HomeMy WebLinkAbout15221 Connector Ln - CofO (2)IU/0 /,Iti(tp'
Address # 'J i' 9 t' 1) Id C7 i, is s'td r:
onto
Business Name III 1 0(f ill IN, is%f• I tii"
"— District ,
Business Type i AC'HIVI' LIitIC------- 7a1, _____.:----
Occ, Group
BUILDING OWNER BUSINESS OWNERIMANAOER
Name laiiE+r It tikdt.Iii r,4a !, s t:t, > ;dt'Ib
Name
Address 6 F; A N A I1 Homo
T11
.-- Address t'`:�I,I' ;il;,
city tllii4 t' r1Gft 1b1. r 1 4.. " 'IT ,1,,r Homo
�-_..... City terat,a I,Cl1 Tal. 1tl <IF,nirLi,
Construction --- No, of Stories Occupant Load -if Sp rinklers
CONDITIONS OF APPROVAL --�...
This Certificate of Occupancy
SHALL qE Posted in a conspi uuoUo placo on the
promises and shaft not be rdmoved except by tho
Building Official,
CERTIFICATE OF OCCUPANCY
CITY or HUNTINGTON DEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
by
COMMUNITY OE:'M Of'MCNT
Ala 0 APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
!14'MMJGTOND[Agi DEPA, TMENT OF COMMUNITY DEVELOPMENT ,-1.-7� (PRINT OR TYPE ONLY) DATE
Address —� 4i,1,A%6C,1—ZfiG ZO!✓ ' _6
rt� Il - C ''
Business... Tel" ars`�
Business Type — ��7, �!— � :, . �, v G3 ou I 1,
,.".�, ®,...,,..:_�.�..,..,,,m ,k,.�__n.�_.,,,.-�,_,.,,�.� ace. r p
SUILf)ING OWNF:A l BUSINCSS OWNERIMANA(iEn
A me
Addross,_ _ C7/?may l,!It i _ ,, ddrt+s ,
ToI s;7 nyu.t�}ce.vi ,u�itt�t/ F _Homo Tel ,_ "✓7��
9?6 y j 7 �'i -tea �41 'V -5-7(Y
THIS ) S USE WOULD BE t)ESCAIBEG AS
R�
i �J NEWLY CONSTRUCTED BLD6 �� 0IAN01 Of, OWNIM CHANGE OF OQCUPANT
AEXISTING BUILDING; �t�J CHANGt� OF U(R: � At)t)ITIONAL OCCUPANT
Indicate former uso, if any �.x c�✓iv . / i � - ' . e.. 00 up,)Iu.y (it ,._.—«..._.,— D. IV
SOUARF FT OF BUILDINGS TO BE OCCUnILD...L%� �-,�. i ��� j 0W-54Nlll%� e,
NOTICE: 1. G. cupancy of any building is prohibited and a businoss liconse will not be Issued until the building has been
msi3Oclad 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
certMod safe. All applicants for occupancy in an existing uuliding are ru(tuired to schedule an electrical
'fuse up' inspection in the Departmuant of Community Development at the time this application is filed.
G. Ciaango of occupancy or use Inspection foe. Whenever it is necossary!o mike Inspection of a building or
promises in order to determine Ito change may be mado in the characteraf occupancy or use of (lie building
or promises which would place the building m a different division of the same+ group of occupancy or in a
different group of occupancy, a change of occupancy inspection too of $ shall
ba, paid to the city.
4. HuMington teach Fire Code Section 10,208 requires that building numbers must be a minimum of lour (4)
Inches in height with one hair (V:) inch stroke, and of a contraspng color trofn the background, These
numbers must be posted on your building in a location that is visible from the street,
E. Huntington Bench Fire Code Section 10.301 requires fire extinguisL-)
ection and distribution per the
National Fire Protectior Association pamphlet 10 (fie reverse sid
^� !a pa•, '�� ram, 1J r ` p i ti 4 ►, �j 4f� Gar,.� c.+�
11101110 IMPACT FE E
DATC PAID E - n- vvvJJJ
AMOUNT f1D VC- �.
