HomeMy WebLinkAbout15121 Graham St - CofO (28)f
CEMIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
trnuo t
Date
Address 7 3121 GRAE;Ah; 11105 District Business Name itJFOTRE: FiET4dCRK SYSTEMS, INC. 714- 893— 669
Tel.
Business Type COMPUTER (SYSTEM INTEGRATION) E-.2
Occ. Group
BUILDING OWNER BUSINESS OWNER/MANAGER j
GBW PRGPERTIPu CRIS CRUZ
Name Name
Address _ Home 122 S. VAN MESS AVE ).
Address {
City TeL City LCS ANCELES Home 213-469-4089 +i
Construction No. of Stories Occupant Load 7 Sprinklers 4
CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY DEVELOPMENT I
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premise: ,nd shall not be removed cxcept by the by r _
Buildi„g Official. r
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COMMUNITY DEVELOPMENT "
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/a+ APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH liq2
" DEPARTMENT OF COMMUNITY DEVELOPMENT DATE
HUNrI1`1670N HEAD' tPRINT OR TYPE ONLY)
D,Mn
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4dress C Tel / A —3 l ?
t usiness Name l!� l7 t~EX E� bF1
Occ Croup
I061iness Type
BUSINESS OWNERIMANAGER
BUILDING OWNER
//�� �-�%t1�% yN�ame
zfila%me — Add yome
1rl�l �+ I.—S A!� JI
Ad ss Te1 rtY �'�iry'Fi s (ap - ty_----HIS USE WOULD BE DESCRIBED AS:
CHANGE OF OWNER CHANGE O❑ NEWLY CONSTRUCTED BLDG ADD'TION
EXISTING BUILDING CHANGE OF USE
Occupancy Gr _Div
dicate former use, if arnl —
S RE FT. OF BUILDING TO BE OCCUPIED
NOTICE: 1. Occupancy of any building is prohibited and a business license will notbe 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 Qepartment of Community Developmant at the time this application is filed. ?
3. Change of occupancy or us . 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
shall
different group Of Occupancy, a change of occupancy inspection fee of $ f
be paid to the city. t
ction 10.2U8 requires that building numbers must be a minimum of four (4)
4. Huntington Beach Fire Code Se
inches in height with one half ('/z) 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 Firs Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see averse side).
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(FOR OFFICE USE ONLY) ZONING f� l
SUPPLEMENTALINFORMATION%� NO PARKING SPACES
OCCUPANCY GROUP ^`' PLAN CHECK NQ.
PERMIT NO — -- HEALTH DEPT APPROVAL
OCCUPANT LOAD ADMIN. ACTION UTILITIES RELEA
NO. OF S �► '/`
O CERTIFICATE OF OCCUPANCY FEE
APPROV BY ATE CHANGE OF USE OR OCCUPANCY FEE g
TOTAL $
COMMUNITY DEVELOPMENT
75.039 Rev. 11/90
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SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS i 5t21 C�tc�n S1�' Evr'
2.
Person to contact in case of emergency -
Telephone number:
3.
Does the building in question have electricity?
ICJ Yes
❑ No
(a) If No, are you requesting that the electricity be
❑ Yes
❑ No
turned on?
Yes
4.
The building is sprinklered?
❑ No
5.
Operations will produce dust/wood shavings or similar
❑ Yes
material?
No
6.
Operations will involve the repair or replacement of
El Yes
Ye
2f No
automobile parts?
If Yes:
(a) Describe the components repaired or replaced.
ElYes
D' No
(b) Toes the operation involve the use of an open flame?
7.
The business is drinking, dining or assembly use that will
❑Yes
result in an occupant load of more than 50 persons.
Jzf No
8.
The following best describes my operation;
(office Only
Retail Sales
(Warehouse)
Manufacturing / Distribution (describe process and end product)
Restaurant / Take Out Food
Medical / Dental
1
Other (describe)
1
SUPPL►MENTAL INFORMATION
SUPPLEMENTAL INFORMATION (Continued)
Doe, the operation involve any of the following
E"Nc.
