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HomeMy WebLinkAbout15031 Edwards St - CofO (4)' CERTIFICATE OF OCCUP/kt'CY CITY or*uwnwoTOwBEACH Address |�0�1 CD�mODS ~ __District �u ou�nn, COUNTRY 4GR wumo Tel. *�,z �/u'�u Business Type One, Group __________ BUILDING UG|NES Ow 11B &0lDIAL H0�i 1TAL SALLY F---- wamo __—____________ wvmn Addm^1���� �DV���� H»m6 aj�z1 m , °oo��___—___ --------- o|i, Be n,|. City8B *ome 846~j903_____ 12 cmnunvctmn No. mStories __cmcunemu,ou ______ aFmoNers_______ CoNonIONS oFAPPROVAL This narlmvmoof Occupancy SHALL asposted moconspicuous place vothe | promises and shall not hvremoved except hythe Building Official DEPARTMENT DPCOMMUNITY DEVELOPMENT by | oOVMuNnYoEmELOPMsNT ^ _~~_~~.~_~ -------- This narlmvmoof Occupancy SHALL asposted moconspicuous place vothe | promises and shall not hvremoved except hythe Building Official DEPARTMENT DPCOMMUNITY DEVELOPMENT by | oOVMuNnYoEmELOPMsNT ^ _~~_~~.~_~ -------- uc APPLICATION FOR CERTIFICATE OF OCCUPANCY • Q, - CITY OF HUNTINGTON BEACH 'vJ In DEPARTMENT OF COMMUNITY DEVELOPMEN ��7^ q� rruNW4GTON MACH !/r —/ ATE i ,yam (PRINT OR TYPE ONLY AO v , Address District - , Business Name _ i_�-�� s._ - ... _w ..- -- ---_ Tel Business Type Name_ Add,ess_fs2.�� rirnr�l'- City -`� -- _ : 1 al _ THIS USE WOULD UE DESCFIIBEFJ AS! EWLY CONSTRUCTED BLDG "XISTING BUILDING Occ. Group -- USiNESS OWN: RIMANAGER Narne. Jll Home Address . ^.iw._ _ _/ �/. ! -•.� - _...____..:. .Home Tel &1�� ,__.3 Cj ,'I;ANGE OF OWNER Indicate former use, it any_-.-------. . ­ .. _ _.__ _ SQUARE FT OF BUILDING TO BE OCCUPIED..-Zky—? VCHANGE OF OCCUPANT ❑'ADDITIONAL OCCUPANT On t; panel Gr Div N TICE r! Ocu ipancy of any buildirig is prohibited and a business license will not be issued until the building has been Lo it sp%)cted 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 building are required to schedule an electrical fuse up' inspection in the Der tmenf of Community Developmont at the time this application is filed, 3; Change of occupancy or use epeclion iee. Whenever it is necessary to make inspection of a building or premises in order to de,ermir ii a change may be made in the character of occupancy oc use of the building or premises which would ulh a thri building Ina different division of the same group of occupancy or in a different group of occupancy, a change of occupancy inspection fee of $ shall be paid to the city, t4, Hwitinglon Beach Fire Code Section 10,208 requires thgt building numbers must be a minimum of four (4) /►1(, Inches in height with one half (1/2) Inch stroke, and of a contrasting color from the bac'(greund, These numbers must be posted on your building in a location that iS visible from the street, 5. Huntington oeach Fire Code Section 10,301 requires fire extinguisher selection and distfibulion per the National Fire Protection Association pamphlet 10 (see reverse side), TRAFFIC LVIPACT FEE DATE PAID •--- AMOUNT IRECOVED NAME ...._, ..._.- (FOq OFFv' -- oSE ONLY) SUPPLEMENTAL INFORMATION OCCUPANCY GROUP. . "" a-�-�-.r�.�� PLAN (,HECK NO OCCUPANT LOAD-...®w- PERMIT NO �. NO of STORIES ---.- - -_ - --- ADMIN ACTION.w-- "�,�,,Jy 'a/rCFRTI< ICATE OF OCCUPANCY SEE APPROVE 3Y DATE C14ANGE OF USE OR OCCUPANCY t"LE TOTAL -- 7M032 Rev. 11/00 COMMUNiTY DEVELOPMENT 70NIN0 NO PARKING SPAC"S fit AI Tfi D1`:PT Af1'1ROVAL, UTIL.ITI` S RELEACRD . .� 1 ,�r SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS /5�0��� -'� i� e✓�� ���� 2. Person to contact in case of emergencya � ,t�. sty--- P--V ----- Telephone number; 3. Does the building in question have electricity? No (a) If No, are you requesting hat the electricity be s turned on? U No 4, The building is sprinklered? Er'Yes ❑ No 5. ' Operations will produce dust / oc, i;havings or similar ❑ Yes material? ©-60 6. Operations will involve the eapair or replacement of ❑ Yes automobile parts? "o If Yes; (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an op n flame? ❑ Y'�s 0 7. The business is drinking, dining or assembly use that will ❑ result In an occupant load of more than 50 persons. Yes 9-IN o 5, The following best describes my operation; 0fft1p@_ Qnnly " j etail Sales"` .