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Home My WebLink About15301 Connector Ln - CofO (6)CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH c j 1' } Date dress 1�;'�.1 t:f,t�;fsi�f"i7.i District siness Name i Ri'� 1�:� I�, i�� i L S t' li t �. p ;i 1' i ° Tel, _ t' sinessT e YP ( tLE: j,I,F' a:i'['T.`+ x r 6`X1't.l'1 Occ, Group J: -.f BUILDING OWNER BUSINESS OWNER/MANAGER E:L.FF1It`tti.. Name me #� Home Address z ` i � r'; ~< '7 T G Y L I: I CL L i i.,'C Tel, 121 City-aOUi' Home 9r' I-j it _ Tel. M nstruction _ No, of Stories _ Occupant Load _ _ i Sprinklers, INDITIONS OF APPROVAL DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the by ? � =tea G 4 L Building Official COW41JINITY DEV'ELOPMEN r �� APPLICATION FOR CERTIFICATE OF OCCUPANCY o CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT _ _'7 2- _ NUNnNGTON DEAf)I iPRINT OR TYPE ONM DATE Address �Lt>�Iti1(n_ f_-J &-kzO , GSA _ 916. _ 7 Srrlr.; Business Name��J L -. r?J IC1�RlSr 1n�G.._ _ __ __. _._ __ ._____ r _ T"11Q7i�) Business Typn Oct, Group NUIL01N6 OVVNEH HUSINF'Y, r)WNFHIJANAtil=n n�vs N3mr• ��%SF.tNt'} C, Cl`ihxi e-_�,/�J. Homo THIS USE WOULD 15C DESCRIBED AS: ❑ NEWLY CONSTRUCTu) Bif)(i l l t_:HAN(A Or OWNFk 0(, HANGE OF OCCUPANT EXISTING BUILDING CHANTil OF USIX ADDITIONAI, 0 X L)PANT Indicate former use. rl any---_-.... SOUARE.FT OF FUR DIN(iTo 13E_OIX,L)PIFIt 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 beer. 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 buildinp or premises which would place the building in a different division of the same group of occupancy or„ a different group of occupancy, a change of occupancy inspection fee of $ be paid to the city- q,� ,rr 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) ' 4 inches in height with one half (Imz) 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 anti distribution per the U q l q National Fire Protection Association pamphlet 10 (see reverse side). -I (FOR OFFICE USE- ONLY) i SUPPLEMENTAL INFORMATION 110kiNr OCCUPANCY GROUP_ P1 AN r;rrf ( K Ni:,1 ._ _ _ _., No PAPXiNri k.r>A( f 1, OCCUPANT IOAC1 ,... .... - _ __,.. ,., I,f W.11T No Ill At Tri f)[FT APlrWWAt _ NO OF STORIES _-_ ........ ,. w,..... _„, Af)MIN ACTION.... M, ilTI[ITI15 fjf;_tM4 f) ._ ('34011 WATt Or r 7(,r �ut�rxry(r a r t PROVE. 13Y ITATF CHANr.,f- Qf UFiF 014 U('CIuPAN;_ Y T t-L TO1 AL 75.039 Rev. 11190 + COMMUNITY DCVELOPM5'N1' SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 15Ilj (av,A z,;rL L&t,-c—, (Jucri&,' I -A di-ACH, ctl 5xc4� 2. Person to contact in case of emergency, C, C(16�� Telephone number: `:?I z) � k ) --" 3. Does the building in question have electricity? Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? Yeas ❑ No 5. Operations will produce dust/wood shavinf s or similar material? ❑ Yes LP N o r 5. Operations wii, 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? ❑ Yes Dr No 7. The business Is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. Ca Yes IJ N o 8. The follWlo best describes my operation; C"rffice Only R fr".Sales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other (describe) SUPPLIMENTAL INFORMATION SUPPLEMENTAL INFORMATION (Continued) I Does the operation involve any of the following materials? L7 Yes No If -1°ei—,—jn—di-c—ate quantities: Material Quantity T—F-'iammable liquids Class I -A Glass Glass 1-C �. Combustible liquids Class 11 Com—b,in—atio—n,-,-f,l—a,m,-m--a—ble liquids TDue Fiej—fiammablo ga;,";A'S'—' l0. Corrosive liquids X ing mute rial gases Oxidizing material liquids 93. Oxidizing material - solids `f6. Ammonium nitrate containing more than 60% nitrate by weight poisonous gas 1-9-iiewok—el`ess --powder" 20. --Black sporting I hereby certify that the above information is true and correct to the best of my knowledge. Signat e Date RETURN TO THE PLANNING DIVISION, CITY OF HUNTINGTON BEACH, P.O. Box 190, 2000 Main Street, Huntington Beach, CA 92648 SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property: I K301 (e.d.0 -C7,4t CtNO(--, (AtA,7(AA7_4d IS6.1e(11 Property Owner name: . -IL, bmel AfAK7i,et/ __ Phone Name of the Person Preparing this form in print and signature Name �ti C. C1tr�Sf� signature � ,-- /� The preparing reparing this form must be the same person applyi#ig for p building permits. Please answer the following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN THE "YES" COLUMN: SCAQMD PERMITTING CHECKLIST YES NO 1. Does your facility use any internal combustion EZI engines greater than 50-HP? 2. Does your facility involve mixing, blending, or processing any solvents, adhesives, paints or coatings' 3. Does your facility create any dusts or smoke? 4. Does your facility refine any liquids or solids? Reclaim any metals? P 5. Does your facility plate or coat anything? 6. Does your facility have any combustion equipment i,e. boiler, furnaces, broiler, baking ovens, etc.) rated greater than 2,000,000 BTU/HR? ri 7. Does your facility handle or store solvents or motor fuel? . I 8. Do you use or store any acids? 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline station, printer, or part coater? 12. Is the subject building located within one thousand C� (1,000) feet of any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked any questions in the "YES" column YOU must contact the South Coast Air Quality Management District located tit: 9150 FLAIR DRIVE, EL MONTE, CA 91731 I'Irnse call these offices: Plan Check (818) 572-6406 (818) 572-6111, (818) 572-6261 1): AL00603 South Coast AIR QUALITY MANAGEMENT DISTRICT 9150 FLAIR DRIVE, EL MONTE, CA 91731 (818) 572-6200 Assembly Bill 3205 requires the Building Departments not to issue the final certificate of occupancy unless the applicant has met or is meeting the requirements of the District. The Building Department must obtain a written release from the District to show the applicant has complied with this law. The attached check list is designed to help the applicant and the building departments to meet these requirements. 1. The applicant ( the same person applies permits from the Building_ Department) must fill the check list which can be obtained either at the Building Department or at the District. 2. If all boxes in the last are checked "no", the Building Department can accept the check list as the release. 3. If there are any "yes" answers in the list, the applicant must contact a District engineer by calling (818-572 6406, 818-572 6111, 818-572 6261 ) to find out whether air permits are required for the proposed construction project. 4 If air permits are not required, the applicant will obtain a written release from the District engineer. 5. if air permits are required, the applicant must submit the necessary permit applications before the release can be issued. A sample copy of the release is attached. Because of the time it may take for the District engineer to go through above procedures, the applicant is advised to contact the District immediately after applying for Building permits. myl/al AB320510