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Home My WebLink About7573 Slater Ave - CofO (35)1.7 J� HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 a- CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3rd Floor — The Applicant Must Apply In -Person) Business Address S 3 S to, -�Cr AV e :0- C'% '�-� B CA J&q 71' Date 11 Business Owner Business Name Zip Code 72 Telephone No. Z '" ZZ Business Type tNA-C,,0f11-'NV Cx-)MMC_{n( A 'sus. rnone T��-'j t� _ , Property Owner Information (required) d aift/ffrne �'nc ont c`ts re aired Name rMe r r CName C►'1''�� Address a f�" .� • Z Home Address 7r??Z*"r�!f-};r -# City p•.A�. 92 (01 � City p Telephone No. 6 2, �-' ` ow --T r S THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Cklf'xisting Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes ❑ No CHECK ALL THAT APPLY: ❑ Change of Business Owner E16hange of Occupant ❑ Change of Use ❑ Additional Occupant • Indicate former type of business • Are you requesting that the electricity be turned on? E Yes ❑ No • Will operations produce dust/wood shavings or similar material? Q Yes No • Will operations involve the repair or replacement of automobile parts? ❑Yes B<o If yes: Describe the components repaired or replaced. • Does the operation involve the use of welding or open flame? ❑ Yes iFINO 1• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑ Yes ®moo • Will there be storage racks, gondolas, or shelving excenrling 5 feet 9 inches in height? ❑Yes [5- 0 • The following best describes my operation: likNlce Only ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse/Manufacturing/Distribution ' ❑ Restaurant/Take-Out Food 64�Other • Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes C3-No 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 IffNo Grease Interceptor Verified For Official Use Onl Occ Group: G-11 Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: L Date: I II l Conditions of Approval or Other Notes: Inspected By Initials: Date: Area: 1ll %A Area: lyb Area: No. of Stories: '1 Entitlement #: Use Permitted: Occ Load: 3 Occ Load: L Occ Load: TIF Rev{e j: / N Zoning: Parking Meets Code (for use): Y / N Building Reviewed By Initials:_Vj Date: - South Coast AT Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 Phone Number (909) 396-3529 http://www.agmd.gov it..yQuality-Permit Checklist, J r California State haw Code 65850.2 prohibits cities from issuing an occupancy°pei'rnif.to a 6fFsiness without clearance from --- �» the°focal,air quality agency. This checklist will determine if you,need,to.�obtaim cleara�lce from tie $ot�tl Coast Air Quality Management Distr.,ict (AQMD). A ` •c ; °' }�';` ' Company Name: r k; L e.tp .,r 94d&P M Lt _,4n ry, S Property Address: -4 5�7 3 S IQ fcr Ame -j# C: City:r k� .:�;�'' sit, zip Code � Contact�aPe�or ; '�111�1? `t�11r>"► S' -' Titfe.A Typ of Business: con r j L'. CTelephorra: —� Fax Number,-) � : `� - `: - 1 'b E-mail Address: Gyti t - h Applicant (print name): SQWt 64-46 S Signature: Date: f 1. Will the facility release air pollutants, including but n9j limited to, dust fumes, gas, mist, odors, smoke, vapor, or a combination of these to the atmosphere? ❑Yes Ono 2. Will the facility result of fuel -burning equipment including, but not limited to,, boilers, generators, and internal combustion engines? ❑Yes nfq*o, `" 3. Will the facility result of hazardous maten , including but no'flimited to, chemical, plastics, rubber, resins, solvents, paints, and other parts cleaners? ❑Yes rNo 4. Will the facility have use of above or ynderground storage tank? ❑Yes 2lo 5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑Yes RVo �°•a 6. Will the faciNtyqesult►an the use;of the equipment listed below? ❑Yes 01,410 (Select all that apply), ❑Abrasive Blasting Cabinet/Room ❑Air Conditioning System (containing > 50 Ibs of refrigerant) ❑Application of Paints/Adhesive/Resins ❑Baghouse/Dust Collector [:]Bakery Oven (gas fired) ❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr) ` ❑Charbroiler/Smoker ❑Coffee Roaster/Afterbunner ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator) ❑Mixing/Blending of Liquids and/or,Powders ❑Molding /Extruding/Curing of Plastic ❑ Pharmaceutical/N utraceutical ❑Plasma/Laser Cutter ❑Printing/Coating/Drying *µ ❑ Production of Fumes/Dust/Smoke/Odors ❑Refrigeration Systems (containing`>'50 Ibs of refrigeration ❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven ❑Dry Cleaning Equipment ❑Spray Booth r ❑Electrostatic Precipitator❑Storage of Acids/Solvents/Organics Liquids/Fuels ❑Fermentation ❑Storage Silos (sugar, flour, etc.) ❑Gasoline Storage & Dispensing Equipment 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).