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Home My WebLink About15272 Bolsa Chica Rd - CofO,e �J APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF DEVELOPMENT SERVICES _ r+unmxeron snot (PRINT OR TYPE ONLY) Address i�7 's2JS�C�YlIt��. i\ 17urt^rl lie O�7C^'CtCe�r�_ District Business Name Tel J 3 I9 /) 1 —I LZ Business Type =12 @ 1 5 i f +/� _ Occ. Group—=�—y��' ( BUILDING OWNER OWNERIMANAGER Name—J21?rY1 11 4+ � i Otis-N, Name Addre 4 't �% � tz 4tar1e` C1'�I'c /u/�� _ Address(242�3 Of�-(LYi�.1G'- w� City Tel./1�//qq��. CityU11T-t—aLl"1--` t "4s.•` THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER CHA .Gc , ❑� LX ' EXISTING BUI) DING CHANGE OF USE ADDIT;O%,. Indicate former use, if any Occupancy Gr. Div. NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been inspected and a certificate of occupancy is issued. 2. No electrical service will be released for any existing building until the service has been inspected and certified safe. All applicants for occupancy in an existing building are requi~ed to schedule an electrical 'fuse up' inspection in the Department of Development Services at the time this applica- tion is filed. 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a build- ing or premises in order to determine if a change may be made in the character of occupancy or use of the building or premises which would place the building in a different division of the same group of occupancy or in a different group of occupancy, a change of occupancy inspection fee of $30.00 shall be paid to the city. 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) inches in height with one half N inch stroke, and of a contrasting color from the back- ground. These numbers must be posted or, your building in a location that is visible from the street. 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse nr1(1, 2 ZVR (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION SQUARE FT. OF BUILDING PLAN CHECK N0. _ 7_ N0. PARKING SPADES _ OCCUPANCY GROUP� �, ' _ PERMIT N0. HEALTH DEPT, APPROVAL OCCUPANT LOAD t ADMIN. ACTION _ UTILITIES RELEASED. NO. OF STORIES _— CERTIFICATE OF OCCUPANCY FEE $ APPROVED BY DATE CHANGE OF OCCUPANCY FEE $ #._, TOTAL $. 75.038RFV. _ t GERT{F?CATE OF E1i,t +JR;at3s Y t. F3UcinC55 TvP` UIL()IN o to i NA -Me -.-- i 6E DQS126 to ^t,)v G - y�e :1t2rYi8S: a!lC - jj C)fi `GiBt 1 cep, �'� Inc E+aildsnc - '_ r �J CERTIFICATE OF OCCUPANCY CITY OF HUNTIN rTON EEACHi' DEPARTMENT OF DEVELOPMENT 3ERVICES Date HUNTIWWON BFAa Address 1 5272 T osi,,5 C .5.na i' d. District Business Name Tel. J Business Type_ 0`i7T $L .a e'2 TO?,, CP Occ. Group 1,1_2 BUILDING OWNER BUSINESS OWNER/MANAGER Name Wcalifc.)nn a 7.-1arahousin Nara Home Address '�ila1+ ,`:.�� .i :. Address-16 i 2'., ... C4.: City- -" iTel. City t 1 1-4p r+t HorneTel.c/t�iir12.^, Corisiruction No. of Stories Oocupant Load Sprinklered _ This Certificate of Occupa- iy DEPARTMENT OF DEVELOPMENT SERVICES SHALL BE posted in a conspicuous place on the premises and shall not be removed ex- cept by the Building Official by -- DEVELOPMENT SERVICES APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH 9-18-86 DEPARTMENT OF DEVELOPMENT SERVICES DATE tNNnM6TGN BEACH (PRINT OR TYPE ONLY) Address 15272 Bolsa Chi.ca Road District Business Name Cer_tury Relocation Services Tel. 714-895-3022 Business Type —. Mvisiq & Storage Occ.6mup BUILDING OWNER BUSINESS OWNERIMANAGER California Warehousing Name John Tillctson Jr. Name Home 5 Augusta Street Address 16426 Ladona Circle Address_ 846-0080 City Seclui.n Tel. City Huntinclton Beach Home Tel. THIS USE WOULD BE DESCRIBED AS: ❑-- NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER CHANGE OF OCCUPAN' LXJ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any dd$0VjtV44' .41JD 3 `DM6t4" Occupancy Gr. -.—Div. SQUARE FT. OF eUILDING TO BE OCCUPIED 28,000 NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued Until the building has been inspected and a certificate: of occupancy is issued. 