HomeMy WebLinkAbout15021 Edwards St - CofOCERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Date
Address
District
Business Name
',
Tel, 'I
Business Type
000, Group
BUILDING OWNER
BUSINESS OWNER/MANAGER
—,11,
? 5171 !
Name
Name
Home
Addre-ts1l.t `II
I
Address
CIP/ i.�
Tel, —t
City
Home
Toll
Construmon
-- No. of Stories Occupant Load
i'`
Sprinklers
COND1111GNS OF APPROVAL
DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy
SHALL 75`ff*p-6;1Q In =con picuous place on the
promises and shall not be removed oxcipt by the by
Building Official,
COMMUNITY DEVELOPMENT
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
(PRINT OR TYPE. (AM
l3u,utt :. Narna . / n.m'G1 /G",,"PI hi
Bur;rnPrt; Typr�. Y�'��tJrtLLY G"5 ai .. tiry tirralara,3 ,,,_,�.._,.�:.,�.:.,�..•....
fillll f 1INt, a �YJNt rr III INt ;t., (iWNI RVANAa,I H
In�
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Ad,ir,
City t (lyGc+t!/�� ��_:.�G'4•!p Flcrrrta Tr l,.d��cd
THIS USE WOW,) Of: DESCRIBED AS:
Nf:Ni. y UUTI CI lit lt4 I IANtit (A (10AI fI
i��tXl`iTIR t!� taNti �..� (;IIAtVtil I(a lI(l!
Indu;alo foills a,rp d ai,v
t)QUAHJ rT Oi fit ill lIIN(i Tat lit rn.I 1,11411 �✓ � �..,��
NOTICE: 1.
2,
3.
5.
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! APD111t1NAt 4.icni1rANI
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Occupancy of any building is prohibited and a business license will not be isewed until the building has been
inspected and a certificate of occupancy is issued.
No electrical service will be relonsod for any existing building until the service has been inspected and
cortified safe. All appheanis for occupancy in an existing building are required to schedule ar, electrical
'fuse up' inspection 1., the Doprtrtment r Comr>tunily Davolupment at the time this application Is filed,
Change of occupancy or use Inspection too, Whenever it is nocessary to make Inopoction of a building or
premises in of der to determine if a change may be mode in the character of occupancy or usv, of ,ho building
or proniisoo whic;t would place the building In a different division of the same group of occupOvicy or in a
different group of occupttr"•:y, a change of occupancy inspection foe, of $ shall
be paid to the city.
Huntington Bench Fire Code Section 10208 requires that bending ni,mbora mast bo a minimum of four (A)
inches in height with onn half ("0 inch stroke. and of a contrasting color from me background. These
numbern must be posted on your building in a location that is vismlo from liter WOI,
Huntington Beach Fire Code Section 10,F01 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
(Fag OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
0( t,',Ur'ANC`r' tMOUfa ,y. III AN I'lI[ UK Nt,
OCCUPANT OAl1 � �/ �. . I'1 IShAI' *.t I I It AI 111 I II I'1 AI'PO NAI
No 01• STO3� A11011 kt'Ilr IN I:111 II IPtat I I A'd ti
�.. '1'` 01�
t- 9/1t�r IiTlf l(`ATt ttt fis r'L!r'Aff Y t r tI) r;HAN,;E t tF 11:.I (1;t r tt a L,t°AN' I E t i ,
tirTAt s., •`
76,039 fide. 11/00 CONNMUNITY DrVrt:,0PMLNT
r
b SUPPLEMENTAL INFOn MATION
1, BUSINESS ADDRESS
2. Person to contact in case of emergency --
Telephone number;
3, Does the building in question have electricity? Yes
❑ No
(a) If No, are you requesting that the electricity be 0 Yes
turned on? CC No
4, The building Is sprin, iered? Q Yes
a No
5, Operations will produce dust/wood shavings or slrriilar
material? ❑ Yes
6, Operations will Involve the repair or replacement c,1 IJ Yes
automobile parts? X:d-No
If Yes;
(a) Describe the components repaired or replaced,
(b) Does the operation Involve the use of an open flame? p Ye
i, The business is drinking, dining or mambly use that will Yes
result in an occupant load of more than 50 persons,
4211IN o
8. The following best descr'bes my operation;
Office Only
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end product)
Resteurent / Take Out Food
Medical / Dental 9
Other (describe)
SUPPUMENTAL, INFOAMATION
SUPPLEMENTAL (Continued)
Does the operJijn \nvc!xr ally VY .he folio -wing materials? LJ Yes
/ndi�ate qu$Mhb$$�
' QuontdV
K8at�r/u| 1. F|anlmab|$ liquids
Glass|-A_ _~__-'--'_ _____-____,____~_�,-__,�
/"
---- ConpbVydib)e liquids
-~- U|~A
-^~ ----, nnn�nngb|$ liquids
~^ -jammable gases
| hsrabv h� � above information is true and correct to
the best of certify hnqw}edQm' i
w_�'�~--'-------�
------- oats
Ogfa t�Lu r
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0 .e THE PT,A�J4JWG JIVI'SION► CITY OF SUNTING`1`ON BEACUP P.O. Box 1900
RT+.TURN '1`(j.Huntiogton Boach► CA 92648
2000 Main Street►
SOUTH COAST AIR .UALITY MANAGEMENT DISTRICT
(Nonresidential Bui,ldiings Only)
1,ocatien of Subject PropertyM _
r % Phone
property
Owner name• ryt .►. '��^",1C?11..�.r� ,�--------......--
Name at the Person Pre wring this form in print and signature
Signature
e�rson applying free
this form muot be the same
Tile parson preparing questions cagardJ.r+,g ,Your
builcling permits. Please answer the fcrl-gwinIFyou DO NOT KNOW THE ANSWER
proposed occupancy of ,.he subject b:aildin
TO A QUESTION IIARK IN THE "YES" COLUMN:
SCAQMD PERMITTING CHECKLIST NO
YES
1, Dees your facility use any internal combustion ( co
engines greater than 50-HP? blending, or
2. pros year fanyl0ol.vantst adhesives, r,ints
processing
or coaour f create any dusts or smoke?
a. Does your facility refine any liquids or solids? 4. Doss your facility 1....�.I
Reclaim any meta�s7
5. Dons your facility plate or coat anthingui mr�nt
G, 0002s your facility have any combustion ovens' etc.)
i.e. boiler:, furnaces, brai1.er, baking
rated greater. -than 2, 000, 000 I3TUj13R?
7. Doan your :facility handle or store solvents or motor
fuel? aciais?
e. Do you use or store any
» qo you use any chamical process?
10. Do you use any solvent, for cl,san-u1
it. Are you a dry 010"ner► rastaurunt witho )artbaoriat*r
body shoe, gasoline station, printer, On
12. Is the subject building located within one thousand
(11000) feat of GR
any school?
PROPERTY LINE ►,t'0 PROM" LINE. AgES K""la
If you have marked "No" in all columns, you do not onad an the "YES" Column
peal°it at this time.
If you have marked any questions in the t
you count con
the south Cost Air Quality Management District laaate
C1� MONT'C, CA 91i 31
'II.SC) k'1,AI1j DRIVE,
016) 572-6406 ~
ttinr.ccall these officesr plan Check (018) 872-6111, (,018) 572 G2Gl
1).A1,00603