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Home My WebLink About15011 GOLDEN WEST - CofO (9)CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH 5/ 0 4✓ 9 8 „ Address 15011 GOLDENWEST Date District " Business Name GOLDEN DONUT Tel. 71 t1-891 —6687 Business Type DONUT SHOP N Occ. Group BUILDING OWNER, BUSINESS OWNER/MANAGER y LESTER C SMULL Name CHANTHOU YIPSIKIM LY TENG Name 6 AddressY7631 FITCH Home 834 WALNUT Address { City IRV14B Tel, 71/1-4711--8900 City LONG BEACH Qome 1. 562-21$ 6250 Consgtruction 1 No. of Stories Occupant Load .:Sprinklers CONDITIONS OF APPROVAL _ i 9 c i , k DEPARTMENT OF COMMUNITY DEVELOP ENT j t This Certificate of Occupancy SHALL BE posted in a conspicuous place on the j ; 77 premises and shall not be removed except by the ' Building Official. by---�\� -311 dv , COMMUNITY DEVELOPMENT 'I I ;J -- — k IL 'I APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT b? / DATE HUMIRK:TON (PRINT OR TYPE ONLY) 37— 1QP '1? ,i[ District p I Address j . O i� Te 1 0 ur I Business game Ql9�iyT" Sly Occ, Group i it Business Type i BUILDING OWNER BUSINESS OWNERIMANAGER i Name Name. ��?. PI/ C �n%LLLL Gl� K/ 4.`! T�tir, Home i Addresss ? J L Address- 4IV 6i B �� Home City. L'/ N i/ .� Tel. City THIS USE WOULD BE DESCRIBED AS. 7 Ll ❑ El�/ NEWLY CON6TRUCTED BLDG. Lam' CHANGE OF OWNER CHANGE OF OCCUPANT ❑ EXISTING BUILDING ❑ CHANGE OF USE El ADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr.Div. y SQUARE FT. OF BUILDING TO BE OCCUPIED 160O NOTICE; 1. Occupancy of any building is prohibited and a business licensewill not be issueduntil 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 applicants for occupancy in an existing building are required to schedule an elect,-icai i 'fuse up' inspection in the Department of Community Development at the time this application is filed, 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or 1 premises in order to determine if a change may be made in the character of occupancy 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 occupancy, a change of occupancy inspection fee of 5 shall be paid to the city. 4. HuntingtonBeach Fire Code Section 10.208 requires that building numbers must be a minimum of four(4) color from the background. These ; n ofac con trasting c 9 and Inches in height with one half (h) .inch stroke, 9 , numbers must be posted on your buii,'ing in a location that is visible from the street. 5. Huntington Beach Fire Code Section -301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). TRAFFIC IMPACT FEE DATE PAID 111 AMOUNT RECEIVED r NAME (FOR OFFICE USE ONLY) C� ZONING SUPPLEMENTAL INFORMATION OCCUPANCY GROUP—�� PLAN CHECK NO_ — NO. PARKING SPACES OCCUPANT LOAD PERMIT NO. HEALTH DEPT. APPROVAL I NO. OF STORIES .ADMIN. ACTION UTILITIES RELEASED 7 ` 41-2�lqg CERTIFICATE OF OCCUPANCY FEE $ PROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL 75-039 Rev. 1/97 COMMUNITY. DEVELOPMENT 1 IL a SUPPLEMENTAL iNFORMATION 1. BUSINESS ADDRESS SR— ��6J� r 2. Person to contact in case of emergency - Telephone number: -Wgi 3. Does the building in question have electricity? D"Yes € ❑ No l (a) If No, are you requesting that the electricity be ❑- Yes turned on? ❑ No i 4. The building is sprinklered? ❑ Yes WNo 5. Operations will produce dust /wood shavings or similar material? ❑ Yes ❑'N O 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? B'No y If Yes: (a) Describe the components repaired or replaced. flame? ❑ Yes i) (b) Does the operation involve the use of an open 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes 8. The following best describes my operation, 4 Office Onl I ail Sales are use Manufacturing / Distribution (describe process and end product) Restaurant/Take Out Food Medical / Dental Other (describe) D��at r SUPPLEMENTAL INFORMIATnON t 1 1 v 4 SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? ❑ Yes PIN o if Yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A i Class I-B Class I-C a ' 2. Combustible liquids Class 11 Class III -A 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled 8. Flammable solids - 4 9_^ Unstable materials 10. Corrosive liquids 11. Uxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate i 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weigh j . 18. Highly toxic material and poisonous gas 19. Smokeless powder 20. Black sporting powder i I hereby certify that the above information is true and correct to the nest of my knowledge. /b 9y Sx nature Dat_ ---- vl 1 t. } South Coast AIR QUALITY MANAGEMENT DISTRICT s 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 1 AIR QUALITY PERMIT CHE'CKLJST fo r norresidential building ss only e Company Name: Golden —Do nitit Location of Property: �S �l l C-t a (d e-', City: f�uH t7r_MA Zip Code: Fe7- 6 9-7- Contact Per:ion: f(Qn �; � Title: - , :,u n rr � Telephone Number(? Fax Number: Type of IndustryBusiness: _ 19on&g- Shop 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. L Will the facility have a chart•; Liler? YES NO 2. Will any internal combustion engine with eater than 50 hors 1 ln• horsepower �' < operate at the facility (excluding motor vehices)? j I 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? r ;� 5. Will refining of any liquids or solids be, one at the facility? ` 6. Will any plating or coating of materials be done at the facility? j 7. Will any combustion equipment rated greater than 2,000,000 BTU/hr be operated at the facility? ' 8. Will any acids, solvents, or motor fuel be used or stored at the facility? N 9. Will any organic liquids or gases be reacted or produced? "I 10. Will any ovens be used to dry or cure products. at the facility? 11. Will any CPC (Freon) recycling machines operate at the facility? 1 Applicant: L�IL1041 Signature: O, I (Print name clearly) Ell/ If you have marked "NO" in all the boxes, an air gaality permit is not needed at this time, and this checklist is your written release. I^ . l If you marked 'YES" in any of the boxes, you must contact tb.e South Coast Air Quality �( Management District (AQMD). Please read the requirements on the back of the checklist. 1 (800) 388-2121 f, 1 �I ADDITIONAL SUPPLE. 11,,�, ^, RMAMON `