2. No electrical service will be released for any existing building until the service has been inspected and certified safe. All applicants for occupancy in an existing building are required to schedule an electrical `fuse up' inspection in the Department of Development Services at the time this application is filed. 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or premises in order to determine if a change may be made in the character of occupancy or use of the building or premises which would place the building in a different division of the same group of occupancy or in a different group of occupancy, a change of occupancy inspection fee of 777 shall be paid to the city. �� c7�Yr 4. Huntington Beach Fire Code Section 10.208 requires that bulid'ng numbers must be a minimum of four t (4) inches in height with une half (1/2) inch stroke, and of a contrasting color from the background. These numbers must be posted on your building in a location that is visible from the street. 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). (FOR OFFICE USE ONLY) ZONING — SUPPLEMENTAL INFORMATION ,- FLAN CHECK NO. NO. PARKING SPACES. OCCUPANCY GROUP— PERMIT NO. HEALTH DEPT, APPROVAL OCCUPANT LOAD --' ADMIN. ACTION UTILITIES RELEASED NO. OF dTORIES /^ CERTIFICATE OF OCCUPANCY FEE g yrcx:�°4%fL APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE. $ TOTAL $ _ L` CERTIFICATE OF OCCUPANCY a CITY 09 H`MINOTON BEACH "� uanZ 'r a:e DEPARTMENT OF DEVELOPMENT SERVICES NQNnMGTOrd BiAC}i District Address, �" � a Tel. 395-3622 Business Name r irrt5.'V T: r7t'T'r r Occ. Group s ,t s _1 Business Type r f 'r r>7 BUILDINGyWNER BUSINESS OWNERWANAGER Name ��1lT-C. T3lci ':arej,OU�-3Tac= _ Name .i4121 TilloL'z on Home i I^ 4 26 Ladona Cir . ., Ad.9ressk�'�2 T'�9�� ('}1,c�a Ed'Address-- Olfy. �� , 13rif"co 7E3 �y7 Tel- City rIurl iligt n ' each Home Tel. Construction -No, (;f Stones_ Occupant load _ 6C Sprinklered DEPARTMENT OF DEVELOPMENT SERVICES This Certificate of Ocaapancy SHALL BE posted in a conspicuous place on the premises and shall not be removed ex- ceptby by the Building Gfficial. T)VVELOPMENT SERVICES APPLICATION FOR Cs RTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF DEVELOPMENT SERVICES HUNTINGTON BEACH (PRINT OR Tr PE ONLY) DATE Address'). + cCA. District Business Name �w-_sty 't�� c� Tt .0 �jr� sa ,�` c �z Te�+�t�! Business Type Occ. Group - BUILDING OWNER BUSINESS OWNERWANAGER Name ��.i,rri.n`.G+ �►��4h.at��. r Nametn� C G„ c� yic j Home Address '� � �-'� �1�� Address '+�1,�1'1.�, �.�_�„�-�� n•. City `U . If Tel _ City�`a`= •�•�cau� ` Home Tel. _ THIS USE WOULD BE DESCRIBED AS: ❑�� NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT 9—ffXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT lrftate former use, if any --OpSupancy Gr.—Div. hivc)00 ceJ1.1_4.0 a. SQUARE c:T. OF BUILDING TO BE OCCUPIED 2 '- _— .," 7 U � NOTICE: 1. Occupancy of any building is prohiblthJ and a business license Will not be issued until the building has been inspected and a certificate of occupancy is issued. 2. No electrical service will be released for any existing building until the service has been inspected and certified safe. A!I applicants for occupancy in an existing building are required to schedule an electricai `fuse up' inspection in the Department of Development Services at the time this application is filed. 3. Change of occupancy or use inspection fee. Wheneve, it is necessary to make inspection of a building or premises in order to determine if a change may be made in the character of occupancy or use of the building or premises which would place the building in a different division of the same group of occupancy or in a different group Of occupancy, a change of occupancy inspection fee of $_ shall be paid to the city. )p,4. Huntington Beach Fire Code Section 10 208 inquires that building numbers must be a minimum of four f ( (4) inches in height with one half ('`-) inch stroke. and of a contrasting color from the background. These numbers must be posted on your building in a location that is visible from the street. 