HomeMy WebLinkAbout15121 Graham St - CofO (31)CERTIFICATE OF OCCUPANCY
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CITY OF HUNTINGTON
BEACH
Date
Address 15 1 c 1 GRAHLk
District
Business Name .. LIti :I. I L'�If E C" i+LiC1 NT'IGt.;
Tel.
71L_<7g_t iUC
Business Type CCFIER DEALEh
(WHOLESALF)
Occ. Group L-2
1
BUILDING OWNER
BUSINESS OWNER/MANAGER
GbVi P Rjk LhE
RICKAhtD. COKiEZ
Name
Name
3
Address 27720 JEFFERSOt~
Home
Address 20917 WESTERN
AVE _
TENECULA
City 7e1.
SC9-694-59<'.S
TCHi ANCL Home
City Tel.
'S10-328-2600 #
20
Construction No. of Stories
Occupant Load
Sprinklers
CONDITIONS OF APPROVAL
DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy
SHALL BE
premises and shallnotbe removed except except by the by
P place
Building Official,
COMMUNITY DEVELOPMENT I
c
, We APPLICATION FOR CERTIFICATE OF OCCUPANCY
f CITY OF HUNTINGTON BEACH
k DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNTV4GTON e154oi D E
(PRINT OR TYPE ONLY)
I1 ] 1 / �J/� / � 'Io i
Address I a ' go
�� rR�1�1Yh �fce,-f m, /U T7/.7 v7 w 67 / District G
Business Name er, goS." s v� h+n�s N r l ' , B us ocis vtg4 T�, 2141 3 �! &I
}}/ cN
Business Type er e tr ho 2S4 { Occ. Group `.z
//++ BUILDING OWNER BUSINESS OWNERIMANAGER
NametT DAr�PrNt L6t`OU �,-11 60h RCavi-' Name 91tilli,
Addresss
Address
$tCity Telq 01,1ty 9 r1a-A1�1-�C/ 7V#��51 �01 AyC Home TeJrIR
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THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
s
Indicate former use, if any Occupancy Gr.—Div.
SOUA3E FT. OF BUILDING TO BE OCCUPIED—S-ZLT
NO7CE: 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
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
�1 different group of occupancy, a change of occupancy inspection fee of $ shall
be paid to the city.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum f four (4)
,.i� inches in height with one half (Yz) inch stroke, and of a contrasting color from the background. These
I r'�f 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).
_W"WilU Tit—
. 9
(FOR OFFICE USE ONLY)
IYt -A
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SUPPLEMENTAL INFORMATION f�
ZONING
OCCUPANCY GROUP j�
PLAN CHECK NO.
NO. PARKING SPACES
f
OCCUPANT LOAD
PERMIT NO.
HEALTH DEPT APPROVAL
NO. OF STORIES
ADMIN, ACTION
UTILITIES RELEASED
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&Iar-
CERTIFICATE OF OCCUPANCY FEE
$
ArprMED DATE
CHANGE OF USE OR OCCUPANCY FEE
S
TOTAL
$
P
75.039 Rev. t tls0
COMMUNITY DEVELOPMENT
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SUPPLEMENTAL INFORMATION
`�lal (TrALhI Sfi-«t L9 Cf
UI7C?
1. BUSINESS ADDRESS
2. Person to contact in case of emergency -
Telephone number: '11�F3o0
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?
L,Yes
❑ No
5. Operations will produce dust/wood shavings or similar
material?
❑ Yes
1B,No
6. Operations will involve the repair or replacement of
❑ Yes
automobile parts?
RNo
k
If Yes:
e
(a) Describe the components repaired or replaced.
l (b) Does the operation involve the use of an open flame? ❑ Yes 1
V No
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. ❑ Yes
r f� No
!i
f, 8. The following best describes my operation;
CC Tice Onl
Retail Sales ,
Warehouse
Manufacturing / Distribution (describe process and end product)
l Restaurant/Take Out Food
Medical / Dental
Other (describe)
r
r
SUPPLIMENTAL INFORMATION
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SUPPLEMENTAL
IN ORIVIA IOe (Continued)
Does the operation involve any of the
following . materials? Yes
1 No
If
Yes, indicate quantities:
Material
Quantity
1.
Flammable liquids
r
Class I -A
Class I-B
Class I-C
2.
Combustible liquids
Class 11
Class 111-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
l
12.
Oxidizing material - liquids
t
13<
Oxidizing material - solids
}
14.
Organic pe oxides
15.
Nitromethane (unstable materials)
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16.
�Ar;:monium nitrate
;I
17.
Ammoniu.-n nitrate compound mixtures
containing more than 60% nitrate
by w::ight
18.
Hiphly toxic material and
poisonous gas
`
19.
Smokeless powder
20.
Black sporting powder
I hereby certify that the above ►
i
rmation is true and correct to
the best of my knowledge.
Signature
Date
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property:_ 10/�'��/�''�?�'±__�fr*-�1
� q
Property Owner Name:__& W P-Mr-)Prf'S _ Phone 4:_I
Name of the person preparing this form in print and signature:
Signa,ure:
IName:A,C—C- 7�
I
The person preparing this form must be the same person applying for bull ing permits. Please
answer the
following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW
i THE ANSWER TO A QUESTION, MARK IN THE "YES" COLUMN:
AQM D 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,
1 adhesives, paints or coatings? _
-,_
r3. Does your facility create an; dusts or smoke?
4. Does your facility refine any liquids or solids or reclaim any metals?
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5. Does your facility plate or coat anything?
Ell"
6. Does your facility have any combustion equipment (i.e. boiler, furnaces,
e
broiler, baking ovens, etc.) rating greater than 2,000,000 BTU/HR?
i
I 7. Does your facnity handle or store solvents or motor fuel?
t 8. Da an you use or store
Y y acids? _._._
_f.IZ
9. Do you use any chemical process?
IzI
10. Do you use any solvents for clean-up?
11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline
station, printer, or part coater? —
-lam
12. Is the subject building located within one thousand (1,000) feet of any
scroo(? 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 the "YES" column you must contact the South Coast Air Quality Management District located at:
21865 E. Copley Drive
Diamond Bar, CA 91765-4182
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Please call: Plan Check (909) 396-2000
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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
obtain a written release from AQMD to show the applicant has complied with this Jaw. The check
1► list on the reverse side is designed to help the applicant and the building division to meet 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
Development or at AQMD.
2. If all boxes in the list are checked "no", the Building Division can accept the
check list as the release.
If there are any "yes" answers in the list, the applicant must contact an
Ac:��p engineer by calling (714) 596-2000 to find out whether air permits are
required for the proposed construction project.
t 4. If air permits are not required, the applicant will obtain 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.
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.
ADDITIONAL SUPPLiMENTAL INFORMATION
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