HomeMy WebLinkAbout15011 GOLDEN WEST - CofO (10)CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON 8'' "CH
Y
Address 19011 CfLDEN BEST
Business Name AGE DUNLITS
j Business Type_ DDt UT SHOP
BUILDINGOWNER
LE-QIER C; SI%ULL Name RICHARD
Name Y -
Home
Address"jbY1'7T4i1 Address
city fr'
City IPV114E Lf-: Tel. 714-474--8PCO City SAN'TA AE
Construction No. of Stories occupant Load 1 Spri0
CONDITIONS OF APPR(,VAL
i
DEPARTMENT(
f This Certificate of occupancy
SHALL Bc posted in a conspicuous place on the
premises and shall not be removed except by the by
i Building Official.
COMMUNITY DEVELOPMENT
1
J.4 APPLICATION FOR CERTIFICATE OF OCCUPANCY
a� CITY OF HUNTINGTON BEACH
Ck� DEPARTMENT OF COMMUNITY DEVELOPMENT Pl o.9- 92
HUNTINGTON. BFA61 WRINT OR TYPE ONLY) DATE
,Address 15511_ GoL� N w ST S_.c __I� ' d%�' Bl �9�' �=�-? !� 7' District --
,,Idusiness Name�1 Tel
mousiness Type _ —_ /=C=alL1 i' C Occ. Group
` BUILDING OWNER BUSINESS OWNERIMANAGER
(
Name L C I Gl� �' . �jl�l U1 L l_ ame 121 i. a
�dd,ess - El' f GN '7 d ress—��L�
4 �f�y \ii N`em c s—r--- Tel Cty S,'K�/7�1 �/V�. C/i Gil lc)t! Home Tel =�
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
FA EXISTING BUILDING .�,,,, ( ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use. it any_,%/"mil 1 _ _Occupancy Gr Div._
QUARE FT. OF BUILDING TO BE OCCUP11 :
dOI TICS: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been
' inspected and a cortific=te of occupancy is issued.
2, No electrical service will be released for any existing building until the service has been irspected and
certified safe. All applicants for occupancy in an existing building are required to schedule an electrical
'fuse up' inspection in the Department of Community Development at the time this aprlication is filed.
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 characterof occupancy or use of the building
I
� t or premises which wouldplace the building. in a different division c%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. h.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four
inches in height with one half ('/z) 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. 4untington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pam-hlet 10 (see reverse side).',
— L
o
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION ZONINGS—
OCCUPANCY GROUP PLAN CHECK NO. NO PARKING SPACES
OCCUPANT LOAD —y " ERMiI NO HEALTH DEPT APPROVAL — f;
NO. OF STORIES ADMAN ACTION _ UTILITIES RELEASED --
' k i
/ —CERTIFICATE OF OCCUPANCY FEE i"
Pf�OVE Y —4ATE CHANGE OF USE OR OCCUPANCY F u
TOTAL
S —
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MENT COMMUNITY DEVFILO ///
75-039 Rev. 11, 90 �
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SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS ��G�j C . LL%I—J 6 7
2. Persor, to contact in case of emergency- w l-f7-'
Telephons number: (71q) fl2 3rf I
3. Does the building in question have electricity? Y Y es
No
(a) If No, are you requesting that the electricity be El Yes
turned -on? ❑ No
l"
4. The building is sprinklf-rt3d? ❑ �es
0'No
► 5. Operations will produce dust/wood shavings or similar
material? ❑ Yes
No
6. Operations will involve the repair or replacement of J lies
automobile parts? No
If Yes: lr
(a) Descri'ue the components repaired or replaced.
i.,
- t
(b) Does the operation involve the use of an open flame? 0 des
No
7. The business m drinking, dining or assembly use that will
l result in an occupant load of more than 50 persons. ❑ Yes
Q No
8. The following nest describes my operation;
Office Only
Retaii Sales
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant / Take Out Food
Medical / Dental
Other (describe)
i,
SUPPLIMENTAL INFOR►viATION
SUPPLEMENTAL INFORIVIA"37oON (Continued)
Does the operation involve any of the cllowing materials? E1 Yes
No
If
Yes, indicate quantities: - _-
-
Material G:uantity
- ---
1.
Flammable liquids
Class I -A r
l
Class I-B _
Class I-C
2.
Combustible liquids—t
Class 11
4 --
.lass 111-A
3.
Combination flammable liquids :q
4.
Flammable gases .E
5.
Liquefied flammable gases
6.
Flammable fibers - loose
7.
Plammable fibers - balpri _
8.
Flammable solids
9.
Unstable materials
10,
Corrosive liquids
,1.
Oxidizing material - gases
12.
Oxidizing material - iiquids
13.
Oxidizing material - solids ?'
114
Organic peroxides i<
15.
_ Nitromethane (unstable materials)
16.
Ammonium nitrate
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
l
by weight
' 18.
Highly toxic material and
g y
poisonous gas
19.
Smokeless powder
i`
20:
Slack spy Ming ;powder
};
c
I hereby certify that the above information is true and correct to
the best of my knowledge.
