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Home My WebLink About15039 GOLDEN WEST - CofO (2)APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF BUILDENG & SAFETY (3`r Floor•-iVitst,tIpply Lt-Person) Business License Date byt Address 5 _ 5-}- i �, , Business Name rTelephonel 1� Business Type b Properiy Owner7nformaton Business Owner Name-l�•�'1 a '1,�� a� - Name _ tz� ax Address 1 Home Address 3 City Zt� 1246q - 9�/49e1. amity QU THIS USE WOULD BE DESCRIBED AS: ❑Newly Constructed Building or OExisting Buildin; CHECK ALL THAT APPLY: ❑Change of Owner ❑Change of Occupant ❑Change of Use OAdditional Occupant Indicate former use, if any G Does the building have electricity? Yes W`-' No❑ If No, are you requesting that the electricity be turned on? Yes LJ N0 The building is sprinklered? Yes No Operations will product dust/wood shavings or similar material? Yes ❑ No Q]-' Operations will involve the repair or replacement of automobile parts Yes ❑ No If yes: Describe the components repaired or replaced. Does the operation involve the use of welding or open flame? Yes ❑ No U-" The business is drunlcng, dining or assembly use that will result in an occupant load of inore than 50 persons. Yes ❑ No The following best describes my operation: ❑Office Only ❑Retail'Sales ivedical/Dental ❑Festatirant/TakeOut Food ❑Warehouse ❑vlanufacturing/Distribution (describe process and end product) z ❑ Other (describe) Office Use Only: - Zoning: C-T_ Sq Ft Occupied: + Occ Group: 2 Occ Load: j 4 Stories: Parking Spaces: TM Review: Y/ N Amt Paid$: Paid BEFORE Final Inspection ` Building Permit's Entitlement E Comments: off- C Planner Ii,itals: Date:_ Plan Checker Initials: Date; CofO 4 HAZARDOUS MATERIALS DISCLOSURE INFOR-MATION � Huntington Beach Fire Department California Health and Safey 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, your are required to discloser • 55 gallons of liquid • 500 pounds of solid • 200 cubic feet of compressed gas • Any amount of radioactive materials f • Any amount of Class A explosive • ' Any amount of chemicalsknown 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, dru,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: No chemicals are used, handled or stored at this business. Chemicals are used, handled or stored at this business, but do not meet the requirements for disclosure 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. Signatu t Date' Home Phone 2.F -47 7✓"- L33c-03G Please call 714- 36-6676 Wth questions re ardin; the Hazardous 11laterials Pro;r471n. Y e South Coast Air Quality Management District 21865 E. Copley Drive Diamond. Bar, CA 91765-4182 (909) 396-3529 htpp://,,vw�v,aq_md.gov j Air- Quality Permit Cheddisf t California Government Code 65850.2 prohibits cities from issuing a Certificate of Occupancy to a business without clearance from the local air quality agency.. This checklist will determine if you need to obtain clearance from the South Coast Air Quality Management District (AQIvID), M Company Name: A t.. Property Address._ i City: ��z�,u Zip Code: Contact Person:? _ Title:��nt o�c1 Type of Business: elei)hone: �Y Applkant: (print name) Signature: r.. • Will the facility have any of the following equipment? Yes ® No al Charbroiler r Dry cleaning machine ; ,r Spray Booth' Printing Press (screen/lithographic/flexographic)" Internal combustion_ engine (greater than 50HP) (excluding :rotor vehicles) Boiler/combustion equipment (greater than 2 million BTU/hr. maximum input) Abrasive blasting cabinet/room 0 Baghouse/cartridge type dust filter/scrubber f Motor fuel storage and dispensing equipment Yes ❑ No d • Will any of the following operations be performed? Application of paints or adhesives Etching, plating, casting, or melting of inetals Molding and blending of liquids and/or powders Storage of acids, solvents, organic liquids or ;fuels Production of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke or strong odors • If you answered "No" to both questions, this checklist is your clearance from AQMD If you answered "Yes" to either question, you must contact AQMD to determine if air quality permits are required, If permits are needed, AQIVED will assist you in submitting permit application(s) and then provide you -,vith a clearance letter. You can call AQIW at their Small Business Assistance Office at (800)-388-2121. Certificate of Occupancy Information Sheet L Occupancy of any building is prohibited 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; 3. Huntington Beach Fire Code requires that building numbers must be a minimtcm of fora (4) inches in height with one half (1/2) inch stroke, and of a contrasting color h om the background. ,These nuinbers must be posted on your: building in a location that is visible s from the street. 