HomeMy WebLinkAbout15061 Edwards St - CofO (3)CERTIFICAT( OF QC�"UPANCY
CITY OF HUNTINGMN BEACH
Dale
Addrasa
District
SuaInaaaName I'E':,iAGt'Ih FGI(I( EIt2,.�. Tel. "'f1!-P1;) —'100
611sinessl e tita;a� �tAf�k �l.U�'I11.;W
yR ._.�..,..�._.Occ, Group .�..�
SUyyIL)CING OWNER BUSINESS OWNEPIMANAOER
x/41�~ai F«% L'.4 I..� E�lY 1.O 5.,4P` a �' }�: YY L, I` t _ •
Name ��_�___-.. ' _ .� Name
Andreas `fr` 1 L"ir�lfii' Address fa; Ecr:tlIs
city �y �g n x � Tel. � 115 �» �' e��;x: a ij City �'aa E ':'f q_•__—=-4 is �"� is 1� HoTelme
r a.
Construction No, of Stwlap ,Occupant Load_ Sprinklers
CONDITIONS OF APPROVAL
orPARTME:NT OF COMMUNITY DEVELOPMENT
This Certificate of .ocupeocy
SHALL BE posQad In a conspicuous place on the
premises and shall not be removed except by the by
Building Official,
COMMUNITY DEVELOPMENT
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
I)Ali
1`1UNTIWAON KA01 WAINT OR TYPE ONM
Addrest, ---.
Bwsiws: NaMv---Q�PC,—
Occ
Businer,-,, Typ Y, o�JN( f1,%4Af4A0 P
Kill I ifti OWN[ 14
Name,
Addrff,s�-5'01�.[. AifirlytI
T,-' C11V Hornt! TvI
THIS USE WOULD BE DESCRIBED AS'
0 NLWLY 0,ONSTRUCTI 11 Kt)( f i;iiANt,f ()f k0NI P 'Ak;I-IPM.j 01 ()UMPANT
Urr"v A[ If if I It INAJ. ()C',"t1PAN F
L , [:xiSTIN(i fiUIIJ)IN(, F1 (mANi�f 14 W4
'4 41o",,ite totiTior w;o, if ally
SOUAH� FT Of IIIJ11 DING 1( [At iv'
NOTICE: 1 , Occupancy jildkig is prohibited and a business liconso will not be issued until the building has been
inspected a .rfific,,.jjo of occupancy is issued,
2, No olectricr I will be released for any existing building tintil the service has been inspected and
cortillpl so 0, All applicants for oc=pancy in an existing building are required to schedule an electrical
,fuse up, oispoction in the Departrw)nt of Community GOvOlOPMO nj at 1110 time this application is filed.
I
3, Change I, I occupancy or use Inspection too. Whenever it is neaessiry to make inspection of a building or
promises in order to determine it a change may ba made in the character of OCCUPRricy or use of the building
n a different division of the cams:
or promises which would place the building i , group of occupancy or In a
different group of Occupancy. a change Of Occupancy inspection (00 of shall
bo paid to the city.
A. Huntington Beach Fire Code Sccffon 10,208 requires that building numbers must be a minimum offour (4)
inches in height with one half (1,2) inch stroke, and of a contrasting color from the background, These
numbers inust be posted on your building in a location tint is visible from file Street,
rV 5. Huntington Beach Fire Code Section 10,301 requires fire extinguisher Selection anril-0tribUtIOn per the
National Vire Protection Association pamphlet 10 (GOO vjsversq sjdo),
iI
VIC
(FOR OFFICE USE ONLY) (411
$UPPLFMtNTAL INFORMATION (3 1)[ AN i 't 'I CK N(I NO I,AkioN(i 14W I!i
(XGL)PANCY GROUP MAIIIIIijill AIIPW,VAi
OCCUPANT t OAD - �
No ()F. ST011LF) dam, A0KAIN At Tli)1,j T 111 T It Si R[ t I A!A 0
[(;A-( I Cif (uVOPANI ,i I 1 1 $
)[4 1 1 t I $
cliAN(A (it 1,64
)v
i V. TOTAI,
76439 nov. I 1 /90 00MMUNITY 1XVr-%0PMtIiT
r
SUPPLEMENTAL INFORMATION
1,
BUSINESS ADDRESS �PLI( E.�.�c�_f��i
2.
Person x�) contact In case of emergency) I V
-
Telephone number:-�'-
a
3.
Does the building In question have electricity?
❑ Yes
9
No
(a) If No, are you requesting that the electricity be
5 Yes
turr .d on?
L7 No
4,
The building Is sprinklered?
Yes
❑ No
5.
Operations will produce dust/wood shavings or sirniiar
materlW?
❑ Yes
Fr No
6,
Operations will involve the repair or replacement of
❑ Yes
1TNo
automobile parts?
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation Involve the use of an open flame?
❑ Yes
12KNo
7.
