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Home My WebLink About15165 Triton Ln - CofO (2)�II JJ HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 IL -I - CITY OF HUNTINGTON BEACH — DEPT. OF PLANNING & BUILDING APPLICATION 714/536-5241 (3`d Floor — Must Apply In -Person) Business License # Z V Z% 2 I Date 51 1 q Business Address 15 1(PS 161-00 Lon L Zip Code' Q ?_(pq S Business Owners Name (ZQSC0161U Czn_ Df V Telephone No. '714445S 31(Qi Business Name CTQ( 114 S+z, +,'e�r)er3 l Bus. Phone I I q - R fS- .3y (p c� Business Type Property Owner Information (required) Tenant/Emeraency Contact (required) Name 11 od n 5u6hr4_AA ,, I Name 6 Se rvi A czo l< Address . hin La Home Address I (Q I 1 WP11 LA n G City State/Zip Cl2 1t 9 City fitiq}Yn 6ch State/Zip ZOL(9 Telephone No. Telephone No. THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or C)�_xisting Building CHECK ALL THAT APPLY: ❑ Change of Property Owner khange of Occupant ❑Change of Use ❑Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity e turned on? Yes 0 No ❑ ■ Is the building sprinklered? YesX , No ❑ ■ Will operations produce dust/wood shavings or similar material? Yes ❑ No_�e ■ Will operations involve the repair or replacement of automobile parts Yes No�< If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? Yes El N ■ Will the bFestorage ss be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ❑No ■ Will there racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes ONQ'�? ■ The following best describes my operation:Office Only ❑ Retail Sales ❑ Medical/Dental Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (describe process and end product) Other (describe) For Official Use Only Occ Group: A Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Area: Area: Occ Load: —/,S7 Occ Load: Occ Load: _ TIF Review: Y/ N Entitlement #: Zoning: .� ` Plnr Initials: Date: 1-( Plan Chkr Initials:�Date: v/ I Insp Initials:'��?4:2-. Date: Conditions of Approval or Other Notes: L,Alt,�HLA44 6v�f c-4 - Area: No. of Stories: Inspection Date: Z/�-J J 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: e5ii to, S-1-2-h`u-V-6 (-(-C- Property Address: I us Tntvli r_a z City: I 1 Gt �� Zip Code: ��4 �1 (� Contact Person: 0�G'► 101' , - (71d o' Title: ° C(S;C� Type of Business: (?+t %-� ~v�Y Telephone: � -S 3 G S Fax Number:-Ilei ��'� " e ail address:f- 5(m/i� e Applicant (print name): Signature: ` S� Date: `J I ) L4 • 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 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❑ Nol 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- �--- '- . � ,_' x�: �. z, ,' �,:�: aia:.` N w:<.:,v: ��'y � 4RT�y'j;`l a ea: