HomeMy WebLinkAbout15131 Triton Ln - CofO (26)HUNTINGTON BEACH
Businf
Businf
Businf;
Businf
Businf
Name
Addre
City _
Telept
CERTIFICATE OF OCCUPANCY 020 -
CITY OF HUNTINGTON BEACH -
DEPT. OF PLANNING & BUILDING APPLICATION
714/536-5241
(3d Floor — Must Apply In -Person)
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner VChange of Occupant ❑Change of Use ❑Additional Occupant
■ Indicate former type of business an'll (A V�'lA c_ �'t Lv�
■ Are you requesting that the electricity be turned on? Yes No[]
■ Is the building sprinklered? Yes C� No ❑
■ Will operations produce dust/wood shavings or similar material? Yes ❑ Noe
Will operations involve the repair or replacement of automobile parts Yes El NOV If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes O Now
■ Will the business be ,a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ONO R/
■ Will there be storage racks, gondolas, or shelviDg. exceeding 5feet 9 inches in height? Yes ONO
■ The following best describes my operation: 6ffice Only ❑ Retail Sales ❑ Medical/Dental
X' Warehouse/Manufacturing/Distribution ❑ Restaurant/Take Out Food
(describe process and end product)
Other (describe)
For O(licial Use Only (1
Occ Group:
Occ Group: Sy
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Area: ` V� Oce Load: I
Area: (p a Occ Load:
Area:
No. of Stories:
Entitlement #:
Plnr Initials: I Imo" Date: l� �l Plan Chkr Initials:,�c� Date: �� �✓�1
Conditions of Approval or Other Notes:
Occ Load:
TIF Revi w: Y/ N
_ Zoning: L- --
Insp Initialel&l _ Date: X1 Z ' l
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).
J
Company Name: "2- C ('�- C C t"x ` Y\
Property Address: \e �=� \ '� \ ` 0p1 �� Y1 \,/
City: r Zip Code: 9Q LA
Contact PersonVaNN7 Title: C�
Type of Business: C�� �C ��'� `� ^c o Y,S .o d +(0 Telephone:
Fax Number: e-itiil address:
Applicant (print name : '�V-Si"
na reate: `5
• Will the facility have any of the following equipment? Yes ❑ No LJ
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❑ No ff
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-