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons,
❑ Yes
�N o
8.
The following best describes my operation;
Office Only
Detail Sales
Warehouse
M%facturing/ Distribution (describe process and end product)
Restaurant / TLkO Out Food
Medical / Dental
Other (describe)
SUPPL IM N"LTAL INFCIWA`ION
4
SUPPLF..MEi TA'%. INFORMATION (Crtntinlleti)
Docr, the operc' Uwi r+voh ; af'Y Ot t-'Ie No
It fr?5, �srclic:�st� q.,Ahti'iiH3:
i'•Aater►al tryrs�arst t
1 Flansrfia ule I giodS
Cias- t -A
ta�xss !
Class t, C:
�_..._.- C�GrTtt)t,stihin liquids �
III- A
3atsc:i tlarnmat+is liquids
a t:tammaule qassss
t_icjuetiect flar,�=table gase's
E; Flammable fibers IooSe?
1
i tibcrs
8
Solid, 1-iarnm.abtrs ___.. ..
Unstable materials
'0 �'orrosive liquids
t lxidiz-nq material gar,es
_ _
12 Oxidiring 114aleritis Ir qssi da
11 Qxsdsz►ttg mat*rral - S0110s
14 Ctrgenic peroxides
15 Nitrof:vetharw (unstable materials)
16. .. Amm. _ r
monism nitrate
17 Ammonium nitrate compound mixture;
containing more than 60% nitrate �
btr weight _.._. _...._..
t$. Highly toxic material and r
potson ou5 gas
19. Smokeless powder
20 Ble ,i• sporting powder
t oeteby certily that the at•aoue tWO an4l correct to
the best o,...tr►y knowledge
":�,tcz
Signature tJa a
y
t
F
Y
f
j
City of Huntington Beach
° 20000 MAIN STREET CALIFORNIA 92646
.�� DEPARTMENT OF CONY.'.>L'NITY DEVELOPMENT
SuIlding 6.1"2",4'1
Planning 536.5271
Houuing 536-5271
Government Code Section 65850.2(b) requires the City of Huntington
Beach Building Division not to issue the final_ certificate of
occupancy unless the applicant has mot or is meeting the
requirements of the South coast Aix Quality Management District
(AQMD). The Building Division must obtain a written X.O� from
AQMD to show the applicant has complied with this law. The check
list on thi reverse side is designed to help the applicant and the
building division to meet these requirements.
la The applicant QJJQ sam P.UM w at,p i,�es a or r� re mIIU frorr
} F311i 1 dung ' .viStii,slri) must cemplote the check list which
can be obtained either at the Building Division 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. xf there aro any "yes" answers in the list, the applicant
must contact an AQMD engineer by calling (7:14) 396-2000 to
find out whether air permits are required for the proposed
construction project.
4. if air permits are not required, the applicant will obtain
a written release from AQMD.
5. if air permits area 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 ga through the above
rocedter appl�ithe
ng fapplicant is
spadvised to contract AOMI%. immediately
(13601))
SOUTH: COAST AIR QUALITY MANAGEMENT DISTRICT ,
(Nonresidential Buildings Orly)
Location of Subject I'roperty:,.�.�->.�..�
.property Owner Name.:,.„5�L:at' �CL,_,_Phone
Name of the Person Preparing this form in print aOld sig °qtu e
.1
Signature �. m"= 1 A,.�.,,�•
Name : � .,,
The person preparing this form must be the same person applying for
building permits. Please answer the following questions regarding
your proposed occupancy of the suV ect building. IF YOU DO NOT KNOW
THE ANSWER To A QUESTION MAk,r IN THE "YES" COLUMN:
AQMD PERMITTING CHECKLIST
YES
NO
1.
Does your facility use any internal combustion
2.
engines greater greater than 50-HP7
Does your facility involve mixing, blending, or
-�
processing any solvents, adhesives, paints
3.
or coatings?
noes your facility create any dusts or smoke?
^�
9.
Does your facility refine any liquids or solids
5.
or reclaim any metals?-
Does your facility Plate or coat anything?
«--A�
"
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 $tore solvents or
0.
motor fuel? �<
Do you use or store any acids?
µ
9.
10.
Do you use any chemik al proee3ar''-
Do you use any solvents for CL, -UP?
-
11.
Are you a dty C108ner, restaurant" with a
charbroiler, body shop, gasoline station,
printer, or part coater7
12.
is the subject building located within one
.
thousand (1,000) feet of any school?
PROPERTY LINE TO PROPERTY LINE, GRADES K- 12.
if you have marked "NO" in all columns, you do not need an Air
in
Q�,ality
permit at this time. If you have marked any questions
the
"YES" Column you must Contact the South Coast Air Quality
Management
District located at:
21665 E. Cogley Drive
Diamond Bar, CA 91765-4162
Please call: Plan Check (714) 396-2000
(1360D-2)
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