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HomeMy WebLinkAbout15201 Pipeline Ln - CofO (6)._ ., li CERTIFICATE OF OCCUPANCY ,CITY OF HUNTINGTON BEACH 7 Address Date M Y M1 Y'• M h T 1'1 A'+Y 'I• r Business. Name ' District i v r r T tt [ a. ... e.a ..... •.� Business Type ... Tir-. Tel. .•r .. 1. n r .•. ,.n. r � _ �: t. 4 R'Tn A: r+Mrx BUILDING OWNER Occ. Group r5 n Name BUSINESS OWNERIMANAGER LEE` Name Address Home Address City Tel, City Home i Construction i'� u �• i. iz , kt TeL --- _ _ No. of Stories ,_ Occupant Load s I CONDITIONS OF APPROVAL _ .. Sprinklers DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy SHALL BE posted-----. osted in a conspicuous place on the premises and shall not be removed except by the Building Official. by •t . COMMUNITY DEVELOPNi , }� #� APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HU14TINGTON BEACHLola ! �_ 1 _ DEPARTMENT OF COMMUNITY DEVELOPMENT DATE HUNnNGTON.8FAQ1 (PRINT OR TYPE ONLY)- Address JZ-0 i i V� E.. Lc�-1�_ y V. District - Z� Business Name ��-�f��nt �► S [ ie 5: t ti:cx� i L+► Tel. "7!�/ - t3gZiZLj Business Type A 15bXS �� S Akoo cywe^+ e o n�YG, C.�r Occ. Group BUILDING OWNER BUSINESS OWNERWANAGER Name' _ r'79 LName�a^Home Address 761 _C(!S+uoc:d ' Gr Address Home Tel �'—� City, �� t �� (01 ?MIC iC T e I 9WOD City:: THIS USE WOULD BE DESCRIBED AS: L� NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ElADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr. Div. SQUARE FT, OF BUILDING TO BE OCCUPIED S 70.9 SUPPLEMENTAL INFORMATION 1. BUSINESS 'ADDRESS - 2. Person to contact in case of emergency Telephone number: r 3. Does the building in -question have electricity? Yes ❑ No (a) If No, are you requesting that the electricity be c✓ turned on? o 4. The building is sprinklered? El Yes X No 5. Operations will produce dust/ wood shavings or simillar ❑ material? Yes VNo _ 6. Operations will involve the repair or replacement of ❑ Yes O No automobile parts? If Yes: (a) Describe the components repaired or replaced: s ❑No (b) Does the operation Involve' the use - of an open flame? 7. The business is drinking, dining or assembly use . that will ❑ Yes r result in an occupant load of more than 50 personas. - X No 8. The following best describes my operation; Office Only Retail Sales ' Warehouse Manufacturing / istribution (describe process and, end product) Restaurant / Take Out Food i Medical / Dental Other (describe) SUPPLIMENTAL INFORMATION SUPPLEMENTAL � INFOAMA'T N (Continued) 1 noes. the operation involve any of ` the jloll��ring materials?: F 'Yes ' No If Yes, ineicat-& qua'ntities Materi.al.., Quantity 1. Flammable liquids Class I -A — Class I-S Class i-C --- 2. CQrnbustible liquids T Class it Class------------ 3. Combination flammable fluids; ; 4. Flammable gases 5. Liquefied flammable gases 6- ",Flammable fibers - loose" 7. Fiammable fibers - baled 8. Flammable solids 9. Unstable materials 10. Corrosive liquids 11, 'Oxidizing material - gases 12. Oxidizingmaterial -- liquids 13, Qxidizing; .material -,solids _ 14: - Organic peroxides 15. Nitromethane " (unstable :materials} ' 16, .-Ammonium nitrate ' 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weight 18. r' at Highly toxic material and rt l poisonou.3 , gas ,:... 