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HomeMy WebLinkAbout15121 Graham St - CofO (2)i CERTIFICATE OF OCCUPANCY CITY OF HUNTIIJGMN BEACH Dale � Address _ 151 C 1 CTZ11tIAfi kloF /� _ District KITChEll COLLECTIONS, ILCe Tel. Business Name E-2 Business Type CGHEE/CUFFE.: RELA`i'L.I FRC.ItLC"?E�t illiEiik Occ. Group 4 BUILDING OWNER BUSINESS OWNER/MANAGER GLt PFOPI»RT E Name hARNE FEDER/ DACF A-201101 Name Home Address C ti LAFAYETTE PARK FL lie Address 2516 liESTRIGCE tit 21 3E� —2F 1Q Lt? , CA Time C— ;'6. 4 f�7 LA, CA Tel. — City City Sprinklers Load ant 'ti .� Construction No. of Stories occupant , CONDITIONS OF APPROVAL t DEPARTMENT OF COMMUNITY DEVELOPMENT I 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. COMMUNITY DEVELOPMENT b I I ; I r i �� APPLICATION FOR CERTIFICATE OF OCCUPANCY 4o CITY OF HUNTINGTON BEACH 9 DEPARTMENT OF COMMUNITY DEVELOPMENT HUNDhCTON BEACH DA E (PRINT OR TYPE ONLY) Address //1 Ciac,o,.. District Busyness Name_J ' a- (ems S 7 Tel Business Type Q ��'© Occ. Group BUILDING OWNE3 4 L'-Su BUSINESS GWNFRrIv1ANAGER Name. c 6 a) �� /4 Name om G �' >' e Address l� -S 2a �/ �fAddress City si %Oa sJ2 _ —.Tel loaIy % ��� Home Tel. 3///4 THIS USE WOULD BE DESCRIBED AS: x Q ,powLY CONSTRUCTED 3LDG. CHANGE OF OWNER kFED CHANGE OF OCCUPANT t U EXISTING BUILDING El CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, it any Occupancy Gr.--Div SQUARE FT. OF BUILDING TO BE OCCUPIED_. �1C�2 (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION J ( a` ZONING ! OCCUPANCY GROUP ^-' PLAN CHECK NO NO PARKING SPACES OCCUPANT LOAD PERMIT NO HEALTH DEPT. APPROVAL NO OF S)TORI S ADMIN. ACTION UTILITIES RELEASED < oU/377CERTIFICATE OF OCCUPANCY FEE —T APPROVE) DATE CHANGE OF USE OR OCCUPANCY FEE 5 TOTAL I 9 7t439 Rev. 11/90 g vCOMMUNITY DEVELOPMENT s SUPPLEMENTAL _INFORMATION 1. BUSINESS ADDRESS lS%c�r a �j -_ i` jG 9� l0 $/ 2. Person to contact in case of emergency: Telephone number: _ 3. Does the building in question have electricity? Yes ❑ No (a) If No, are you requesting that the electricity be a Yes , turned on? O No 4. The building is sprinklered? Yes ❑ No 5. Operations will produce dust / wood shavings or similar material? ❑ Yes No U 6. Operations will involve the repair or replacement of ❑ Yes (. automobile parts? No If Yes: ;. (a) Describe the components repaired or replaced. r`. r flame? ❑ Yes (b) Does the operation involve the use of an open No 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes j No r d. The following best describes - my operation; Office Only etai) es Warehouse k Ma uring / Distribution (describe process and end product)' Restaurant/Take Out Food Medical / Dental i Other (describe) i SUPPL.IMENTAL, iNFORMATION i d t. SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following niatrrials? ���>>Yes I� N o Ifi Yes, indicate quantities: — _ Material Quantity 1. Flammable liquids Class I -A Class I-C � 2. Combustible -.liquids Class 11 Class lil,A 3. Combination flammable liquids 4. Fla --_._a—e_._--- mmabie gases z 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled 8. Fiammat✓Ie solids �+. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material_- solids 14. Organic peroxides 15. Nitrornethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate r by weight 18. Highly toxic material and poisonous _ gas k 19. Smokeless. powder M Mack sporting powder . i 1_ hereby certify that the above information is true and correct to the best of my know;edge. Signature Date n SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (,Nonresidential Buildings Only) � / q Location of Subject Property: 1�a� (9'�a�in�^- � �/�%��01 >> �� Property Owner Name: �hCUi�rusT a, �n� Phone #�� ��d b 0 Name of the Person Preparing this form in print and signatu e Name: / r ta7aM Signature: The person preparing this form must be the same person applying for s building permits. Please answer the 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: x , ' AQMD PERMITTING CHECKLIST 4 YES NO 1. Does your facility use any internal combustion engines greater than 50-HP? } 2. Does your facility involve mixing, blending, or processing any solvents, adhesives, paints x " r t 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?_ 6. Does your facility have any combustion equipment i.e. boiler, furnaces, broiler, baking ovens, etc.) rated greater than 2,000,000 BTUIHR? _ 7. Does your facility handle or store solvents or s motor fuel? ' 8. Do you use or store any acids? �— r x ' = 9. Do you use any chemical process? d 10. Do you use any solvents_ for clean-up? f 11. Are you a dry cleaner, restaurant with a charbroler, body shop, gasoline station; printer, or part coater? 12. Is the subject building located within one thousand (1,000) feet of any school? ' PROPERTY LINE TO PROPERTY LINE. GRADES K-12. k If you have marked "NO" in all columns, you do not need an Air M 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: k 21865 E. Copley Drive Diamond Bar, CA 91765-4182 I{ Please call: Plan Check (714) 396-2000 ft (1360D-2) i'. t 4 I a :9 a ,i JJ' City of Huntington Beach j _. :_:_ • CALIFORNIA 92648 2000 MAIN STREET } t 1 `t' DEPARTMENT OF COMP�fIlltdlTY DEVELOPMENT { Building 536-5241 Planning 536-5271 Housing 636-5271 k a i ''` Government Code Section 65850.2(b) requires the City of Huntington the final certificate of Beach ivision not to issue Buildin. D he applicant has met or is meetingDistrict occupancy unless the the nga from requirements of n5oDlvis�Qntm must obtaiir writtennre-19AZA Building (AQMD). The AQMD to show the applicant has complied with this applicant andthe is designed to help the app s list on the reverse side division to meet these requirements. building 1, The applicant (them rson who applies for permits from must complete the check list which x the Divisi�) be obtained either at the Building Division or at AQMD. can 2• If all boles in the list are checked "no", the Building as the release. Division can accept the check list .*-s" answers in the list, the applicant 3. If there are any y` 714) 396-2000 to I calling must contact an AQMD engineer permits ar required for the proposed ut whether air find oe construction project. ; air permits are net required, the applicant will obtain 4, If a written release from AQT. icat must can lbethe 5• If air permits are reuired,the efopelthenreleases _ necessary permit applications; issued. Because of the time it may take for AQMD to go through the above is to contact AQMD immediately procedures, the applicant advised applying for Building permits. after i (1360D) f