HomeMy WebLinkAbout15301 Connector Ln - CofO (2)..�».we.......�....».>....<.1+A.,«.w.rs,«•aFeaw.... •... .x.. .4.-,.w..w.a.. «......w...-c-...x.a`sa,,.. w..tw.. _,. I
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Date
t
Address 15301 CONNECTOR District
CM9 OIUNITY ACHIEVL..ML;WT St VIC`r;t INC Tel, 14-895-51 b
Business Name B i Is 1
EDUCATION SG1iVI Ck IDI: TRT13U T i GN Occ, Group _ —
Business Type j
BUILDING OWNER BUSINESS OWNER/MANAGER jI
1VSLLIA[I/TONI CiH lUORY Name 11.1LLIAP4 H Gl1tiY-- 1
�
Name Home Address 1 S PATOS
�
4961 LOS PATO i919 LQ�
Address f;
Telx i1/1�tltitw `T�30 H.D Home �1/I-46-8790
Cif y r Tel,
y
a to
Construction No, of Stories Occupant Load Sprinklers
CONDITIONS OF APPROVAL
DEPARTM NT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy / f
SHALL BE posted in a conspicuous place an the
j prernisos and shall not be removed except by the by vUl €
Building Officiaa
l. l
ii
COMMUNITY DEVELOPMENT
I
i.—....»n.,....k..r........wr.,.....,.i.e,.em..y--....r.r..n»..wrr.,...Y.. «..«..«....w----.,r_... e»,.x--------------..e-rn.+.+.......... ..........
tA do APP1,ACATION FOR CERTIFICATE OF OCCUPANCY
i4ijo CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNTPOGTON KAM (PRINT OR TYPE ONLY) DATE
Address
,.LOZ h
District
Business Name TO
Business Typeg—c/Occ Groupjz�--
BUILDING OWNER BUSINESS OWNERIMANAGER
Namea-Ll, —
Name
Home
Address Address
-------Home
City :� . ....
THIS USE WOULD BE DESCRIBED AS:
❑r—_jd--
NEWLY CONSTRUCTED BLOG -,CHANGE OF OWNER -M-CHANGE OF OCCUPANT
-4��x&ING BUILDING El CHANCE OF USE 0 ADDITIONAL OCCUPANT
Indicate former use. if any----,--,--., -------Oc.vt)pancy Gr —Div
SQUARE FT OF BUILDING TO BE OCCUPIED. ,,5.7-5-tE,
12- L�
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
certified safe. III applicants for occupancy In In existing lulldl,, are required is schedule In 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
promises In order to determine if a change may be 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 a
different group of occupancy, a change of occupancy Inspection fee of $ shall
be pall 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 ,, 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 (lie extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side),
05 L/3 4,E&U112*,-F4
1116147/6 8D
TRAFFIC IMPACT FEE
DATE PAID AJL.
AMOUNT RCC51VED (7rl,
NAME (FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
R
OCCUPANCY GROUP 'Up
OCCUPANT LOAD
NO, Or STORIEE
'PROVED
�
C/
P ROV�
ROVED BY DATE
7r-039 Rev, 11190
70NIINr-i "7 L
PLAN CHECK NO -- NO F.IARKING SI)ACPS
PERMIT NO FIFLA1.114 DVPT APPHOVAL---
ADMIN ACTION, --.--..--- UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY f EV --
CHANGE OF USE OR OCCUPANCY FLI $_,-
TOTAL
COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
1, BUSINESS ADDRESS
2. Person to contact in case of emergency. -
Telephone number: —Y- — �7-
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 sprinklered7 /.S:9at -PYes
5. Operations will produce dust/wood shavings or gimilar ❑ Yes
material? o
6, Operations will involve the repair or replacement of ❑ Yes
automobile parts? �o
7,
9
if Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? 133Yos 4
y,.
The business is drinking, dining or assembly use that will
result In an occupant load of more than 50 persons, ❑ Yes}
-@'No
The following best describes my operation;
Office Only
HetaV Sales
Warehouse
Ma factufing / Distributi n (describ roo�e7s and end�prgd ct) (
t j,4 PSS j�"-`--fir" +c r s'' f
Rest ant % Take Out Food
Medical / Dental
Other (describe) ----
SUPPLEMENTAL INFORMATION
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? Cl Yes
AR�N o
If Yes, indicate quantities:
Material Quantity
1. Flammable liquids
Class I -A
Class I-B
class I-C�
2. Combustible liquids
Class II
Class III -A
3. Combination flammable liquids «�
4. Flammable gases�'�
6. Liquefied flammable gases
6. Flammable fibers - loose
7. Flammable fibers - baled
8. Flammable solids �w
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 nitrate compound mixtures
containing more than 60% nitrate
_ by weight
18,�Highly toxic material and����
poisonous gas
19. Smokeie�s powder
20. Black `sporting powder
I hereby certify th the above Information is true and correct to
th bes of m k owledge, "
Slgnn re y Gate
SOUTH COAST AiR QUALITY MANAGEMENT DISTRICT
t (Nonresidential Buildings Only)
Location of Subject Pro ert ;/5�/�/lc
1 P y f ..... - /fit � �-s' �-�2-.� �? �. �/�w ,� )_/�
Property Owner Narne: 4251r'"� l— Phone #:_FT._.?^
Name of the person preparing this form in print and signature.
.....� t• ���.�n..5 4�w-..�../� / ignaturo. _ .... _..�_
The person preparing this fur rri must be the same person applying for building permits, Please answer the
following questions regarding your piuposed occupancy of the subject buiidirig. IF YOU DO NOT KNOW
THE ANSWER TO A QUESTION, MARK IN THE "YES" COLUMN:
AQMD PERMITTING CHECKLIST
YES NO
1.
Does your facility use any Internal combustion engines greater tryan 50HP?
2,
Does your facility involve mixing, blending, or processing any solvents,
adhesives, paints or coatings?
3.
Does your facility create and dusts or smoke?
4.
Does your facility refine any liquids or solids or reclaim any metals? .,
.. ... _. w.�
5,
Does your facility plate or coat anything?
C
6.
Does your facility have any combustion equipment (i.e. boiler, furnaces,
broiler, baking ovens, etc.) rating greater than 2,000,000 BTUlHR?
7,
Does your facfllty handle or store solvents or motor fuel?
8,
Do you use or store any acids?
9,
Do you use any chemical process?
10.
Do you use any solvents for clear, -up?
11,
Are you a dry cleaner, restaurant with a charbroller, body shop, gasoline
ter
station, printer, part coater?
12,
Is the subject building located within one thousand (1,000) feet of any
PROPERTY L114E TO PROPERTY LINE. GRADES
school? 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 av
21865 E. Copley Drive
Diamond Bar, CA 91765.4182
Please call; plan Check (909) 396.2000