Signature Date
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J-4 City of 'HUD-bn'g* ton Beach
2000 MAIN STREET CALIFORNIA92648
DEPARTMENT OF COMMUNITY DEVELOPMENT j
r:
Building Division 536-5241 14
s;
Planning Division 536.5271 1
Government Code Section 65850.2(b) requiTes t-he City of I-tunLington
Beach Building Division nct to issue the final certificate of
occupancy unless. Lhe applicant has met- or is meeting the
requirements of the South Coast Air Quality- Management: District f
(AQMI)). The flc)ilding Division must obtain a written release from
I�
ItQf1I) Lr) show Lhe appl is i nt: has complied with t.hi:; law. The check,
the irv!verse side is designed t:o hel.) Lhe applirariL and L1)e
bui}<li;ir, division(-0 meet these requirQrttents. t`
1. 1'he applicant: (l,}3c `3_a_iP.S_.P�.r can :w],o 0L�1.21?_4.�_ r r _PerrniLS..-Cr.r�rit i3
I _Ust.il iny__UtyiS�c?-n) nursL complel.(1, the eheCk list which
can 1)e obtained either tit the Btii1dind 1)ivisioil 0r at: AOhil).
rs
2. 1f a)l boxc!s in Lhe list: are chncl;ecl "n(", Lhe Building '
I)ivi:;iof) c 7n accepl t.)w clinck tilt. 'Is I lit, release.
3 . 1 §: Lhnre are any
"yes" answers in l:hr 1isC, the applicant. -
must. contact an AQMD engineer by cal l inc; (71,1) 396 •2000 Lo
find ouL whethe): ai): permits are r.eyui.rc)d for the -proposed J
consl:rt.kcti.on project.
~ 11 . If air permiLs are not requi rind, the app, iCalit �•,i 11 01�1: +in
a wr.iLten release from AQMD. {I{`
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5. if a ; permits are r.equir.r�d, t.ne applicant 1110SL suhnlit L110 }
nece ! ary pr:rrnit applications 1)ofore the release can hu,
} isaLied . -
f3ecause of: I! lie time iL may take [or ItQh1D to go LhV0ugh Lhr) r)bove
procedures, the ,eppIicanl' is advised to con l:ac.;L AQMD )tnrnediaLeIy sr
aftej- applyi.ngfor. 13uiIding perrniL8.
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(1360D)
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SOUTH CJAST AIR QUALITY MANAGEMENT DISTRICT• i'
(Nonresidential Buildings Only)
r e r t : iSoJl �JU/' s-t S"J- /} r<r� �4� -a
,—
Property P o ��
Location of Subject P Y
Property Owner Name: Wal C! town'! ? Phone li
Name of the Person Preparing this form in print and signature
Name: L L =L1�_ Signature:
` The person preparing this form must be the same person applying for i.
j building permits. Please answer the Eollowing questions regarding '
your proposed occupancy of the subject bui lding. IF YOU DO NOT )(1140'
ANSS4C12 TO ?i ')tJI.S'i'I.rN MARl< TN IlII'; "1'}:S" COT,UMN: }
I �-
` !i(11+1ll 1'I':Iti+1I'1"1'1NC, (:lli:(;IEII;i'f' if
i
Y }? 1,10 i
i Does your foci Iit I use, any intern,,l um})u;ition y
rnc i n_s
r cal, halln
r)C
f1
)')
i !)Or)`i you r f ii [ill x I It,;, 111 (tlidi lit)
processir•, ill:y ! rni,; ❑rl}te;iive., l.irilt' 3
a t I l V f a, r•tlt.p any (Iur' s :i mikW?
1 noes your facility ref irt(' any Iiquids ni soIiils
reclaim any metal
11_! S your facility i- fl.lrnn+l�y h nO '? ✓^
yt.)ur . a-i i i ty hti'-.+ri any COInhost-) i".C'OUl.purl: Itl !,
i e. boiler, furnaces, br of lCr, b,lk) nO 0ve9t)i, ti
1
otc.) rated greater t.halt 2,000,000 11TIJ/)1R'> ---
7. Does your: far:iIiLy haiullo or store solvrtnt.s; of 1
motor. fuel? #?
i p, Do you use or store any acids"? '
9. iDo you use any chl"Mi.ca] i)rocess?
10. Do you use :any solvents for r.lr?,ln a}):)
I I . Are you a dry cleaner. , restaurant a)) th a—
charbroiler, body shot:, gasoline station,
printer,- or part coater7
12. Is the subject building located 4,i l?i i n one
thousand (1,000) feet or any school'?
PROPERTY L,INI"s TO PROPERTY LINT;. GRADI::S K--.1.2_
if you have marked "NO" in all columns, you do not need an Air
Quality permit at this time. If you have marked any auesti.ons i.rl
the "YES" Column you must contact- the South Coast Air Quality
Mana�jeraent District .located at:
21865 E Copley Drive
t.
Diamond Bar, CA 91765-97.82
Please call: Plan Check (714) 396-2000
-(1360d-2)
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