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Home My WebLink About15021 GOLDEN WEST - CofO (2)_--- ------------------------------------------ CERTIFICATE OF OCCUPANCY r i CITY OF HUNTINGTON BEACH Date Address 15021 GJLD`&:IL ? District ( � 1 Busineso Name Lc c V'E,G L i _�, , GC L1 / ti f' 1 't; Tel. ':E :ttlL 2ALEZ �.t Pr LWt ,3jLt ,';'t.c,.._. Occ. Group Business Type BUILDING OWNER BUSINESS OWNER/MANAGER x LISTER C. SMALL Name Name .t Home Address i 7 C' J 'I F I 3' O f t Address BB Home City _; R a V E CA. . c'i i Tel, i 1 +� `i !a cf s;i W City TeL f Construction No. of Stories _ ! Occupant Load i " `, Sprinklers,. CONI G T,ONS OF APPROVAL I i� i S DEPARTMENT OF COMMUNITY DEVELOPMENT r This Certificate of Occupancy } SHALL BE posted in a conspicuous place on they / ✓� l /a LLj premises and shall not be removed except by the by!✓ f1 • f r %� k 1 Building Official COMMUNITY DEVELOPMENT ¢ ._ .---—,._,--- ._..—_...._.—.._,.—.— _ -- � d' APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH A/ HVNTV-0GTon WACH DEPARTMENT OF COMMUNITY DEVELOPMENT _ (PRINT OR TYPE ONLY) DATE Address L r 6 0 l Gr v i S _ District Business Name_ LbfS C/� 5 i9-� !�(S ec -e, � � � .t!/U(, ,r G —__ Tel. _ Business Type fif}C� .C�< Occ. Group �j BUILDING OWNERBUSINESS�-,OIW�N,ER/MANACER Name_ 's dL C_. t'f cC / / Name Address / 2 [0 -3 (Y Home Address City �%1 ClVVq- C - `12-q i Tel y9q i 4 City— — Home Tel. THIS USE. WOULD BE DESCRIBED AS: ❑ NErvLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHAI. OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any. JQttiS - 4( < Occupancy Gr —Div SQUAREFT, CF BUILDING TO BE OCCUPIED 6f i�2 ' ) q / NOTICE: 1. Occupancy of any building is prohibited and a 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 servi ? has been inspected 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 application 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 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 $ 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 (t/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, Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). — - "J7 1 G% ( / ?" ern A TRAFFIC IMPACT FEE DATE PAID AMOUNT RECEIVED NAME —� (FOR OFFICE USE ONLY) (1 (t SUPPLEMENTAL INFORMATIONZONING 021 2 OCCUPANCY GROUP 1){0 PLAN CHECK N a tDr- NO PARKING SPACES OCCUPANT LOAD - PERMIT NO HEALTH DEPT APPROVAL NO. OF STORIES ADMIT ,CTION UTILITIES RELEASED CERTIFICATE OF OCCUPANCY FEE _ S � OVEO Y 105ATE CHANGE OF USf R OCCUPANCY FEE g TOTAL S. 75-039 Rev. 1197 COMMUNITY DEVELOPMENT • J r SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 2. Person to contact in case of emergency! Telephone number:, ��„ f .l uy&— `Yc-� Cl +n _ 5-c7 3. Does the building in question have electricity? � Yes ❑ Nl) (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No l 4. The building is sprinklered? ❑ Yes No 5. Operations will produce dust/wood shavings or similar material? ❑ Yos O' No 6. Operations involve the repair or replacement of ❑ Yes automobile parts? [ No If Yes: I (a) DescriLc the components repaired or replaced. r' (b) Does the operation involve the use of an open flame? ❑ Y-s i No 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. 01 Yes j No 8. The following best describes my operation; }; Office Only Retail Sales ' Wffrett use Manufacturing / Distribution (describe process and end product) - i e i Restaurant/Take Out Food. — Medical / Dental Other (describe) U P S P LEM6NTAL INFOiMATION 1 ._ c I I i a. SUPPLEMENTAL INFORMATION (Continued) t Does the operation involve any of the following materials? ❑ Yes '917No If Yes, indicate quantities: Murerial Quantity 1. Flammable liquids Class I -A Class 1-13 lass I-C' 2. Combustible liqu .is Class 11 Class III -A 3. Combination flammable liquids Q. Flammable gases e; 5. Liquefied flammable gases Flammable fibers - loose z' Flammable fibers - baled l Flammable solids Unstable materials E Corrosivc, liquids, r Oxidizing material - gases c j — r 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 weight 18. Highly toxic material and 1 poisonous gas 19. Smokeless powder - 20. Black sporting powder I hereby certify that the above information is true and correct to the best, my knowledge. Signature 101 Date I i 1-, South Coast AIR QUALITY MANAGEMENT DiSTR CT 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AIR QUALM PERMIT iCHECKLIST for nonresidential buildings only CompawI NTame: Location of Property: City: Zip Code: Contact Person: Title: Telephone Number: _ — Fax Number: Type of Industryff3usiness: To apply for a nonresidential building permit, you must complete this cl: ecklist. If you have any questions about completing this checklist, please call (800) 388-2121. YES NO 1. Will the facility have a charbroiler? [ ] [�] 2. W?l1 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 dons at the faci`;ty? 6. Will any plating or coating of materials be done at the facility? [ ] [KC] 7. Will any combustion equipment rated greater than 2,000,000 BTU/hr be operated at the facility? [ ] o4 8. Will any acids, solvents, or motor fuel be used or stored 3t the facility? 9. Will any organic liquids or gases be reacted o7 produced? [ ] 10. Will any ovens be used to dry or cure products at the facility'? 11. Will any CFC (Freon) recycling machines operate at the facili Applicant: cf Signature: Gestic-� r (Print name clearly) If you have marked "NO" in all the boxes, an air, permit is not needed at this time, and this checklist is your written release. E 1` If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality Management District (AQMD). Please read the requiremeii s on the back of the checklist. (800) 388-2121 ADDMONAL SUPPLFMENTAL INFoRMAMON �.