HomeMy WebLinkAbout15182 Bolsa Chica Rd - CofO (9)CEFrTIFICATE OF OCCUPANCY
2/06/96
CITY OF HUNTINGTON BEACH
Date
Busines,. Name
TO 1.
Business Type
AUTOMOTIVE :zERVICE
Occ. Group
BUILDING OWNER
BUSINESS OWNER/MANAGER
Home
City ENCINITAS —9 -rei. - 7c,0-75-�-07?1
City GARDEN
GROVE Home 714
Construction
No. of Stories 1
OccupantLo ad 1 1 Sprinklers
CONDITIONS OF
APPROVAL
Comments:
FIRE DEPT PER14IT FOR
REPAIR
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�s PLICATIO FOR Cg0jff CAIEM= Q=VPANCYCITY , O
F HUNTINGTON BEACH
D ARTMENTOF COMMUNITY DEVE OPMEN - ,I -A- r4
7
HcnJm+cTON BLUM DATE
(PRINT OR TYPE ONLY)
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�ddress JS�g'Z 13VISaa 'Cr - Ifoari District
�I%t I'J` �Dr Tel.%I4 9,957S
vBusiness Name }
Business Type 7fjl/IO��I/E S�rvlcp. Occ. Group —
BUILDING OWNER..ee t Q BUSINESS OWNERIMANAGER ,
Name % !Cllel- t CA' 7j►X t�dame Gi"I ►✓3)L.,r�nn oe,{J Sie7oe1
® !� r�✓e vme bs0� STG�Tdrdr✓C v;
/ ! Add ss —
i� 1ddress ! ®r 7/�
ity — r.g ' el(762 City Home TeI.
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D BE DESCRIBED AS:STRUCTED BLDG. 'C�`CHANGE OF OWNER ��� CHANGE OF OCCUPANT
UILDING��CJ CH NGE OF US L� ADDITIONAL OCCUPANT
se, if any p Occupancy Gr. _—Div.UILDING TO BE OCCUPIED
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NOTICE; 1. Occupancy of uny 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 applinants 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 Ytake inspection of 2 building or 1?
41
premises in order to determine if a change may he made in the character of occupancy or use ofthe building I,
or premises which would place the building in a different division of the same group of occupancy or in a U
different group of occupancy, a chango 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)
i inches in height with One half ('/z) inch stroke, and of a contrasting color from the background. These
numbers must be posted on your buildirg in a location that is visible from the street.;,
5. Huntington. Beach Fire Code Section 10.301 requires tire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
4 �
TRAFFIC IMPACT FEE (ijc— I �kT
Ii
k DATE PAID _4'Y6 ` 1 -7 A IL
AMOUNTRECEIVED Y 1 C_ii+" }
NAME .�+�i
(FOR OFFICE USE ONLY) �
SUPPLEMENTAL INFORMATION /JO ZONING
OCCUPANCY GROUP �`3 PLAN CHECK NO. — NO PARKING SPACES
OCCUPANT LOAD E t PERMIT NO. HEALTH DEPT APPROVAL
NO./ FSTORIES 1 -- ADMIN. ACTION- �� UTILITIES ELEASEDj
F�i
_ -
�(/y� I �� CERTIFICATE OF OCCUPANCY FEE
P OVE .BY DATE CHANGE OF USE OR OCCUPANCY FEE I
TOTAL $
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75-039 Rev.1/97 COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS _ 51 2 ,/sr:, rAica
1~
2.
Gt./4fir! --
Person to contact in case of emergency, ;ranee/oft,
S'9'nWr
Telephone number: 7!y- 761- 917v
3.
Does the building in question have electricity?
Yes'
❑ No
(a) If No, are you requesting that the electricity be
❑ Yes
turned on?
❑ No
4.
The building is sprinklered?
❑ Yes
P No
5.
Operations will produce dust / wood shavings or similar
rr`
material?
❑ Yes
No
6.
Operations will involve the repair or replacement of
Yes
automobile parts`?
❑ No
's
If Yes:`
(a) Describe the components repaired or replaced.
,r
(b) Does the operation involve the use of an open flame? ❑ YES
a
No
7.
The business is drinking, dining or assembly use that
will
result in an occupant load of more than 50 persons.
❑ Yes
r
No
S.
The following best describes my operation;
Office Only
Retail Sales
�
Warehouse
P
Manufacturing/Distribution (describe process and end
product)
4&A1111 /e SerIV47e and A'eMIrI
Apt
Restaurant / Take Out Food
Medical / Dental
Other (describe)
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SUPPLEMENTAL INFORMAMON
i.
