HomeMy WebLinkAbout7561 Center Dr - CofO (10)& -ro
�' �✓ PPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT Ito -66
rurrrnrraon arwOa (PRINT OR TYPE ONLY) DATE
4
Address 7901 C ORTEP- AU MUE # I 'HU 1 Ki;[W B9�-°� CA 92647 District i
Business Name—t21<14 M T -,*4 / SEMI - X LIv Tel. 714- 89Z-7546
Business Type � L- �IAci bl� Occ. Group —
i
BUILDING OWNER BUSINESS OWNER/MANAGER
Name R,iCir 2D LEWIS Name CIO f2AlE4�=_4`i- EN ., 40AJk4RIC MAEkt IMA _
Address 75-&1 Comm A/ew)G— #'.sI A d eGs 1622.2 MDK f R-ei LANE �1`'�' 5 7
city IWNTI96TOWrAeA 9M 4---7r'4el894-5151 city-43911fsGiN RNFAC - ;t'449Home7-Mee.3 7-9-186 J�
THIS USE WOULD BE DESCRIBED AS: I'
a,
r.
❑qq NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER LR CHANGE OF OCCUPANT I<
L'J EXISTING BUILDING r
1nA n �❑CHANGE OF USE ❑ADDITIONAL OCCUPANT
Indicate former use, if any lyV�(NV� .fg�( O:cupancy Gr.--Div. I
If
SQUARE FT. OF BUILDING TO BE OCCUPIED_PPRX• 860
I?
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.
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 maybe 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/z) 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).
i
(
t
6
j
TRAFFIC IMPACT FEE
DAT£ PAID _
ANICUteT RECEIVED
NAME _ (FOR OFFICE USE ONLY)
ZONING -
OCCUPANCY GROUP � PLAN CHECK NO. NO PARKING SPACES
OCCUPANT LOAD _ PERMIT NO HEALTH OEPT. APPROVAL
NO. OF STORIES r% ADMIN. ACTION UTILITIES RELEASED
49-�R•CERTIFICATE OF OCCUPANCY FEE $
APP DATE CHANGE OF USE OR OCCUPANCY FEE $ j
TOTAL $ QJ
75-039 Rev.1/97 COMMUNITY DEVELOPMENT
I
i
i
I
SUPPLEMENTAL INFORMATION
I
1.
BUSINESS ADDRESS _
2.
Person to contact in case of emergency
'
Telephone number:
3.
Does the building in question ie electricity?
r
Yes 1
❑ Na
(a) If No, are you requesting that the electricity be
❑ Yes l
I
turned on?
❑ No
4.
The building is sprinklered?
® Yes I
❑ No
5.
Operations will produce dust/wood shavings or similar
material?
❑Yes #{
d;
i$ No
` 6.
Operations will involve the repair or replacement of
-❑ Yes
automobile parts?
No
If Yes:
(a) Describe the components repaired or replaced.F
El Yes
(b) Does the operation involve the use of an open flame?
M— No
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
r
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Out Food
Medical / Denta4
Other (describe)
1
i
SUPPLEk'ENTAL INFORMATION
C
i
bUPPLEMENTAL INlrIRMATION (Continued)
Does the operation involve any of the follcwirig materlals?- ❑ Yes `
%-NO
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 vases
ii
6.
Flammable fibers - locsa
l
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.
organic peroxides
15.
Nitromethane (unstable materials)
16.
/'zmmonium 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 here4K certify that the above' 'Wormation- is true and correct to
i
the of my kn wledge.
b r gnatuDate
l
i
E
I
,I
(D South Coast
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000
AIR QUALITY PFRAHT CHECKLIST
for nonresidential buildings only
Company Name: 5 K tS T _C( % 6EAUTY TECA
Location of Property: 75I CC: Q4 IIER_ ANEW E -#S
City: - QNT1 l , 0W PEAe—.4 . Zip Code: �7�loq`7
Contact Person: D2RAL_09 ASl-413q Title: Cl)-PAR
Telephone Number: 7A4 - 892- 7s 69 Fax Number: —
Type of Industry/Business: FAG Al SALQI�
To apply for a nonresidential building permit, you must complete this checklist. If you have any
questions abeat completing this checklist, please call (800) 388-2121.
YES NO
1. Will the facility have a charbroiler? [
] [
2. Yv ii 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 zoatings? [
] [ ]
4. Will dust or smoke be generated at the facility? [
] []
5. Will refining of any liquids or solids be done at the facility? {
] []
6. Will any plating or coating of materials be done at the facility? [
I Dtl
7. Will any combustion equipment rated greater. than 2,000,000 BTU/hr be
operated at the facility? (] []
8. Will any acids, solvents, or motor fuel be used or stored at the facility? € ] []
g. Will any organic liquids or gases be reacted or produced? [ ] FX9
10. Will any ovens be used to dry or cure products at the facility? [ ] Fj(J
11. Will any CFC (Freon) recy::lmg machines operate at the fa [ ] [ ]
Applicant: DGR1�.L EO kS1-415`1 Signature
(Print name clearly)
If you have marked "NO" in kli the boxes, an air quality permit is not needed at this time,
and this checklist is your written release,
If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality
Management District (AQMD). Please read the requirements on the back of the checklist.
(800) 388-2121
{
_ADDITIONAL SUPPLEMENTAL INFORMATION
E
W
NOTICE OF REQUIRENIENTS
GOVERNMENT CODE SECTION 65850.2 (AB3205)
California State Law (Gov,.munent Code 65850.2) prohibits the Building Departments from
issuing a final certificate of oc6uupdncy'+urA'e_ s<•,E*1 iegiur' rents of the local air quality agency are
met All applicants are _?qxired to complete the air quality permit checklist. The -checklist is
destotied to' aid the apptic,=t for a nonresidential building p'ermif'anly. If iiei Afiswer to any of
the questions s� 5, +tieuilding Department mustoptin, a ulter•glease from the ]oval air
quality agency verifying 'that the applicant is in compliance.
1. All nonresidential building permit,;�pp�icants must wmp�ete this checklist.
_ n
2. If thc° a.riswers to al l questions are "NO," the Building Department can accept the checklist
as the v ritten release.
3. If any questions are answered "YES," the applicant must contact the AQriD by calling
(800) 388-2121 to determine whether air quality permits are required for any equipment
which nay ,, e operated at the site. If the AQ.Mt D determines that air quality permits are
not required or that all requirements have been met, a written release will be issued.
4. If air quality permits are required and applications have not been submitted, the applicant
must submit the necessary permit application(s) and appropriate fees before a 'Annitten
.y release will be issued.
AQMD is committed to -expediting all clearance letter requests. However, it may take several
weeks to verify compliance with all requirements. Therefore you are advised to contact AQVID
r
immediately after applying for building permits.
(800) 388-2121
i;
t�
revised MS
4'.