5. Huntington Beach Fire Code Section 1G,::01 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). 1. Y_ (FOR OFFIC2 USE ONLY) ZONING �` '� h22 SUPPLEMENTAL INFOR ATIOV� OCCUPANCY GROUP- ~� PLAN CHECK NO. NO. PARKING SPACES OCCUPANT LOAD .. PERMIT NO. HEALTH DEPT APPROVAL NO, OF STORIES ADMIN. ACTION _. UTILITIES RELEASED -- /-- 7 ' R CERTIFICATE OF OCCUPANCY FEE $ _ APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE ,wl� TOTAL $� -15-031) REV D F V E. L 0 P ME Nlf S V SUPPLEMENTAL INFORMATION 1. �, �. \�rl " j`'��u�"•waCc BUSINESS ADDRESS \SX-t � nos« Li� e�y .c1. 1 in of emergency: -- 2. Person to contact case Telephone number: 3. Does the building in question have electricity? Ol es ONO a. If No, are you requesting that the electricity be O Yees ON turned on? M1es 4. The building is sprinkler'ed? ONO 5. Operations will produce du;jt/wood shavings or similar Oyes material? ble S. operation will involve thc� repair. or replacement of �S automobile parts? If yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? pis 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. OYe:sQ-ble 8. The following best describes my operation: Office Only Retail Sales Warehouse end (describe\ process and product) W)iv�elti P.estaurant Take Out Fooa Medical/Dental Other (describe) '— (12/8/86) �0562D) SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? OYe 0 if yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A Class I-B _ Class I-C 2. Combustible liquids Class II Class III -A 3. Combination flammable liquids 4. Flammable gases --- - -- 5. Liquefied flammable gas-s _ 6. Flammable fibers -loose 7. Flammable fibers - baled--- ^8. Flammable solids 9. Unstable materials 10 Corrosive liquids - 11. Oxidizing material. -_uses 12 Oxidizing material - liquids - 13. Oxidizing material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weight 18. Highly toxic matrial and poisonousgas 19. Smokeless nowder 20 Black sporting powder I hereby certify that the above infortiation is true and correct to the best of my knowledge. Signature (05624) (12/8/86) P-2 CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH Date Address L- G L a G District Business Name 1"I'l, I" hkAl"l, I I G (X T 1J, Te 1. 7 Business Type Ccc. Group BUILDING VOINER BUSINESS OWNER/MANAGER t, 1i L -I 1� A 1--11 F� L I U —" 11, G L 'I b Name Name Address 1:J 1 C, I Home T U104i Ch, Address It!! 2 City Tel, L*kyjjj,�j (' EHome City Tel Construction No. of Stories Occupant Load Sprinklers CONDITIONS OF APPROVAL DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the by Building Official. -11 COMMUNITY DEVELOPMENT Ff4j wo ,� , le APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH riUPJT1NOTON 6EAQI DEPARTMENT OF COMMUNITY DEVELOPMENT 3' -/ DATE (PRINT OR TYPE ONLY) Address 15272 Bolsa Chica Street District Business Name Aberdeen Forwarding Co, , Inc. 4.TRTF.RNA DNAj. STTPPnRT ,SVIn�I. ( 714) R9R-8365 Business Type Fret h t Forwarding _ _ _ Occ. Group Pi in nimr, nwNFa BUSINESS OWNER/MANAGER Name Califo-nia Warehousing Limited Name Haydee Tillotson 15272 Bolsa Chica Street Home16426 Ladona Circle Address Address _ (714) 714 City Huntinntnn a0h, C A TeL895-9552 CityHi f nCjiC1n Bt� arh; CA Home Te46-00. 