HomeMy WebLinkAbout15071 GOLDEN WEST - CofO (7)4
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�� CERTIFICATE OF GCCUNAMCY
CITY OF HUNTINGTON.BEACH o_1_89
cooDEPARTMENT OF COMMUNITY DEVELOPMENT Bate
tKREACH
Address 15071 GaldenE, est '
Oistrict Business Name Century 21 Inland Pacific 893-5570
Tel
Business Type_ heal Estate Sales
Occ: Group
BUILCING OWNER BUSINESS OWNERIMANAGEF
Name Business Properties
Name Wi 11 i am r,^r-y Fcuarrl
Address_ Home ,
Address241 nayShare
City Tel.-- cil 212--438-�1429
y T B�Ss� r —�_. Home TeL
Construction —__No. of Sto,je Occupant Load Sprinklered
This Certificate of Occupancy DEPARTMENT OF COMMUNITY DEVELOPMENT
SHALL BE posted in a conspicuous mace or,
he premises and -hall not be removed ex
cept ay the Building Official. by
. a . i(7MMt IN1 Y L? OPNIENT
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APPLiCATION FOR, CERTIFICATE OF OCCUPANCY'
CITY OF HUNTING'TON BEACH (j
HUNRN, ONWACH
DEPARTMENT OF COMMUNITYDEVELOPMENT Z% d
(PRINT OR TYPE ONLY) ATE
Address v r✓ 50-71
� �7� j Ltg_ 1A)L4 Vn Disttr/rictt, //
Business Name `� L>' i,� TA144��� —8--<-70
Business Type L---
----_ Occ. Group
B'UIBM+R lY
,LDING1EglL- BUSINESS OWNER/MANAGER
i �lr�W r r h r t
dame hr ^- &z S1 Name
Address -rK-C;, Home
�-- 4
Address �� Q
City Tel. ✓!
City Home Tel,
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER k
CHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicateformer: use, it any Ge,
_Occupancy Gr. Djv.
SOUARE FT OF BUILDING TO BE OCCUPIED CD
NOTICE:
I. 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 foi any existing building Until the service has been inspected and
certified safe. All appli3ants for Occupancy in an existing building are required to schedule an electrical
'fuse up' inspection in the Department of Community Devefooment 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 ifa change may be made in the character of occupancy or use o`thebuilding
w or premises which would place the building in a different division of the same group Of Occupancy or in
` different group Of Occupancy, a. change of occupancy inspection fee of $ J
be paid to the city, shalt I
S 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must i e a minimum of four(4)
inches in height with one half (f/z) inch stroke, and of a contrasting color front the background. These
na.-bers 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 -3Oiection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side),
SUPPLEMENTAL INFORMATION (FOES OFFICE USE ONLY)
ZONING C Z B—i.ey -,9
CCCUPANCY GROUP PLAN CHECK NO.
OCCUPANT LOAD _ _�C NO PAR SR„
NO, OF STO IE -ERMIT NO H 1-i DEP,'. APPRO`/AL_
ADMIN ACTION UTILITIES RELEASED
CERTIFICITE OF OCCUPANCY EE S f
APP OVE Y DATE CHANGE OF USE OR OCCUPA CY FEE
TOTAL g i)
75-039 Rev 6188.. COMMUNITY DEVELP.
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BUILCIr'G '1'E[2MIT/CEFcTT XC, O OCCUPANCY
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SUPPLEMENT _
I SOUTH 'COAST AIR QUALITY MANAGEMENT DISTRICT
PERMITTING
CHECKLIST
COMMERCIAL BUILDINGS ONLY
1 DOES YOUR FACILITY USE ANY INTERNAL COMBUSTION N
ENGINES GREATER THAN
1
50 HP?
2. DOES YOUR FACILITX
PROCESSING TINVOLVE MIXING, BLENDINGOR
ANY
SOLO ENTS, ADHESIVES, PAINTS, OR
COATINGS? ,
��
' 3 ES YOUR FACILITY CRF_ATE !'
ANY DUSTS OR SMOKE? H
4. DOES YOUR FAT' G
2LITY REFINE py Ny LIQUIDS OR
SOLIDS? REcL,7,IX ANY-ETALS?
�.
5 • DOES YOUR FACILITY PLATE OR. COAT ANYTHING?
tji.
6 • DOES' YOUR FACILITY HAVE ,ANY COMBUSTION
EQUIPMENT (_-E-, BOILERS,
FURNACES, BROILERS,
BAKING OVENS, ETC)
.
a
7 • DOES YOUR FACILITY HANDLE OR
MOTOR FUELS? STORE SOL�rENTB OR
8. Do YOU USE OR STORE
�S 0 ANY ACIDS?
N 9• DO YOU USE ANY CHEMICAL PROCESSES?
10. D0};1YOU USE ANY SOLVENTS FOR CLEAN up? I
N
11 • ARE YOU A DRY CLEANER,, 'V
GASOLINE
STAT20N, PRINTER, SHOP,
�C) R rc
. PA COATER?
IF YOU DO NOT KNOW THE AITSPER TO • A , • " COLUMN. QUESTION. MARK
IN; THE "Y"
IF YOU HAVE MARKED ANY QUEST20NS . TN "" "" CONTACT THE SOUTH ; coAS, AIR THE , Y COLUMN YOL7 MUST
AT 9150 FLAIR DRIVE ,QUALXTY MANAGEMENT DISTRICT LOC;
r EL T*fON:,.E
INFO CA•' 91.731. PLEASE CAx,x; PURL
INFORMATION AT (S13) 572-6283
6347. OR CUSTOMS SERVICE
AT (81.8)
JOB ADDRESS
t
DATE:------------
SIGlaATURE: __
SUPPLEMENTAL INFOiRMATION x;
1. BUSINESS ADDRESS
2. Person to contact in case of emergency: AlZ
Telephone number:
3. Does the building in question have electricity? 'byes
O'No
a. If No, are you requesting that the electricity be OYes
tu.rned on? ❑No
4. The building is sprinklered? ❑Yes
O No
5 Operations will produce dust/wood shavings yr similar___-_
-- mat eria17- _` jOYOYes
F
6. operations will involve the repair or replacement of OYes
automobile parts?Sal
Io
If yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an opt flame? OYes
il1No r
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.Dyes
0
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8. The foll:ow1mg best describes my operation:
Retail Sales
warehouse
Manufacturing/Distribution (describe process. and end 1
product)
r Restaurant/Take ut Foo }
medical/Dental
Other (describe)
(0562D) (12/8/86)
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j SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the
following materials? DYes
MNo
If Yes, indicate quantities:
Material
Quantity
1. Flammable liquids
Class I -A
Class I-B
i
Class I-C
2. Combustible liquids`A
is
Class II
- Class--lil-A
3. Combination flammable liquids
4.'Flammable gases
5. Liquefied flammable 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
'A 13. Oxidizing material - solids
14. Organic peroxides
S
15. Nitromethane (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
18. Highly toxic material and
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Poisonous gas
19. Sm Aeless powder
a
20. Black sporting powdex
6
I hereby certify that he above information is true and correct to the
best of my knowledge.
Si —re
2-�
C14, d'tu
at
(0562D)
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(12/8/86)
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