HomeMy WebLinkAbout15070 Edwards St - CofO (5)CEIRTIFICATE OF OCCUPANCY 8 14 8
CITY Of= HUNTINGMN BEACH
Address 15070 is"�DVAJI F,
Business Name PfaF;U 1 jr,'P P141L 1111iA 11L TAURAf11T Tel,
District
Business Type RG5IAURAi3T Occ. Group A3
BUILDING OWNER BUSINESS OWNER/MANAGER
BILL RAUSHAW LT�RIQUfi 14ENDE7,
Name Name
Address13698 GOLDENf3EST t Address :1" 1;AY1100D
City HUNT? :3CH Tel. 714499-7853 City NEUPORT 13EACTome 1)49r71P-9—r54
l.
r Construction No. of Stories 1 Occupant' oad 01 Sprinklers
CONDITIONS OF APPROVA,
Conmunts : FIRE PLRfd;T REQ rD ? O�t1 A:,, WE?;f3L`l U01?
t DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the "
premise, and shall not be removed except by the by
Building Official
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A
7
COMMUNITY DEVELOPMENT
1 s
,4�
e0
HUNTM70N 6FACH
Address (�r� :d
Business Name v_�
Business Type
aal
APPLICATiON FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
(PRINT OR TYFE ONLY)
ST a2��
DATE
District �7y
Tel 7�Iy����� 7�
Occ. Group A
UILDING OWNER BUSINESS OWNER/MANAGER
NameIF N�� _— Name
-3
fJ��/lJpr=j
Address 3 6�bC.�C(!il W2$�_� Home 2J�1 u 2 r) �2
r� �f Address q � �2
City Tel d G% -- �- City ILIA Home Tel
THIS USE WOULD BE DESCRIBED AS: F-21 "V�
ELY CONSTRUCTED BLDG ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any-42LF-auye2./�h.4 _ Occupancy Gr 14 Div 3
SQUARE FT. OF BUILDING TO BE OCCUPIED _5 Q 0�
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been
Inspected 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
i grtifled safe. All applicants for occupancy in an existing uuilding are required to schedule an electrical
ruse 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 neces. ,aty 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 $ _ - _ shall
be paid to the city.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four(4)
inches in height with one half (Y2) 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 street.
5. Huntington Beach Fire Code Scellon 10.301 requires fire exti'ripoisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse afar),
TRAEQC IMPACT FEE.,
DATE PAID
AMOUNT RECEIVE t� �i i1 G ', l r rCtwe iw FiSSc n' y �5�.
NAME '" (FOR OFFICE USE ONLY;
SUPPLEMENTAL I FORMATION ZONIN(',. ---
OCCUPANCY G OUP.... 3 PLAN CHECK NO NO PARKING SPACES
OCCUPANT LOAD ._ -_ PiRMIT NO HrAETH DFPT APPROVAL
NO, OF STORIES % -- ------ ADMIN ACTION _......_._., ..r UTIl ITIt"S RFLFASED
�'v CERTIFICATE OF OCCUPANCY FEt S �a re
APPROVED BY DCHANGE OF USE OR OCCUPANCY FEE $�
TOTAL $.._..
76-039 Rev.1197 COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRES.i 5
2. Person to contact in case of emergency -
Telephone number;Lj
3. Does the building in question have electricity? Yes
❑ No
(a) If No, are you requesting that the electricity be CI Yes
turned on? ❑ No
4. The building is sprinklered? ❑ Yes
P.-INo
6.. Operations will produce dust / wood shavings or similar
material? ❑ Yes
g No
6. Operations will involve the repair or replacement of ❑ Yes
automobile parts? /i No
7.
91
If Yes:
(a) Describe the components repaired or replaced,
(b) Does the operation involve the use of an open flame? .C'Yes
❑ No
The business is drinking, dining or assembly use that will
result in an occupant Load of more than 50 persons, Yes
❑ No
The following best describes my operation;
Office Only
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end product)
,restaurant,[ Taste Out food
Me ca / Gen7ar—
Other (describe)
i
i
i
SUPPLFMFNTAL INFOWAMON
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? Yes
VNo
I—fYeT,—Wa�icate- qu-a--nt-i't'i"e*-s:---"----------------
Material Quantity
1. Flammable liquids
Class I -A
Class I-B
Class- f-&--'-
2. Combustible liquids
Class 11
Class 111-A
3, Combination flammable liquidc;
Q.-7—lam�m`aEii.'g• �es-
------'-----
5. Liquefied flammable gases
6. Flammable fibers - loose
Flammable fibers - baled
8. I —a ...
solids
0. Corrosive
liquids
T17'-"—B`x1di'Zing material -gases
12. Oxidizing material - liquids
13.-6-Xidizing material - solids
14. Organic peroxides
'15, Nitromethane (unstable-;
16. P,m nitrate
17, Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
18. Highly toxic material and
poisonous gas
it - powder
20, Black sporting -'powder ,
I hereby certify that the above information is true and correct to
the best of my knowledge.
