HomeMy WebLinkAbout15102 Bolsa Chica Rd - CofO (3)1
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CERTIFICATE OF OCCUPANCY
6 2 719 5
CITY OF HUNTINGTON BEACH
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Date
Address
15102 BOLSA CHICA
#A2
Disitict
Business Name
AG ARTWEAR, INC.
DEIA FREDERICK DUCLOS Tel,
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B98"3676 E
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Business Type
_ONOLESALE FASHION
ACCESSORIES
Occ.Group B2
BUILDING OWNER
BUSINESS OWNER/MANAGER
BRIAN
WILSON
MlM DUCLOS
Name
—
_ Name
Address 8121
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KAzELLA
Home 6561 MONTOYA
_ Address
City STANTONTel.
527--6G: 1 HB Tome
847--2229
_ City
Construction
No. of Stories
10
Occupant Load Sprinklers
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CONDITIONS OF
APPROVAL_
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E DEPARTMENT OF COMMUNITY DEVELOPMENT
Th,j Certificate of Occupancy
" SI''tALL BE posted in a conspicuous place on the
` premises and shall not be removed except by the by,
Building Official.
COMMUNITY DEVELOPMENT
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APPLICATION FOR CERTIFICATE O� C9CCUPANGf
OVG�
CITY OF HUNTINGTON B:EACH
DEPARTMENT OF COMMUNITY DEVELOPMENT 6/15/95
HUNiINLTON REACH DATE
(PRINT OR TYPE ONLl'r
Addres; 15102 Bolsa Chica Road Suite A2 District
Business Name AC, Artwparr Tnr-_ rlha FY,-dp. Ducles Tel.71a—R9R-3636
Business Type rah^] olo fash i ni,—awes-sarie ; 0- Group
BUILDING OWNER BUSINESS OWNER/MANAGER
Name —Pri an C, Wi 1 cnn Name Kareri/Frednris ue—I C)s
Home
Address__ 81 71 Ka+ogypv Address ti s tirMo�r '
City tan -n, CA 90680 Tel.527-60 I City a�*� gtGn .geae-h HomeTe8a7_?o2c�_
THIS USE WOULD BE DESk.RIBED AS:
❑ NEWLY CONSTRUCTED b'. DG. ❑ CHANGE OF OWNER Fx] CHANGE OF OCCUPANT
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EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any warehousing Occupancy Gr.—Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED 2,130
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been
inspected and a certi'icate 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 applicant, for occupancy in an existing building are required to schedule an electrical
fuse up' inspection in the Department of community Devei7'pment 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 color from the batdkgrou id. 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 ssociation pamphlet 10 (see reverse side).
TRAFFIC IMPACT FEE
DATE PAID
AMOUNT RECEIVED
NAME
(FOR OFFICE USE ONLY)
ZONING,_L_
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP.^
PLAN CHECK NO.
NO PARKING SPACES
OCCUPANT LOAD
O PERMIT NO.
HEALTH DEPT. APPROVAL
NO. OF STORIES
ADMIN. ACTION
UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE
$ +
MOVED BY
DATE CHANGE OF USE OR OCCUPANCY FEE
$
TOTAL
$
76.039 Rev. 17/90
COMMUNITY DEVELOPMENT
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SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? ❑ Yes
No
If
Yes, indicate quantities:
Material Quantity
1.
Flammable liquids
Class I -A
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Class 1-8
Class I-C
2.
Combustible liquids
Class If
Class 111-A
3.
Combination flammable liquids
4.
Flammable gases
5.
Liquefied flammable gases
6.
Flammable fibers - loose
7.
Flammable fibers - baled
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6.
Flammable solids
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p.
unstable materials
16.
Corrosive liquids
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11.
Oxidizing material - gases _ �-
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12.
Oxidizing material - iiquids
13.
Oxidizing material - solids
1 A.
Organ;,; peroxides
15.
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Nitromethane (unstable mat-rials)
16.
Ammoidum nitrate
17.
