HomeMy WebLinkAbout15301 Graham St - CofO (5)-7
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH t
Date
Address
District
I
Business Name Tel.
Business Type Oc:.Group �r
BUILDINGOWNER BUSINESS OWNER/MANAGER
Nam. Name
Address i 4 Home
Address
City * <.. Tel. _ City eome
i
Construction No. of Stories Occupant Load
P Sprinklers
CONDITIONS OF APPROVAL
DEPARTMENT OF COMMUNITY DEVELOPMENT OPM_N T
This Certificate of O--cupancy
SHALL BE posted in a conspicuous place on the
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premises and shall not be removed except by the
Building Official by
7
COMMUNITY DEVELOPMENT
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CCU UC
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUMINC.Tt?h' BFAQ1
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Addr-, ___._��_ " - oe°. /tfgM _ 5i . _
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City-
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THIS USE WOULD BE DESCRIBED AS:
((IC�J NEVYLY CC�NSTRIJr TFD NLDt; ��' r_,-;t p ;,( c ;J.,;• Ez. f",HANGE 01' OCCUPANT
LLB EXISTING BUILE`+NC;
_!Si AL!Ci;TIC)NAL ��CCUPANf
Indicate f;jfl7 �r ;`_stf ar`V_ J. t"4QlW
SOUA.RE FT OF RUlt [�,itcCi Tr, H7 .PjF D-
NOTICE-
1. Occupancy of any building is prohibited and a business license will not be issued until the building has7been
inspected and a certificate Of Occupancy is issued.
,
2. No electrical service will be released for any existctg building until the service has been inspected and
certified safe. All applicants for occupancy in an axisting 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. Wheneve r it is necessary to make inspection of a building or
premises n order to determine if a change may be made in the character of occupancy or use of the building
or premises which woulo place the building in a different division of the same group of occupancy or in a
different group of occupancy. a change of cLcupanr:y inspection fee of $ _______ ___ shalt
be paid to the city. - --
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
t /G 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 Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fie Protection Association pamphlet 10 (see reverse side).
SUPPLEMENTAL INFORMATION (FOR OFFICE USE ONLY)C'1,11N.'t
OCCUPANCY GROUP__ �4� = -J AN r Hf_ -K NF! — __--- .�� F'ARr �N� Sr>ACE
OCCUPANT LOAD - —
-- — --- PERK �" Ni) HE 1 r;t (+F'T APPF.OVAt._
NO F STORIES _ — ---
�:f_--�.- A1�,1t'7 A('TIr)N-
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Ki TEt)Fti__'J{Hr �F �
APP B �— — AIF CHArJt,F- OF USE Oar -- - ----- ----
TGTAI_ 'ice - - -- — -----
75-339 Rev, 11190 CultiMI'.1Ni t
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SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS
i `i' f
�rf/�/� l S'i
2.
Person to contact
in case of
emergency_ 1il rZJ� tx1I+ITrH-IZ.L= —
31 `y473 , 9S tE O
Telephone number:
3.
Does the building
in question
have electricity?
Q Nos
(a) If No, are you requesting
that the electricity be
❑ Yes
❑
turned on?
No
Yes
4.
The building is sprinklered?
❑ No
5.
Operations will produce
dust/wood shavings or sim"ar
M Yes
material? ❑ No
6. Operations will involve the repair or replacement of Q Yes
i
automobile parts? No
If Yes: y
(a) Describe
p
the components repaired or replaced.
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E
(b) Does the operation involve the use of an open flame? Yes
%No
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
Retail Sales
aou
reh
Manufacturing / Distribution (describe process and end product)
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Restaurant/Take Out Food
Medical / Dental
Other (describe)
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SUPPLIMENTAL INFORMATION
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4
SUPPLEMENTAL INFORMATION
(Continued)
ri�if R: .r J`ii °rriaterlalsO � r
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—------- _---. _. .... _.Ouantity
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tJombinatio-: flairnfliltij^' q.J. '.'i
__.._-......-____..._...........- __._._....._. -.... .. _.._..__.
f
l"'iarrimabl
!D.
Liquefied' tfat x,piri,[ _r,
!attar iat-lr. fiber
C t a
_
"'xi lizing n aterial iiquids
t
t_ 4 diz,ncg material sciji
R
14.
C3rganic peroxmrie,_
Wrornethane funsial e material=ii
10.
Ammonium nitrate
17.
ArTtriii;r3t .ltT7 citrate oc,inpound mixtures
containing mcre than 620% nitrate
by weight
18.
Highly toxic material and
poisonous gas
70.
Smokeless powder
--
i
20.
Mack sporting powder.
l hereby certify that the above information is true and correct to
the best of my knowledge.
r
Signature - ---
---------
T -- ate
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1
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property:ii
Property Owner name: Phone
Name of the Person Preparing this form in ?rint and signature
Name_LWAL?, (1"i1kC 1TNK(=Ec� Signature j
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 THE ANSWER
TO A QUESTION 14ARK IN THE "YES" COLUMN:
SCAQMD PERMITTING CHECKLIST
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
or coatings?
3. Does your facility create any dusts or smoke?
4. Does your facility refine any liquids or solids?
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 BTU/HR?
7. Does your facility handle or store solvents or motor
fuel? u
I, 8. Do you use or store any acids?
9. Do you use any chemical process?
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?
12. Is the subject building located within one thousand
(1,000) feet of any school?
PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
M, If you have marked "NO" in all columns
youdo not need an Air. Quality
permit at this time. If you have marked any questions in the "YES" Column
L you must contact the South Coast Air Quality Management District located
at:
9150 FLAIR DRIVE, EL MONTE, CA 91731
Please call these offices: Plan Check (818) 572-6406
D:AL00603 (818) 572-6111, (818) 572-6261