HomeMy WebLinkAbout15281 Columbia Ln - CofOD 151,
No W IV
10
kWMIK-tON B(ACH
Address _Z9LL
.40
Business Name, --/?-',#
Business "Gyps
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF BUILDING & SAFETY
th AT ( M T YN ONLYa
City Tol-, , ;, ,
THIS USE WOULD BE DESORIM AS:
NEWLY CONSTHUCTED BLOG
EXISTING BUILDING
DATE
Tel'
.
Occ Group
IUSINCSS OWN Kid NAUE�Fl
Name. --.4- — -.—I, - I - ----
Home
Horne
OcHANGF OF 0,AIN114
n (MANG1 I)[ U'll
CHANOF M OCCUPANT
AUDITIONA!, O(ICUPANT
Indicate former use. if 14?ePQ16 ''Uxopaw y (0 ),v
10-
SOUARE FT OF GUILDWO M 81-'0G(;LJf7lf (1,
N01'ICE* 1. Occupancy of any building is prohibited anc; a businesslicense will not be issued until the building has been
inspected and a certificate of occupancy 13 issued
2. No electrical service will be released for any existing building until the, service has been inspected and
certified safe, All applicant!, for occupancy in an existing buildingaro required to schedule an electrical
,(use up' inspection in the Department of ConAtntintly Development at the Itme this application is tiled
3. Change of occupancy or use Inspection fee, Whenever it is necessary to make inspection of to building or
promises in order to determine it achant e may be made in the characterif occupancyor urwof thebuilding
or promises which would place the building in a diff eont division of the :tarries group of occupancy or in a
different group tat occupancy, a change of occupancy insp(Mioyl fee of $ shall
be pv 1,11 to the city.
4. Huntington Beach Fire Cods Section 10 2b8 requires that building numbers muvl boa minimum of four (4)
inches in height with one hall (?) inch stroke, and of a contraoting color from the background. Those
numbers must be posted on your building in a location that is vir-ible f!otn the street
5, Huntington Beach Fire Code Section 10-301 requires fite extinguisher sele(_;bon and distribution, per the
National Fire Protection Association pamphlet 10 (see reverse side)
-2-M to
(FOR OF I&E USE ONLY)
OCCUPAN(GYGROUP PLANCH[CKNO--- 4. Nit VAt4K1N61)lA(,tt)
OCCUPANTLOAD PMMITNO Ill At I'll M PT APPI10VAI
NO Or STOPILS ADMIN ACTION,
(144M IGAIE OF 00CAMANGY F F f
A 4P aSO VWDI A DATC CHAN6f ()f OF t)ft0('f;(jF1AM 1Y f f t $ AW,
TOM.
SUPPLEMENTAL INFORMATION
1.. BUSINESS ADDRESS AM
2. Person to contact in case of emergency- < /'- %
Telephone number;
3. Does the building in question have electricity?
(a) if No, are you requesting that the electricity be.
turned on?
4. The building is sprinklered?
5. Operations will produce dust/wood shavings or similar
material?
6. Operations will involve the repair or replacement of
automobile parts?
If Yes:
(a) Describe the components repaired or replaced,
0—Yes
❑ No
❑ Yes
❑ No
Ft -Yes
❑ No
Cl Yes
R-N o
D, Yes
g,,N o
(b) Does the operation involve the use of an open flame? ❑ Yes
95-N o
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons, ❑ Yes
5?--No
8. The following best describes my operation;
Office Only
(vvarenouse
uring / Dis but on (describe proce and end product)
Restaurant Take Out Food
Medical / De;,(al
Other (describe) �_
SUPPLEMENTAL IMFORMATION-1
any of flirt IY); IJ wing in a i v; ri 9
it Y
Quant;t.,v
I q u (JS
nn I a b o g a s o 's
rn "I t:r ai
U r An )s Vr) 1 j
material, gases
()x idizing mat c r ta i liquids
tI y I OxIdizint iat I i e i a solids
14. r i. n i r; pc r t ) x i d
16., Animcmkum n1trate
17, A vri Fn u r; i u m r), i t i a co in p o u n d in i x t j res,
(, (i nt a s i i i i i () rtrorrj than 6 0 0% n i t r a t cl
b y vv o i p, I i t
'lei, Highly toxic m a to r i a I a n d
poisonous gas
19. Smi okc-leas powdeir
210. Black sporting powder
I heml:�)y ccrfily that the above information is fivc, and t,;
the be ,,A of iy knowle
Date
Southi Coast
AIR QUALIFY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765.4182 (909) 396-2000
A.TK QUALITY PERMIT CHECKLIST
for nonresidential buildings only
Company Name:
Location of Property: Z�/ •� �� Leda c�
City:_ Zip Code:G�`S'
v
Contact Person: io i Title:
Telephone Number: ?�`/S� T 9J 5...�,Fax Number: '�%� " 91V� �
Type of Industry/Business:
To apply for a nonresidential building permit, you must complete this checklist, If you have any
questions about completing this checklist, please call (800) 388-2121.
YES NO
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? [ j
5, Will refining of any liquids or solids be done at the facility? [ ] [
C. 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? [ ] [J-
8. Will any acids, solvents, or motor fuel be used or stored at the facility?
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 CF'C (Freon) recycl` machines operate at the facility? ] [
Applicant; &�� Signature: Z
(Print name clearly) / 7
ff you have marked "NO" in all the boxes, an air quality permit is = 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