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Home My WebLink About15081 Edwards St - CofO (8)APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT HUN71W,'TON OW)i WRINT OR - YPE ON01 wI)ATt 0 0 Address —5T 4JiYA A BusinessName---T-E t Business Orc Group.____ HURAING OWNER BUS 31W 1�11 OWNU R MANAUR y,/ Name— r --- ---Aiidr 71 Address Home t-7 1- City Ti,li 't" -3-5-11-1- ,Lj THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG KrHANGE 0I OWNER ChANIGE OF OCCUPANT EXISTING BUILDING GHANGL (-A'U!-A. ED ADD!TKINAI oCCUPANT Indicate former use. if SQUARE FT OF BUILDING 10 HE OCCLIPI[Y NOTICE: I Occupancy of any building is prohibited and as 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 certified safe.. All applioaws to, occupancy in an existing budding are required t,T schedule an electrical 'fuse up' inspection in the Douartment of Community Development at tt,e time this application is filed. 3. Change of occupancy or use inspection fee. Whenever it is nei:essary to make inspection of a building or premises in order to determine jf,.i change may be inade in the character of occ upancv 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 occupanov, a change of occupariev inspection fete ;.-If $ shall be paid to the city, 4 Huntington Beach Fire Code Section 10 208 require;.: that buildnig numbeis gust be a minimum offour (4) inches in height with one half il,,) inch stroke, and of a contrasting i:lolo! from the background. These numbers must bt.° ted on out building in a i,,.)ca1fcin Mat is vis0le tram the street. 5 Huntington Beach Code Section 10 301 rvq:wes fire , belection and distribution per the National Fire rrMc nq Association pamph,,et 10 (see fiovelse silo) (ri--Ofi OF-FICE USE ONLY" C— C, 01", of'ANI ac 01 SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 2. Person to contact in case of Telephone number: 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 similar material? 6. Operations will involve the repair or replacement of automobile parts? If Yes: (a) Describe the components repaired or replaced. EJ Yes LJ No 13 Yes 111 No 0 Yes 11 No 0 Yes 0 No 0 Yes EJ- No (b) Does tha operation involve the use of art open flame? 0 Yes 0 No 7, The business is drinking, dining or assembly use that will resort in an occupant load of more than 50 persons. Yes El 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) a South Coast AIR QUALITY MANAGEMENT DISTRICT 21865 E Copley Drive, Diamord Bar, 0A91765-4182 (909) 396 2000 AIR QUALITY PEW41T CDECKLIST for nonresidential buildings only Company Name; Location of Property: City: Zip Code: Contact Person- Title: Telephone Number: Fax Number: 'fyp,:- of Industry/Business: To apply for a nonresidential building permit, you rnu- copnplete this eheck-list. If you have any questions about completing this checklist, please call (800) 3 88-2 12 1. YES NO 1. Will the facility have a charbroiler? 2. Will any internal cornbustion engine v4th greater than 50 horsepower operate at the facility (-,<eluding motor vehicles)? 3. Will operations at the facility involve mixing, bleeding, or processing of solvents, adhesives, paints or coatings? 4. Will dust or smoke be generated at the facility? S. Will refining of any liquids or solids b.- done at the facility? 6. Will any plating, or coating of materials be done at the facility? 7. Will any combustion equipment rated greater than 2,000,000 BAU/hr be operated at the facility? S. Will any acids, solvents, or motor fuel be used or stored at the facility? 9. Will any organic liquids or gases be reacted or produced? 10. Will any ovens be used to dty or cure products at the facility'? 'L It. Will any CFC(Freon) recycling, njachines operate at t11e facility? Applicant,- S'e "MtarC' tPrin, naine clearly"i lf�Youlhwve rwrxrked "NO" i% -atic xn airq,-,Jht� rant is nded atthis thrie, atv2 th.!,', chceldist is your wrlwl--n releaw 1"I'le ev m r MANDATORY REPLY REQUIRED PRIOR TO ISSUANCE OF BUSINESS LICENSE Complete and return to the Business License Division, HAZARDOUS MATERIALS DISCLOSURE INFORMATiON Huntington Beach Fire. Department PLEASE PRINT RD Business Address: S o � ( � Are e .s > (•d in. �'.�: r'ot�fl /7C"4' Number Street Unit Zip Code Business Name: etc r 6-az ks A/ 't �' Phone: Owner/Manager:i = QLn1 t Title: Description of Business Operation:_ A � c..s California Health and Safety Code requires the Fire Department to regulate businesses that handle hazardous materials. Motor oil, hydraulic fluids, gasoline, dry cleaning fluid, etc., are considered hazardous materials and must be disclosed. If you use, handle or store hazardous materials or waste materials equal to or In excess of the following basic quantities, you are required to disclose: . 55 gallons of liquid R 500 pounds of solid • 200 cubic feet of compressed gas Any amount of radioactive materials Any amount of Class A explosive Any amount of chemicals k:iown to cause cancer • Any amount of commercial pesticides • Reportable quantity of any chemical on EPA Extremely Hazardous Materials Substance List Disclosure Is not required for the following: 1. Hazardous substances contained in food, drug, cosmetic or tobacco products. 2. Upon approval of the Fire Chief, hazardous materials contained solely In consumer products packaged for use by and distributed to the general public. However, pesticides, herbicides, and ammonium nitrate fertilizers over the required disclosure amounts are not exempt from disclosure. 3. The transportation of hazardous materials"accompanied by shipping papers prepared in accordance with the provisions of 49 Code of Federal Regulations, 4. Infectious waste generated by health care facilities that are regulated under Title 22 of the California Administrative Code. Check one of the following: ai No chemicals are used, handled or stored at this business. �;+^ Chemicals are used, handled or stored at this business, but do not in<aetthe requirements for disclosure. �iL y r` ;, . , .. r -r w' • : a S Chemicals are used, handled or stored at this business. Disclosure forms will be sent to you. Amounts will be verified by the Fire Department during annual inspections. It is unlawful for any person to knowingly violate any provision of this ordinance. i certify, under the penalty of perjury, that the above information is true and correct to the best of my knowledge. d Signature Home Phon'I—.,— ,, -Date -- Please call 714-535-5676 WIVI questions regarning the Hazardous Materials Program. 5 f411irt=l) (UIMO:004 (W29/an) c,z.ry O ��NTINcrTON BEACH 1fd' m,.vr. ov m.,TI,�I ING' & S.��'I:TY 7141530.524I CCIRRE'C TION NOTICE l INSPECTIONREPORT J1 STRUCUII`R 1L,.J ELECTRICAL -1 I'[.UNMI; GIJ N11"C1IANIC 1I, J] OTHER a ^� � ra P Ifthere arv;dUvy questions, plcasc tall my 41 IIl:. it'4"tt�l' __ Date .. Time