HomeMy WebLinkAbout15069 GOLDEN WEST - CofO (2)i
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` CERTIFICATE OF OCCUPANCY ;%0219 4 r
C11Y Or HUNTINGTON BEACH Date
I District
Address 15C64 GGLllEIvk?EST i
Tei. 141 2_10Es
PROGRESS MARKETING
Busine:,s Name
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.ALES FORCE — GENERAL OFFICE
Occ. Group
Business Type
BUILDING OWNED BUSINESS OVKNER/MANAGER
BUSINESS PRGPI'RTIES Name F:I:LADELFG LRITQ
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Name Home
AddressiT6 rITCH Address 1 F'ATC�H P1r
Home
t 1rtIF:°ih'.%idS;�� Tel.
City IRVI14E A CA Tel. 714—tii4—€: 3GQ City
Construction No. of Stories Occupant Load
29 Sprinklers
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CONDITIONS OF APPROVAL t
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DEPARTMENT OF COMMUNITY DEVELOPMENT
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This Certificate & Occupancy A
SHALL BE Posted in a conspicuous place on the 1
premises and shall not be remou id except by the by
Building Official.
COMMUNITY DEVELOPMENT'
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,3{� cry
./i ie APPLICATION FOR CERTIFICATE OF OCCUPANCY
0 C:TY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT f F
HUNTMdGTON KAcd DAI c
(PRINT OR TYPE ONLY)
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Address ISDr=�q `-�� iY� 31 WQS L (,.. �Iv L 12 h ►1C ,� �f District_
r Business Name _ �-jj �(o ►� � 0 A� ,t/ C� _ Tel 7�C( d q'� ✓ /
Business Type S c21�', E6I� GePter� tofi �)'C�S�• Occ. Group a
BUILDING OWNER BUSINESS OWNERIMANAGER
i Name `S cSS O �./i' s� Name`a:
G %� Home
2
Address��� Address
City/ el (T �6Cit2�!lLf
THIS USE WOULD BE DESCRIBED AS:
❑ fJ LY CONSTRUCTED BLDG ❑ CHANGE OF OWNER ��-- CHANGE OF OCCUPANT
NG BUILDING ❑ CHANGE OF USE I..J ADDITIONAL OCCUPANT
Indicate former use, if any Occuoancy Gr. --Div.
SQUARE FT. Of: BUILDING TO BE OCCUPIED
I TICE: 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 service will be released for any existing building until the service has been inspected and :a
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.
Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
f ` premises In order to determine if a change may be made in the character of occupancy or use of the building i
o, premises which would place the building in a different division of the same group of occupancy or in a
different group ^f occupancy, a change Of occupancy inspection fee of Q _ 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.
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).
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(FOR OFFICE USE ONLY) �/'`
SUPPLEMENTAL INFORMATION ZONING/ ' �-
OCCUPANCY GROUP PLAN CHECK NO NO PARKING SPACES
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OCCUPANT LOAD PERMIT NO HEALTH DEPT APPROVAL
NO, OF STO IES ADMIN..ACTION— _ UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE
'7rPR6VED DATE CHANGE OF USE OR OCCUPANCY FEE S
TOTAL
75-039 Rev. 11/90 COMMUNITY DEVELOPMENT
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SUPPLEMENTAL INFORMATION
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1.
BUSINESS ADDRESS
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2.
Person to contact in case of emergenc �6�GCXG�
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Telephone number:
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3.
Does the building in question have electricity?
Yes
No
(a) If No, are you requesting that the electricity be
❑ Yes
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turned on?
❑ No
4.
The building is sprinklered?
❑ Yes
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�No
Operations will produce dust/wood shavings or similar
material?
❑ Yo
b
6.
Operations wii, involve the repair or replacement of
automobile parts?No
Yes
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If Yes:
(a) Describe, the components repaired or replaced.
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(b) Does the operation involve the use of an open
flame? ❑ Yes
��No
7.
The business is drinking, dining or assembly use that
will
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result in an occupant load of more than 50 persons.
Yes
o
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8.