19. _, Smokeless powder 20. Black sporting powder 1 hereby . e ..ify that,. the above information is, true and , correct to the, bes of knowledg3. Signature Date A, 11 ' SOUTH COAST SIR QUALITY MANAGEMENT 'DISTRICT (Nonresidential BuildingsOnly) Location of Subject Property: r Property Owner Name:-t an�C-1 1�oiCxu*k2 ePhgIC L -Phone # 1� 4- %79 -900 g Name of the Person Preparing this form in print and i re - Signature: i The person q preparin 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 MARK IN THE "YES" COLUMN: - AQMD PERMITTING CHECKLIST i f YES) NO 1. Does your facility -use any internal combustion engines greater than 50-HP7 2. Does your facility involve mixing, blending, or processing any ,solvents, adhesives, paints t or coatings? 3. Does your facility create any dusts or smoke-? 4. Does your facility refine any,, liquids or sol;�ds { 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, x i etc.) rated greater than 2,000,000 BTU/HR?' Does —� 7• your facility handle or store solvents or motor fuel? 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 { charbroler, body shop, gasoline station, printer, or part coater? 121. is the subject building located within one IP thousand 1, ( 000) feet of any school? , PROPERTY LINE TO PROPERTY' LINE.. GRADES K-12. p If you have marked "NO" in all columrs, you do not need an Air Quality permit at this time. If i you have marked an the "YES"'Column t y questions in you must contact the South Coast Air Management i ,Quality District located at: 21865 E. Copley Drive Diamond Bar, CA 91765-4182 Piease call: Plan Check (714) 396-2000 (1360D-2) r i' , :4 y rv. k a. i F7: it r �- t y r I < CERTIFICATE OF OCCUPANCY i CITY OF HUNTINGTON BEACH Date :E Address .., . . f District - Business Name s r r r., . r. ;. F , r ,: T r . . • TeL . , - .. r ., r Business Type c e , r, : r s s- n r r , r.. r.: m - n �, T. , Occ. Group > BUILDING OWNER BUSINESS OWNERIMANAGER , a DAVID 176R ITZIPi-YLI:. LL'E Name :"C4. Name Home Address Address Lt�i`r.. HF.!o ome City ..., Tel. j E,7_ City Tel. U, Construction No. of Stories . Occupant Load Sprinklers I CONDITIONSOF APPROVAL E I i i i DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy f SHALL BE posted in a conspicuous place on the p premises and shall not be removed except by the by Building Official ; l , I COMMUNITY DEVELOPMENT ....... ...... ... f` 1 1 i ;h 1 i 7 : �� APPLICATION FOR CERTIFICATE OF OCCUPANCY ou CITY OF HUNTINGTON BEACH HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT l �' l�1-� M (PRINT OR TYPE ONLY) DATE Address 1 rJ ZC71 District. ! Business Name T. Tel •7!,4 - j3gZ- �Zt�j f S��S J�,Uy'�GtMtv1+ e-O✓���G.C.�.7r I ^usiness Type — /"� S�3L Occ Group BUILDING OWNER BUSINESS OWNERIMANAGER 1 � o11.nsa.. Name��iel � Gt 5'+'L. uac _-D � L r Home Address i 15 79 L. n F1 tL Address 761 { '{i'� � City -Tel G; g-9 Cityy r �" l lvnt• cLHnme Tel 4, THIS USE WOULD BE DESCRIBED AS: C� NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER ,bl CHANGE OF OCCUPANT ISTINGBUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr Div SOUARE FT, OF BUILDING TO BE OCCUPIED 7� 1 SUPPLEMENTAL INFORMATiON 1. BUSINESS ADDRESS t5001 �i Pt-�:v�e l_✓�• t u✓r;�i 2. Berson to contact in case of emergency - Telephone ni.imber: `714-3 t.3- 12i3 ` 3. Does the building in -question have electricity? Yes ❑ No (a) If No, are you requesting that the electricity be i turned on? o I 4. The buiddng is sprinklered? ❑ Yes I# No I4° ,h 5. Operations will produce dust/wood shavings or similar material? ❑ Yes E No G. Operations will involve the repair or replacement: of ❑ Yes automobile parts? 'ONo it If Yes; (a) Describe the components repaired or replaced.' 