HomeMy WebLinkAbout15069 GOLDEN WEST - CofO (4)CEWIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH 3f 02/94
i.#
Date
Address 15069 OOL.DEWWEST -- District
Business Nan- EL PROGRESO MARIfETINC :el.
Business Typt' SALES FORCE GENERAL, OFFICE Occ. Group B -2
BUILDING OWNER BUSINESS OWNER/MANAGER
Name BUSINESS PRGPT-" LIES Name FILADM FO EFITTO
Address1725 FIT' N Home
Address 5�1 LF.HTCFI PI.
City IRVIlvE.CA Te1. 714-t17t4-€90Q_ City W 4ESTN,jN1,j Tel.Construction No. No. of Stories Occupant Load 29 Sprinklers
CONDITIONS OF APPROVAL
DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of taccupency
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the Vy ,r
Buiiding Official.
COMMUNITY DEVELOPMENT
.M t ,
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMiNT OF COMMUNITY DEVELOPMENT /
HUNTIN(TON WAtH DATE
(PRINT 0 4 TYPE ONLY)
DCq jd� �► U)e, �2 �
C- ( Qi S ( n y 1J G . �91 Dist ict —_
Address. _ _
Business Name Tel. D2�3� b
Business Type VCC> �e�2�� A Occ. Group
BUILDINGOWNER BUSINESS OWNERIMANAGER
Name .S eT� (lO es✓ e Name
Home �- C�
Address f Addreess/ L
City, J ifi �eI.City Wei )�zi �?,fZ�2�NF Home T$��`
THIS USE WOULD BE DESCRIBED AS:
❑ N LY CONSI RUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr. —Uiv.
SQUARE FT. OF BUILDING TO BE OCCUPIED
OT10E: 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 servicewill be released for 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.
-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 fire 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 (1/2) 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.
t� 1 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).
K�2SUPPLEMENTAL INFORMATION (FOR O F!CE USE ONLY) ?ONIN
OCCUPANCY GROUP PLAN CHECK NO. NO, PARKING SPACES
OCCUPANT LOAD -1PERMII NO. HEALTH DEPT, APPROVAL _
NO. OF STO iES ADMIN. ACTION UTILITIES RELEASED i
<C 3 1A` 5r
CEHrIFICATE,OF OCCUPANCY FEE $
P VED D TE CHANGE OF UiE OR OCCUPANCY FEE $
TOTAL $
75039 Rev, 11/90 COMMUNITY DEVELOPIdIF_'NT
J
r:
SVPP-LEMIFNTA-L µ,,INEOi MA. TI.ON
(Continued)
Does the` operationinvolve any, of , the -following..tn_aterils?
0
If
Yes, indicate. quantities:
Material Quantit
y
k m
1.
Flammable liquids
Class I -A
Classi-B
w
Class 1-G
2.
Combustible liquids —.
Class 11
Class 111-A
-
3.
Combination fl_amrna,ble, liqu.ios _
4.
l=lammable gases
5
'Liquefied "Nammable gases
6.
`Flammable fibers . ' loose
—
7.
"Flammable fibers - baled
8.
Flammable solids
9.
Unstable materials
10.
- Corrosive liquids
11:
_ Oxidizing material _ gases
12.
- Oxidizing material - liquids ,
13.
V :Oxidizing_ material.-- solids
T
14.
Organic peroxides
15.
Nitrome'tfiane" (unstable materials)
16.
-Ammonium nitrate
'
17.
Ammonium nitrate cornpou.rtd mixtures .,
containing more than 60% nitrate
by weight
18.
Highly toxic material and
4
poisonous -gas .
9.
Smokeless powder
20.
Black sporting powder
i hereby certify that the above information is tgktp end., correct to
the be t of my knowledge.;
/ Si ature
Date
Government Code Section 65850.2(b) requires that the City of Huntington Beach not 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 Department of CommunityDevelopment must
obtain a written release from AQMD to show the applicant has complied with this law. The check
lis`, on the reverse side is designed to help the applicant and the building division to rneet these
requirements.
1. The applicant (the same person who applies for permits from the
Department of Community Development) must complete the check list
which can be obtained either from the Department of Community
Developmeni er :at AQMD.
2. If all boxes in the list are checked "no", the Building Division can a�;cept the
check list as the release.
3. if there are any "yes" answers in the list, the applicant must contact an
AQMD engineer by calling (714) 396-2000 to find out whether air permits are
required for the proposed construction project.
,4. if air permits are not required, the applicant will obtain a written re!".ase fr )m
AQMD.
5. If air permits are required, the applicant must submit the necessary permit
applications before the release can be issued.
Because of the time it may take for AQMD to go through the above, procedures, the applicant is
ads 9',ryd to contact AQMD immediately after applying for building permits.
(t3eoo)
ADDIVONAL SUPPLIMENTAL INFORMATION
SOUTH COAST AIR,QUALITY MANAGEMENT D@ T RI
Nonresidential Buildings Only)
Location of sGoJect Property------7
1
Property Owner dame:..__.�.- ' __f/� f' � Ph�� ne #.
Mama of the person preparing this form in print and signature:
Name- .v t l_ V .tip, ignature:
L
,, , it <. . ;:.,
? r preparing this fcr nnust be tV�esame personapplying for building p�rp+*s ,Pl6ase-ansWor the
The. persa
folloV��ng qustis�ns regrd�rtg your opposed Qccipancyofthe subject budding IY0i! t�L3 irJ3 rG�tQVU `
THE-AN1S 4P_W O � dU'EST1O �;WARK-t9� flit �`'YFS"'dOLi3i�I�4: ;.
AQMD PERMITTING CHECKLIST
Yes NO
1. Does your faciliti,% use ari" infbiiYa(combubtiort ng�nes rgre #er than fil P
2.. Does your facility involve mixing, blending, or processing any solvents,
adhesives, paints or, coatings
3. Doer y6ur facility `creat& any dfusW6r 846ke'13:
4. Does your facility refine any liquids or solids or reclaim any metals
5. Does your fadhrt}r'plaor .coai aq
_.nyrthing ,i
+ii8 ., e,.t?,3;i.h. .1•'• y" �+. a, s ';,x.
6. Does your facility have any combustion equipment(i
broiler, taking ovens, etc.) rating greater than 2,000.000 BTtJlH?1171
— :r
r 7. Does your faciiiitylha4a=a'stsSrerilvrits or`sotor fuel? 5 . µal — b
8. Do you use or store any acids? -
ti u'
9 Do you use any chemical piodess"ir ` ` � - .... -t-�- --�
M '. w c'o' a ti _
10. Do you use any solvents for clean-up?
11. Are you a dry cleaner, re,sop.,,.
station, printer, or part coater?
12. Is the subject building located within one thousand (1,000) feet of any
school? PROPERTY LINE TO Pt;QPERTY'LINE. GRADES K-12.
If you have marked "NO" in all columns,you do riot 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
Diamond'Sar, CA 91765-4182
Please call. Plan Check (9 9) 396-2000
t
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