HomeMy WebLinkAbout15061 GOLDEN WEST - CofO (2)`d
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l CERTIFICATE OF OCCUPANCY 1 /27/57
f 1 CITY OF HUNTINGTON BEACH
Date.
I�
k , Address
15061 COLDENWES't' District
f S ALIUItV hr1hCF S UDIG Tel. t
Business Name
Business TypeDANCE STUDIO Occ. Group B
't . �l
i BUSINESS OWNER/MANAGER
BUILDING OWNER I
BUSINESS PROPERTIES INC Name TSARINA KALININ
Name �!
Home 1i55 LA CICPICA
Address17631 FITCH Address _., I
I IRVINE Tel 71 W—ti 7 4.-7800 Cit y W HOLLYWOOD Home
City Tel.
Construction No. of Stories Occupant Load ` Sprinklers
CONDITIONSOF APPROVAL
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DEPARTMENT OF COMMUNITY DEVELOPMENT
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This Certificate of occupancy
SHALL BE poster in a conspicuous place on the r7q'
i premises and shall not be removed except by the by L4"
IBuilding Official. L
COMMUNITY Di ELOFMENT
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je > APPLICATION FOR CERTIFICATE OF OCCUPAWCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
DAI E
! MUH711tiGTON BEACH (PRINT OR TYPE ONLY)
Distrct —
Address t
J11,1�!_"� ® _
I Rucirlass Name Tel. h
i - Oca. Group.
Business Type
BUSINESS OWNER/MANAGER
BUILDING OWNER
y�.liT7, �� t � . Name --
Name �"ff�r-rGsL}�ss—i--�'�����`� Home
( 70 ( Fff4w t/=3� _ Address 7 a
Address_ -H6me Te!
Tel. City---
l city
3 03
'I THIS USE WOULD BE DESCRIBED AS:
F CHANGE OF OCCUPANT {
El NEWLY CONSTRUCTED BLDG, ❑ CHANGE OF OWNER ❑ ADDITIONAL OCCUPANT f
EXISTING BUILDING ❑ CHANGE OF USE
l .ice Occupancy Gr. —S —Lw.
Indicate former use, it any
` SQUARE FT. OF BUILDING TO BE OCCUPIED
NOTICE: a business license will not be issued
i . Occupancy of any building is prohibited and until the building has been I
inspected and a certificate of occupancy is issued. ;s
2. No electrical service will be released for any existing building until the service has been inspected and r<
certified safe. All applicants for occupanc,✓ 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 nhange maybe made in the character of occupancy or use of the building
in a
or premises which would place the building in a different division of the same group 3f occupancy ors }
different group of occupancy, a change of occupancy inspection fee of $ i
be paid to the city. I
P 4. Huntington Beach Fire Code Section 1 G.208 requires that building numbers must be a minimum of four (4)
inches in height with on( half (1/2) inch stroke, and of a contrasting color from the background. These I
numbers must be por :a on your building in a location that is visible from the street.
5e Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
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TRAFFIC IMPACT FEE...
DATE ?AID
AMOUNT RECEIVED
NAMZ (FOR OFFICE USE ONLY) ZONING��
a �" ®j
SUPPLEMENTAL IMFORINATION J" NO. PARKING SPACED72 - -
OCCUPANCY GROUP PLAN CHECKS
PERMIT NO. � HEALTH DEPT, APPROVAL
OCCUPANT LOAD ADMIN. ACTION- UTILITIES RELEASED
NO. OF STORIES
15- CERTIFICATE OF OCCUPANCY FEE $
DATE CHANGE OF USE OR OCCUPANCY FEE $
ROVED BY TOTAL $
7P-039 Flev. 11190 COMMUNITY DEVELOPMENT
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SUPPL.EMENTX,, ,t°ORMA TIOIV
1.
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BUSINESS ADDRESS � To 6 / Gam, �i� t✓� sfi
2.
Person to contact in case of emerg ncy�
Y
Telephone number: -.
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3.
Does the building in question have electricity?
Yes
C? No
A
< sjl_ a sing that the len7rinity bn
�d) II IV U, i!(C you requesting t11aL tllG GlGtiu wear
1--�
! ! Yes
turned cn?
CQ No
4.
The building is sprinklered?
L1 Yes
C� o
5.
Operations will produce dust / wood shavings or similar
material?
❑ Yes
o
6.
Operations will involve the repair or replacement of
�7 Yes
automobile parts?
[
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If Yes:
(a) Describe the ^omponents repaired or replaced.
(b) Does the operation 'involve the use of an open flame?
El
09'No
'
7.
The business is drinking, dining or assembly use than will
result in an occupant load of more than 50 persons.
No
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8.
The following, best describes my operation;
_
Office Only
-Retail Sales
L
Warehouse
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Manufacturing / Di_stribution (describe process and end product)
Restaurant/ Take Out mood
Medical / Dental
m_
Other (describe) _
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SUPPLEMENTAL INFORWrAMON
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SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials?
❑ Y
u�J0
If
Yes, irdicate quantities:
Material Quantity
f 1.
Flammable liquids
Class I -A
Class 1-13
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Class !-r
2.
Combustible liquids
Class 1!
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Class III -A -
3.
Combination flammable liquids
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4.
Flammable gases _
i 5.
Liquetied flammable gases
6.
Flammable fibers - ioose
7.
Flammable fibers - baled
8.
Flammable solids
9.
Unstable materials
l
10.
Corrosive liquids
11.
Oxidizing maieri4! - gases
f:
12.
Oxidizing material - liquids
'13.
Oxidizing material - solids
14.
Organic peroxides_
15.
Nitromethane ' (unstable materials)
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16.
Ammonium nitrate
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17.
Ammonium nitrate compound mixtures
containing more 60% nitrate
by weight
18..
Highly toxic material and
poisonous gas
19.
Smokeless powder
20.
Black sporting powder
f hereby certify that the above information is true ,and correct
to
the best Pf my knowledge.
Signature "?ate
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
f (Nonresidential Buildings Only)
i Location of Subject Property:_.__—��'
Property Owner Name:_&6(4x'.�
y :��1��L11--- Phone #: 7 �'►�' �{��
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Name of the person preparing this form in print and signature;
,�,� -
Name:�ls�� _..Signature/l/�/G'-"'
The person preparing this form must be the same person applying for building permits. Please ansiver the
following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW ;
THE ANSWER TO A QUESTION, MASK IN THE "YES" COLUMN:
AQMD PERMITTING CHECKLIST
YES
NO
M 1. Does your facility use any internal combustion engines greater than 50HP?
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2. Does your facility involve mixing, blending, or processing any solvents,
✓
adhesives, paints or -oatings?
--
3. Does your facility create any dusts or smoke? —�—
—
i 4. Does your facility refine any liquids or solids or reclaim any metals? _
5. Does your facility plate or coat anything? —
6. Does your facility have any combustion equipment (i.e. boiler, furnaces,
broiler, baking ovens, etc.) rating greater than 2,000,000 BTUIHR?
7. Does your facnity handle or store solvents or motor fuel? — —
—
'r� z
S. Do you use or store any acids?
Y
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9. Do you use any chemical process? —
w
r 10. Do you use any solvents for clears -up?
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1. Are you a.dry cleaner, re t,urant with a charbroiler, body shop, gasoline
' station, printer, br part coater?
12. Is the subject building located within one thousand (1,000) feet of any
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school,? PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked
any questions in the "YES" column you must contact the South Coast Air Quality Management District located at:
21865 E. Copley Drive
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Diamond Bar, CA 91765-4182
{
Please call: Plan Check (909) 396.20M
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