1, i 14 (b) Does the operation involve the use of an open flame? ❑ Yes? 4, ❑ No 7. The business is drinking, dining or assembly use that will r result in an occupant load of more than 50 persons. p p ❑ Yes', No 'Y 8. The following best describes my operation; ` Office Only i 1 Retail: Sales _y i, Warehouse Manufacturing / istribution (describe process and end product)` Restaurant / Take Out Food Medical / Dental Other (describe) i . SUPPL" ITAL INFORMATION I r i fi Iaa.�. _ _ _ ' it...�i�►"" r � . _ r . � _ M�� ,� _ ,�- - - �. - - - - - � _ _ _ � \� �c.L _.� _ _ _ __ �a5fririt I , I SUPPLEMENTAL INFORMATION (Continued) } Does 4 the operation involve any of the following, materials? D'Yes i X No l If Yes, indicate quantities: f Material Ouantity 1. Flammable liquids Class I -A Class I B Class I-C ` 2. f Combustible liquids Class 11 Class lif-A I 3. Combination flammable liquids i 4. Flammable— -ggasess- 5. Liquefied flammable gases 6. Flammable fibers - loose' Flammable fibers - baled j 8. Fiamrr a° e solids 9. __-____nstab..ble�-_rnateriais —_—_______-___ _- ----- U 10. Corrosive liquids ' 11. Oxidizing material - gases 1, 12. Oxidizing material - liquids 13< Oxidizing material - solids _ 14. _ Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weight j 18. Highly toxic material and poisonous gas 19. Smokeless powder 20. Black sporting powder I hereby er ify that the _above information is true and correct to the bes of knowledge. Signature Date 'y i { 4 a II 1 el 1 i f K �LL SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT L' (Nonresidential Buildings Only) _ Location of Subject Property: 167-01 Pi re-1 c n e-, Ln4 Un A Property Owner Name:�l anze l Phone # %l(/- 979-WOO Name of the Person Preparing this form in print and ,i re Name: Scot'l' Sc7�✓�5.� Signature. � The person preparing this form must be the same person applying for building permits. Please answer the following questionsregarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN THE "'YES" COLUMN: AQMD 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 or reclaim any metals? 5. Does your facility plate or coat anything? 6. Does your facility have any combustion equipment i.e. furnaces, iC boiler, broiler, baking ovens, etc.) rated greater than 2,000,000 BTU/HR?-, 7. Does your facility handle or store solvents or 1 motor fuel? 8. Do you use or store any acids? 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? X, ' 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline station, printer, or part coater? r 12. Is the subject building located within one}l thousand (1,000) feat of any school? " PROPERTY LINE TO PROPERTY LINE. GRADES K-12. Ifyou 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. Conley Drive Diamond Bar, CA 91765-4182 Please call: Plan Check (714) 396-2000' (1360D-2) I l i South Coast AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 r i BATE: October 6, 1993 TO,: Huntington Beach Building Department FROM: k)(, Arthur. Lawler, Air Quality Engineer A SUBJECT BUILDING PERMITTING UNDER AB3205, WATERS BILL Regarding PLAN CHECK #: LOCATIONt P. W. StevensTnc. 15201 Pipeline Lane Unit B Huntington Beach, CA. 92649 This site has met or is meeting the requirements of Section 42303 of the Health and Safety Code and the requirements for a permit to construct and operate for the South Coast Air Quality Management District . r I d �- APPLICANT HAS FILED FOR PERMITS TO CONSTRUCT EQUIPMENT WITH THE SOUTH COAST AIR?UALITY MANAGEMENT DISTRICT. 4