8(Z_ THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. El CHANGE OF OWNER (❑ CHANGE OF OCCUPANT ❑ EXISTING BUILDING El CHANGE OF USE ADDITIONAL OCCUPANT Indicate former use, if any _ -Occupancy Gr. Div. SQUARE FT. OF BUILDING TO BE OCCUPIED 3300 NOTICE: 1, Occupancy of any building is prohibited and a business license will not be issued until the building has been inspected and a certificate of occupancy is issued, 2 No electrical service will be released for any existing building until the service has been inspected and certified safe. All applicants for occupancy in an existing building are required to schedule an electrical 'fuse up' inspection in the Department of Community Development at the time this application is filed. :1. Change of occupancy or use inspection fee. Whenever It is necessarj to make inspection of a building or 1196 premises in order to determine if a change may be made in the character of occupancy or use of the building or premises which would place the building in a different division of the same group oT occupancy or in a different group of occupancy, a change of occupancy inspection fee of $ - shall be paid to the city. 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) . �5"�73 inches in height with one half (1/2) inch stroke, and of a contrasting rolor from the background. These numbers must be posted on your huilding in a location that Is visible from the street. 5. Huntington Reach Fire Code Section 10,301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION ,"_2 ® OCCUPANCY GROUP-- PLAN CHECK NO _ OCCUPANT LOAD - PERMIT NO NO. OF STORIES ' ADMIN ACTION-M,._._- .— rCE"11'IFICATe OF OCCUPANCY FEE P OVE DAT CHANGE OF USE OR OCCUPANCY FEE TOTAL 0 ZONING�&V-A -3 .- /e/: - l49 LPW NO PARKING, SPACES - HEALTH DEPT APPROVAL UTILITIES RELEASED 76�038 Rev W88 COMMUNITY DEVELP. SUPPLEMENTAL INFORMATION 1. BUSIN13ISS ADDRESS 15272 Bolsa Chica Street 2. Person to contact in case of emergency: John T-.Ilotson Telephone rmmber: M 4) 846-0080 3. Does the building in question have electricity? ICJ Yes 10 11No a. If No, are you requesting that the electricity be OYes turned on? ONO 4. The building is sprinklered? 0Yes 'O No 5. operations will produce dust/wood shavings or.similar material? ❑ Yes )ONO 6. Operations will involve the repair or replacement of OYes automobile parts? ONo If yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an oea flame? Oyes ❑ No 7. The business is drinking, d�.ning or assembly use that will result in an occupant laud of more than 50 persons. OYes ONO 8. The following best describes my operation: J7E`f 1 C e On l 1 e s warehouse Manufacturing/Distribution (descrioe process and end product) ._.. R` e a u r a n t7�a C"e`_ME P )B d " Medical/Dental Other (describe) SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? 0Yes ZNo -I T -Ye—s —165 Ee quanEiRes: Material -quantity 1. Flammable liquids Class T-A Class I-B Class I-C 2. Combustible liquids Class II Class III -A 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers —loose 7. Flammable fibers - baled 8. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. 0.rganic.peroxides 15. Nitromethane (unstable materials) Mrs 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures 0 containing more than 60% nitrate by weight 18. Highly toxic material and - poisonous gas 19. Smokeless Powder 20. Black-s2orting powder I hereby certify that, the above information is true and correct to the best of my knowledge. I �-IZ440(1 ure. *.42V,90 Sign#E- Date' (0562D) (12/8/86) J CERTIFICATE OF OCCUPANCY CITY OFF HUNIINGTON BEACH Date Address 1r,"t P.C'P..r-t� %f�:l:fi District Business Name t.LIJ U; t.dlTit :� t'Iart�,P +P 4" Tel. Business Type 1, 't�sP�G � :,`1UgACtr c(h Pp! '- Ocr,. Group — BUILDING OWNER BUSINESS OWNERWANAGER Name Name Addresgl;f lr .dL: ° G} ! (i` II', Home Addres3 + r, t t "'T'1#P'LLI L1'',H; t: i L; City . , ,.. , Tel. p t u r r: c:.- C :r . Home City 3. 34 i i f. Tel Construction No. of Stories Occupant Load Sprinklnrs CONDITII)NS OF APPROVAL DEPARTMENT OF CG PALINITY DEVELOPMENT by :2le Y APPLICATION FOR CERTIFICATE OF OCCUPANCY t CITY OF HUNTINGTON BEACH 11ur,mrdcTorr r1FnaH DEPARTMENT OF COMMUNITY DEVELOPMENT 2-12-92 (PRINT OR TYPF. ONLY) DATE f� 7.2,,Naryie _. 