HomeMy WebLinkAbout15070 Edwards St - CofO (6)t. "E#T&-
APPLICATION FOR QER%{�ICATE OF 9CCUPANCY
CITY OF HUNTINGTON EACH;DEPARTMENT OF COMMUNITY DEVELOPMENT �rJ
i UNTIr( so» KAcsr A
4 (PRINT OR TYPE ONLY)
Address l.. L' fv r—UVj its— li t-,-qYtW+Aut N�._.!�r:�t '' r v4t r District -
Business �. -
Business Name t.�T._ _ C �?1 i _ _ ti M . _ Tel iM:. O r O i .....'
Business Type LSD ' .� _� _ Occ. Croup-A-� 3-----�-�--
BUiLDING OWNER BUSINESS OWNERlMANAaER
Name 1�ik anl� � }��^�r_ _ N,-..ne Soh L7�
Address t� -to ltl� Q 1!�sz ' U cZ c address - f G -,-- r ► _ - -
City�d :trJL17r"�. 1 ``� .,_. , rTel llo LL'Tgn CIly ., cf Jo t Home
THIS USE WOULD BE DESCRIBED AS;
0 NEWLY CONSTRUCTED BLOC CHANGE OF OWNER 0 CHANGE OF OCCUPANT
�XISTING BUILDING � CHANGE OF USE 0 ADDITIONAL OCCUPANT
friftwe former use, if any, ._ _ �. ., _s-�_ c�cc: �p rr� .Y (yr a .Div
SQUARE FT, OF BUILDING TO BE OCCUPIED ? 4 �,/ _-
'.� ' ,trxs E"txiW>A•,A ��t? ./1",..f;,�"�1ir1,3
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been
inspected and is certificate of occupancy 19 issued
i 2. No electrical service Will be released 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 thig Department of Community Development at the time this application is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessary to mike inspection of a building or
premises in order to determine if a change may br} snade it) the character of occupancy or use of the building �
or premises which would place tho building in a different division of the same group of occupailcy or in a r.
different group of occupancy, a change of occupancy inspection fee of fG shall
be paid to the city.
4, Huntington Beach Fite Code aeration 10,208 requires that building numbers must be a minimum of four (4)
inches in height With one half (ii"a) inch stroke, and of
n contrasting color from the background. These
S' numbers must be posted on your building in a location that is visible from the street.
5. Huntington Beach Fire Code Section 10,301 require;. fire extinguisher selection and distribution per the
Mo.fionaI rare R otection Association pamphlet 10 (see reverse side).
7,444 o
TRAY 10 INS T
VATF PAID
ltfVlD4f'� it fuCV VED
ptfl�+tc, ..
E a . , (FOIE OFFICE USE ONLY)
., .,,�„
rr
"tfPANe;Y GROUP iii"iii s� r�, AN C>'IiS �I«; Na+'� �. .� „ �_, rv() r AtitclNC; ' PACES .... �<
OCCUPANT L6AD ��� F E f�T�11i Pls� Iaf At 111 #1f.PT APPPOVAit -
14O Cif. SfO11I1 S gar %aiN At,Ctr I ir"ii IfI, c� RI
I; .� !^^: t;k F4TIl i,`n1lf� t'F I ll "i It�Afwsv;'r F t I�,_ . _.
0f f3AiL. r l� Nw ,� tiw. 41w i. r.?F4 K�C.+_.4II°41ivl.Y
SUPPLEMENTAL INFORMATION
ORMATION
1. BUSINESS ADDRESS i 0-7Q i�t,�?A('�� .. �:,�+( II Cx IC+r�I BE- Oq 'Il---`,
2. Person to contact in case of emergency uQE! (+
Telephone number;
Does the building in question have electricity?
r�=
(a) If No, are you requesting that the electricity, be
turned on?
4. The building is sprinklered?
. Operations will produce dust/wood shavings or similar
material?
8. Operations will involve the repair or repinement of
alltomobile parts?
A Yes
El No
11 Yes
0 No
Ci Yes
N o
11 Yes
O No
n Yes
.,9 No
If, Yes.
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? 1 Yes
13 No
7, The business Is drinking, dining or assembly u a that will
Jesuit in an occupant load of more than 50 persons. Yes
. .. _
8. the following best describes my operation;
Office Only
Retail Bales
Warehoi-se
Manufacturing f Distribution (describe process and end product)
/ Take Out Food)
Medical / Dental
Other(describe) �•��..,,m. Y.�.�� ...� .��. �.�>.. .,.,..� � �.,A:�. ��a� .u.�. � �� �_�� �.� r� �.
SUPP" EMEN'I'AL INFORMATION (Continued) `
N' N o
If ' k> i ttl t quantszies;
Material untie
i,lr�malal liquids
Class l-A
Glass i_
Class i-
South Coast
AIR QUALITY MANAGEMENT DISTRICT
21r55 E Copley Drive, Diamond Bar, CA 91765.4182 (909) 3ui., 2000
AM QUALITY PERMIT CHECE1,1ST
for nonresidential buildings only
Company Name: Jiina Jk-,+
Location of Property: ISVIO CMW8kS�S, S1
City HdX41T.T111j(11-1-1--XA 80w, CA Zip Code: 9
Contact Person: 21<xW Title:
Telephone Number: Cr! tks' --,,AA P Fax Number: -( -7 149 u i,- 37.P
Type of Industry/Bu.-iness:
To apply for a nonresidential building permit, you mast complete this checklist. If you have any
questions about completing this checklist, please call (800) 388-2121.
YES NO
1.
Will the facility have a charbroiler?
[y]
2.
Will any internal combustion engine with greater than 50 horsepower
operate at the facility (excluding motor vehicles)?
3.
Will operations at the facility involve mixing, blending, or processinZ 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 44lity?
1 1 [A
16.
Will any plating or coating of materials be done at the facility?
7.
Will any combustion equip ;tent rated greotat than 2,000,000 BTU/hr be
operated at the facility?
8.
W7,11 6ny acids, solvents, or motor fuel be wsed or stored at the facility?
9.
Will any organic liquids or gases be reacted or produced?
10.
Will any ovens be used to dry or curf-oroducts at th.- faciJARY9 JI
11.
Will any CFC (Freo-i) recycling mw;,.jines operate at the facility?
Applicant: ?V� -iguaturf.:
(Print narne clearly)
Ifyou have mark <d "NO" in all the boxes, an air quality permit is rjQj needed at this time,
ma this checklist is your written release.
If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality
Management District (AQMD). Please read the rcqui--rncnt� on the back of the checlzzli.4"t.
($00) 388-2121
ADDIMONAL NIL, N 1AL 0. IMIAM,111