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15081 Edwards St - CofO (10)
--_---__....._..._._.....v.-..... _--_.-__,_-._...._._..-.. - __.__--- CERTIFfCATE OF OCCUPANCt CITY OF HUNTINGTON BEACH r;/,.,.0/9f: Date Address 1r,661 E DW A R D s District Business Name TI Ufr' GUL0P 'JP L. ___ Tel. s Business Type _ NAIL. "� Lii;3 Occ. Group _ e I BUILDING OWNER BUSINESS OWNER/MANAGER Name I?itk LtuUF <TtdC;lVTLi t;4 " +f:F; TRAN Name _ Home AddresslL 77 "F•rtCid t� Address 1t. =s;t7 �tihl'PA ANP� Home City [iil. CA Tel.. __ City Construction _ No. of Stories Occupant Load 1 ` . Sprinklers CONDITIONS OF APPROVAL i DEPARTMENT OF COMMUNITY DEVELOPMENT } This Certificate of Occupancy r SHALL BE posted in a conspicuous place on tht; premises and shall not be removed except by the by j� i Building Official. COMMUNITY E LOPMENT �aj APPLICATION FOR ERTIFICATE OF CCCQR_4I P.Y� C17Y OF HUNTINGTON BEACH j DEPARTMENT OF COMMUNITY DEVELOPMENT S I1UNSINLTON OFAQi (PRINT OR TYPE ONLY) AT 1' 15 Address b��/�{()til'i I�11rTtA! f'�;•'R�t� i, _ District_ Business Name %hlJ� t�dGUi� �/�/� Tel Business Type �t)�� �- _ � � Occ. GroupE7 BUILDING OWNER,/ BUSINESS OWNERIMANAGER Name kny ^ / rat— ame _ HE r-A,'ya rx/r2 .—S Z&,f Address %aq itle�.tyE1!W �� Address / Home % hr it /3( 1/1) ; (� �r�cwLf i \Ci;y-9U"—+ TeIIS'�City =� �tFJ A1L-1' JUi%fit_ Home Tel Gt'a THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT EXISTING BUILDING ElCHANGE OF USE ❑ADDITIONAL OCCUPANT t Indicate former use, if any_ -------Occupancy Gr ._,Div. _ OUARE FT. OF BUILDING TO BE CCCUPIED—JK NOTICE: 1. Occupancy of any building is prohibited and a business license will notbe issued until the building has been inspected and a certificate of occupancy is issued. fl 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 uI 'fuse up' inspection in the Department of Community Development at the time this application is filad, 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 1 M 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 (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 streot. 5, Huntington Beach Fire Code Section 10,301 requires fire extinguisher selection and dintribution per the National Fire Protection Association pamphlet 10 (see reverse side), TRAFFIC IMPACT FEE T+7� DATE PAID AMOUNT RECEIVED NAME R OFFICE USE ONLY) 2__ � _ W oL SUPPLEMENTAL INFORMATION ZONIN(' ` 4 OCCUPANCY GROUP PLAN CHECK NO NO PARKING SPACES OCCUPANT LOAD PERMIT NO ---- HEALTH DEPT APPROVAL_ -- NO OF STORIES �� ADMIN ACTION.._...W...—— UTILITIES RELEASED ._ 4 /ML CERTIFICATE OF OCCUPANCY FEE $ PROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $ .� TOTAL r u �) $ r� 76-039 Rev, 11160 COMMUNITY EVELOPMHNT SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 2. Person to contact in case of emergency Telephone number: 3. Does the building in question have electricity? Or Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? Yes 5. Operations w;il produce dust / wuod shavings or similar © No material? ❑ Yes ig No 6. Operations will involve the repair or replacement of ❑ Yes automobile parts',' GkNo If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. Lo es 8. The follawi t describes my operation; f c!, �OO n__l et I s Warehouse Manufacturing / Distribution (describe process and end product) Restaurant/Take Out Food Medical / Dental Other (describe) SUPPLEMENTAL INFORMATION SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? ❑ Yes j� No If Yes, indicate quantities: Material Quantity 1. Flammable liquids "— Class I -A Class I-B Class 1-C 2. Combustible liquids _ Class 11 Class 111-A 3. Combination flammable+ liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled 8. Flammable solids '- 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. Organic peroxides ��- 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures - containing more than 60% nitrate _ by w6(ght 18. Highly toxic material andY� poisonous gas 19. Smokeless powder 20. Black sporting powder I hereby certify that the above information is true and correct to the best of my knowledge. _.- V, L__ �"7 -_ >--- Signature '~� Date South Coast AIR QUALI-P( MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765.4182 (909) 396-2000 AIR QUALITY PERMIT CFIECIKLIST for nonresidential buildings only Company Name: -rlZur (. 4- l_0IL /,)fi44, L.r r,,.�. rr ocation of Property: _ , r ; . )p ti CitY:_ -!fir N11-2A'6-77 M.' i� ��r� � Zip Code: Contact Person: 90SE -7r-,qA./ Title: _ is we ,)`t=� Telephone Number: _'7/C� - 764� -c.� (l, I Fax Number: Type of Industry/Business: 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. 1. Will the facility have a charbroiler? YES ) NO 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 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? 6. Will any plating or coating of materials be done at the facility? [ ] ] 7. Will any cornbustior equipmer_ rated greater than 2,000,000 BTU/hr be operated at the facility? [� 8. Will any acids, solvents, o, motor fuel be used or stored at the facility`/ 9. Will any organic liquids or gases be reacted or produced? [ j [►x, 10. Will any ovens be used to dry or cure products at the facility? 11, Will any CFC (Freon) recycling machinperate at the facility [ 7 Applicant: CUS,i 27- I _ Si ature:4 (Print name cis y) " If you have marked "N0" in all the uvxes, an air tivality pcm-ut is W needed at this time, and this cheeldist 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 requirements on the back of the checklist. 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