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HomeMy WebLinkAbout15080 Edwards St - CofO (8)o APPLICATION FOR CERTIFICATE OF OCCUPAW'Y CITY OF HUNTINGTON BEACH DEPARTMENT 0 r-OMMUNITY DEVELOPMENT r4 A Jt4 LA, P LI'2�V 14,0 k rHIS "USE *"jrN-JLD BE DESCRIBED AS: It I - r, ".1, J will not be isswed urjtii tile 111,10dilig IUIS, beell NOTICE I orl(uparcy (if ally bt 1101r)( , 140111t,00d MId a bllSWWS!, Inspected and "I cf,0111catp Of 0LVLlPiV1(Y "' ice has b(It"ll io,,;I-ected and 111) 010 sWIV I service VoIll bl" for �llly elel. r I 2 No electrical I j)tjjj(jlIjq ire, [o-,qmred to i Ica s�Jc Ai. [()r It 11111k, this appliciltion i,, filed ,t,tIII11LlfIItV at tll(� q)(�.(jjwj in t1w DL,jjijj1tljkqjI ,if C , p(gjiori (if I [Wilding Or e Inspection fee. Wllvto make fancy11,; , 3 Change of occupancy or LISkill Ing b d jj)J(lt, llj(� (�, fill ()I ()��( pronwiLl'; ill '-Irdt't It, d(tt rimm if,, 010t)(Wll" it, of o(Cup,,jjI(.y or in a VVIllo'll wnk6d, pim th" owildinq it, o difft'lon "e 'j. - shrall 01 f)rt1IIll1,,V� fete of S C'upilm y rn dilbirwit jt0LJt) of trtcupan::q .a e'xangr rat he Paid o the city WIMIn e Section 10 ?,08 �01'1110` t1lilt b'111(1111�1 111""I I ('"1 1111 1 A f0t, (4) 4 Huntington Beach Fire Cod )IIIl,l,,tIjj(j It(,,,, Illp bauk( IOLItld Titesf, ko, mid (if I cl 1-%hes lit?,( lit V".01 me half il") I'll-h 1410 9 , that 1,� viimii, from Ih(` numbv;s RIL131. 110 pr)-.;tttd on -y-of billid'1113 - , Oion and Huntington fire disWbution P0. '10 Beach Fire Code Section 10 'io 1 lo'l ocii1tion litaliplik�i 10 (�z(!oi it?,venw side) Natiork,ii F pt(qtq�tiot, A�,,mi U A:�,�e, CA U (FOR OFFI USE ONLY) SUPPLEMENTAL INFORMATION i'A. 7 75 039 v, 11;o L SUPPLEiV9E�dTAIL INFORMATION 1. BUSINESS ADDRESS 2. PE:rson to contact in case of emergency Telephone number: je" N6u't -I -74/552 • Id72 E3`^Yes 3. Does the building in question have electricity? C No (a) If No, are you requesting that the efectr;city be O Yes ❑ Ye turned or? O Y� 4, The building is sprinkiered? MINo 5. Opp'*rations will produca dust / wood shavings or similar ❑ Yes material? LNo 6, operations will involve the repair or replacement of El Yes MIN o automokile parts? If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes INN o 7. The business is drinking, dining or assembly use that will C Yes result in an occupant load of more than 50 peisors. ©�No 8. The following best describes my operation; Office Only etaii _ _Sales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant/ Take nutFood Medical / Dental Other (describe) SUPPLINW141At, itVC;11MAI'll,11 SUPPLEMENTAL INPGRMAiIAN r� r SOUTH COAST AIR QUALITY MANAGEMENT UIjTR-CT (Nonresidential Buildings Only) Location of Subject Property: Property Owner of the Person P.Lsparing this form in print and ..-Ii,-Inaturo A t "n, rinaturo. Tlw p(q.."'on preparinq this form mu.st be t1io i11)plyinrl Ifil, 1%tl i I d i no porm i ts. Ill oaso answor tho f o 11 ow i nrl cjuest i,orjf-, r o.cTilrd i 1111 Y, u v propc)';ed occupancy of thO tjVb'JQ(-'t bUil,lin(j. IF YOU DO NOT K*I?Oiq THE rJ1!'Uj.:j TO A QUES.11TON MA)-,'K IN THE "YE'Wt # 11 .,CAQMD f "I (',I I i tA I I rc i t o than !;O—Ilk 1D(;(-.,; facility b I ')v rvuco!-ti.n(j riny solvont:-, t 1'11iiity Or'("M' Illy uu";t Dom", yowl, jacility relillf, 'Illy liquit.j., 1"�v Uor.'Iaim any motal'i-, Doe"', your facility platl-? m* v'oot 'Illythilvi'.1 r. Doo!" Your facility have ally i.e. I)oilow, furnaces, hrnil( r, oveiv., t,!.) v,itod rn-ator than 2,zing, 000 wro/iiwi, ouo:" Y('�ur facility 11, mille ol. stor(l or uo I? Fi V,() you use or !';toro ally U0 7o" MSO telly ellemicill pvo(.*o.n,;;' I G Do You mrie any solvents for ("'loan-ul)? 1 1. Aro yoll a dry cleaner, rn.s tatil-p tit with j (�jjj br) bOdY gasolino station, t.:rintor, or part co,iter'-' 12. It; the nuh - ioct. buildiliq '! i�jcatowithin ullo thouo'illld (1'wm) fvoL of any schoul"', I'W)VERTY !JNH TO PROPERTY I'L Vel 1111W, marked "NO" in al -I YOU dO 14- llvs�(l an Air Qlzi sty pn t at this, timo. If you Ila"'* A111'k0d zany (jLl0,;Lion.,, in Vh(,3 1tYj';.';11 you ,icft contact the South C0jj,,,t Air Quillity Mj,,jjjzjt (ajn(qjt, at: {IriO FLAIR DRIVE, li'l, MONT', CA r) I *V; P10,*Aso cilll there offices: Plan Chock (818) 57-2-6406 (818) V; 7.1- 6 11 (818) D: ALO 0 6 6 1