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Home My WebLink About15131 Triton Ln - CofO (73)R J� HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 - 00.0( . CITY OF HUNTINGTON BEACH — DEPT. OF PLANNING & BUILDING APPLICATION 714/536-5241 npvr_-•j Business License #� Business Address__] Business Owners Name Business Name A, Business Type (3'd Floor — Must Apply In -Person) Date q 419 /3 Zip Code q.2-4g101 Telephone No. '7/U 747 *11 Bus. Phone 7/4 7y7-� 11 Property Owner Information (required) Tenant/Emergency Contact (required) Name 7 1 Name CF F rn Address 5/ - Bo Ae. Ui �# /D / Home Address QSs City State/Zip City -4q2., State/Zip Telephone No.--[14-�S9a1-- J-7g 1 Telephone No. �-- ^j ^ �� ( j (60 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or ❑ Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner )Change of Occupant ❑Change of Use ❑Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity be turned on? YeN No ❑ ■ Is the building sprinklered? Yes No❑ ■ Will operations produce dust/wood shavings or similar material? Yes❑ Nq< ■ Will operations involve the repair or replacement of automobile parts Yes No;$y If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? Yes O No� ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ONOY ■ Will there be storage racks, gondolas,4*:OgRestau excDake feet 9 inches in height? Yes ONo�' ■ The following best describes my operfice ❑ Retail Sales ' ❑ Medical/Dental ❑ Warehouse /Manufacturing/Distribr Out Food (describe process and end product) NOther (describe) E c �- S'roY1,f�C—i C uSc. T For Official Use Only ( Occ Group: Area: l 57p Occ Load: Occ Group: sArea: („ Occ Load: Occ Group: Area: Occ Load: Total Sq Ft Occupied: No. of Stories: TIF Revi w: Y/ Bldg. Permit # Enti a ent #: Zoning: Phu Initials:OPL Date: Plan Chkr Initials: Date: wisp Initials. Date: cloLiv, Conditions of Approval or Other Notes: I - South Coast 4 6 Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 1 (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: NLW�c- W4 Door Property Address: 1 -'Rk-k 0'0 (O-y-,&- 1 City: :� Zip Code: 1D-& LI Contact Person: to,-V IC� CaOI,(�I�i4 Title: . Type of Business: +A0WX (a,_L— Telephone: -1 1 ( ( Fax Number: 30e),- �e-mail dre Applicant (print name): Signature: ss: 6AN't9 Ste► Date: c) (=-h2( 1 Will the facility have any of the following equipment? Yes ❑ Noq 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 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-