HomeMy WebLinkAbout15041 Edwards St - CofO (9)„j7
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON B-AOH Date
j Address
Tel.
I Business Name
Occ croup _------••
1 Business Type
�( BUILDING CWNER BUSINESS QW UEF?IMANAGER
__ _-- �_ - Name
Name - -- M Home
1
AddresS
1 I Address - .- — dome
j city - ---- i21
! City ._--�^---•----•-- ---- Tel. --
_ Occu ant Load — Sprink:ers '-”- -'
Construct -on _,_,____ No. of S.ories _ p" ��
1
j CONDITIONS OF APPROVAL
DEpAFii'MENT OF COMMUNITY DFVEI.OF,,VENT
This Certificate of Occupancy
SHALL BE Poetej in a conspicuous Ptnce on the
premises and shall not be removed except by the by
B;Iilding Official.
cohrIMUNITY DEVELOPMENT
�1 APPUCETION FO;9 C RTIFICATE OF OC' tP.ANCY
CITY OF HUNTINGrGN BEACH
DEPARTMENT OF COMMLINIT,, LIEVEI OP1,4E,,4
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THIS USE WOULD BE DESCRIBED AS:
NOTICE:
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�ft4ats
Occrtp,itit:y r,f arIy biIII&IIII r, pn Itut.nfed ._irn1 a 1:'U"II W:.. , iIrt,nst' Will not tic- c,F,uctd until the bill h;lfill haS been
InSperted rind rl cf�rlltlf:, tf> ,l �!c:e:uh,alt-d +_� i.'• ies_'9.
No electrical ServicP will tar ii i1 fI,t ;illy F, rx tlllo 11'.111i1'rttl Ut1nl lilt, �,:IrrVtt f+ tla'4 t?t'c§r; inbiptlr led rind
cortifitad safo All applik;ritit.; fur ,_Icr,up,mc,j flaw I_ xv -tlnq h!l,ltf riq -fit, lr",tuiil,ti III iwwidiilf� an f L,riflGai
'fum" Ills' uv.pnr,tlon it tf Dop<wlli rtt If tht, tart' thl" al1hhf 'Ition Is filed.
Change of occupancy or Use inspection tee Whf,,r-vt f it I`', nt t C .,,try III 111-ir'f lm pet'11rt of .t hulidirtrl or
pre nii"w" in I;rtlf'r l"di'ter,rrrr,I•ifrI,,trf.t'nnttlt� of tht,i tl it ictr,r 1t t t:f it inCytu Ise cf(III lbufldintI
Of hn nn tOt , y1fitu:h wtinld hilt the hlnl {ht) 1'+i r{Itftrten! dn'i�lr,n tzf [hr, „tn,t� fln,rip r�' t,rr.iillaru y t)r lu a
diffewill grtw[f of 10 ingf, r�r I Ilpilf+t y in,-j ut.tinei fr'e >'if '41alt
be paid to tho fAy
Huntington Beach Fire Cede Section 10108 nunrbtIm must t'f� a mtninrr m of ftii,r i4)
1nt:hwi m helght With wif, h,ilf f'I rr 01 S1rill',, rind pit i t r_:r�Wixst,rrq I -dint fTIMI tho b;wkgrtrivid. Thwt,
.
rwml,wrra tnut,t tua Firr;ttrd ran vt,,li tftuldtn<I III .t I'A llt�m tt,at u, vv,,t,ti� h,m tho',twf't
Huntington Beach Fire Code Section 10 301 roqurrt,' fill, extrnqutt;hf't <,fF!t'rti tm anr_l til:,trrhlitit:,n per aw
Ndtiomd Fiw Flltoteowrt Ar,S,tW6itiot'I piiiriphirt 1(1 (I'o, rfiv..t.,w
(FOR OFFICE USE ONLY),t !!!k
SUPPLEMENTAL 1."1F0RMATIO�
r Ili V11 14 TI, At) K1
76.039 Rov 11 "P0
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SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS t s�µ'1/t -,1-,, .4 1._ . d
2. Person to %ontact in case of emergency:..)—^
Telephone number: e
S. Does the building in quEstian have electricity?
(a) If No, are you requesting that the electricity be
turned on?
4. The building ie sprinklered?
5. Operations will produce ;ust / wood shavings or similar
material?
6. Operations wi l involve the reoalr or replacement of
automobile parts?
If Yes:
(a) Describe the components repaired or replaced.
C 'es
12"N o
❑'"Yes
❑ No
❑1 Yes
❑ No
❑ Yes
11
�,40
❑ Yes
11"'14O
(b) Does the operation invoive the use of an open flame? ❑ Yes
❑ No
7. The business s drinking, dining or assembly use that will
result In an ccupant load of more than aU persons. ❑ Yes
M-116
8. The following best describes my operation;
Wil-.e „ Only
Retail Sales',
are ous6"
Manufacturing / Distribution (describe process and end product)
Restaurant / Take Out Food
Medical / Dental
Other (describe) .. .. .........4, vv,,. M ��.. u....
SUPPLIMPN`I'Ai. J1 F !" .-4A t( Q
-SLJPPLEMNTAL INFORMATION f7'nttMtj,`id)
No
t t
C, A.s F.
ri i a t
W it I" , f
14
Orgarii(, uf?f
16
Art) mor i it, f!i m tt it tc17 .
A niniot 1,;,, 11! 1) 1 tr.'j I f, Mix, ites
containing In( )r(,
y weight
Kighly t()x, jC
.4ab
19
20
B: it c sporting p W (I
! hereby certity that the abc)vf:,, mforMatl(Jifl 15 tr�)e and correct to
the best of my knowl(,()9t11'
ig nat t, re Date
RETURN TO THE PLANNING DIVISION, CITY CF HUNTINGTON BEACH, P.O. Box 3.90,
2000 Main Street, Huntington Beach, CA 92648
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property;_.
Phone i6tti Cx�L,
Property owner name:
finme of the Person Preparing this form in print and signature
N'111m. kn-'s i Signature_
11,bo person preparing this form must be the same person applying for
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"' COLUMNI-
SCAQMD PERMITTING CHECKLIST
YES NO
i. i)oas your facility use any internal combustion
engines greater than 50-HP?
2. Does your facility in-volve 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? E] LLJ
Reclaim any metals?
b. Does your facility plate or c.Oat anythiAg?
6. Does Your facility have any combustion equipment
i.e, boiler, furnaces, broiler, baking ovens, etc.)
rated greater than 2,000,000 BTU/HR?
7. Does your facility handle or store solvents or motor
fuel?
a. 00 you use or store any acidO
9. De., you use any chemical grace-;S?
10, 00 you use arty solven" for clean-up?
;leaner, ler,
13. Aro you a dry ;leaner, restaurant with a charbroi
boo'y shop, gasoline station, printor, or part coater
12. is the subject building located within one thousand
(1,,)Oo) feet of al-ty school?
PROVERTY LINE TO PROPERTY LINE. GRADES X-12,
If you have marked "NO" in all columns, you do ot need an Air quality
p(%l.nilt at this time. if you have marked any quenstions iii the 11YtS11 column
yt.,11 must conta,7t the South Coast Air Quality Managemen,: District located
t)llio FLAIR DRIVE, ET, MONTE, CA 91731
offices: Plan Check (s18) 572-6406
(818) 572-6111, (818) 572-6261
0:A1,0060)