HomeMy WebLinkAbout15041 Edwards St - CofOJ
CERTIFICATE OF OCCUPANCY
7 / 01 / 9 f
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CITY OF HUNTINGTON BEACH
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Address
15041 EDWARDS
� Date
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Business Name
COUNTRY ACRES
7ts4i«t891�-1101 #
GRAFTS & COLLECTIBLES RETAIL
Tel
STOftE
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Business Type
Occ, Group
P. J.
BUILDING OWNER
ENTERPR 'w
BUSINESS OWNER/MANAGER
P".TRI'C
Name
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Name
Address 48377
BEACH 326
Home6812 SANTA RITA
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H13
City
'114-375-22TD
Tel,
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GARDEN GROVL Home
714739«. r.aca
7 0 d
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Cit
y C� Tel.
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Construction
No. of Stories Occupant Load
Sprinklers
CONDITIONS OF APPROVAL
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This Certificate of Occupancy
SHALL BE postod In a conspicuous place on the
premises and shsli not be removed except by the
Building OHlcial.
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DEPARTMENT OF COMMUNITY DEVELOPMENT
by
1 COMMUNtTv DEVELOPMENT
APPLICATION FOR CERTIFICATE OF OCCUPANCY
12 �- CITY OF HUNI'iNGTON BEACH jG/zj''j +
DEPARTMENT OF COMMUNITY DEVELOPMENT
1ON O (PRINT OR TYPE ONLY) ATE
1
Address 4' 0 1 / District_ -
Business Name.., �U�3 A� '09" C/ZG�-Zg __ r / - Tel
Occ. Group ✓�---- - a ,
Business Type
BUILDING OWNER BUSINESS OWNERIMANAGER
�,
Name �-� _�" �`'i� Name j'
Home /�y
Address l�r�-,� ` cSrGL.. Address
City��3�.u3 t' �---Tel6�; 1--C f .Home Tel.
49313
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG.CHANGE OF OWNER CHANCE OF OCCUPANT;
❑ EXISTING BUILDING CHANGE OF USE ❑ ADDITIONAL OCCUPANT t$
Indicate former use, it any Occupancy Gr. Div.
i
SQUARE FT. OF BUILDING TO BE OCCUPIED—
NOTICfE: 1, Occupancy of any bl iiding is prohibited and a business license will not be issued until the building has been
Inspected and a certificate of occupancy is issued.
2 2. No electrical service will be relasad 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 Department of Community Development at the time this application is tiled.
3. Change of occupar.., or use inspection fee, Whenever If Is necessary to make inspection of a building or
premises In order to determine it a change may be made in the character of occupancy or use of the building
or remises which would place the building in a different division of tha same group of occupancy or in a 4� different group of occupancy, a change of occupancy Inspection tee of $ ____ snail
be paid to the city.
4, Huntington Beach Fire Code Section 10.2013 requires that building numbers must be a minimum of four (4)
Inches In height with one half (112) inch stroke, and of a contrasting color from the background. TheGe
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 and distrlbuljon p^r the
National F r Protectilm Association pamphlet 10 (see reverse side). Il
TRAFFIC IMPAi;T FEE ����� r
DATE PAID 7A:
AIL -
AMOUNT RE EIVED .r,..
NAME �..., (FOR OFFICE USE ONLY)
SUPPLEMENTALINFORM TION ZONING
"
OCCUPANCY GROUf'...._R'-j__. PLAN CHECK NO , -- NO PARKING SPACES
OCCUPANT LOAD -- - PERMIT NO i c?�"Lr ,�-- HEALTH DEPl' APPROVAL
NO. OF s-roAiES ADWN. ACTION -- - ___ —r._„,,,—— UTILITICS RELEASED -.T--
CERTiFiCATE OF OCCUPANCY FEG $ .. _
PPROVED Y1 JAtE' N CHANGE OF USS OR OCCUPANCY FEE $ y
TO'+AI. $___
------
75-030l'"v 1/07 COMMUNITY 0E'VELOPIt1PNT
SUPPLEMENTAL INFORMATION
1.
