The URL can be used to link to this page

Home My WebLink About15063 GOLDEN WEST - CofO (2)APPLICATION FOR CERTIFICATE OF OCCUPANCY �? CITY OF HUNTINGTON BEACH r DEPARTMENT OF COMMUNITY DEVELOPMENT� Hu NGIiON BEACH -� (PRINT OR TYPE ONLY) DAIS i Address-�'�?-�T- tt/Q.s�'%,�J- s ` •1�-_� r' District Business Name mse- TeL BusinessType -AU-4sc Occ. Group BUILDING OWNER BUSINESS OWNERT4A.NAGER Name � /Q�-' �GrO��%�C%QaYtne K7 Address) / rs E—�i�� (l ddress�I G� COJ9'1i�J(t✓e� �t 2� City , Tel -l1 �QTitY l �l D/1 �.rt �QZ 3 Home Tel. ,SZ THIS USE WOULD BE DESCRIBED AS; i NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT o i i EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any q Occupancy Gr.—Div.— SQUARE FT. OF BUILDING TO BE OCCUPIED Ii 1114 NOTICE:` i 1. Occupancyof 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. L, t 2. No electrical service will be released. t'jr 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 electrical 'fuse up' inspection in the Department of Community Development at the time this application is filed. J2r{l3 Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or } L premises in order to deterr - it a change maybe made in the character of occupancy or use of the building t ^ 2/ ,f or premises which would r -the building to a different division of the same group of occupancy Orin 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 ('/x) 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). s+ 2, I# tf t (FOR OFFICE USE ONLY) V�Y�GI� SUPPLEMENTAL INFORMATION ZONING-.= ! s OCCUPANCY GROUP -� PLAN CHECK NO NO PARKING SPACES l OCCUPANT LOAD PERMIT NO HEALTH DEPT APPROVAL NO. OF STORIES' (( q ADMIN. ACTION UTILITIES RELEASED 3 /d3 — CERTIFICATE OF OCCUPANCY FEE $ P ROV BY DATE CHANGE OF USE OR OCCUPAK 3Y FEE $ r-- �, )y 5 2 TOTAL $. �Z 75.039 Rev. e) COMMUNITY DEVELOPMENT / � SUPPLEMENTAL INFORMATION f ' 1. P_USftISS ADDRESS _�45 0�/j 2. Person to contact in case of emergency, h�� MDs7SP�jj Telephone number: 3. Does the building in question have electricity? ❑ Yes ? (a) If No, are. you requesting that the electricity be ` e Y Yes _ M l_ turned on? ❑ No 4. The building is sprinklered? ❑❑ Yes 5. Operations will produce dust/wood shavings or similar �J No ?" material? �❑ Yes j< 63 N o f, 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? No , If Yes: (a) Describe the components repaired or replaced. h r. (b) Does the operation involve the use of an open flame? ❑ Yes r ` 7. The business is drinking, dining or assembly use that will No R• result in an occupant load of more than. 5.6 persona. ❑ Yes No 8. ( The following best describes my operation; Office Only Retail Sales 1. Warehouse f•. Manufacturing/ Distribution (describe 'process and end product) Es: !; Restaurant / Take Out Food Medical / Dental Other (describe) _ F } (• SUPPLIMCNTAL INFORMATIOy i I it I� G SUPPLEMENTAL ENTAL INFORMATION (Continued) Does the operation involve any of' the folibWing •``rr aterials? Yes No If Yes, indicafe'' quFhf'rties ..: Material Quantity 1. Flammable Liquids Class I -A ` Class I-B r Class I-C 2. Combustible liquids Class II Class III -A 3. Combination flarnmable liquids i 4. Flammable gases �. Liquefied flammable gases 1' 6. Flammable fibers - loose -- t, 7. _ Flammable fibers - baled 8. Flammable solids 9. !Unstable materials 10, Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - Liquids 13. Oxidizing material - solids 14. Organic peroxides 1 16. Nitromethane (unstable materialp is. :Ammonium nitrate ` 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weight i 1& Highly toxic material and poisonous gas 19. Srmokelers powder 20. Black sporting powder hereby certify that -the above information is true and correct to t the" bes of my knowledge. Signature Date g I III I A r /• City of Huntington Beach 2000 MAIN .STREET t CALIFORNIA 92648 � ; r _. DEPARTMENT OF COMMUNITY DEVELOPMENT Building Division 536-5241 F Planning Division 536-5271 i< r Government Code Section 65850.2(b) requires the City of Huntington ;5 Beach Building Division not to issue the final certificate of occupancy unless the applicant has met or is meeting the requirements of the South Coast Air Qualitv Management Distcict (AQt,;D). The Building Division -a must obtain written release from AQMD to show the applicant has complied with this t' ldw, The check list on the reverse side is designed to help the applicant and the building division j. t' to meet these requirements. 1. The applicant (the same person who applies for permits from the Building Division) must complete the check list wh;ch can be obtained either at the Building Division- or at AQ14D. ?, If all boxes in the list are checked "no", the Building Division can accept the check list as the release. r: 3. If "here are an "; y 1Ps" answers in the list, the. applicant i, must contact an AQMD engineer by calling (714) 396-2000 to find out whether air permits are required for the Proposed .onstructon project. f } ' 4. If air permits are not required, the applicant will obtain ' a_written release from AQMD, h. s: 5. If air permits are required, the applicant must submit the r necessary permit applications before the release can be (E issued. i Because of the time it may take for AQMD to t ' Q go through the above procedures, the applicant is I advised to contact AQMD immediately afi-er applying for Building permits, , 'i I ('1360D) F f • t E' { t _ 1 SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT ?- (Nonresidential Buildings Only) Location of Subject Property: p 1 / Property Owner Name: /Y)an Phone #Q�_ Name of//the Person Preparing this form in print and ignature .-wqh Sgmature: ,j --he person preparing this form must be the same person applying for uilding perenits. Please answer the following questions regarding •'_ur proposed occupancy of the subject building. IF YOU DO NOT KNOW 7 -::E .=.`:SWER TO A QUESTION MARK IN THE "YES" COLUMN: s: AQMD PERMITTING CHECKLIST x YES NO 1,. Does your facility use any internal combustion �s engines greater than 50-HP? 2. Does your facility involve mixing, blending, or processing any solvents, adhesives, paints or coatings? 3. Does your facility create any dusts or smoke? �J 4.Does your facility refine any liquids or solids or reclaim any metals? 5. Does your facility plate or coat anything? ' 6. Does ,-our facility have any combustion equipment' ,.e. :ooiler, furnaces, broiler, baking ovens, ✓ ; etc.) crated greater than 2,000,000 BTU/HR? fi 7. Does your facility handle or store solvents or motor fuel? 8. Do ycu use or store any acids? 9 Do yc,-, use any chemical process? j -0. Do yc-i use any solvents for clean-up? _ .-,.re you a dry cleaner, restaurant with a chartroiler, body shop, gasoline station, k printer, or part coater? —ate r 12. Is the subject building located within one thousand (1,000) feet of any school? PROPERTY LINE TO .PROPERTY LINE, GRADES K-12. ` �1 1 yo--; have marked "NO" in all columns, you do not need an Air fjali_y permit at this time. If you have marked any questions in }` _-e "VES" Column you must contact the South Coast Air,Quality `=nacement District located at; k 21865 E. Copley Drive Diamond Bar, CA 91765-4,182 _leases call: Plan. Check (714) 396=2000 t i (1360d-2) f: