HomeMy WebLinkAbout15121 Graham St - CofO (14)E
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH 7/25/911
Dates
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Address 15121 CRI Lir, i f 102 District
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Business Name DELAI, N = iC%! Tel. 375-77(7
TOY I E� ELCPP ENT i —2
Business Type � Occ. Group
BUILDING OWNER BUSINESS OWNER/MANAGER
Name
CEO; PARTi-iERS Name h:TCPAFL & SUSAN EARNESIT
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Address 15121 GRAHAM Address 178ft1 U 14TANA f
City. HB, CA Tel. City HB, G,r Tel. 714—E48,-9973 i
Construction No. of Stories Occupant Load / Sprinklers
CONDITIONS OF APPROVAL
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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.
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COMMUNITY DEVELOPMENT i
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tjAP APPLICATION FOR CERTIFICATE OF OCCUPANCY 1 d(yy
CITY OF HUNTINGTON BEACH
a AL DEPARTMENT OF COMMUNITY DEVELOPMENT T
HUN1IN CON BEAM(PRiNT OR TYPE ONLY) DATE
AS 1 j�� „"'' % TiV� A�lT `®� District
Address - —
Business Name ��F�71��� TPI O,`f7577�1
Business Type 1�t�'s�1� Occ. Group
l6k)'� ILDING OV �ER 4r�eBUSINESS OWIN%ERIMANAGE-/rR
NamName Hdodme:T�Z4 d .
Address -r
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City ��j^y`J-'" G/--� 7e1 City % /— Home T d 9
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER T CHANGE OF OCCUPANT r
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr. Div
SOUARE FT. OF BUILDING TO BE OCCUPIED 426 79
NOTICE: 1. Occupancy of any building is prohibit^d 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 relea �d for any existing building until the service has been inspected and
certified safe. All applicants for oi...Ipancy in an existing building are required to schedule an electrical
`fuse up' inspection in the Departm, nt of Community Development at the time this application is filed.
3. Change of occupancy or use inspe0ion fee. Whenever it is necessary to make inspection of a building or
1 u�Y premises in order to determine if a ch, .nge may be made in the charac r of occupancy or use of the building
'Z 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
D e 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 backgroaud. 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) -
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION T_ONINO—4:
OCCUPANCY GROUP �PLAN CHECK NO NO PARKING SPACES °
OCCUPANT LOAD PERMIT NO HEALTH DEPT. APPROVAL t
NO OF STO IES ADMIN ACTION UTILITIES RELEASED;
CERTIFICATE OF OCCUPANCY FEE
APPROVE D E CHANGE OF USE OR OCCUPANC" FEE $—
TOTAL $ j (/
75-039 Rev. 11190
COMMUNITY DEEVELOPMENt
SUPPLEMENIXAL INFORMATION
1. BUSINESS ADDRESS✓' �� �2�kZ �JJ
2. Person to contact in case of emergency -
Telephone number:
3. Does the building in question have electricity? ErYes
❑ No
(a) If No, are you requesting that the electricity be ❑ Yes ,
I turned on? El No
4. The building is sprinklered? EPYes
❑ No
5. Operations will produce dust/wood shavings or similar
material? ❑ Yes
F'No
a
6. Operations will involve the repair or replacement of ❑ Yes
I automobile parts? WNo {
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If Yes:
(a) Describe the components repaired or replaced. l
I � i
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(b) Does the operation involve the use of an open flame? ❑ Yes F
I No
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7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. ❑ Yes
No '
8. The following best describes my operation;
Office Only
i. Retail Sales�
Warehouse
Manufacturing / Distribution (describe process and end product) }
Restaurant/Take Out Food
Medical / Dental a
j Other (describe)
SUPPLIMENTAL INFORMATION
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SUPPLEMENTAL I tiWORMATION (Continued)
Does
the operation involve any of, the fol cwing materials? Yes
lam" q o
If
Yes, indicate quantities:
Material Quantity
1.
_
Flammable liquids
Class I -A
I
Class I-B
Class I-C
{ 2
Combustible liquids
Class II
•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.
Oxidizing material - gases
l 12.
Oxidizing material -liquids
13.
Oxidizing material - solids
14.
Organic peroxides
15.
Nitromethane (unstable materials)
16.
Ammonium nitrate _
17.
Ammonium nitrate compound mixtures T
containing more than 60% nitrate
by weight
18.
Highly toxic material and
poisonous gas
19. Smokeless powder
4
20. Black sporting powder
I her certify that the above information' is true and correct to
the. est f my o ledge.
S u re Delite
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@ a2ti .as1a. , i `taliyu .s rt s f',,; A6 X:�
p+" r ° f the pel'son Alen -inn t41 ,. form in print
71?o person preparing this form, must be the same pe, son rap✓lying for „ iiicaii t,✓. Y<a-r € T- xie answer the
f�llo ring qu:�st,'ons resgarding your proposed occurrinc y q e ;.ab;ecW bus:j*i i. *,F'!OU+ DO I*'OT KNIOW
THE ANSWER TO A OUE TION, MARK IN THE "YES" Ct;?1..1.,iM.Ni'
YES I•3�
1. Dcos your facility use any internal combustion engines greats r than 50HP?
2. Does your facility involve inixincg, blending, or proses°smg nny solvents,
adhesives, paints or coatings?
S. Dues your facility create any dusts or smol,.e?
4. Does your facVity refine any Vquids or solids or recla.niliuriy metai s
5. Does your facility plate or coat anything?
6 Does your facility I!ave .any combust'oil equipment (i.e. boiler, furnaces.
IsriiC r, baking; ovens, atc.) ratiig greater than 2.,000,9'0:" R m till lu"i"
7. fuses your fatshty handle or store solvents or motor fu<*l"
6. Do you use or store any acids?
r4 D. + you u.;., any rhrral�..is a1 prc?cet,s?
10. Do -ou use any so verits foF clec-n-up?
1 Ate wou , dr;., 0:,,aner, restaurant with a charbroiler, body shop, gasoline
sta,ie , printer, or part ooater?
1". Is the subject oui,cfing located c,fthin one thousakid (1,1'03) feet of 'ar-'y' !/
l ROPEFIVV LINE TO Ff= OPERTY'LINE. GPVkUE-7S K-1?.--___.--- ------
l .�wta .,3�.a , , ...e,c "l`�;'i ' n k-�l �olurrins, ycu do not , eec..:i-.G',a'�u4 t t� : � �,,... il•;,.. .;:i�:. � y;.,, :� ��r r t^:rl,r�d
21865 E. C pr;3.q j l rt;dri<
Di-iniond Bar, CA �11. 6 -4182
Please Gu: T Plan Chc-,c , sg -2 t36
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r 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 law. The check
list on the reverse side is designed to help the applicant and the building division to meet these
requirements.
a 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
fDevelopment or at AQMD.
2. If all boxes in the list are checked "no", the Building Division can accept the
check list as the release.
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3. If there are any "yes" answers in the list, the applicant must contact an
AQMD engineer by calling (714) 396-2000 to find out whether air permits are
required for the proposed construction project.
r 4. If air permits are not required, the applicant will obtain a written release from
AQMD.
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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.
(13600)
ADDITIONAL SUPPLIMENTAL INFORMATION
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