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HomeMy WebLinkAbout15261 Connector Ln - CofO (6)--------------- ,CERTIFICATE OF OCCUPANCY 6 / 15 / 9 8 CITY OF HUNTINGTON BEACH — Date 1 261 CONNECTOR District & Address 714-373»5509 t SARA, INC. Tei. Business Name _ R&D FOR GOYERI ItM R1�SEARCH Ada»1 Occ, Group Business Type BUILDING OWNER BUSINESS OWNER/MANAGER LINCGLN PRO? x AIIVI ' b .ft�— Name Name 30 PARK 110 Home 4251 TRUTIBULL qqq Address ,EXECUTIVE Address Address 714-261»9871 1I.I?. Home 71u»3IIU«8270 Tel. City1 - Tel, City 1 9 Construction , No. of Stories Occupant Load _ — Sprinklers _ CONDITIONS OF APPROVAL �LoT—I!n ertificate of Occupancy a conspicuousplace on the hall not be removed except by Ole l. i S t DEPARTMENT OF COMMUNITY DEVELOPMENT a o f s 0 OMMUNITY DEVELOPMENT ♦w. ..,,...W�..b..+.+.r emew �r..aa »tw+ ,�.�,. -ems- !""^'.n',�,aw Yw.T.w'+.wrn �+n+*M .+'+!'^.. '. ten LICATION FOH CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT 11UN" WON KACH (PRINT OR TYPi: ONLY) DATE District Address r, Business Nama a� j---�Ll�� _ Tel Occ. Group Business Type C' �2t���i i�G . 7� S BUUIIL i GOWNER BUSINF.SS4WNERIMANAG`R • Homey/� I Addressa Address City Te6,a0j0—'4—W City GN. _ Home Tel �� , THIS USE WOULD BE DESCRIBED AS: y� Ir L J NEWLY CONSTRUCTED BLDG, ❑ CHANGE OF OWNER L� CHANGE Of- CCQUPANT I i EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT lIndicate former use, it any_„ — Occupancy Gr Div, SQUARE FT, OF BUILDING TO BE OCCUPIED 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 { i 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, & 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 aj different group of occupancy, a change of occupancy inspection fee of $ _ shall A be paid to the city. 4, Huntington Beach Fire Code Section 10.203 requires that building numbers must be a minimum of four(4) Inches 1n 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 S. Huntington Beach Fire Code Section 10,301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side), j TI1AFFIC IMPA D ATE PAID AMOU 15 c v NAM^ (FOR OFFICE USE ONLY) - / SUPPLEMENTAL 1f FORhiA ION ZONING- =f r NO. PARKING SPACES - OCCUPANCY GROUP P�.,AN CH C OCCUPANT LOAD -» —..—. PERMIT N0c]5� HEALTH DEPT :aPPROVAI NO, OF STORIES ADMIN. AG ION UTILITIES RELEASED V21 0ERTIFICATE OF OCCUPANCY FEE y_ROVf3Y (' DATE CHANGE OF USE OR OCCUPANCY FEE ,� TOTAL 76-0to Rev,1n0r COMMUNITY bEVELOPMEN1" - r i I SUPPLEMENTAL INFORMATION i a t. BUSINESS ADDRESS��' 1+�----- 2. Person to contact In case of emergency.:. Telephone . number: 3. Does the building in question have electricity? 2 Yes ❑ No r (a) If No, are you requesting that the electricity be ❑ Yes ❑ Na turned on? r 4. The building is sprinklered? "C-"Yes ❑ No 5. Operations will pruduce dust / wood shavings or similar ❑ Yes material? ,21No 6. Operations will involve the repair or replacement of ❑ Yes -. r1 , automobile parts?o 4 ; If Yes; (a) Describe the components repaired or replaced. ` l _ (b) Does the operation involve the use of an open flame? Ci Yes i ,-2'No ' ! 7. The business is drinking, dining or assembly use that will .Yes I result in an occupant load of more than 50 persons. -R-No 8. The following best describes my operation; Office Only Retail Sales Warel,10use Manuflcturing Distribution (desritio process and end product) Restaurant I Take Out Food Medical / Dental Qejan•ro4 a -Id ©jy Others (describe) J SUPPLWINTAL INFORMATION r L SUPPLEMENTAL W WORMATION (Continued) � 1 Does the operation involve any of the foliow;ng materials? L Yes } 0 No f if YesIndicate quantities: _ Material Quantity 1. Flammable liquids �.._�.....�,.�.,�_..._ _..._. , _,....,...._�Fs..,�._.A._._.. _�..�.,_._.____....,..�...� ; Class i-A Class I-C 2, Combustible Liquids � - t Class II Glass 111-A 3, Combinationflammable liquids F 4. Flammable gases ' ' " S. Liquefied flammable gases 6. Flammable fibers- loose 7. Flammable fibers - baled 8. Fiamnaable so1►ds 9. Unstable materials _ 10 Corrosive liquids .�.