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Home My WebLink About18531 Main St - CofO (69)• J� 0 HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION Business Address C v J 3 I ►MF �� Business Owners Name ekw Business Name f� Business Type j 3rd Floor - The Applicant Must Apply In-Person) Date Zip Code 9">6TQ ? cj Telephone No.858` 73 5- 3171 're,'0 1 eps i /\C, Bus. Phone $SO.7 3 5-- 3 t 71 Property Owner Information (required) Tenant/E r enc Coi t (requi ed) Name �� Name3° Address MS..V\0 tFdt 1tJWHome Address 0/74C> (�17rmy City � �: '�t� State/Zip CA , 9 9-1 3dCitState/Zip C 04. 924 2-% Telephone No. '� 1 �2 ( Telephone No. 73 J -- 31 7 , THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or j LExisting Building IS THIS BUILDING FIRE SPRINKLERED? Yes ❑ No CHECK ALL THAT APPLY: gI Change of Business Owner ULChan a of Occupant gLChange of Use ❑ Additional Occupant • Indicate former type of business re_ • Are you requesting that the electricity be turned on? ❑ es MNo • Will operations produce dust/wood shavings or similar material? ❑ Yes cl!!�No • Will operations involve the repair or replacement of automobile parts? ❑YeslVo'; If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes �KNo • Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes M No • Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes R"o • The following best describes my operation-t ❑ Office Only ❑ Retail Sales ❑ MedicgDe El Ware house/Manufacturing/Distribution''• '❑ Restaurant/Take-Out Food �flther '5cutom 1 �'o-`��'"" • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes p.No �R�dlti� If you answered 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: ❑ Yes THO Grease Interceptor Verified Inspected By Initials: Date: For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials:_Date: 2l (ft"611 Area: lJ GL, Area: Area: No. of Stories: Entitlement #: Use Permitted: DN Occ Load: It "/ Occ Load: Occ Load: TIF Review: Y/�V Zoning: Parking Meets Code (for use): Y / N /A/fe) Building Reviewed By Initials: Date: Conditions of Approval or Other Notes: h p& aASkcXt f IkQ V 1 South Coast�;`� a Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 http://www.agmd.gov C. . , 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). , r Company Name: FI 5A L o A) i i T ES Property �Odress: City: (4,A17I A)6 bk) bFA CE Zip Code: U(� Contact Person: 2 l_ Title:' 0t,c)1� Type of'Business://s 1 LA P�eIeph6ne: F57 --_7-3S —! 7 f ' Fax Number: /A E-mail Address: re D O ai i Applicant (print name): 5ap,0 Signature: Date: JVliel9' j. 1. Will the facility release air pollutants, including but not limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes qo 2. Will the facility res_O of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion engines? ❑Yes ZNo 3. Will the facility result of hazardous materials, including but not limited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes aEft 4. Will the facility have use of above or underground storage tank? ❑Yes &Ko 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes 2�fTo 6. Will the facility result in the use of the equipment listed below? (e o (Select all that,'apply). ❑Abrasive Blasting Cabinet/Room ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) ❑Air Conditioning System (containing > 50 Ibs of refrigerant) ❑Mixing/Blending of Liquids and/or Powders ❑Application of Paints/Adhesive/Resins ❑Molding /Extruding/Curing of Plastic ❑Baghouse/Dust Collector ❑Pharmaceutical/Nutraceutical ❑Bakery Oven (gas fired) ❑Plasma/Laser Cutter ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) . ❑Printing/Coating/Drying ❑Charbroiler/Smoker ❑ Production of Fumes/Dust/Smoke/Odors ❑Coffee Roaster/Afterbunner ❑Refrigeration Systems (containing > 50 Ibs of refrigeration ❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven ❑Dry Cleaning Equipment ❑Electrostatic Precipitator ❑ Fermentation ❑Gasoline Storade &. Dispensing Equipment- ❑Spray Booth ❑Storage of Acids/Solvents/Organics Liquids/Fuels ❑Storage Silos (sugar, flour, etc.) If you answered "No" to any of the above questions and your facility will not have the following equipment listed, 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).