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HomeMy WebLinkAbout15062 Bolsa Chica St - CofO (4)CERTIFICATE OF OCCUPANCY 1t1Ett€i CITY OF HUNTINGTON BEACH Dale Address 15162 .?GL::afi CfiIGA District Il ' Business Name MIMA LABORATORIES 714-1892-196_1 LAB (METALLURGICAL LAB) F-1 i Business Type Occ. Group BUILDING OWNER BUSINESS OWNER/MANAGER Name JOY HAB��R Name �:ANE A5 BLDG. OWNER �z I ! — r I Address15062 BOLSA CHICA Home Address r City H.B.. CA Tel. 714-692-1� f 1 City eome l r l. Construction _ No. of Stories 1 Occupant Load 1 � G Sprinklers f CONDITIONS OF APPROVAL Cou.ments! OFFICE MAX 1v . OF TOTAL SPACE y DEPARTMENT OF COMMUNITY DEVELOPMENT 1, 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. t COMMUNITY A� �OMENT L....+.._„_.._.._..._--..._.-r.-..-»—._._.�,...�...-.,-�.�...-_t.—,_....--:r...--,--,---.— �.--.�.,.-.--.....,._..�.-_--••--,•---� ..kin '. d I APPLICATION FOR CERTIFICATE OF OCCUPANCY'CITY OF HUNTINGTON BEACH leaj", DEPARTMENT OF COMMUNITY DEVELOPMENT HUNTDCTON EAot (POINT OR TYPE ONLY) Address 1 50 62— f3c)IS h ch rc.A District Business Name _n� �" ink Tel.(°'f 14 IrC12 1 % Business Type L� c., =1`t411�A/.(�-"�/ Occ. Group' BUILDING OWNER BUSINESS OWNERIMANAGER Name_. �lc.�nnK Name_..S,4y,� S O 6 7_ C� ) S n G 1" Home Address_ /� % Address — City �' • Tel.�v City Home Tel. THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ HANGE OF OWNER CHANGE OF OCCUPANT 0 EXISTING BUILDING L CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any ` Occupancy Gr. S Div. SQUARE FT. OF BUILDING TO BE OCCUPIED -O, QC) O a10 t) 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. d 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. 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or a premises 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. 4. Huntington Beach Fire Code Section 10.208 requires that building members roust 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 verse side). "1©t•! t I1�.� V'--'R-I ! c� =G�LIM t t' l Nl��+l y-i Imo. t ham) ( M CP - "Pot- _<VTRAFFIC , DATE "iD CT FEE_. AMOUNT RECEIVED NAME (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION p�/ �Tr/ ZONING _ OCCUPANCY GROUPS ' PLAN CHECK N . NO. PARKING SPACES OCCUPANT LOAD �S O PERMIT NO. A. -,4z R,7 HEALTH DEPT APPROVAL NO. OF STORIES 1 ADMIN. ACTI(rN— UTILITIES RELEASED CERTIFICATE OF OCCUPAICY FEE $ '1 APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ 76-039 Rev. 1/97 COMMUNITY DEVELOp`AENT ` SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS j 2. Person to contact in case of emergency_ 13Kuc e, 13%, a d Telephone number: 31 �✓-rl �� C 3. Does the buildingin electricity? question have el,. �' Yes 9# j (a) If No, are you requesting that the electricity be ❑ N o ❑ Yes f turned on? ❑ No 4. The building is sprinklered? comes ❑ No 5. Operations will produce dust / wood shavings or similar material? ❑ Yes 2:� No 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? &PNo r If Yes: (a) Describe the components repaired or replaced. S �4� (b) Does the operation involve the use of an open flame? ❑ Yes ANo 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes No 8. The following best describes my operation; Office Only Retail Sales Warehouse Manufacturing / Distribution (describe process and end pioduct) y v Restaurant/Take Out Food Medical / Dental Other (describe) SUPPLEMENTAL INFoR,MATION i 1 SUPPLEMENTAL INFORMATION (Continued) J Does the operation involve any of the following materials? Yes ❑ No If Yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A Class I-B Class I-C 2. Combustible liquids r Class 11 Class 111-A 3. Combination flammable liquids 4. Flammable gases '5. Liquefied flammable gases 6. Flammable fibers - loose �06 7. Flammable fibers - baled }-o 8. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing raterial - gases 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 material and poisonous gas I' 19. Smokeless powder 20. Black sporting powder I hereby certify that the -:hove information is 'true and correct to } I r 'I � 1 k 1 South Coast AIR QUALITY MANAGEMENT DISTRICT 21855 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 i f[ AIR QUALITY PERMIT CHECKLIST , for nonresidential buildings only l- Company Name: YVI KA /l Lr, In, S _ Location of Property: I city: K zip Codr: r; is Contact Person: k^11,?vaY1 Title:ZZ'A►nci c --eA f Telephone Number: Or 1`() 8`l 2-1`i ? _ Fax Number; ry __yqz l5 Type of Industry/Business: La To apply for a nonresidential building permit, you must complete this checklist. If you h, ave any ) f questions about completing this cr eelLlist, please call (800) 388-2121. `ACES fil fLL' S 1. Will the facility have -a charbroiler? 2, Will any internal combustion engine with greater than :0 horsepower x operate at the facility (excluding motor vehicles)? [ ] ]5 3. Will operations at the facility involve mixing, blending, or processing of i solvents, adhesives, paints or coatings? 4. Will dust or smoke be generated at the facility? [ J [ J 5. Will refining of any liquids or solids be done at the facility? [ J [ J 6. Will any plating or coating of materials be done at the facility? [ ] [ J 7. Will anv combustion equipment rated greater than 2,000,000 BTtJ/hr be operated at the facility? 8. Will any acids, solvents, or motor fuel be used or stored at the facility? 9. Will any organic liquids or gases be reacted of produced? [ ] 10. Will any ovens be used to dry or cure products at the facility? [ ] [ t 11. Will any CFC (Freon) recycling machim-s operate at the facility? [ 1 [ ] Applicant: 13 � Simature: (Print name clearly) If you have marked "NO" in all the boxes, an air quality permit is not needed at this tune, , and this checklist is your written release. � is If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality Management District (AQAM). Please read the requirements on the back of the checklist. (800) 3-08-2121 �x 1° ADDITIONAL SUPPLEMENTAL INFORMAn0N 1 ,