13USINESS ADDRESS -� --
'0�Cr-'zV�
2.
person to contact in case of emergency•
Telephone number:!/°`'�
I
3.
Does the building in question have electricity?
G,Yos
❑ No
}
(a) If No, are you requesting that the electricity be,
Yes
❑
1
turned on?
No
1"
4.
The building is sprinklered?
❑ YoS
❑` No
5.
Operations will produce dust / wood shavings or similar
❑ Yes
material?
KNo
'
6.
Operations will involve the repair or replacement of
C] Yes
R
automobile parts?
,No
z
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame?
❑ Yes
KNo
7.
The business is drinking, dining or assembly use that wit
❑ Yes
t
result In an occupant load of more than 50 persons.
.,No
8.
The following best describes my operation,
Office Onl
drl
Warehouse
Manufacturing / Distribution (describe process and end product)
j ,
Restaurant/Take Out Food
Medical / Dental
Other (describe) _ _ ,
SUPPLEMENTAL INFORMATION (Continued)
Does the operation, involve any of the following matei ials? p Yes
kN o
If Yes, indicate quantities:
Material� Ovantity
1. Flammable liquids
Class I -A
Class I,B ��— ---
Class I-C
2. Combustible liquids
Class 11
Class III -A
3, Combination flamrr able liquidsM
4. Flammable gases
5, Liquefied flammable^ gases
6. Flammable wiibers - ioose
7, Flammable fibers b baled
a. Flammable solids
9. Unstable materials
10. Corrosive liquids
11. Oxidizing material - gases
'12, Oxidizing material liquids
13. Oxidizing mater'sei - solids
id. Organic peroxidPr�
15, _ Nitromethane�(unstabio, materials)
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more tne,n 60% nitrate
by weight
1$. I�ighly toxic m�teria} arzd
poisonous gas
1 `3. Smokeless powder
20. Black sparting powder
I hereby certify that the above information is true and correct to
the best of my knowledge.
Signature;
Date
South Coast
AIR QJAL1TY t+l1 kNAGEMENT DISTPUCT
21865 E, Copley Drive, Dir3mond Bar, CA 91765.4182 (909) 396-2000
AIR. QUALITY PERNUT CHECKLIST
for nonresidential buildings only
Company Name: 14. 11
Location of Property:
City: —,ram, 7 2� r ;/- Zip Code:
Contact Person: Title: ^ 60 e.cr�'l/2.
Telephone Numbea .Z� S``>� /�1� �' Fax Number:
Type of Industry/Business:d -�1' 1'4911t�
To apply for a nonresidential building permit, you must complete this checklist. If you l':ave any
questions about completing this checklist, pleas-, call (800) 388-2121.
YES
NO
1. Will the facility have a charbroiler? ]
[NJ
2. Will any internal combustion engine with greater than So horsepower
operate at the facility (excluding motor vehicles)'
3. Will operations at the facility involve rrixing, b� ng, or processing of
solvents, adhesives, paints or coatings? [
��
4. Will dust or smoke be gt=;rated at the facility? C ]
5. Will refining of any liquids or solids be done at the facility? [ ]
[
6. Will any plating or coating of materials be done at the facility?
7. Will any combustion equipment rated greater than 2,000,000 BTUAu, be
operated at the facility? [ ]
8. Will any acids, solvents, or motor fuel be used or stored at the fhoility? [ ]
9. Will any organic liquids or gases be reacted or produced? [ ]
[
10. Will any ovens be used to day or cure products at the facility? [ ]
[
11, Will any CFC (Freon) recycling machines operate at the &Cility?
-.�i
Applicant: Signature:,
(Print name clearly)
If you have marked "NO" in fill the boxes, an air quality permit is nQj needed at this time,
and this checklist is your written release.
If you marked "YES" in any of the boxes, you must contact the South Coast Aix Quality
Managemetrt District (AQMD), Ple. se read the requirements on the back of the checklist.
(800) 388.2121
Aortl-rcnAL ,0,UPPtrMrNT4L 1wroRMATION — 4