HomeMy WebLinkAbout15262 Connector Ln - CofO (2)Togo23G�
HUNTWON 4ACTt
APPLICAIION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH G
DEPARTMENT OF COMMUNITY DEVELOPMENT
(PRINT OR TYPE ONLY} DATE
( 6 7, (p 7-� 4,:,p hi District —
Address � � ?j 4-
ness NaMe_.� ALO-& —9 —7b 5
TO
Busi
J�A S t�o.
Business Type Occ Group
BUILDING OWN01 BUSINESS 0WN1,'W;AANAQER
Name J Name-:
Home
Address
Addre,,
city Homo
To City
THIS USE WOULD BE DESCRIBED A11*
KA (.,HANGF Of- OWNLR CHANam OF OCCUPANT
LAsi NEWLY CONS-TROCTED BLDG 3
13 EXISTING BUILDING CHANG& 01 USF El A00MONAL OCCUPANT
Indicate former use,. it any r_w Incy
SQUARE FT. OP BUILDING TO BE:
NOTICE: 1. Occupancy of any builOing is prohibitodand a business license wilt 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 bUiloing are required to schedule an electrical
'fuse up' inspection in the Department of 00mmunity [)evolopment at the time INS application is filed.
3. Chang( of occupancy or r,:,e inspection fee, Whenever it is necessary to make inspection of a building or
premrsb,: in order to determine it a change may be inado in tjjk) character of occupancy or use of the building
or promises which would place the building in a diffront division of the same group of occupancy or in a
different group of occupancy, a change t)f occupart, y inspection fee of $ shall
be paid to the city
4, Honlington Beach Fire Code Section 10,208 requires that building ilun bers must be a minimum of four (4)
inches in height with one half V,0 Inch citroke, and of a contrast -rig color from the background, These
numbers must be posted or, your buildinq In a location that iG visible frorn the street.
5 Huntington Beach Fire Code Section to 301 q,�qujcos lir(,) extingutl3hei svl�jctton and distributirn per the
National Fire Protection A,,sociation p,1111phlet 10 (trod reverie side).
A
Orr! - 74T rV4'0 (FOR OFFICE USE ONLY)
'I AN 0 0
OCCUPANCY GROUr V-
OCCLIPAN CIA1,11101,411 APPROVAL--,
IT I OAD ps
No, or- STORIL!S,
(6 014 f
Ti,,TAt
76.039 rw ill &:2",
SUPPLEIVISINITAL INFORMATION
BUSINESS ADDRESS
2. Person to contact in case of emergency—l
Telephone number:
3. Does the building in question have electricity? 0 Yes
El No
(a) If No, are you requesting that the electricity be Yes
turned on? No
4.
The building is sprinklered?
E3 Yes
0
No
5.
operations will produce dust/wood shavings or similar
Yes
material?
'No
6.
Operations will involve the repair or replacement of
yes
No
automobile parts?
If Yes:
(a) Describet the components repaired or replaced.
(b) Does the operation involve the use of an open
flame? Yes
No
7,
The business is drinking, dining or assembly use that
will
C3 Yes
result In em occupant load of more than 50 persons.
No
8.
The f Ing best describes my operation;
Office Ice_ Only
Retail sales
6reF�-O-U�
� arei�o6
Manufacturing / Distribution (describe process and end product)
Restaurant/Take out Food
Medical- / Dental
Other (describe)
SUPPLEMENTAL INFORMATION (Continood)
Doe,; vio,invo;v ciny r,rf trio i(=iiovjinq matorr,ajs l s Yes
No
i�i�R;� i➢i ��'
pp,y, d
F9arn6rrabioi�9z'G ter@_fit`
' F. P"'FeS"i�l�i&�iG�h�i�-, �1fE?Y+3;•.a ��''.iC:'C,�
m
2t)x q
G±�s72tmg
r � 61
a
s. o o-. 'll i 9J " t bkite
-'r
South Coast
AIR QUALITY MANAGEMENT DISTRICT
pim E, copiey Drive, Diamond Sar, CAD 1765-4182 (909)396-2000
AIR QUALITY PE RMIT CID' CKLIST
for nonresidential building's only
Company Name:
Location of Property: 43- ---Af 1z
city-., --d - 1'3,—�— Zip Code:. I 'Z 0 V
Contact Person: Title: nlf"VA — ? 3 —
6", Pax Number: 2 14- F"""F e "t -7
Telephone Number, aLA---efLF-._—
Type of Industrymusiness: -,'*)
To apply for a nonresidential building permit, you miLst complete, this checklist, If you have any
questions
about completing this checklist, please call (800) 3 8 8-2 12 1.
YE- S
NO
1.
Will the facility have a cbarbroiler?
2.
Will any internal combustion engitie with greater than 50 horsepower
operate at thefacility (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 liquidsor solids be done at the facility?
6.
Will any pl4ng or coating of materials be done at the facility?
7.
Will any combustion equipment rated greater than 2.,000,000 BTLT/hr be
operated at file facility?
8,
Will any acids, solvents, or motor fuel be used or stored at the tacility?
9.
Will any organic liquids or gases be reacted or produc4d?
10.
Will anywens be Wised to dry or cure products at the facility?
11.
Will any CFC (Freou) recy0ir, -oes wrrate at file facility?
Applicant: Signature. 42
(Print narnc� P.leai
Ify-,m . -e nuirLA "No" in:all tine bovnjan air quality perinit i5lizueeded at this tinie,
and this thoUst is your written release.
If you 11"hea "YES" ivally of the jy�ixeg, you wurit contact the kith Coast Air Qnalfty
District (AQ*7AM Picas". rxuad the requitentents oft tile bawk- of the checklist.
(81)0) 388-2121