HomeMy WebLinkAbout15201 Triton Ln - CofO (2)J�
HUNTINGTON BEACF
CERTIFICATE OF OCCUPANCY 020 i - -6 2 q0
CITY OF HUNTINGTON BEACH —
DEPT. OF COMMUNITY DEVELOPMENT APPLICATION
(3rd Floor — The Applicant Must Apply In -Person)
Business Address ` Date tS
Business Owners N e a Zip Code
Business Name v Telephone No.
Business Type iM Bus. Phone-7.rd!gW
Property Owner Information (required) Ten nt/Emer enc Contact (required) ��65
Name /,,Zn t �Rt[.gd Name ' F r-
AddressIF
r Home Addres�riile��State/Zip
City State/Zip 6�Z-cll-Cit " 767—
Telephone No.,/9s/) CIQ0 Telephone No. 91 3 g3 _ 40
THIS USE WOULD BE DESCRIBED AS:
ONewly Constructed Building or �SiExisting Building
IS THIS BUILDING FIRE SPRINKLERED? OYes ONO
CHECK ALL THAT APPLY:
O Change of Business Owner hange of Occupant Change 'of Use OAdditional Occupant
■ Indicate forme, type of business
■ Are you requesting that the electricity be turned on? OYes 18No
■ Will operations �rvooucetdustlwood shavings or similar material? OYes to
■ Will operations i e he repair or replacement of automobile parts? OYesNo If yes: Describe the
components repair d or replaced.
■ Does the operation 'nvolve the use of welding or open flame? Yes ONO
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
OYes %�io
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? es ONO
■ 4Thpfollowing best d s my operation: OOffice Only ORetail Sales OMedjcal`De 1
arehouse anufactur' Distribution ORestaurant/Take-Out Food Other �/ cti
■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? Oyes o
If you ansivered yes, please proceed to the next question.
• Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)?
Check one: OYes O No
For Official Use Onl
Occ Group: Area: Occ Load:
Occ Group: Area: b- Occ Load: S
Occ Group: Area: Occ Load:
Total Sq Ft Occupied: E4C No. of Stories: TIF Review: Y/ N
Bldg. Permit # Entitlement #: Zoning: c,
Planning Initials:Date: -tit' Ik Building Reviewed By Initials:%' Hate: 1 f�fs -1;C
Conditions of Approval or Other Notes: V 1 r :s,l W V �& [dilky �� tAfd 8 A
r•
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: Pqcay. /"/ �424-S
Property Address: ljS7.-g2l nn M /on ..
City: du n �,r'kw 4., vt_Xcgb, Zip.Code:
Contact Person: I * Title:
Type of Business- !t Telephone: (Lyj 4i -� SCE
Fax Number 0 !?3Y— 3i _T"7 e-mail address: W" r IBC �aEO�. GD«n
Applicant (print name):�i� o4lZbMSignature:
• Will the facility have any of the following equipm nt? Yes 0 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? Yez 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).
IN
Applicant has pennit(s) from the SCAQMD
Applicant has filed for pemiit(s) with the SCAQMD
x
Applicant is exempt from permit requirements
Applicant has complied xvith filing requirements of R-222, 1
*7h;.s clearance 11-mor shouldnot he cwl.ilruedas a Permit la
FACILITY NAME AND LOCATION:
EQUIPMENT:
PACE METAL WORKS INC.
Welding and cutting of m&als
15201 Triton Lane
Exempt per AQMD Rule 219te)(8) �
Huntington Beach, CA 92649
ri
Sincerely,
Marviii Y. I nfacto
U
Air Quality I.--ingincer
Small Business Assistanc:c 0'fice
(909) 396-2207
i 6
� ar. South Coast
Air Quality Management District
° 21865 Copley Drive, Diamond Bar, CA 91765-4182
t om. (909) 396-3529 • http:11 %v\NAk-.agmd.goV`
l
Air Quality Permit Checklist �
California State Law Code 65850.2 prohibits cities from issuing an occupancy permit to c
business ,v thout clearance from the local air quality agency. "this checklist will determine! ►t V ►sir
heed to obtain clearance from the South Coast :fir Qu ►lit, Nlana-ement District (AQNI D)�
Company Nance: Eqc_�,_ At�4L_ Voj'ts
PmpettyAdclress: PP
!
City: na; o vt -w — Zip Code:
Contact Person: Title: _✓r7���^
1
T}pc of Business- ' Telephone: (7Z,)- 3 "43SO'
Fax Numbertf) �'S47 e-mail address: �✓ ►-'1�✓ etea� Co"'
Applicant (Print name):N nature: ate:
• Will the facility have any of tic following equipment`? Yes ❑ No .
Charbroiler
Dry cleaning machine
Spray booth
Printingpress(screert�'lithographicr`tlexo!_�raphic)
Internal combustion engine greater than _-50 HP (excluding niotor vehicles) ,
Boiler/combustion equipment (_greater than 1 millionB`1TU1ir. maximum input)
Abrasive blasting cabi►,evroom
BaghouselCartridge-ty^pe dust filter'scrubber
Motor fuel storat,e and dispensing equipment i
• Will any of the following operations be perfonred? Ye No� f
;application of paints or adhesives
Etching,, plating, casting. or mcltin- of nictals {
Molding, extruding, or curing of plastics
tMixin- and blending ofliquids :andior powders
Storao,c oracids.: olvents. organic liquids. or fuels
Production of fumes. dust. smoke. or strong odors
i
If you answered "No" to both questions, this checklist is your clearance from AQ ID. If
you answered "Yes" to either question. you must contact AQMD to deterniime if air qualitN-
permits are required. If permits are needed. AQMD will assist VOLT in submittinL, permit � -
application(s) and then provide \ou with a clearance letter. You can call AQ\Mlj ai their Cr,"lall
Business Assistance Oflue at 1-800-CUT-SNIOG (1-800-288-7664).
� � J
i