152.7.2_._$Dl cC•' a h i C.a__Road____ untingi District r-arcTnn m—A 11s1_._•,& Stpa�__�,� rt,; (714) 895-3622 usiness Type __,..,t�ovd ng.rl_Si�orage. CQTnjzany Occ Group ,�/� BUI.DING OWNER BUSINESS OWNFRWANAGER Na%�` ^al ifos:aia_ Lti'.a � ousln —__ ,rU Njimr, Rand Gordon r�ddre 1527?, _golsa Cri�a Road _� /0gtldf11e5S 21751 Estrella Lane Citf HUn- i n Ttso12,BQach_ —_ . Tr,; 6959552 Tra buco C c,I n v— ----- '�__ __ Home Te15891689 THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG r01 CHANCE OF OWNER CHANGE OF OCCUPANT EXISTING BUILDING 0 CHANGE OF USE ❑ ADDITIONAL OCC.UPA! IT I d:cale former use, if any_Ce��y.Movinc�tL__Stoz ge_ !7) ,.ip;lnt;y Car Div SQUARE FT. OF BUILDING TO Lit OCCUPIED*_ 26100 NOTICE: 1. Occupancy of any building is prohihited and a business license will not be issued until the building7beeeninspected and a certificate of occupancy is issued. 2. No electrical service will be released for any existing building until the service has been inspcertified safe. All applicants for occupancy in an existing building ale required to Gchedule an 'fuse up' inspection in the Department of Community Developmer1+ at the time this application is filed. 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or premises in order to determine if a change may be made in the character of occupancy or use of the building or premises which would place the building in a different division of the same group of occupancy or in a different group of occupancy, a change Of occupancy inspection fee of $ shall be paid to the city. 4. Huntington Beach Fire Code Section 10,208 requires that building numbers must be a minimum of four (4) inches in height with one half (1/2) inch stroke, and of a contrasting colur from the background. These numbers must be poste on your building in a location that is visible from the street. 5. Huntington Reach Fire Code Section 10,301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side), OR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION TONINr OCCUPANCY GROUP_._..,_.._,- _ _ PLAN CHECK NO N(7 P IN(, SPA('E� ' OCCUPANT LOAD / -- -- -- -- -f PER,JIT NO _ DIPT APPROVAL ..- - Al Tti Lf_F . AF F RUVAL NO. OF STOR ,.S-- -- ADti11N ACTION_.. J,JT1l i71Eti� -�c - � ' //72 CERTIEICATF OF Ul'CJPAN(:Y fE+ t �/VVr APPROVE BY DA TE CHANGE OF USE rtj t)(:C'UP , Cy F E.E g !` {/ ' .�`""` �'"•"""' TOTAL. D r 75•039 Rev, 11/90 �'t COMMUNITY DEVELdPIMENT a F ki RETURN TO THE PLANNING DIVISION, CITY OF HUNTINGTON BEACH, P.O. Box 190, 2000 Main Street, Huntington Beach, CA 92648 SOUTH CnAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property: 15272 Bolsa Chica Road Property Owner name: California Wa-rehous ing Phone #8959552 Name of the Person Preparing this form in prin a//ndqq siAggnatd re ^ _ Name Susana Griffin Signature V G� l '` The person preparing this form must be the same person applying for E building permits. Please answer the following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN THE "YES" COLUMN: SCAQMD PERMITTING CHECKLIST YES NO 1. Does your facility use any internal combustion engines greater than 50-HP? 2. Does your facility involve mixing, blending, or Processing any solvents, adhesives, paints ORD or coatings? 3, Does your facility create any dusts or smoke? 4. Does your facility refine any liquids or solids? X Reclaim any metals? 5. Does your facility plate or coat anything? 6. Does your facility have any combustion equipment i.e. boiler, furnaces, broiler, baking ovens, etc.) rated greater than 2,000,000 BTU/HR? 7. Does your facility handle or store solvents or motor B fuel? 8. Do you use or store any acids? Flfl 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline station, printer, or part coater? 