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Home My WebLink About15121 Graham St - CofO (18);, .....a_.«.. ,. ... �. «. .. ,,.,y .., .... .. ,. ... ... ....., ,. .q .... .. .. ... ,.... .- t CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH 112 1/ P i Date Address I t-, 9 :> 7 (. `; G V G i:; District r Business Name i.Y t fa; f H3T CC i";% Tel, 00 f?66--P71,r Business Type ;,ARhh0U'-7z;E ti T UFF'P:L ICY: Occ.,Group R-2 BUILDING OWNER BUSINESS OWNER/MANAGER G E ':d PKGPEETAIL Name ALIC1, �ti �NA'LD VC CALLI!A' i { Name h Home Address t i 4i Chi t"i'I' p Rt! ,)I Addresst!'t,"'LL N,-API }:T ;Al; T)R`Pf+ P01 `^,Kq 4 .: City LOP iGH.r.e Te1. ' .Home 1nI Tr. F?!R I.P, Tel. I E: .City Construction No. of Stories Occupant Load Sprinklers _ CONDITIONS OF APPROVAL l fl f. DEPARTMENT OF COMMUNITY DEVELOPMENT t This Certificate of Occupancy 1 SHALL BE posted in a conspicuous place on the removed premises and shall not be except by the by t Building Official. l; { s COMMUNITY DEVELOPMENT ¢/me RUNnNGrON BEACH APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT (PRINT OR TYPE ONLY) O : —ATE Address 5 %� 6/��/�� District -- Business NameTel 909- X016 —275 5� Business Type IIV12X-0lfOute Occ. Group BUILDING OWNER BUSINESS OWNEMMANAGER Name-5 IN /S'U,nC'Ri/Gf NamepLlC-if s Doi✓LV /`?"�i3tcu14 /13JC Home Address Address 13vx d G833 /9J' /yi3ocQCPa� PIC "a�p3G9 o �^ t � ! i sew Cit � s /✓GE`ce d� Y •T � _ZTeI M_�5`0 City 131 2 �13IC 9�315 Home —el. i THIS USE WOULD BE DESCRIBED ,^-,S: f ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER ® CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any .--Occupancy Gr. Div. p SQUARE FT. OF BUILDING TO BE OCCUPIED (FOR OFFICE USE ONLY) j SUPPLEMENTAL INFORMATION] ZONING , OCCUPANCY GROUP PLAN CHEEK NO. _ NO. PARKING SPACES — OCCUPANT LOAD PERMIT NO _ HEALTH DEPT APPROVAL._ ) NO. OF S ORIES ADMIN. ACTION --UTILITIES RELEASED q l _ ( CERTIFICATE OF OCCUPANCY FEE APPRO D BY DATE CHANGE OF USE OR OCCUPANCY FEE g I' TOTAL $— I 75-039 Rev. 11/80 COMMUNITY DEVELOPMENT '" SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 1:90• 130)c 6Y33 13I6 IY-019�n 1-1/K-e 2. Person to contact in case of emergency- VOIWtLr>M- Telephone number: 3. Does the building in question have electricity? Yes ® No (a) If No, are you requesting that the electricity be Yes turned on? ❑ No 4. The building is sprinklered? YE, ❑ No E 5. Operations will produce dust/wood shavings or similar r I' material? ❑ Yes No 6. Operations will involve the repair or replacement of ❑ Yes !' automobile parts? No If Yes: (a) Describe the components repaired or replaced. r (b) Does the operation involve the use of an open flame? ❑ Yes No fi - 7. The business is drinking, dining or assembly use that will r' result in an occupant load of more than 50 persons. ❑ Yes No S. The following best describes my operation; Office Only - ta+l--S les. Warehouse l Manufacturing / Distribution (describe process and end product) is t, ;- Restaurant/Take Out Food Medical / Dental 1 Other (describe) i° f SUPPI_lMENTRL INFORMATION„ SUPPLEMENTAL INFORMATIOti (Continued) D<jes the operation involve any of the following materials? 171 Yes No if Yes, indicate quantities, Material Quantity 1. Flammable !iquids Class I -A Class I-B ► Class I-C 2. Combustible liquids Class 11 Class Ill -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. OxIJzing material - gases 12. Oxidizing material -liquids material - solids 13. Oxidizing m T4; Organic peroxides is, Nitromethane (unstable materials) 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. oh, 3. Date Sig, slur I 52 SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property: Ia/ e5;W111j11 -( &• r- Property Owner name: _ la/ ,, UP-eg-rl-c Phone # /v J'k'-2G`v Name of the Person Preparing this form in print and signature Name:_ rAZLcfn, Signature: E The person preparing this form must be the same person applying for building permits. Please answer the following questions regarding your proposed occupancy -of the subject building. IF YOU DO NOT KNOW r THE ANSWER TO A QUESTION MARK IN THE "YES" COLUMN:.` `FF AQMD PERMITTING CHECKLIST YES NO 1-. 1. Does your facility use any internal combustion engines greater than 50-HP? 2. Does your facility involve mixing, blending, or f" processing any solvents, adhesives, paints _ or coatings? 3. Does your facility create any dusts or :smoke? —� 4. Does your facility refine any liquids or solids or reclaim any metals? �• 5. Does your facility plate or coat anything? X i 6. Does your facility have any combustion equipment i.e. boiler, furnaces, broiler, baking ovens, _ $, etc.) rated greater than 2,000,000 BTUlHR? ' 7. Does your facility handle or store solvents or f motor fuel? 1T 8. Do you use or store any acids? 9. Do you use any chemical process? X 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant with a F cha*.broiler, body shop, gasoline station, printer, or part coater? — j 12. Is the subject building located within one .F thousand (1,000) feet of any school?_ ` PROPERTY LINE TO PROPERTY LINE. GRADES K-12. If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked any questions in ' i" the "YES" Column you must contact the south Coast Air Quality' Management District located at: 21865 E. Copley Drive Diamond Bar, CA 91765-4182 ' Please call: Plan Check (714) 396-2000 I (1360D-2) I" f t I J� Cit of Huntington Beach 2001 0 MAIN STREET CALIFORNIA 92E48 • t, DEPARTMENT OF COMMUNITY DEVELOPMENT Building SW5241 Planning 536-5271 . Housing 536-5271 i= M' Government Code Section 65850.2(b) requires the City of Huntington Beach Building Division not to issue the final certificate of occupancy unless the applicant has met or is meeting the k requirements of the South Coast Air Quality Management District (AQVID)• The Building Division must obtain a written release from AQMD to show the applicant has complied with this law. The check list on the reverse side is designed to help the applicant and the f building division to meet these requirements. 1. The applicant (the r,- person who anal ga far n��mits from the Building Division) must complete the check '1i.:t which can be obtained either at the Building Division or at AQMG.-, 2. Lf all boxes in the list are checked "no", the Building Division can accept the check list as the release. es" answers in the list, the applicant ; 3. if there are any y 714) 396-S000 to must contact an AQMD engineer by calling find out whether air permits are required for the proposed construction project. I 4. If air permits are not required, the applicant will obtain j a written release from AQMD. 5. If air permits are required, the applicant must submit the necessary permit applications before the release can be } issued. 4; a Because of the time it may take '-or AQMD to go through the above procedures, the applicant is advised to contact AQMD immediately I after applying for Building permits. �k (1360D)