gnature, Date
(Jll)
South Coast
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396.2000
AIR QUA-LITY PERMIT CIiECIGIST
for nonresidential buildings only
Company Name P,s—L !� [) r 1�11 ' 14�, c I Nun C�:.T_ ar-645-F
Location of Property;
City:_ �'� Zip Code:�-
Contact Person:
Telephone Number:oL Fax Number:
Type of Industry/Business: 0 52-T a Uez,�
To apply for a nonresidential building permit, you must complete this checklist. If you have any
questions about completing this checklist, please call (800) 388-2121.
I.
Will the facility have a charbroiler7
YES NO
2.
Will any internal combustion engine with greater than 50 horsepower
operate at tho facility (excluding motor vehicles)?
[ ]
3.
Will operations at the facility involve mixing, blending, or processing of
solvents, adhesives, paints or coatings?
[ ]
4.
Will dust or smoke be generated at the facility?
5.
Will refining of any liquids or solids be done at the facility?
[ ]
5.
Will any plating or coating of materials be done at the facility?
[ ]]-
7.
Will any combustion equipment rated greater than 2,000,0V BTU/hr be
operated at the facility?
[ ]
8.
Will any acids, solvents, or motor fuel be used or stored at the facility?
[ ] C
9.
Will any organic liquids or gases be reacted or produced?
(✓
10.
Will any ovens be used to dry or cure products at the facility?
[ ]
11. W01 any CFC (Freon) recycling machines operate at the f i}lty?
�
Applicant: E- 12w, C— �O6 g
Signature:
.
Print name clearly)
If you have marked "NO" in JU the boxes, an air quality permit is nQt needed at this tine,
and this cheeldist is your written release.
If you marked "YES" in any of the boxes, you roust contact the South Coast Air Quality
Management District (AQMD). ,Please read the requirements on the back of the checklist,
(800) 388-2121
ADDITIONAL SUPPLE'MrWrAl, INVnnr JK ir1N
'3U1 '4��SOS 22PI1 StAOMD PA&LGA P.3r302
t) South Coast
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765.4182 (909) 396.2000
AM QUALM P)l;)lZ1V r CHECKMT
for nonresidential buildings only
Company Name: !X/, 'R Ci ! l�ii� 7''� -GG,G� L / A L,CC 1- i��C'.�T,Q ftXS7"
Location of Propmly:
City: - Zip Code: _zz l s2
Contact1:mon: ZTitle: C)W,,CjO=a
�
Telephorse Number;O �.��� Pax Number:
Type of Xndustry/Rusiness:
To apply ;For a nonresidential building permit, 1 au mst complete this checklist. 1f you have Ray
questions about Completing this checklist, plasm rail t, 00) 388-Z121.
1. Will the facility have; a chaii..:,rier?
3 No
2. Will any intcnasl combustion engine with greater than 50 horsepower
operate at' the facility (excluding motor vehicles)?
( ] Vj
3- Will operations at the facility involve mixing, blending, or pro=- :;!AS of
solvents, adhesives, paints or coatings?
4. Will dust or smoke bs generated of the facility? 144 h
S. WItl refining of any liquids or solids be done at the faeilioyt
( )
ti, Will any platinp or coating of materials be doon at the facility?
7, Will any combustion equipment rated greater than 2,000,000 $1 U/hr be
( ] AI
opt la the facility?
( I ' 1--r
8. Will any acids, solvents, or motor fuel be used or stored at, ft.facility?
( I PT
9. Will any organic liquids or gases be reacted or produced?
( I �l
10. Will any ovens be used to dry or cure products at the facility? �`
I). Will any CFC (7Fraorr) cycling machtnes operate at the , ility? Lot.-
•+"'
Applicant: ���QI Dr.�c"�,��...r. Si�tnt•.uel E�„�_
(Arlin name clearly)
1f you havt marked "NO" in AU the boxes, an air quality pormlt is aQt needed at this time,
And tall cbftklist Is your written release.
If marked "YES" in any of the boxes, you must contact, Me South Coast Air qu&Uty
Mwtrgcment Dllstxict (AQMDD). Please read the naqulmments on the back of the checklist.
(900) 388.2121