS DISCLOSURE INFORMATION Beach Fire Department California Health and Safety Code require the Fire Department to regulate businesses that handle hazardous materials. Motor oil, hydraulic fluids, gasoline, dry cleaning fluid, etc., are considered hazardous materials and must be disclosed. If you use, handle or store hazardous materials or waste materials equal to or in excess of the following basic quantities, you are required to disclose: • 55 gallons of liquid • 500 pounds of solid • 200 cubic feet of compressed gas • Any amount of radioactive materials • Any amount of Class A explosive • Any amount of chemicals known to cause cancer • Any amount of commercial pesticides • Reportable quantity of any chemical on EPA Extremely Hazardous Materials Substance List Disclosure is not required for the following: 1. Hazardous substances contained in food, drug, cosmetic or tobacco products. 2. Upon approval of the Fire Chief, hazardous materials contained solely in consumer products packaged for use by and distributed to the general public. However, pesticides, herbicides, and ammonium nitrate fertilizers over the required disclosure amounts are not exempt from disclosure. 3. The transportation of hazardous materials accompanied by shipping papers prepared in accordance with the provisions of 49 Code of Federal Regulations. 4. Infectious waste generated by health care facilities that are regulated under Title 22 of the California Administrative Code. Check one of the following: No chemicals are used, handled or stored at this business. Chemicals are used, handled or stored at this business, but do not meet the requirements for disclosure Chemicals are used, handled or stored at this business. Disclosure forms will be sent to you. Amounts will be verified by the Fire Department during annual inspections. It is unlawful for any person to knowingly violate any provision of this ordinance. I certify, under the penalty of perjury, that the above information is true and correct to the best of my knowledge. Signature t Date Home Phone ::3 / 14 - f ` O -GV JQ Please call 714-536-5676 with questions regarding the Hazardous Materials Program. South Coast Air Quality Management District 21865 E. Copley Drive Diamond Bar, CA 91765-4182 (909) 396-3529 htpp://www.agmd.gov Air Quality Permit Checklist California Government Code 65850.2 prohibits cities from issuing a Certificate of Occupancy 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). 11- Company Name: K � .f._ C611s- Property Address: -7qq I -- c Ld w e . City: H," , Zip Code: 012&6 / F Contact Person:{P(as Title: Type of Business: Cdnf� .� „� Telephone: ( 330 -S3 c7 C7 Applicant: (print name) Lal-I J (cJ-t r 01 Signature:4/4- 4�� Will the facility have any of the following equipment? Yes 0 No K Charbroiler Dry cleaning machine Spray Booth Printing Press (screen/lithographic/flexographic) Internal combustion engine (greater than 50HP) (excluding motor vehicles) Boiler/combustion equipment (greater than 2 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 0 N Application of paints or adhesives Etching, plating, casting, or melting of metals Molding and blending of liquids and/or powders Storage of acids, solvents, organic liquids or fuels Production of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke or strong odors OIf you answered "No" to both questions, this checklist is your clearance from AQMD. UIf 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 (800) 388-2121.