Ammonium nitrate compouna mixtures
containing more than 60% nitra .:�
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by weight
18.
Highly toxic material and
poisonous gas
19.
Smokeless powder
20,
Black sporting powder
I hereby certify that the above information is true and correct to
;
e hest Gf--my, knowle
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Signature Date
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SOUTH COAST AIR QUALITY IVIM4AGEMENT DISTRICT
(Nonresidential Building`s_ Only',
Property Owner Name: -------- Phone
Name of the person preparing this )brm in print ai id signature:
Name: Signature.
The pe• )n preparing this lurm must be the same person applying for building pYrmits. Please answer the
following questions regarding your proposed occupancy of the subject building. IF YOU CO NOT KNOW
THE ANSWER TO A i_L}ESTION, fJIARK IN THE "YES" COLUMN:
AQMD PERMITTING CHECKLIST
YES
NO
1.
Does your facility use any internal combustion engines greater than 50HP?
2.
Does your facility involve ;nixing, blending, or processing any solvents,
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adhesives, paints or coatings?
3.
Does your facility create anti du>ts or smoke?
4.
Does your facility refine any liquids or solids or reclaim any metals?
t 5.
Does your facility plate or coat anything? _____ _ _
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[does your facility have any combustion equipment (i.e. boiler, furnaces,
broiler, baking ovens, etc.) rating greater than 2,000,000 BTU/HR?
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7.
Does your facility handle or store solvents or motor fuel?
8.
Do you use or store any acids?
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9.
o you use ancemcarincess?
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10.
Do you use any solvents for clean-up?
11.
Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline
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station, printer, br part coater?
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12.
Is the subject building located within one thousand (1,000) feet of any
school,? PROPERTY LINE "r0 PROPERTY LINE. GRADES K-12.
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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
iocated at,, 1
21865 E. Copley Drive`
Diamond Bar, CA91?65-4182
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Please call: Plan Check (a'v'g) 396-2000
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SUPPLEMENTAL INFORMATION
1.
bUSINESS ADDRESS
2.
Person to contact in case of emergency -
Telephone number:
3.
Does the building in question have electricity?
J KYeS
❑ No
(a) If No, are you requesting that the electricity be
❑ Yes %.
turned on?
❑ No
Yes
4.
The building is sprinklered?
❑ No
5.
Operations will produce dust/wood shavings or similar
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nz,.iarial?
❑ Yes j
No }
6.
Operations will involve the repair or replacement of
❑ Yes
automobile parts?
IMNo
If Yes:
(a) Describe the components repaired or replaced.
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(b) Does the operation involve the use of an open flame? ❑ Yes`
I No I'
?. The business is drinlJng, dining or assembly use that will
result in an occupant load of more than 50 persons. ❑ Yes
RNo
B. The following best describes my operation;
h Office Only
Retail Sales i
Wise
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
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SUPPLEMENTAL INFORMATION
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►' Government Code Section 65850.2(b) requires that the City of Huntington Beach not issue the final
certificate of occupancy unless the applicant has met or is meeting the requirements of the South
Coast Air Quality Management District (AQMD). The Department of Community Development must
r obtain a written release from AQMD to show the applicant has complied with this law. The check
list on the reverse side is designed to help the applicant and the building division to meet these
requirements.
1'. The applicant (the same person who epplies for permits from the
Department of Community Development) must complete the check list
which can be obtained either from the Department of Community
Development or at AQMD.
2. If all boxes in the list are checked "no" the Building Division can ac
cept the
check fist as the release.
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3. If thE;- are any "yes" answers in the list, the applicant must contact an
AQMD engineer by calling (714) 396-2000 to find out whether air permits are
required for the proposed construction project.
4. If air permits are not required, the applicant will obtain a written release from
AQMD.
l• 5. If air permits are required, the applicant must submit the necessary permit
applications before the release can be issued.
Because of the time it may take for AQMD to go through the above procedures, the applicant is
advised to contact AQMD immediately after applying for building permits.
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ADDITIONAL. SUPPLEMENTAL INFORN1911 ON
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