HomeMy WebLinkAbout15201 Pipeline Ln - CofO (6)._ .,
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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
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District i
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Business Type
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BUILDING OWNER
Occ. Group r5 n
Name
BUSINESS OWNERIMANAGER
LEE`
Name
Address
Home
Address
City Tel,
City Home
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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
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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:
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Property Owner Name:-t an�C-1 1�oiCxu*k2 ePhgIC L -Phone # 1� 4- %79 -900
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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
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or reclaim any metals?
5. Does your facility? plate or coat anything?
'
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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
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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.
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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)
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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
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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
;
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,
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COMMUNITY DEVELOPMENT
....... ...... ...
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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
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Iaa.�. _ _ _ ' it...�i�►""
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. _ r . � _ M�� ,� _ ,�- - - �. - - - - - � _ _
_ � \�
�c.L _.� _ _
_ __ �a5fririt
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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
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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)
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South Coast
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000
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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 .
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�- APPLICANT HAS FILED FOR PERMITS TO CONSTRUCT
EQUIPMENT WITH THE SOUTH COAST AIR?UALITY
MANAGEMENT DISTRICT. 4