HomeMy WebLinkAbout15061 Edwards St - CofO (5)CERTIFIQXTF= OF OCCUPANCY 4 / 9 y
CITY OF Ht;`TINGTON BEACH Dal',
+`audress 15061 LU�1l1RDL District
IiLFRAGAIN8 F(IR i,Tal. IiIt. y9L y+'11?li
Business Name B�'
CH1LLRBN:11 USLD Lf,TAING$ T.Oyz, CtfPSIGNUT Occ.Group
BuFIness Type t
BUILDING OWNER BUSINESS OWNERIMANAGER
RNc YNVi3,=AIENT:� INC :'.�JI`'�t11' � CActl1L APIDk RLZ � I
_ Name
Nam '
e - Home
Addrelsbs,r7 BEACH Home
I'IALYARI) LANE
t c (7RAtlGr' Home
CIt�IUNTINGTON LILAC Tel, i 1 -I »:,7.iwe.c?4G City _ Tel. i
2a
Construction No. of Stories Occupant Load Sprinklers
CONDITIONS OF APPROVAL I
This Certificate of Occupancy
posted in a conspicuous place on the
SHAQ:8-�E-
premises and shall not be removed except by the
Building Official.
DEPARTMENT OF COMMUNITY DEVELOPMENT
by . I-'10—
COMMUNITY n'EVELOPMENT
I
f
� APPLICATION FOR CERTIFICATE 017
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNT04TON BEACH '1r' VVV DATE
(PRINT OR TYPE ONLY)
Address 1,5661'EDWA)Kkeeo W-45E L—._ q26 q- District
Business Name &j--- sz�aaL.j_1L.�2_ J.,.. /4.. /_Q __ __—Tel B1?—.3 !16 -)
Business Typo C �LCiu��_ (%5 _��-01"ii �,5 %U, 1 Occ. Group
BUILnING OWNER BUSINESS OWNER)MANAGM
Name gj/E /NY�; Nam(,--
Add[ess % 7 BF t c� Home"
�Addre
�U .�?. a_7
City A&ZW;&IL4r7ZLI1_,,Q AC _...__. TEjI s?'��r, . yDc Iv O F _� ___ Home Tei ��6 �-/9 i
as a E6511lE R
THIS USE WOULD BE DESCRIBED AS:
❑y NEWLY CONSTRUCTED BLDG CHANGE OF OWNER
EXISTING BUILDING ,11,�,.❑ C H"�A�rNGF, OF USE
Indicate former use. if any.�_� �_ �iJ><Cn{� 1�?L 0 y"-s-Uccr,Ilancy Gr
SOUARE FT OF BUILDING TO BE OCCUPIED-7-510_,
❑ CHANGE OF OCCUPANT
❑ ADDITIONAL OCCUPANT
Dw
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the build ing has been
Inspected and a certificate of occupancy Is issued.
2. No electrical service will be released for any existing auilding until the service has been inspected and
certified safe. All applicants for occupancy in an existing building are required to schedule an electrical
1 r 'fuse up' inspection in the Department of Community Development at the time this application is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
premises In order to determine if a change may be made in the character of occupancy or use of the building
or premises which would place the building in a different division of the same group of occupancy or in a
�� different group of occupancy, a change of occupancy inspection fee of S _.__..e _ shall
be paid to the city.
4. Huntington Beach Fire Code Section 10.209 requires that building numbers must be a minimum of four(4)
inches in height with one half (1/2) inch stroke, and of a contrasting color from the background. These
numbers must be posted on your building in a location that is visible from the atreet.
5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National
Fire Protection Association pamphlet 10 (see reverse side).
L�P
r
(FOR OFFICE USE ONLY) --
SUPPLEMENTAL INFORMATION 7()NINti..
OCCUPANCY GROUP..... -, ---Z r PLAN CHECK NO NO PAHKiNG SPACES
OCCUPANT LOAD PFRMIT N() HFALT 1 UFPT APPROVAL_._.._...
