HomeMy WebLinkAbout7561 Center Dr - CofO (15)CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Date
Address m
District _
Business. Name _ fir'"" ��LT�,��,,�,�
Tel.
Business Type _—�b;1.1 x
Occ. Group
BUILDING OWNER BUSINESS OWNER/MANAGER
Name FRANY, EMMA Name i`ARIE CECILE TFRA1,1
Address mac( , �� os7'r, p =::me
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,�--r-1 i-r-�— Cit;� _ r r �t �, �� Tei.
Construction No. of Stories Occupant Load 10 Sprinkiers
CONDITIONS OF APPROVAL
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not .)e removed except by the
Building Official.
DEPAHTMENT OF COMMUNITY DEVELOPMENT
by V
.I
It
A. APPLICATION FOR CERTIFICATE OF OCCUPANCY J
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
NurarTON KAiCH DA?
(PRINT OR TYPE ONLY)
"' Address ! E
Business Name
iz
District-
Telri—��,]�
b1 i 1 1AN"103
Busi„ess Type t LA i) i I t I ICj .. C.11 UI�.i _ Occ. Group
BJILDING OWNER_ BUSINESS OWNER/MANAGER
►' Name nJ>C L ,+ me 2 1 C cl LL 'rL"-V.,1 N
�� it / :dome 73Lj LA1)06nn t�I
Address�7�� � �7Z3`iL r, .4ddtess ` � t� ---
City TIn147�� 4% d�'1ATei7j e��City Y1G eyidNAg g61I5HomeTel3iL�i4!(c- W391
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. LJ CHANGE OFAOWNER CHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
�Indicate former use, if any Occupancy Gr. , Div.
SQUARE FT OF BUILD!'JG TO BE OCCUPIED--C?s� RBFPo�
NOTICE: 1. Occupar cy 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 4
certified safe. All applicants for occupancy in an existing building are regwll d to schedule an electrical i
'fuse up' inspec';on in the Department of Community Development at the tlm-m this applicaJon is filed.
3. Change of occupancy or use inspection !ee. 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. Huntingtcn 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 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 r ire Protection Association pamphlet 10 (see reverse side).
G���� .�� C,�� �. ��� � tee. i��� � • [� ��� hst==--
`1 J► p
SUPPLEMENTAL INFORNdAT1ON ( ZONING
OCCUPANCY GROUP `) (FOR OFFICE USE OMLY) PLAN CHECK NO. NO. PARKING SPACES
OCCUPANT LOAD / & PERMIT NO. HEALTH DEPT. APPROVAL
NO. OF S ES Q ADMIN. ACTiON UTILITIES RELEASED
yCERTIFICATE OF OCCUPANCY FEEj 'l
APPROVE -BY DATE CHANGE OF USE OR OCCUPANCY FEE 5 62
TOTAL $,sAL7 ".
7, 75.039 Rev, 11l90 COMMUNITY DEVELOPMENT
i
pbile
SLSPPLEMENTAL
INFORMATION
1.
B;USINEEl$ ADDRESS
2.
Person to contact in case of emergency -
Telephone number:
�/ o —363
T
`
I9" Yes
3.
Does the building in question have
electricity?
❑ NJ, o
(a) if No, are you requesting that
the electricity be
❑ Yes
turned on?
❑ No
2/yes
4.
The building is sprinklered?
❑ No
5.
Operations will produce dust/wood
shavings or similar
material?
❑ Yes
OP'No
6.
Operations will involve the repair or
replacement of
es
2/N
adtomoariso
o
If `des:
(a) Describe the components repaired or replaced.
(b) goes the operation involve the use of an open flame? ❑ Yes
r [ZI/N o
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. ❑yes
II� No
8. The following best describes my operation;
Office Only
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end product)
SUPFL'EMENTAL [MFCDRMAT10N (Continued)
Doeb the operation involve any of the followi,lg materials?
LCJ Y,.es
� o
If Yes, indicate quantities:
Material
--- ----- -- Quantity
1. Flammable liquids
r Class I -A
Class I-B
2. Combustible liquids
Class 11
Class 111-A--
3. Combination flammable: liquids
4. Flammable gases
5. Liqurfied flammable gases
6. Flammable fibers - loose -----� _�.
7. Flammable fibers --baled
6• Flammable solids - -- ------ __.__
g. Unstable mate: ;ale
10. Corrosive liquids --
--------
11. -----------
Oxidizing material - gases
127 Oxidizing material - liquids
13.. Oxidizing, -
material -
sol' ds
r 14. Qrganic peroxides
--
i5. �sitromethane (unstable materials)
16. Ammonium nitrate------------
i7. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by Weight
18. Highly toxic material and r
poisonous gas
19. Smokeless powder
20. Black sporting powder
I hereby certify that the above information is trap ;and correct to
the be of my knowledge.
Signature Date
i
SOUTH COAST AIR QUALITY MAMIAGEMEN ' WSTRICT
(Nonresidential Buildings Only)
Location ca Subject Property:. (e1 d_eu l e e
PrWerty Ololner Name: V�+�'-� ^�x:. (� r n �n A - _ Phone
f Name of the person preparing this form in print and signature:
&z- -T'Ilio A A I W • `, .�„ A J.
The person pieparing this form must be the same' parson applying for building -permits, Please answer the
followingq; uesvrar regarding your proposed occupancy ot`the subject �Wlding. IF YOU Do X1CDT KldlOVal
T HE°ANS ;EIA TO A QUESTION, MARK lNIi-IE "YES" COLUMN"
AQMD PEirFtMITTIMG CHECKLIST
YES 10
1. D;;rev your €acility use any iri€etnal`combustion enginesgreater than'ati!-IP?
2. Does your facility involve mixing, blending, or processing any solvents,
adheslves, paints or coatings? )('
3. Coes ytt&r fjk ; lity create arfygrfosts of sm' 03ke? X
6 ,
4. Does your facility refine any liquids or solids or reclaim any metals?
G. Does your facility date or coat anything?
6. Does your facility have any r..ombuation equipment (i.e. bailer, furnaces;-,,
broller, leaking ovens, etc.) rating greater than 2,000,000 BTU/HR?
7. Does your facili4iAfo or stor+~ iolvents (it motor fuel?
8. Do you use or store any acids? }�
0, Do you use'any chemical proces_;?
10. Do you use any solvents for clean-up?
11. Are you a dry cleaner, restaurani,,with, a charbrooiiei body shpp, gasoline
station, printer, or part coater? o ..X
12. is the subject building located within one thousand (1,000) feet of any
school? PROPERTY LINE TO PROPERTY LINE. GRAPES K-12. � _ � X
It you have marked "NO" in all columns, you do not need an Air duality permit at this time. If you have w.prked
any questions in the "YES" column you rust cc-itact the South Coast Air Quality Management District located at:
21865 E. Copley Drive
Diamond Bar, CA 91765-41 0
Please call: Plan Check (909) 096-2000
MOD-?)
7
GovFrnment Code Section 65850.2(b) requires that the City of Huntington Beach not issue the final
certificate of occupancy unless the applicant has melt or is meeting thG requirements of the South
Coast Air Quality Management District (AQMD). The Department of Community Development must
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 applies for permits from the
Department of Community Development) must complete the chock 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 accept the
check list as the release,
3. If there are any "yes" answers h) the list, the applicant must contact an
AQMD engineer by calling (714) 336-2000 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.
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.