HomeMy WebLinkAbout15292 Bolsa Chica St - CofOFOJN
CERTIFICATE OF OCCUPANCY
GiT" OF HUNTINGTON BEACH. --_—.
DEPARTMENT OF DEVELOPMENT SERVICES Dale
HUNTWGTON -EAM
Address i ? 2 "j", r ) I' n r `"' r District
Business Name—'L 1 = - - 0 _ Tel.
Business T}pe Occ. Group
BUILDING OWNER BUSINESS OWNERWANAGE9
Name
E iTa'- ^ `r''' i, .z>`: �_ Name. 's3 ) -1•
Home
Address— _ Addresses,
City Tel, City S I home TET. ' ?? C
Cor,aruction No. of Stories OccuDant Load `' £: Sprinklered This Oertificzte of Occupancy DEPARTMENT OF DEVELOPMENT SERVICES
SHALL BE posted in a conspicuous place on
the premises and shall not be removed ex b
cept by the Building Official. y
1_ pCV;_' .OPMENTSERVICES
folfli
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
HUk;nNGTC)N BEACH (PRINT OR lYPk ON11')
Address !�/
Business Name— G ) �`
Business Type z/% &/CFFi'itr"I--s7—
DATE
District.
U.F IU72� Occ. Group —
BUILDING OWNER /� BUSINESS OWNERlbtANAGER
Name
122�LL�LC,f7t, Ali Name
Home
Address — Address XL r �"
City Tel. --.-.---Home Tel.
%.9J31P
THIS USE WOULD gE DESCRIBED AS:
El
L_.1 NEWLY COIJSTRUCTFD pLDa. � CHANGE OF OWNER
0 EXISTING BUILDING El CHANGE OF USE
Indicate former use, t any Yf
SQUARE FT. Or' BUILDING TO BE OCCUPIED._. _/�j
CHANGE OF OCCUPANT
El ADDITIONAL OCCUPANT
Occupancy Gr._ Div.
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued Lentil the building has
been inspected and a certificate of cccupancy is issued.
2. No e!ectrical service will be released for any existing building until the service has been inspect,d and
certified safe. All applicants for occupancy in an existing building are required to schedule an electrical
�h fuse up' inspection in the Deparimr:nt of Daweloprnent Services at the !;me this application is filed.
�1 ( 3. Change of occupancy or use inspection fee. Whenever it is necessary !o retake inspection of a building
�v cr premises in order to determine if a change may be made in the character of cccupancy or use of the
c r building or premises which would place the building Ir a different division of the same group of occupancy
(� or in & different group of occupancy, a change of occupancy inspection fee of S
i shall be paid Lo the city.
4. Huntington Beach Fire Code Section 10,208 requiter that building numbers muss be a minimum of four
\ (4) inches in height with one half ('. l) inch stroke, and of a contrasting color from the background, These
numbers roust 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). `
�r ^, (FOR OFFICE USE ONLY) ZON'NG_ N_1 _ -
EMJ
SUPPLENTAL INFORMATION tM
OCCUPANCY GROUP - � PLAN CHECK NO __ _— NO PARKING SPACES _--- HEALTH 6EPT A! PRQVAL —
OCCUPANT LOAD -- -- — PERMIT NO. —,
NO OF STORIES -- ADMIN. ACTION_— UTILITIES RELEASED �--
—�R CERTIFICATE OF OCCUPANCY FEE c,
APP OVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $� ~
TOTAL $
44
75A39 3EV.
DEVELOPMENT SERVICES
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS 'c Iwle-4"5p pe7z.
2.
Person to contact in case of emergency: %JfLI 'LLj 21,7
Telephone numhe- 1�1 /1' - 9-111141-..12 11115�
3.
D, astion have electricity?
0 Yes
I
ONO
c. �ating that the electricity be
r5Wes
C]No
4.
T. ed?
,Yes
ONO
5.
Oper;, ist/wood shavings or similar
matei:
OYes
VNo
6.
operations will involve the repair or replacement of
Dyes
automobile parts-,
RNO
If yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame?
CYes
7.
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
OYes
AV 0
8.
The following best describes my operation:
Office only
Retail Sales
CE��
Manufacturing/Distribution (describe process and end
product)
Restaurant Take Out Food
Medical/Dental
Other (describe)
(0562D) (12/8/86)
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? OYes
,XNe
If Yes, indicate quantities: `
Material Quantity
1. Flammable liquids
Class I -A
'.lass I-B
Class I-C
2. Combustible liquids
Class II
Class III -A
3. Combination flammable li uids
4. Flammable gases
5. Liquefied flammable gases
6. Flammable fibers -loose - -
7. Flammable fibers - baled
8. Flammable solids
9. Unstable materials _ -_-
10, Corrosive liquida --. -
11. Oxidizing material - 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 -
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
(0562D) (12/8/86)
:.hut ,'i Coast
AIR QPALITY MAt4AGE1V ENT DISTRICT
9150 FLAIR DRIVE, EL MONTE, CA 0731 W18) 572-62()0
DATE: February 5, 1991
TO: Huntington Beach Building Department
1"'ROM: � Arthur Lawler, Air Quality Engineer
SUBJECT: BUILDING PERMITTING UNDER AB3205, WATERS BILL
Regarding PLAN CHECK #:
LOCATION: Great Western Grinding
15292 ,Balsa 'rhica'
Huntington reach, CA. 92649
This site has met or is meeting the, requirements of Section
42303 of the Health and Safety Code and the requirements for
a permit to construct and operate for the South Coast Air
Quality Management District .
APPLICANT HAS ALL REQUIRED PERMITS FROM THE SOUTH
COAST AIR QUALITY MANAGEMENT DISTRICT FOR THIS
SITE AND/OR PLAN CHECK ONLY.
APPLICANT HAS FILED FOR PERMITS TO CONSTRUCT
EQUIPMENT WITH THE SOUTH COAST AIR QUALITY
MANAGEMENT DISTRICT.
APPLICANT IS EXEMPT FROM PERMIT REQUIREMENT'S AT
THIS SITE AND/OR PLAN CHECK ONLY.
REVISED 7/13189
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