NAME .,_�.w. (FOR OFFICE USE ONLY)
SUPPLEMENTAL. INFORMATION 1rtNINf ..�"G.• w.: R_
OCCUPANCY GFIOUfj ,uti ., _ � Pt AN CI IF CK Nt3 . _ N0 IIARKINt I SPACIL ') .
OCCUPANT LOAD. � f�Lf7MIT NO fit At TN I,r PT At�faflOVAl _�,
NO Or. STOME—B "��<��._. � �: � �._ _ e ADM(N ACTION _ tiTtl tiff r; f�Ek EAfif la � _ »�
�ffr)f iG,ATI. C)r l7f,t;llt�ArNt:v Ff f
f�f3Rt)Vt�fi t'Y I)A l C:I(AN(aL C1C USt. Fitt (iG,r Ut'ANCe f L . y;u 1
TOTALao
10=030 Rda tray Ct)MM1,1NI rY 0l!'Vrt CttfNE'Ni
L--
il
SUPPLEMENTAL INFORMATION
BUSINESS ADDRESS %So c,22
2. Person to contact in case of emergency•/t;,,� 2 wr,L�
Telephone number:
3. Does the building in question have electricity?
Yes
(a) If No, are you requesting that the electricity be El No
turned on? ❑ Yes
❑ No
4- The building is sprinklered?
❑-1Ke s
S. Operations will produce dust / wood shavings or similar ❑ No
material?
❑ s
(n. Operations will involve the repair or replacement
automobile parts? of ,❑l Yes
ILd�N U
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? ❑ Yes
7. The business is drinking, dining or assembly use that will P IVo
result in an occupant load of more than 50 persons. El
8. The following best describes my operation,
Office Only
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end product)
tL-� "rtctfii.uC
Restaurant / Take Out Food
Medical / Dental
Other (describe)
SUPPLEWNTAL INFQRMATIM4
�
SUPPLEMENTAL INFORMATION (Continued) �
Does the operation involve any of the following msdoho|a? []Yaa
WNo
If Yes, indicate quantities:
Material Quantity
1. Flammable liquids
Class I -A
Class I-B
Class |-C
2.
3
Combustible liquids
Class 11
Class 111-A
Combination flammable liquid's
4,
Flammable gases
5.
Liquefied flammable
gases
7.
Flammable fibers
8.
Flammable
9.
Unstable materials
11. Oxidizing nlatoha| - gases
12. DxidizinQ material - liquids
13. Oxidizing material - solids
14- Organic peroxides
15. Nitromethane Nitromethano (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
18. Highly Hi h/y toxic material and
poisonous goo
19. Smokeless powder
gO Black sporting powder
| hereby certify that the above information is true and correct to �
the best of my knowledge.
" G|Qnotuna Date
��
0) South Coast
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000
AIR QUALITY PERMIT CHEICKLIST
for nonresidential buildings only
Company Name: W /L C.o w 1 /&� ✓1
Location of Property:
City: l Fu,.✓:iryC�TU�.I /���—,a C � Zip Code: '*a /o" 4 nZ
Contact Person: S—�!„/� �,t�, �2Title: __ �Lr�S✓�`�-�-�ti
Telephone Number: 74 V 3 73--0 0 Fax Number:
Type of IndustryBusiness: M,a-c., ,✓� Si-�'
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.
YE Lo
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?
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?
7. Will any combustion equipment rated greater than 2,000,000 BTU/hr be
operated at the facility? [ ]
D41
8. Will any acids, solvents, or motor fuel be used or stored at the facility? [ ]
brla
9. Will any organic liquids or gases be reacted or produced? [ ]
V]
10. Will any ovens be usAd to dry or cure products at the facility? [ ]
[ ]
11. Will any CFC (Freon) recycling machines operate at the facility?
Applicant: Lr Signature:
(Print name clearly)
If you have marked "NO" in al I the boxes, an air quality permit is Lot 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
AAnD17 0NAL MIPPLF'kT .I AL, IP r-OnMAMON