4. Huntinaton Beach Fire Code requires fire extinguisher selection and distribution per the National Fire Protectio Association pamphlet 10: a. Apartment Buildings (5 or more units): One (1) 2A rated extinguisher, to be located on each floor level so as not exceed 100 feet of travel. Two or less apartment units oil an upper level maybe serviced by the extinguisher on the next lower level b. Industrial and Coirunercial Buildings: • Light Hazard- (May include offices, schoolrooms, churches,,assembly halls, telephone exchanges, etc) — One (1) 2A rated extinguisher is required for each 6,000 square feet of floor area, or a portion thereof. • Ordinary Hazard - (May include mercantile storage and display, auto ! showrooms, parking garages, light manufacturing, warehouses not classified as extra hazard, school shop areas, etc.) - One 2A rated extinguisher is required for j each 3,000 square feet of floor area or a portion thereof. • Extra Hazard — (May include woodworking, auto repair, aircraft servicing, warehouses with high -piled (over 15 feet in solid piles, over 12 feet in piles that contain horizontal channels) combustibles, and processes such as flammable liquid handling, painting, dipping, etc.) - One (1) 3A rated extinguisher is required for each 3,000 square feet of floor area, or a portion thereof. "Certain extra hazardous uses and/or processes may require additional fire protection systems. An on site inspection will be required to make the determination. c. Service Stations: Are required to maintain one (1) 1OBC rated extinguisher within 75 feet of travel of the dispenser cabinets, and one (1) 2A rated extinguisher on the premises. d. Fire extinguishers for coirunercial and industrial buildings are to be located so as to maintain a maximum distance of travel of 75 feet, e. Occupancies having a potential for fires involving combustible cooking media (vegetable or animal oils and fats) shall provide a Class K fire extinguisher within 30 feet of the hazard. IMPORTANT: PLEASE,READ THE FOLLOWING CAREFULLY You may purchase this extinguisher at any hardware score and a number of dep*xtment or discount stores, or you may purchase your extinguisher from an extinguisher service company, which may be, found under "Fire Extinguishers" in the yellow pages of your phone book. The extinguisher is required to be serviced Nvben new and annually thereafter. The hardware, department and discount stores usually are not licenses to service extinguishers. Therefore. you should expect an additional expense to have your new extinguisher certified by an extinguisher aervice company if you purchase it fiom one of these stores. If you have any questions regarding the inspection or fire extinguisher requirements, please feel free to contact the Huntington Beach Fire Department Fire Prevention Bureau at (714) 536-5411, ,r 15 0- 'p1 T � '�I�� c7 i �� 1 T 3� !1I 0 i'� Y 1-4 -DENG & SAti..-}- f _i Bu i i _,t =-a—z _ - J= Add �So ?,� � L �_ " Yam, _ _ /1/ ►1 /jq G �1n j, 07e-:,+ Owl,,=,•-' rir:e,_r - N erne _ {IG f N Address I) \ City 11R►V l t..l E TtJlr THIS `ir?SE WOULD BE DESSCItI'BED AS: ®Newly ConstrUCted Building or gExistin-c Building CHECK LL TH. Clicange of Ow12er QChange of Occupant QChange o- tJse Cl daidonal occtlpalnt . s Indicate former use.. if any Does the building have electricity? Yes oQ t If No. are you requesting that the electricity be tLimed on. Yes No y The building is, sprinklered? Yes No Q Operations will product dust/wood shavings or similar material? Yes NO F rep air o r re lacenient of atttoniobile arts Yes 0 Na involve the t p vr1ll Operations !� If yes: Describe the components, repaired or replaced, e Does the operation involve the use of welding or open flame? Yes Q N� The busiless is erialcing, dining or assembly use that M11 result in an occupant load of more dian.50 persons, Yes Q No Q The following best describes my operation; O tca Only MR, -tail Sales AvIedicalfDemal QRestau ant/Take Out Food n arehouse QYIaiiulacturircrM-s'tHbtitioii (describe processand end product) Q Otter (describe) �Ojf ice Use 0111v Occ Load' t '1 Lo11111`, { ...L�'a" S4 Ft CI�+cu-.}t'vG: �� Occ C1QLZt%: • r Parking Spaces, HE R-Giei4`: Y N �+�:7 �a:dL — t 8i - Stoi1�S• -------" = Pink 1asy,e..acn t. ii Buildiilc Permit = • -.. is c Conn1 �ie;� s _ ry l c.r% G4 QL�'- �:C.C; '� ic�'i Ll 1,.'�Ct. I 1 -�••' �I a�i,,. �,,,�,.r. �^_•..-°.�_-ic