HomeMy WebLinkAbout15087 GOLDEN WEST - CofO (2)_--------- --- _»----------------------------------------------------------- —5
CERTIFICATE OF OCCUPANCY 5/ D 9/ 9 6
CITY OF HUNTINGTON BEACH
� Date p
Address 15087 GOLDENTIEST District [
CASTLE FOR BRID`3S 891-St64
Business Name
RETARETAILTel. hI
Business Type Occ. Group
BUILDING OWNER BUSINESS OWNER/MANAGER
BUSINESS PRUeEcZT—jE-S-- LINB
Name
a
Name _
i7b31 FITCIi Home 16131 SANTA BARBARk p
Address Address — 1`
lRl'INE zi74r$yU0 HB Home 846-2464 t:
City TeL City TeL
157 t
Construction No. of Stories Occupant Load Sprinklers
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CONDITIONS OF APPROVAL i
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k
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DEPARTMENT OF COMMUNITY DEVELOPMENT
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This Certificate of occupancy
SHALL BE posted in a conspicuous place on the }
premises and shall not be removed except by the by
Building Official. i
COMMUNITY DEVELOPMENT
-- ----------- ..--------_----- ------ ---------
F
aytoirW
APPLICATION FOR CERTIFICATE OF OCCUP , J /�
CITY OF HUNTINGTON BEACH ( LI
DEPARTMENT OF COMMUNITY DEVELOP ENT
HUraVCFON KAdl (PRINT OR TYPE ONLY) DATE
Address • ► - — • --
- UISlfIcr.-
Business Name !
Tel�-41
Business Type
Occ. Group
f BUILDING OWNER •
BUSINESS OWNERIMANAGER
NameAww Name'
►, - _
Address HomeAddress
City Tel.
Home Tel?;
THIS USE WOULD BE DESCRIBED AS:
JCHANGE
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE Or OWNER
OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE
Indicate former use, if any Occupancy Gr
SQUARE FT. OF BUILDING TO BE OCCUPIE
❑ ADDITIONAL OCCUPANT
Div.
NOTICE: 1. Occupancy of any building is prohibited and abusi less 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
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
premises in order to determine if a change may be made in the character of occupancy or use of the building
AeA*1, 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 fee of shall
be paid to the city.
Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
inches in heigh'. With one half (112) 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).
TRAFFIC IMPACT FEE
DATE PAID
AMOUNT RECEIVED _
NAME —
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATiO
ZONING
OCCUPANCY GROUP
PLAN CHECK NO.
NO PARKING SPACES
OCCUPANT LOAD
PERMIT NO
HEALTH DEPT APPROVAL
NO. OF ST
S
ADMIN. ACTION
UTILITIES RELEASED
10-11-
- k1%
4�L*.
< qfq(, CERTIFICATE OF OCCUPANCY FEE
$
APPROVED
ED BY
DATE CHANGE OF USE OR OCCUPANCY FEE
$
TOTAL
$
75-01..9 Rev. 11/90
COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS
t
2. Person to contact in case of emergency. a
Telephone number:
3. Does the building in question have electricity? Zyes ;
O No
(a) If No, are you requesting that the electricity be ❑ Yes
13
turned on? No
OF/4. The building is sprinklered?es
No
5. Operations will produce dust / wood shavings or similar s
es
material?
Vo
6. Operations will
involve the repair or replacement of ❑es
automobile parts? NO
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? es x
ILKNo
7. The business is drinking, dining or assembly use that will
in an occupant load of more than 50 persons. �es-
result i
No
8. The following best describes my operation;
O I 1
Retail Sales
arehouse
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
SUPPLEMENTAL INFORMATION
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials?
❑s
6 No
If
Yes, indicate quantities;
Material Quantity
1.
Flammable liquids
Class I -A
Class I-S
Class I-C
2.
Combustible liquids
Class If
Class Ili -A
3.
Combination flammable liquids
4.
Flammable gases
5.
Liquefied flammable gases
6.
Flammable fibers - loose
7.
Flammable fibers - baled
$.
Flammable solids
9.
Unstable materials
10.
Corrosive liquids
11.
Oxidizing material - gases _
12.
Oxidizing material - liquids
13.
Oxidizing material - solids
14.
Organic peroxides
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
19.
Smokeless powder
20.
Black sporting powder
I hereby certify that the above information is true and
correct to
the best of my knowledge.
Signature
Date
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: --
Property Owner Name:_.__._____ — _ ____—___ Phone #: _
Name of the erson preparing this form in print and signature:
Name: _ _.. Signature——
The person preparing this form must be the same person applying for building permits. Please answer the a
following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW
THE ANSWER TO A QUESTION, MARK IN THE "YES" COLUMN:
AG1MD PERMITTING CHECKLIST
YES NO
1. Does your facility use any internal combustion engines greater than 50HP?
2. Does your facility involve mixing, blending, or processing any solvents,
adhesives, paints or coatings? E
3. Does your facility create anq dusts or smoke? _
4. Does your facility refine any liquids or solids or reclaim any metals?
5. Does your facility plate or coact anything? _
6. Does your facility have any combustion equipment (i.e. boiler, furnaces,
broiler, baking ovens, etc.) rating greater than 2,000,000 BTU/HR?
7. Does your facftity handle or store solvents or motor fuel?
i
8. Do you use or store any acids?
i
9. Do you use any chemical process?
10. Do you use any solvents for clean-up?
11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline
station, printer, br part coater?
12. Is the subject building located within one thousand (1,000) feEc at any
school? PROP Y LINE TO PROPERTY LINE. GRADES K-12.
If you have mark "NO'' " all column, you do not need an Air Quality permit at this time. If you have marked
any questions in the S" column your must contact the South Coast Air Quality Management District located at:
21865 E. Copley Drive
Diamond Bar, CA 91765-4182
Please call: Plan Check (909) 396-2Q90