12. Is the subject building located within one thousand (1,000) feet of any school? C� PROPERTY LINE TO PROPERTY LINE. GRADES K-12. If you have marked "No" in all columns, you Co not need an Air Quality permit at this time. If you ,have marked any questions in the "YES" Column You must contact the South Coast Air Quality Management District located -It: 9150 FLAIR DRIVE, EL MONTE, CA 91731 ['lease call these offices: Plan Check (818) 572-6$06 1):AL00603 (818) 572-6111, (818) 572-6261 SUPPLIMENTAL INFORMATION V D I ' SUPPLEMIENTAL INFORMATION BUSINESS AD 15272 Bolsa Ch' untington Beach, CA Person to contact in case of emergency. ' T�.na Blake Telephone number: (714) 891-1260 Home 3. Does the building in question have electricity? E3 Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? Z-1 No C4. The building is sprinklered? E Yes E ❑ No I 55. J Operations will produce dust/wood shavings or similar t✓/ material? ❑ Yes �1 No 06. Operations will involve the repair or replacement of E7 Yes automobile parts? F7 No y If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes ® No The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes ixl No % 8./ The following best describes my operation; �/ Office Only r Retail Sales arehouse Manufacturing / Distribution (describe process and end product) r Restaurant/Take Out Food Medical / Dental Other (describe) W-o4Q C� ��,fccrirL �a�es ��COCt)1�ii 0i (� (_ SUPPLIMENTAL INFORMATION f r oesr� �dzr � ' SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following - materials? i] Yes No If Yes, indicate quantities: Material Ouantity 1. Flammable liquids Class I -A Class I-B — Class l-C 2. Combustible liquids Class II Class Ill -A — — — j 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases - 6. Flammable fibers - loose 7. Flammable fibers - baled 8. Flammable solids 9. Unstr-lle materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. AmmoniLlm nitrate compound mixtures containing more than 60% nitrate by weight 18. Highly toxic material and poisonous gas 19. Smokeless powder 20. Black sporting powder I herAy certify ` t t the above information is true and correct to the be, t o my adge. P 2-12-92 Signature Date CERTIFICATE OF OCCUPANCY 4/ 1 61c? CITY OF HUNTINGTON BEACH Date Address 15272 Li LSD. GMCA District ACC v CRILD I' ID ' h'1VING, i6 C, Tel. 714-_ 0,,2-4744 Business ""me s'jGV? f=G,IST(,PAGE�, RI FF'E:SEN IS nTLe�S 1;AF1 LIi E Occ. Group B-2 Business Type BUSINESS OWNER/MANAGER BUILDING OWNER C1,L1FCRN1A litiREHi.:USII sG RCBE>iT TL£;CKET Name Name Home 15272 BOLSA ChICE RL Address E tc OftiI GHome R DR 714—G 5-955 City FEE-, CA Time 714—El16-58E4 City tyI , CAI Tel - y Construction No. of Stories Occupant Load Sprinklers CONDITIONS OF APPROVAL DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the by Building Official. COMMUNITY DEVELOPMENT x w APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT HUNTINGTON BEACH IPEINT OR TYPE ONLY) 3-23-93 DATE 15272 Bolsa Chica Road Huntington Beach 92649 District 5Acj�ress — Bu,Ainess Name Ace World Wide M.—ring Inc. Tel 892-4744 Business Type _ Z`1oy ng & Storage Co representing Atlas Van Lines Occ. Group_ % BUILDING OWNER S BUSINESS OWNERIMANAGER fN me California Warehousing Na e Robert Flecken Ad�dr ss 15272 BOlsa Chica Rd — ware 6882 Bridgewater Eir I�iy Huntington Beach TP,8959552 ty Huntington Beach HomeTe18485864 LT1,jHnISUSEWOULD BE DESCRIBED AS: CONSTRUC :BLDG ❑ CHANGE OF OWNERCHANGE OF OCCUPANTNG BUILDII. CHANGE OF USE ADDITIONAL OCCUPANTer use. d TIOV __&-_S.to=agPCpOccupancy Gr. Uiv. OF BUILDING TO BE OCCUPIED-17_400 NOTICE: 1. Occupancy of any building is prohibited and a business license will not b.3 issued until the building has been inspected and a certificate of occupancy is issued. 2. No electrical service will be released for any existing building until the service has been inspected and certified safe. Ali applicants for occupancy in an existing building are required to schedule an electrical 'fuse up' inspection in the Department of Community Development at the time this application is filed. 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or premises s in order to determine if a change may be made in the characterof occupancy or use of the building or premises which would place the building in a different division of the same group of occupancy or in a different group of occupancy, a change of occupancy inspection fee of $ shall be paid to the city. 3 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) inches in height with one half (1/2) inch stroke, and of a contrasting color from the background. These numbers must be posted on your building in a location that is visible from the street. 