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Home My WebLink About15251 Pipeline Ln - CofO (4)rPPLICATION FOR CERTIFICATE OF OCCUPANCY e CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT HUNnNOON ISFAQI (PRINT OR TYPE ONLY) ATE Address /S Business Nam Business Type I/1011 q-;t.4gy District Tel.%/41`Z'7Z-72 6C&Z-& Occ.Group�� BUILDING OWNER BUSINESS OWNERIMANAGER Name G rr ,�G9ct/� Name Address Home s , ` `� l/ Address Cityl([�Lly��r !��'`�`L �� Tel o-,� ,Cily, Home Tel_ THIS USE WOULD BE DESCRIBED AS: ,ye Cam►, ❑ NEW Y CONSTRUCTED BLDG. Lam" CHANGE OF OWNER 5 EXISTING BUILDING ❑ CHANGE OF USE Indicate former use, if any lee SQUARE FT. OF BUILDING TO BE OCCUPIED 7_: , y �1�}' "701 L=1 CHANGE OF OCCUPANT ❑ ADDITIONAL OCCUPANT Div. NOTICE: 1. Occupancy of ny building is prohibited and a business license will not be 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 Department of Community Development at the time this application is filed. 3. Change of occupancy or use 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 different group of occupancy, a change of occupancy inspection fee of $ shall be paid to the city. 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) inches in height with one half (t/a) 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 extingui er selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse sid r., Y � �'^'� d'u-r�.,i" QZe�n,�r� x�r.;✓e•�rJtn/S .��-�,�-i'°n.J, TRAFFIC IMPACT r$' . DATE PAIDiv v� 5fv. ACC".OUNT R CEiVED ._ 8- .n •r`G z -j'' NAME ...____ _ _ _. _ (FOR OFFICE USE ONLY) ZONING - OCCUPANCY GROUP �� PLAN CHECK NO NO PARKING SPACES OCCUPANT LOAD lir9 PERMIT NO HEALTH DEPT APPROVAL NO. OF STORIES ADMIN ACTION UTILITIES RELEASED _ co d CERTIFICATE OF OCCUPANCY FEE �� APPROVED BY D TE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL 7s-039Rev. va7 r,'0N1.,,11U =TY DEVELOPMEP,T . i SUPPLEMENTAL INFORMATION l 1. BUSINESS ADDRESS 2. Person to contact in case of emergency -21 /' -) Z�7�3� Telephone number: - es 3. Does the building in question have electricity? ❑ No (a) If No, are you requesting that the electricity be Cl Yes ❑ No turned on? �/ Yes Q❑ 4. The building is sprinklered? No 5. Operations will produce dust/wood shavings or similar ❑ Yes material? p- 6. Operations will involve the repair or replacement of es Y ❑ es o automobile parts? If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? Yes ❑f 7. The business is drinking, dining or assembly use that will El Yes result in an occupant load of more than 50 persons.Q-N, 8. The following best describes my operation; Office Only Retail Sales Warehouse Manufacturing / Distribution (describe process and end, product '�—�o 1`Ei✓�J'LV3"OC-�rr:.�dYl�critlGt�J' L frj��C+'� (iPSE. CirJ7..+. cc jIll Q lLl.ylJLf�rn. L/G(c ea f1 ZZ T Restaurant / Take Out Food Medical / Dental Other (describe) SUPPLEMENTAL INFORM' N ION SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? If Yes, indicate quantities: Material Quantity 1. Flammable liquids Class (-A Class I-B.,�_... — Class I-C y 2. Combustibles liquids --' Class 11 Class III -A 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable -_fibers - baled a. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids _ 13. Oxidizing material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) Yes 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 _ 1 20. Black sporting powder I hereby certify that the above information is true and correct to the best of my knowledge. Signature Date ` South Coast AIR QUALITY MANAGEMENT DISTRICT (D 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AIR QUALITY PERMIT CHECKLIST for nonresidential buildings only Company Name: Location ofProperty: fS S / well, e G� �� City:/�/Gll? LL g ,,,a�� C4 zip code: /�Gr, /� Title: Contact Person: �i Telephone Number: 2 - /� ✓19 i �P Fax Number: %/Z� � � S ��//� "1' Type of Industry/Business: G�1 k,476 '�� "'.,L>" A- Gv�e.z S To apply for a nonresidential building permit, you must complete this checklist. If you have any questions about completing this checklist, please call (800) 388-2121. YES NO 1. Will the facility have a charbroiler? 2. Will any internal combustion engine with greater than 50 horsepower [ ] [ operate at the facility (excluding motor vehicles)? 3. Will operations at the facility involve mixing, blending, or processing of solvents, adhesives, paints or coatings? 4. Will dust or smoke be generated at the facility? 5. Will refining of any liquids or solids be done at the facility? 6. Will any plating or coating of materials be done at the facility? 7. Will any combustion equipment rated greater than 2,000,000 BTU/hr be operated at the facility? 8. Will any acids, solvents, or motor fuel be used or stored at the facility? [ 9. Will any organic liquids or gases be reacted or produced? , 10. Will any ovens be used to dry or cure products at the facility? 11. Will any CFC' (Freon) recycling machines operate at the facili Applicant: Signature: (Print name clearly) If you have marked "NO" in all the boxes, an air quality permit is not needed at this time, and this checklist is your written release. If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality Please the requirements on the back of the checklist. Management District (AQMD). read (800) 388-2121 A00iTIONAL SUPPLEMENTAL INFORMAVON 14 6 NOTICE OF REQUIREMENTS GM'ERNi4 ENT CODE SECTION 65850.2 (AB3205) Californi-1 State La7 (Government Code 65850.2) prohibits the Building Departments from issuim, a final 4ertilicate of occupancy unless all requirements of the local air quality agency are met. All applicants are required to complete the air quality permit checklist. The checklist is designed to add the applicant for a nonresidential building pen -nit only. If the answer to arry of the questions i., "YES," the Building Department must obtain a written release from the local air quality agency verifying that the applicant is in compliance. 1. All nonresidential building permit applicants must complete this checklist. 2. If the ans�Y-er to n1i questions are "N0." the Building Department can accept the checklist as the written release. 3. If any questions are answered "�'ES." the applicant must contact the AQMD by calling (800) 3 88-2121 to deter -mine vihether air quality permits are required for any equipment which may be operated at the site. If the AQMD determines that air quality permits are I not required or that all requirements have been met, a written release will be issued. 4. If air quality permits are required and applications have not been submitted, the applicant must submit the necessary permit application(s) and appropriate fees before a 5Agitten release will be issued. AQ?NID is committed to expediting all clearance letter requests. However, it may take several weeks to verify compliance with all requirements. Therefore, you are advised to contact AQVII} immediately after applying for building permits. (800) 388-2121 revised 8195 i i