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Home My WebLink About15131 Triton Ln - CofO (128)�n HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 4201 2 - 2 CITY OF HUNTINGTON BEACH-- DEPT. OF PLANNING & BUILDING APPLICATION 714/536-5241 (3'd Floor - Must Apply In -Person) Business License # A Z39 68 Date 712 -7/I ,-;,- Business Address IV,31 TiP% N L 0 2- • G C426 Zip Code 92 61/Z Business Owners Name cT o M 0 0 Telephone No. 7 J y 8? 17�7 Business Name Bus. Phone S,�r�t�� Business Type Win ,sifCC A&'4 DE5%9 Property Owner Information (required) Tcnant/EmergencCqntact (required) Name 1%sL,q U,efl Name �d& DLY Y , O ;b Address 6/92- 73o45,4 l¢�E . # /01 Home Address 2/702--rW&W W. City >V State/Zip ��9��i City /�UT �/t/�C State/Zip G<J 926� Telephone No. Telephone No. 7/y -,So THIS USE WOULD BE DESCRIBED AS: Newly Constructed Building or Existmg Building CHECK ALL THAT APPLY: Change of Property Owner Change of Use Additional Occupant ■ Indicate former type of business Change of Occupant /V/ ■ Are you requesting that the electricity be turned on? Yes No • Is the building sprinklered? Yes No ,� ■ Will operations produce dust/woo shavings or similar material? Yes 0 ■ 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 , ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes (ED ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes Na ■ The following best describes my operation: Office Only Retail Sales Medical/Dental CW-ar—eh—ou-s—e /Manufacturing/Distribution Restaurant/Take Out Food— (descn eprocessan end product) f�/L4rMi-- /i�5/A/U ih'✓l� /�iSr��dTio�/ pF P/�F-/NAB ffg9-S Other (describe) For O.(ficial Use Only (� Occ Group: Area: Occ Load: Occ Group: Area: 3 ( Occ Load : Z. Occ Group: Area: Occ Load: in Total Sq Ft Occupied: No. of Stories: TIF Review: Y Bldg. Permit # Entitlement #: Zoning: i L Plnr Initials: Date: 0• MI'lan Chkr Initials: Date: 1 o h-Insp Initials Date: 91 • t` Conditions of Approval or Other Notes: s� � N��V l ��, _]� l�l 41 j lot S'Ci21 ) l P 1 Inspection Date_ 7 South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 �aJy (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: ' ,�?- (h: 3/�, 1Vd Property Address: ! 5/ 3/ %/�� ti� GN' ';I� /U Z. City: H .6. /� Zip Code: Contact Person: J� Ahloynft Title: OON,6� rz- Type of Business: &,,?,A,Phy C- DF5-k4IJ Fax Number:�%Zy2/�� Applicant (print name):__ /Oxftgnature: Date: Telephone: �'..1 �o� 1737 l t address: C� qffl— r y 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 UP (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* 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- �n HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 4201 2 - 2 CITY OF HUNTINGTON BEACH-- DEPT. OF PLANNING & BUILDING APPLICATION 714/536-5241 (3'd Floor - Must Apply In -Person) Business License # A Z39 68 Date 712 -7/I ,-;,- Business Address IV,31 TiP% N L 0 2- • G C426 Zip Code 92 61/Z Business Owners Name cT o M 0 0 Telephone No. 7 J y 8? 17�7 Business Name Bus. Phone S,�r�t�� Business Type Win ,sifCC XzZd 'i4 DE5%9 Property Owner Information (required) Tcnant/EmergencCqntact (required) Name 1%sL,q U,efl Name �d& DLY Y , O ;b Address 6/92- 73o45,4 l¢�E . # /01 Home Address 2/702--rW&W W. City >V State/Zip ��9��i City /�UT �/t/�C State/Zip G<J 926� Telephone No. Telephone No. 7/y -,So THIS USE WOULD BE DESCRIBED AS: Newly Constructed Building or Existmg Building CHECK ALL THAT APPLY: Change of Property Owner Change of Use Additional Occupant ■ Indicate former type of business Change of Occupant /V/ ■ Are you requesting that the electricity be turned on? Yes No • Is the building sprinklered? Yes No ,� ■ Will operations produce dust/woo shavings or similar material? Yes 0 ■ 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 , ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes (ED ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes Na ■ The following best describes my operation: Office Only Retail Sales Medical/Dental CW-ar—eh—ou-s—e /Manufacturing/Distribution Restaurant/Take Out Food— (descn eprocessan end product) f�/L4rMi-- /i�5/A/U ih'✓l� /�iSr��dTio�/ pF P/�F-/NAB ffg9-S Other (describe) For O.(ficial Use Only (� Occ Group: Area: Occ Load: Occ Group: Area: 3 ( Occ Load : Z. Occ Group: Area: Occ Load: in Total Sq Ft Occupied: No. of Stories: TIF Review: Y Bldg. Permit # Entitlement #: Zoning: i L Plnr Initials: Date: 0• MI'lan Chkr Initials: Date: 1 o h-Insp Initials Date: 91 • t` Conditions of Approval or Other Notes: s� � N��V l ��, _]� l�l 41 j lot S'Ci21 ) l P 1 Inspection Date_ 7 South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 �aJy (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: ' ,�?- (h: 3/�, 1Vd Property Address: ! 5/ 3/ %/�� ti� GN' ';I� /U Z. City: H .6. /� Zip Code: Contact Person: J� Ahloynft Title: OON,6� rz- Type of Business: &,,?,A,Phy C- DF5-k4IJ Fax Number:�%Zy2/�� Applicant (print name):__ /Oxftgnature: Date: Telephone: �'..1 �o� 1737 l t address: C� qffl— r y 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 UP (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* 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-