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). 33 �R3 (FOR OFFICE USE ONLY) ZONING_—L SUPPLEMENTAL INFORMATION OCCUPANCY GROUP - r" PLAN CHECK. NO NO PARKING SPACES OCCUPANT LOAD ^ PERMIT NO HEALTH DEPT APPROVAL NO. OF ST IES ADMIN ACTION_ — UTILITIES RELEASED fj CERTIFICATE OF OCCUPANCY FEE AP ROVE DATE CHANGE OF USE OR OCCUPANCY FEE $ ` TOTAL g ✓t'' 75•039 Rev. tt/so COMMUNITY DEVELOPMENT J P SUPPLEMENTAL, INFORMATION n 1. /1/ BUSINESS ADDRESS �� •�IG\� I� %a �Y1�c(X i�V,(� �ij j� bud, 2. Person to contact in case of emergency Telephone number: $ 3. Does the building in question have electricity? 03 Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? IvJ Yes ' ❑ No I 5. Operations wi' ,produce dust/wood shavings or similar material? ❑,Yes 6. Operations will involve the repair or replacement of No ❑,Yes automobile parts? No If Yes: (a) Describe the components repaired or replaced. .f ❑ des (b) Does the operation involve the use of an open flame? 7. The business is drinking, dining or assembly use that will No i ! result in an occupant load of more than 50 persons. ❑ Y [ lt�' o 8. The following best describes my operation; Office Only Retail Sales - ar 04(c{ �a�nufact�uring / Distribution (describe process and end product) 4 1 Restaurant/Take Out Food Medical / Dental Other (describe) j' SUPPUMENTAL INrORMATIMI i w 1 1 SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? ❑ems VN o If Yes, indirate quantities: Material Quantity 'L Flarr nable liquids Class I -A Class I-B i Class 1-C 2 Combj!stMe liquids Class 11 Class 111-A 3. Combination flammable liquids 4.. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - oose 7. Flammable fibers - baled 8. Flammable solids 9. Unstable materials y 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material - solids I 14. ' Organic peroxides N: 15. Nitromethane (unstable materials) _ 16. Ammonium nitrate compound mixtures � nitrate com 17. Ammonium p containing more than 60% nitrate by weight 18. Highly toxic material and poisonous gas 19. Smokeless powder 20. Black sporting powder i 1 ereby certify that the above information is true and correct to the best of my now edge. Sioatur Date b i I SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property: f M, 601a et da-c*a QI Property Owner Name: C& rJ0V-R[CL WA{ d1Qj1A61rL�phone Name of the Persons Preparing this form in print and signature Name: 1i1��L�V ll y ( Tf ( n Signature • ifi m The person preparing this form must be the same person applying for building permits. Please answer the following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN THE "YES" COLUMN: AQMD PERMITTING CHECKLIST YES NO 1. Does your facility use any interr,al combustion engines greater than 50-HP? 2. Does your facility involve mixing, blending, or processing any solvents, adhesives, paints / or coatings? V 3. Does your facility create any dusts or smoke? ►�- 4. Does your facility refine any liquids or solids or reclaim any metals? 5. Does your facility plate or coat anything? �- 6. Does your facility have any combustion equipment i.e, boiler, furnaces, broiler, baking ovens, etc.) rated greater than 2,000,000 BTU/HR?- 7. Does your facility handle or store solvents or motor fuel? 8. Do you use or store any acids?_ 9. Do you use any chemical process? ►f 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline station, printer, cr part coater? 12. Is the subject building located within one thousand (1,000) feet of any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked any questions in the "YES" Column you must contact the South Coast Air Quality Management District located at: 21865 E. Copley Drive Diamond Bar, CA 91765-4182 Please call: Plan Check (714) 396-2000 (1360D-2)