NO OF STOBJES ADMIN ACTION—, -�FASFD
r
CEF2TIF'If' ATE OF OCCUPANCY FEE. T,
APP D 13Y DATE CHANGE OF USE OR OCCUPANCY FEE $
TOTAL.
76.039 Rev. 11 K '
COMMUNITY DEVELOPMENT
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r,-.
SUPPLEMEN1 AL INFORMATION
1. BUSINESS ADDRESS 15.6 (o/ L-"owRROS S7� /u� //U6rTd l 1 H
2. Person to contact ir, case of e!.iergency CWV - W' OzflGf
Telephone number: 71Y =75Z) --1999
3. Does the building in question have electricity?
(a) If No, are you requesting that the electricity be
turned on?
4. The building is sprinklered?
5. Operations will produce dust/wood shavings or cimilar
material?
6. Operations will Involve the repair or replacement of
automobile parts?
If Yes:
(a) Describe the components repaired or replaced.
H Yes
❑ No
❑ Yes
❑ No
❑ Yes
® No
Yes
No
❑ Yes
B No
(b)
Does the operation involve the use of an open flame?
❑ Yes
0 No
7. The
business is drinking, dining or assembly
use that will
r,
t in an occupant load of more than 50
persons.
❑ Yes
® No
B. The
following best describes my operation;
Office Only
Retail Sales
Warehouse
Manufacturing / Distribution (describe process
and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
SUPPLIMENTAL INFORMATION
I
0
SUPPLEMENTAL INFORMATION (Continued)
Does the operation hlvolvfi any of the following, mntorials7
wd,"ll
li
q un rlt�itie7,-
amm iL (1v
4Vlanauni,lflo rj�ao(x,,
Ae
n ni f,
by wu.-ql��t
1 S. Illythly tr: X4i -, 4wld
t-,wisonous gas
20, puwdcl
I heroby (;(,,,ftify ti-iai two, abovo infort-mill is true and correct ic,
tII b o "; t of my k I 10 w 10 t I o 'C:,
ipaturc Date
Government Code Section 65850.2(b) requires that the City of Huntington Beach not issue the final
certificate of occupancy unless the applicant has met or is meeting the requirements of the South
Coast Air Quality Management District (AQMD). 'rhe 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 Develop: ;ent) 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 not required, the apr,ilcant 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,
ADDITIONAL SUPPLIMENTAL INFORMATION
r
Ill r�..w.L. �: .. � L.a. ���� ♦w, � :�c ��.ti: r< � .. . �.... .° � .✓ y Y rn � .nii.:..,. .. .__ JY:v�
le
SOUTH COAST AIR QUALITY MANAGEMENT DFSTRICT
(Nonresidential Buildings Only)
Location of Subject Property: -
Property Owner Name:. �25._t/1/(� Phone #:.g zE Wzr
Name of the person preparing this form in print and signature: r�
.-Signature..
The person preparing this form must be the same person applying for building permits. Please answar the
following questions regarding your proposed uccupancy ,)f the subject building. IF YOU DO NOT KNOW
THE ANSWER TO A QUESTION, MARK IN THE "YES" COLUMN:
AQMD PERMITTING, CHECKLIST
YES
1. Does your facility use any `nternai combustion engines greater than 50HP?
2. Does your facility involve mixing, blending, or processing any solvents,
adhesives, paints or coatings? - -
3, Does your facility create ah; dusts or smoke?
4. Does your facility refine any liquids or solids or reclaim any metals?
5. Does your facility plate or coat anything?
6. Does your facility have any combustion equipment (i.e. boiler, furnaces,
broiler, baking ovens, etc.) Eating greater than 2,000,000 BTU/HR?
7. Does your facility handle or store solvents or motor fuel?
8. Do you use or store any acids?
9. Do you use any chemical process?
10. Do you use any solvents for clean-up?
11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline
station, printer, or part coater?
12. is the subject building located within one thousand (1,000) feet of any
school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
NO
V.,., __
Cl/
If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked
any questions in the "YES" column you must contact the South Coast Air Quality Management District located at:
21865 E. Copley Drive
Diamond Bar, CA 91765.4182
Please call: Plan Check (909) 396.2000