The following best describes my operation;
Office On_I_yL--.,
Retail Sales
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Manufacturing / Distribution (describe process and end product)
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Restaurant / Take O4: Food
Medical / Dental
d
Other (describe)
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SUPPLIMENTAL INFORMATION
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SUPPLEMENTAL -INFORMATION (Continued
Does the operation involve any of the follow;r;g
materials? Ye��
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If
Yes, ind cate quantities:
Material Quanity
1.
Flammable liquids
Class I -A
C
Class I-B
Class I-G
2.
Combustible liquids
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Class 11
Class Ill -A
10
3.
Combination flammable liquids
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4.
Flammable gases
5.
Llquefied flammable gases
6.
Flammable fibers - loose
7.
Flammable fibers - baled
S.
Flammable solids
—_—
9.
Unstable materials
10.
Corrosive liquids
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11,
Oxidizing material - gases
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12.
Gxidizing material - liquids
13.
Oxidizing .material - solids
14.
Organic peroxides
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15.
Nitromethane (unstable materials)
16.
Ammonium nitrate
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
18.
Highly toxic material and
poisonous gas
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19.
Smokeless_ powder
20.
Black sporting powder
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i hereby certify that the above ;nformation
is true and correct to
fthe
bet of my knowledge.
N
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Si nature
Date
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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 Community Development must
I obtain a written release from AQMD to show the applicant has complied with this law. The check
j list on the reverse side is designed to help the applicant and the building division to meet these
requirements.
'r 1. The applicant (the same person who applies for permits from the
Department of Community Development) must coriplete the check list
which car t-s obtained either from the Department of Community
Development or at AQMD. I
2. If all boxes in the list are checked "no", the Building Division can accept the
check list as the release.
1 3. If there are any "yes" answers in the list, the applicant must contact an
1 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 release from
1, AQMD. i
5. If air permits are required, the applicant must submit the necessary permit
applications before the release can be issued. )`
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Because of the time it may take for AQMD to go through the above procedures, the applicant is
(' advised to contact AQMD immediately after applying for building permits.
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(1360D) '?C.
ADDITIONAL SUPPLIMENTAL INFORMATION
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so Ul—lik' CXDIIIRST furl r-An"'.
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s»�#vc,t=t��"r �:T �sls>..3�"�°`' � C�,:�`Cr2,+: _(�J �_1 _- __4�'-�c �e_LL [_`�C,%.i! �_ �'___ __ __-
err; erty Owner 7i
Warrtw of fhe person prop a,inpfinis form in print and F:ignafure:
Name:— -e:
'J� �t Signatur
The person preparing thiG foral must be the same person appiying tar building parmits. Please answer the
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following questions regarding your proposed occapanc, of the subject bU1ditio. IF YOU DO NOT KNOW
THE ANSWER TO A QUESTION, MAIN THE "" COLUMN:
ARKQMD PYESEnNITTR40 CIMIECKLIS7
YES NO
facility than 50HP?
1.
Does your use any internal combustion engines greater
2.
Does your facility involve mixing, bli-lding, 0� Proosssing any solvents,
adhesives, paints or coatings?
3.
Does your facility create rqviusts or smoke?
4.
Does your facility refine any quids or solids or reclaim any metals?
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5.
Does your facility plate or coat anything?
6.
Does your facility have any 3ombustion equipment (i.e. boiler, furnaces,
broiler. baking ovens, eW.) rating greater tharn 2.000.000 BTU/Hr-.?
7.
Does your facility handle or store solvents or motor fuel?
S.
Do you use or store any acids?
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lac you use any chemical process?
10
Do y)u use any solvents for clean -Up?
11.
Are you a Jry cleaner, restaurant with a charbroiler, body shop, -gasoline
=tior, printer, or Dart costar?
12.
Is the subiect bullding located within one thousand (1,(,100) feet (if any
school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
ou Inave marked '110" in all columns. you do nct need it P,,4r Gt;afit1,f &I thi.,
'me1,,ou .._. nar!:d
Or!; questions in V* colur-nn you must contactihe Snur�m Coast Air Qwlplitij �,Aanai-.�,memt
218615 E. Copley Drive.
Diarnonri Bar. CA 9�1 705.41E2
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Please call: Pinn Checi. (909) 3i�,6-20CC0