� . Acr,D5 v- 11, Uxldizing material w vases 12. Oxidizing material liquids 13. Oxidizing material -solids 14. pe Organic rox�dss , 15. Nitromethane (unstable materials) `16 Amn�an��am nrtr�t� , P 17. Amrrionlurn nitrtat€7 compound mixtures containing morn than 60 nitrate by waight �� 18. I-iigl7ly toxic materriai and poisonous gas 19. Smokeless powder, 20. sporting powder reby certify that the above Information is true and correct to best of my nowledge. Signature Date i :i South Co?zi AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765.4182 (909) 396-2000 AIR QUALITY PERMIT CHECKLIST for nonresidential buildings only CompanyName: -` Lr`--'--------- r Location of Property: Z:!�26 Zip Code: t i Contact Person:1/�j O"",n.v Title: a Telephone Number: �' Fax Number: t 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. 1. Will the facility have a charbroiler? YES [) N0 O 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? S. Will refining of any liquids or solids be done at the facility? j [[ 6. Will any plating or coating of materials be done at the facility? 7. Will any combustion equipment rated greater than 2,000,00013TU'/hr be operated at the facility? 8. Will any acids, solvents, or motor fuel be used or stared at the facility? [ ] [ 9. Will. any organic liquids or gases be reacted or produced? `Will 10. any ovens bo used to dry or cure products at the facility? [) i 11. Will any CFC (Freon) recycling machines operate at the facility?so Applicont W- U14h1. / kTGfil i�.rC�,i _ _ Signature:'�?/ (Print name clearly) —' If you have marked '1N0" in all the boxes, an air quality permit is nat needed at this time, and this checklist i!i your written release. l If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality ' Management Distirict (AQMD). Please read the requirements on the back of the checklist, (800) 388-2121 l 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: A24; Location of Property: City:l',,�cr-��,c/ Zip Code: Contact Person:/ZAi. sQ.v Title: _CAS /�clt Telephone Number: �` p Fax Number: Type of Industry/Business: f 1 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. I. Will the facility have a charbroiler? YES ] 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? (] C 4. Will dust or smoke be generated at the facility? C ] C 5. Will refining of any liquids or solids be done at the facility? C ] (Vr 6. Will any plating or coating of materials be done at the facility? (] C� 7. Will any} combustion equipment rated greater than 2,000,000.13TU/hr be operated at the faccility? 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? C ] ( t 10, Will any ovens be used to dry or cure products at the facility? 11. Will any CFC (Freon) recycling machines operate at the facility? ] i Applicant: 1,VV1,41-i �tcTGfi/Nsa,,► „Signature: (Print name clearly) If you have marked "NO" in All the boxes, an air quality permit is W 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 (� Man agement:DistricC (AQMD). Please read the requirements on the back of the chec t—. "" , tl'` (800) 388-242-1 • ,1 Gi a 'iG 7 1 n�' ICb L ti SUPPLEMENTAL INFORMATION (Continued) i Does the operation involve any of the following materials? R Yes g 0 No If Yes, indicate quantities: Material Quanta i 1. Flammable liquids Class I -A Class I-B Class 1-C ► 2. Combustible liquids Class II Class Ili -A 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6, _ Flammable fibers - loose _ 7. Flammable fibers- baled 6, Flammable solid 4 91 Unstable materials 10, Corrosive liquids AG115 CAVSblS < SGAU1W% M Oxidizing material - gases ' 12, Oxidizing material - liquids 13. Oxidizing material - solids 14, - Organic peroxides ��.. 15.. Nitromethane (unstable materials 16, Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate > by weight 16. Highly toxic material and n poisonous gas 19, 5mokedess powder 20, Black sporting powder._.�� � �, i hereby certify that the above information is true and correct to the best of my, nowiedge. _. Signature Date F