-> Zar6hdu-se- Manufacturing/ Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other (describe) W PLEWNTAL INFOAMATION i it i aa�r9 c4tt+t. ,.:..... .. J. _ ,.+:. :�..� JYw.I .n.,. r.�' . - _...• Al- .... _.. .. ;� _ u --r— SUPPLEMENTAL Does the operation involu,, any of the INFORMATION (Continued) following materials? Yes *N o If Yes, indicate quantities: Material Quand',y 1 Flammable liquids Class I -A Class I-B Class 1-C^ 2. Combustible liquids - Class II Class III -A 3, Combination flammable liquids 4, Flammable gases 5. Liquefied flammable gases- 6, Flammable fibers - loose 7. Flamr� i,abie fibers - baled 8. Flamcriable solids �`- 9, Unstable materials 10. Corrosive liquids 11, Oxidizing material - gases ' 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. Aghly toxic material and poisonous gas 19. Smokeless powder 2U. Black sporting powder I hereby certify that the above Information Is true and correct to the best of my knew � _.�...�., Signature -' Date M I Government Codo Sectior 5850.2(b) requires that the City of Huntington Beach not issue the final certificate of occupancy umess the applicant has met or is meeting the requirements of the South Coast Air Quality Management DIstrIct,(AQMD1. The Department of Community Development must obtain a written release from AQMD to show the applicant has complied with this law. The check list on the reverse side is designed to help the applicant and the building division to meet these requirements. 1. The applicant (the same person who applies for permits from the Department of Community Development) must complete the check list which can be obtained either from the Department of Community Development or at AQMD, 2. If all boxes in the list are checked "no", the Building [division can accept the check list as the release, 3, If there are any "yes" answers in the list, the applicant must contact an AQMD engineer by calling (714) 396.2000 to find out whether air permits are required for the proposed construction project. 4. If air permits are noi. required, the applicant will obtain a written release from AQMD. 5. If air permits are required, the applicant must submit the necessary permit applications before the release can be issued, Because of the time it may take for AQMD to go through the above procedures, the applicant is advised to contact AQMD Immediately after applying for building permits. A1101*11oNAL. SUPPLE?MC=NiAI, INFOWA"nON W r I SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) 6 Location Of Subject Property: 1-�0 3/ % f , 1 Property Owner Naff irj,. Phone Name of the person piopantly this fotln 11) print and toiUnatme. Nam SignaturL., I -- The person preparing this. li,)1n) must t;e the P01!�oll appl�ing for building pormits. Please answer the following questions regarding dour ptoposed Orcifl)�1110Y of Illo Ftjbject bi0ding it You DO NOT KNOW THE ANSWEiRTO A QUESTION, MARK IN I HE "YES" COLUMN, AQMD PERMITTING CHECKLIST YES NO 1 Does, your facility use any internal combustion 0119ines greater than SOHP? 2. DOe6 your locility involve mixinfj, blending, or pmf1),; cj1nq ,ijjy WIvi,,nt5, UdhOsivo-9, pints or coafingts? 3 Does your facility aremOaTIV (Justs Or rrnokc? 4. Does your facility rofillp any liquido or colids or roGlaim iily niol;A169 S. Does your facility plate or coat anything?, G. Does your facility haver any combustion equipment (i.e. bailor, furnmog, broiler, baking ovons, ate.) rating groator than 2.000,000 UTU11,1R? 7 0006 your facqi ty handle nr Gtore Solvents or itiolor 8. Dn you use or store any aUds" , 9. Do you use any chemical procoris'; 10, DO YnU use any solvents for clean-up? 11. Are you a dry cleaner, rostauront with a charbroilor, body shop, gasoline station, printer, ter part seater? 12. Is the subject building located within one thousand (1,000) loot of any SCIIOO(? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. If you have marked "NO" in all cclumns, yt. , do not need an Air Quality permit at this time. Ii YOU any questions In the "YES" column you must contact the South Coast Air Quality have marked Managameni District located at: 21865 E. Copley Drive Diamond Bar, CA 91766-4182 P100,90 Call: Plan Check (909) 306.2000