If Yes, indicate a,uantities:
Material Quantity
1. Flammable liquids
Class 1-A
Clays I-B
Clasp !-C
2, CombustiWe liquids
Class 11
3, Combination :flammable {iquids> __
—�_
4. F{ammab{e gases
5. Liquefied flammable gases
6: Ffammable fibers loose
7. Fiarr-enable fibers baled r
S. Flammable solids K
g. Unstable materials
10. Corrosive liquids
11 Oyidizing material - gases
12. Oxidizing material - liquids i
13. Oxidizing material - solids t
14. Organic peroxides
15. Nitromethane funstable 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
hereby certify that the above information is true and correct to
the best of my knowledge.
Ss °nature Date
-
City of Huntington Beach
f j 2000 MAIN STREET CALIFORNIA 92648,
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DEPARTMENT OF COMMUNITY DEVELOPMENT
!`
Building Division 536-5241
Planning Division 536-5271
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Government Code Section '65850.2�(b) requires `the City of Huntington
_ Beach Building bivi•sion-not to issue the final certificate of.
occupancy unless the. applicant has met or is meeting the
requirements of the South Coast A-ir Quality Management District
(AQMD). The Bui.'lding Division must obtain a written. release from
AQMD to shoo; the applicant has complied with thi's 1'avz. The cheek
list on'the reverse side is designed t'o help the applicant and the
building division
i
to meet these requirements.
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1. The applicant ;the same person who an fo'r Permits
_Plies- -from
the Building Division) must complete*the check list•which
can be obtained either at the Building Division or at AQMD.
i$
j 2. If all boxes in the list are checked "no", the Building
Division can accept the check list as the release.
` If there are an
? �• y "yes" answers in the .list, the applicant
i,
must: contact an AQMD engineer b calling •
y g (714) 396-2000 to
final out whether air permits are required for the proposed
construction project.
4. If air permits are not required, the applicant will obtain
a written release from AQMD.:
3f air permits are required, the applicant must submit the
�t
necessary permit applications before the release can be
issued.
Because of the tirre it may take for AQMD to go through the above
Procedurbs, the applicant is
advised to contact AQMD immedi'ately
after applying for Building permits.
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(1360D)
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential. Buildings Only)
Location of Subject Property:_19121 &JPAt'kASU (
Property Owner Name:•6NJ
Pi2V.*9rLVa• Phone #
'_game of the Person Preparing this form in print and signature
'game: 1S1�,i-1 p _1.�Z Signature:�i
-he person preparing this form must be the same person applyin
or
=::ilr-4ing permits. Please answer the following questions regarding
_— ur proposed occupancy of the subject building. IF YOU DO NOT
KNOW
ANSWER TO A QUESTION MARK IN THE "YES" COLUMN:
AQMD PERMITTING CHECKLIST
if
YES
NO
1. Does -✓our facility use any internal combustion
✓
I
engines greater than 50-HP"?
2. does your facility involve mixing, blending, or
proc-ssing any solvents, adhesives, paints
cr cCatings?
_ 3. Does your facility create any dusts or smoke:' _�_
_
Does your facility refine any liquids or solids
___✓___
or reclaim any metals?
5. Does your facility plate or coat anything?
6. Does ,,our facility have any combustion equipment
_
_.e. nol.er, furnaces, broiler, baking ovens,
`�
k
" etc.) rated greater than 2,000,000 BTU/HR?
7. Foes your facility handle or store solvents or
motor. fuel?
r�
_
S. Do yc.i use or store any acids?
i ? Do y,:, use any chemical process?
=0 . Do yc 1 use an.% so:l ✓tints for clean-up?
.:-e yzlu a dry cleane_, restaurant with a
char'c_oiier, body shop, gasoline station,
printer, or part coater?
✓
12. Is the subject building located within one
thousand (1,000) feet of any school?
" PROPERTY LINT: TO PROPER7I LINE. GRADES K-12.
_ �c `-_ave marked "NO" in all columns, you do not need an Air
�.:a1i_y permit at this time. If you have marked any questions
in
e "-ES" C_lumn you must contact the South Coast Air Quality
X naaement District located at:
21865 F. Copley Drive
Diamond Bar, CA 91765-4182
-;case call: Plan Check (714) 396-2000
`13 60d-2)
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