SUPPLEMENTAL INFORMATION (Continued) is
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Does the operation involve any of the following materials? °k�7 Yes i
C7 No
`
If
Yes, indicate quantities: -^
Material Quantity F
1.
Flammable liquids
Class I -A
Class i-B
Class I-C -
2.
Combustible liquids
Class li
1
Class III -A
3.
Combination flammable liquids
4.
Flammable gases
5.
Liquefied flammable gases
6.
Flammable fibers - Loose V
-
7.
Flammable fibers - baled
8.
Flammable solids
9.
Unstable materials
10.
Corrosive liquids
11.
Oxidizing material - gases
4
12.
Oxidizing material - liquids
13:
Oxidizing material - solids a
14.
Organic peroxides
15.
Nitromethane (unstable materials)
16.
Ammonium nitrate
17.
Ammonium nitrate compou�,-d mixtures
containing more than 60% nitrate
by weight
a
18.
Highly toxic material and
poisonous gas _
I
19.
Smokeless powder
20.
Black sporting powder
I hereby certify that the above information is true and correct to
the best of my knowledge.
Signature Date
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South Coast
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 ;e.,a) 396-2000 I
j AIFL QUALITY PERMIT CHECKLIST � ^`
for nonresidential buildings only
Company Name: �� lY f /xtor l
` 1
r Location of Property: -S/�a d�S�t C—A C,4 Aad
p id
Citv:_ f-1_ heZip Code:
Contact Person: �2_e°".XAYman- Sgmaer {%b/do, Title: �JGrir�er '{
Telephone Number: _ 71�.9 Fax Number:
i /B t d e of I Type 41�o / e '
r rr
To apply for a nonresidential building permit, you must complete this checklist. If you have any j
questions about completing this checklist, please call (800) 388-2121.
f
YES NO I;
1. Will the facility have a charbroiler?
2. Will any internal combustion engine with greater than 50 horsepower`
operate at the facility (excluding motor vehicles)?
3. Will operations at the facility involve mixing, blending, or processing of
solvents, adhesives, paints or coatings? [ ] []
4. Will dust or smoke be generated at the facility? [ ] ]
5. Will refuting of any liquids or solids be done at the facility? [ ] []
6. Will any plating or coating of materials be done at the facility?
7. Will any combustion equipment rated greater than 2,000,000 BTU/hr be
operated at the facility? [ ] L]
8. Will any acids, solvents, or motor fuel be used or stored at the facility? LV ["
9. Will any organic liquids or gases be reacted or produced?
10. Will any ovens be used to dry or cure products at the facility? [ ] [ ]
11. Will any CFC (Freon) recycling machines operate at the facility?
Applicant: Cjlaa k 4 hn - Sloawe,- - e/dina Signa e• , dAl2 Cv, Agkt�c,, C!
(Print name clearly)
If you have marked "NO" in all the boxes, an air quality permit is not needed at this time,
and this checklist is your written release.
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If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality y
Management District (AQMD). Please read the requirements on the back of the checklist.
(800) 388-2121 <
e
04/16/97 01:22PM S.C.A.Q.M.D. PAGE 002 OF 002
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South Coast
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AIR QUALITY MANAvEMENT DISTRICT
21865 East Copley Drive, Diamond Bar, California, 91765-4182
DATE: April 16, 1997
TO: City of Huntington Beach
FROM: David Steed, Air Quality Inspector
SUBJECT: Building Permitting Under California State Government Code 65850.2
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LOCATION: Import Doctor
15182 Bolsa Chica Rd., Units F&G
Iuntingion Beach, CA 92649
Tiiis site has met or is meeting the requirements of Section 42303 ofthe Health and Safety
Code and the requirements for a pemut to construct and operate for the South Coast Air
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Quality Management District.
APPLICANT HAS ALL REQUIRED PERMITS FROM THE SOUTH
COAST AIR QUALITY MANAGEMENT DISTRICT FOR THIS SITE
AND/OR PLAN CHECK ONLY
h
APPLICANT HAS FILED FOk PERMIT TO CONSTRUCT AND
OPERATE EQUIPMENT WITH THE SOUTH COAST AIR QUALITY
MANAGEMENT DISTRICT.
tl't APPLICANT IS EXEMPT FROM PERMIT REQUIREMENTS PLT THIS
SITE AND/OR PLAN Ch-ECK ONLY.
a, Ao repair shop
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REVISED 91I5195
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