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HomeMy WebLinkAbout15221 Connector Ln - CofOCERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH 9/`U/199�0 Address 15221 C G I` AX ^ C T O R Dale �— Business Name a',.'LCO 4A1E11dLT District ; 14 -.3 � :t � o o 5, i ilA! NAI.l �(, Tel. Business Type p ;--- r Occ. Group STEVL 1ITLj ER BUILDING OWNER BUSINESS OWNERIMANAGER Name ____, r1rl..ct� ,;,,.. 15221 CU14NECTOR Name Address Home 15611 FRODUCT --- 11H, CA Address City Tel. City tQ, CA Home % 7 tI �� i ,� Construction 1 No. of Stories � �I 7e1. Occupant load _ CONDITIONS OF APPROVAL Sprinklers This Certificate of Occupancy SIiALL I3E posted in a conspicuous place on the Premises and shall not be removed except by the Building Official. DEPARTMEN T OF COMMUNITY DEVELOPMENT 4 by —_ /S �✓.� c COMMUNITY DEVELOPMENT i tMAPPLICATION FOR CERTIFICATE OF OCCUPANCY e .� CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT HUNTIHGTOW WACH (PRINT OR TYPE ONLY) Address ,�f����-r�rFina� �kr Business Name /,t , /cc Business Type DATE District Tel Occ. Group C BUILDING OWNER BUSINESS OWNERIMANAGER Name /�r `e IfW j/,,- // Name d'-1 r c o a.1!e��e �. Address r5221 Cotf<rrr<<r Home L Address-�Jo LYc`�`'c� L2`1C City f`� ram. _Tel City, �"u� C�r'cin Home Tel l37 —co-7-9 THIS USE WOULD BE DESCRIBED AS: ❑�'NEWLY CONSTRUCTED BLDG I� I EXISTING BUILDING Indicate former use, if any SQUARE FT. OF BUILDING TO BE OCCUPIE HANGS OF OWNER ❑ CHANGE OF OCCUPANT CHANGE OF USE ❑ ADDITIONAL OCCUPANT f a-74! q 'Tot (s -t r Div — 11(G —13 oc (3 , c , r I ©cc 0/1I Iocc NOTICE: I. 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 may be made in the character of occupancy or use of the building ar 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 (1/2) 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 Fire Protection Association pamphlet 10 (see reverse side). 'Z� I Nq-- C:K— EF— '71 1'r",el$ TRAFFIC FEE DATE PAID AMOUNT RECEIVED NAME r SUPPLEMENTAL INFORMATION OCCUPANCY GROUP OCCUPANT LOAD NO. OF STOMES c 4 + I,P -7� (FOR OFFICE USE ON PLAN CHECK N +' PERMIT NO _._ ADMIN ACTION _ ZONING NO PARKING SPACES , HEAI-TH DEPT APPROVAL UTILITIES RELEASED 6 0— L_' IiArYeP's--, 1&1,gVERTIFICATE OF OCCUPANCY FEE $_ APPROPED BY DATE CHANCE OF USE OR OCCUPANCY FLE $ TOTAL ��.,._._..._. 75-039 Rev.1/97 COMMUNITY DFVFLOPMPNT SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS j.s2�2"/ C 11lfCC4&' l-"" 2. Person to contact in case of emergency- S cvz r; Telephone number: ->i "�2?� r07) 3. Does the building in question have electricity? Tr"Yes ❑ No (z) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? LW Yes ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes EI N o 6. Operations will involve the repair or replacement of ❑ yes automobile parts? No If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ xes iY"No 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ y" © No 8. The following best describes my operation; Office Only Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant/Take Out Food Medical / Dental Other (describe) SUPPLEMENTAL INFORMATION SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? ❑a No If Yes, indicate quantities: Material _ Quantity 1. Flammable liquids Class I -A Class 1-B Class 1-C 2. Combustible liquids Class II Class III -A 3. Combination flammable liquids 4. Flammable gasesJ- 5. Liquefied flammable gases E. Flammable fibers - loose 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. Ammonium nitrate 17. --Ammonium Ammonium nitrate compoundW mixtures^ ---- containing more than 600,10 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. .. __ .. 7 Signature Date L__ 3ni► South Coast AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765.4182 (909) 396-2000 AIR QUALITY PERMIT CHECKLIST for nonresidential buildings only Company Name: _ Al, le--, �JaIc < d e 4. Location of Property: t5'�Z�2-< �c— City: N ,ems �, - �� ( _ Zip Code: 9 z 6k Contact Person: S �r /, �/� _ Title: Pr C s Telephone Number: 3 73 -o© 518 Fax Number: 3 73 - 7/.6 Type of IndustryBusiness: 141v �i 1 14 ,'k . /fir, r > . 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. 1. Will the facility have a charbroiler? YES [ S NO NO 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. WilI 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? 'Will 7. 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? 9. Will any organic ligWds or gases be reacted or produces'.? 10- Will any ovens be used to dry or cure products at the facility? 11. Will azy CFC (Freon) recycling machines operate at the acility? Applicant: C) U 1, Y1i \u-zP-. Signatire: (Punt name clearly) If you have masked "NO" in a( the boxes, an air quality permit is 1a4t 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 AnDITIONAL SUPP+LEWNTAL INFORMATION