Loading...
HomeMy WebLinkAbout15031 GOLDEN WEST - CofO (3)CERTIFICATE OF OCCUPANCY 1 g I 1 I R u CITY OF HUNTINGTON BEACH Date Address G Q L. D) I1, I: T District 1 Business Name CL+)TH i,�ORLD ; 1 15P _._ _ Tel. ;;98-2519 j I cusinessType ni;TAIL — ;FABRICS UOTTONS Occ. Group B -2 BUILDING OWNEiz, BUSINESS OWNER/MANAGER � r BUSINESS PROPERTIES Name PLA Or OHIO, INC. Name Home. � Address 5555 DARROW A Address _ HUDSOTJ, OH Te Home 216--656-2600 City ' R V I NE TeL City D ,(ruction No. of Stories Occupant Load 00 S rinklsrs i ' CONDITIONS OF APPROVAL j I � I � t jj DEPARTMENT OF COMMW1`Y DEVELOPMENT { This Certificate of occupancy SHALL BE posted in a conspicuous place on the II not be removed except by the .premises and shall by { Building Official; COMMUNITY DEVELOPMENT 1 1 r` I f II 1 I APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT V97A� NUNTPCTON KACH (PRINT OR TYPE ONLY) DATE r Add.. is 31 _ District r ' Business Name Gtt�i �i/ �G� j/< 5Tel Business Type _�elkIl `dLSfri�J /%Of70�i �%'LLfiGf,GC4 �J Occ. Group BUILDING OWNER BUSINESS P&NE"tJ ANAGER Name!%l/LLJ T���i{�: _ Name - Home Address �y lv O,- f Address /L�2S� City —Tel City Home Home Tel Ga( r THIS USE WOULD BE DESCRIBED AS: �3 ❑ P� CNEWLY CONSTRUCTED BLDG HANGE OF OWNER ❑ CHANGE OF OCCUPANT ( 11 ❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use. if an Y Occupancy Gr. Div SQUARE FT. OF BUILDING TO BE OCCUPIED /-'? .U�d q , 3t t; r I XXi f� (FOR OFFICE USE ONLY) l,t SUPPLEMENTAL INFORMATION y? ZONE OCCUPANCY GROUP - PLAN CHECK NO. NO. PARKING SPACES OCCUPANT LOADZlig& PERMIT NO. HEALTH DEPT APPROVAL_ - NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED i= - 1 9 I�Z ! CERTIFICATE OF OCCUPANCY FEE g �G� _ APPROVE ATV CHANGE OF USE OR OCCUPANCY FEE S r P TOTAL $ 75-039 Rev, 11/90 COMMUNITY DEVELOPMENT i , l h� h - SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS /5���% ��rr,C� t���� Cr %.rn1zi fiy!I& C 2. Person to contact in case of emergency - Telephone number: ry C 3. Does the building in question have electricity? L3-Yes 5 F-1 No f (a) If No, are you requesting that the electricity be -0 Yes turned on? ❑ No 4. The building - is sprinklered? C'Yes ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes Fa' No. 6. Operations will involve the repair or replacement of C Yes I automobile parts? P-No ;x If Yes: (a) Describe the components repaired or replaced. Ii I (b) Does the operation involve the use of an open flame? ❑ Yes ❑ No 1e i. The business is drinking, dining or assembly use that will, result in an occupant Icad of more than 50 persons. ❑ Yes[ 91- No 1 8. The following best describes my operation; - OnIY fRtalT Sales) Ware o se Manufacturing / Distribution (describe process and end product) E Restaurant / Take Out Food Medical / Dental M Other (describe) _ Ii i _,.'PLIMENTAL INFORMATION AL -.0 .6- SUPPLEMENTAL INFORMATION (Contlnued) , Does the operation involve any of the foil wing materials? Q 'fie; No if 1'es, indicate. quantities: Material Quantity 1. Faammabie liquids i Class i- _ f Class 1-13 Class I-C 2. Combustible liquids l Class 11 � i' Gass Iff-A t 3. Combination Flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Fiammabie fibers - baled ` 1esolids 9. — �s�n able materials 1o, Corrosive liquids i1: Oxidizing material - gases 12. Oxidizing material - liquids 1s. _Oxidizing material solids 14 Organic peroxides r 15. i ( } Nitromethane unstable materials;' r 16. Ammonium nitrate 1 17. Ammonium nitrate compound r., tL,-es } j containing more than 60% nit, _ to by w fight 18 Hig`.iy toxic material and r poisonous gas 19 SmoKeless powder T ( 20. Black sporting powder is I hereby certify that the above information is ' kre and correct to the St of my Knowledge. Signature Date I dns '1 1 w SOUTH COAS% AIR QUALITY MANAGE DISTRICT: (Nonresidential Buildings Only) f Location of Subject Property: / '3/ di?1-----_4 ILA-J:�4 J': vn/in /► d`eA- h, D/f' 3?Z4W-2 # Property Owner Name: — k Phone #: �71 %i) Name of the person preparing this form in print and signature - Name: rSignature: The person preparing this form must be the same person applying, building permits. Please answer the following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN THE'YES' COLUMN: AQMD PERMITTING CHECKLIST YES NO 1. Does ycur facility use any internal combustion engines greater than 50-1iP? 2. Does your facility involve the mixing, blending, or processing of any tx solvents, adhesives, paint:, or coatings? E' 3. Doesyourfacility create any dusts or smoke?�— _ - 4. Does your facility refine any liquids or solids or reclaim any metals? -? 5. Does your . acility plate or coat anything? �� { 6. Does your facility have any combustion equipment i.e. boiler, furnaces, broiler, baking ovens, etc.) rated greater than 2,000,000 BTU/HR? t 7. Does your facility handle or store solvents or motor fuel? ✓, 8. Do you use or store any acids? 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline station, printer, or part coater? _ 12. Is the subject building located within one thousand (1,000) feet (property line to property line) of any school (Grades K-12)? 4 If you have marked "NO" in all columns, you do not need an AIR Quality permit at this time. If you have marked%ny questions in the "YES" column you must contact the South Coast Air 4 Quality Management District before submission for City review. The Air Quality Management District may be contacted at; j l 21865 Copley Drive Diamond Bar, CA 91765-4182 .k Gar call: Plan Check (909) 396-2000 W f � (scagmd) �< J J 1 1 AL --,A *�- 3II' f, E _ t° y Government Code Section 65850.2(b} requires the City of Huntington Beach Building Division i not to issue the final certificate of occupancy unless the applicant has met or is meeting the requirements of the South Coast Air Quality Management District (AQMD). The Building Division must obtain a written releas from AQMD to show the applicant has complied with this law. The check list on the reverse side is designed to help the, applicant and the building division meet *hese requirements. 4 1. The applicant (the same Uercnn who applies for permits from the Building Division) 1. must complete the check list which can be obtained either at the iwilding. Division or at AQMD. I, 2. If all boxes in the list are checked "no", the Building Division can accept the check list as she release. 4 3. If there are any "yes" answers in the list, the applicant must contact an AQMD engineer by calling (909) 396-2000 to find out whether ai: permits are required for the proposed construction project. 4 4. If air permits are not required, the applicant will obtain a written .rc;ase form AQMD. 5 If air permits are required, the applicant must submit the necessary perrnit applications 10efore the release can be;sued. Because of the time it may take for AQMD to go through the above prozedures, the applicant is advised to contact AQMD immediately after applying for Building pennits, y; r i. _..-. N 1