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Home My WebLink About15302 Pipeline Ln - CofO (3)COMMUNITY DEVELOPMENT _ r , 's i i a i tia APPLICATION FOR CERTIFICATE OF C)CCUPANCY CITY OF 4iUPiTiNGTON BEACH DEPARTMENT CIF COMMUNITY DEVELOPMENT DATE t 'HUNTINGTON pFAQI. (PRINT OR TYPE ONLY) :1 District �J XcId ress Tel�7/��a%1� 2�siness Name e-O—Le — Occ. Group %/Business Type BUSINESS OWNERtMANAGER BUILDING OW ER / Vart me Ad ZddresL��o X �� i _ ' Home Tel C� _ 4 / THIS USE WOULD BE DESCRIBED AS: CHANGE OF OCCUPANT i --II ❑ CHANGE OF OWNER El NEWLY CONSTRUCTED BLDG ❑ ADDIf10NAL OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE i Occupancy Gr _----Div. Indicate former use, it any f SQUARE FT. OF BUILDING TO BE OCCUPIED NOTICE: 1 Occupancy any building is prohibited and a business license will not be issued until the b .ilding has been i 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 I is certified safe. All applicants for occupancy in an existing building are required to schedule an electrical 'fuse up' inspection In the Department nffComm ee. Wheneveunity ritsi� ecessary topment at emake spetime this ctiioln otf a buildion is ing or �. 3. Change of occupancy or use in premises In ording er to determine if a hb n den en aemade in the different division oftthe same group of occupancy orina ' or premises whirh would place the9 shall different group of occupancy, a change of Occupancy inspection fee of $ be paid to the city. minimum4, Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) ) inches in height withonehalf (1/2) inch stroke, and of a contrasting color from the background. These I numbers our building in a location that is visible from the street. umbersmust be posted on yrequires - u on Beach Fire Code Section 10.301 uires fire extinguisher selection and distribution per the 5. t National Fire Protection Association pamphlet 10 (see r,3verse side). I orr �s� v�� c7t� I C7 tl'3 ash. or�`'-�'. I (FOR OFFICE USE ONLY) ZONING_ SUPPLEMENTAL INFORMATIO h',,Z PLAN CHECK NO. NO AR PKI AGES - OCCUPANCY GROUP PERMIT N0. HEAL DFPT APPROVAL k OCCUPANT LOAD ADM IN. ACTION UTI TIES RELEASED NC. OF STORIES // r � i 6 CERTIFICATE OF OCCUPANCY FEE A OVED D TE (S GHA+ IGE OF USE OR OCCUPANCY FEE TOT' ' $ Va- r COMMUNITY DEVELOPME 75-039 Rev. 11l90 N T I , i SOUTH COAST AIR QUALITY MANAGEMENT'DIST'7ICT (Nonresidential Buildings Only))� 2& G1 Location of Subject Property: "'" Owner Name:Y/"t7C&,M,h.C. Phone 7��1 44 Property i Name of the Person Preparing this form in p,;.int nature E' Name: re 4-hrjA Qt-f)SSIV),%L19 Signature: The person preparing this form must be the same pe son applying for building permits. Please answer the following ue5tions 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 YES NO lY 1. Does your facility use any internal combustion I :' 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 jr i.e. boiler, furnaces, broiler, baking ovens, etc.) rated greater than 2,000,000 BTU/HR? F 7. Does your facility handle or store solvents or { motor fuel? 8. Do you use or store any acids?_ 9. Do you use any chemical process?- j 10. Do you use any solvents for clean-up? T i 11.. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline station, printer, or part coater? F 12. Is the subject building locatedwithin one thousand (1,000)_feet of any school? _ 1_ PROPERTY LINE TO PROPERTY LINE. GRADES K-12: If you have marked "NO" in all columns, you do not need an Air k Quality permit at this time. If you have marked any questions in the "YES" Column you must contact the South CoastAir Quality Management District located at: - 21865 E. Copley Drive Diamond Bar, CA 91765-4182 Please call: Plan Check (714) 396--2000 { c (1360D-2) c i+ i City of Huntington Beach 2000 ME#IIV STREET CALIFORNIA 92648 DEPARTMENT OF COMMUNITY DEVELOPMENT d Building 536-5241 Planning 536-6271 Housing 536-5271 Government Code Section 65850.2(b) requires the City of Huntington Beach Building Division not to issue the final certificate of occupancy unless the applicant has met or is meeting the } requirements of the South Coast Air Quality Management District (AQMD). The Building Division must obtain a written release from Y' AQMD to show the applicant has complied with this law. The check list on the reverse side is designed to help the applicant and the building division to meet these requirements. 1. The applicant (the same person who applies for permits from the Building Division) must complete the check list which can be obtained either 'at the Building Division or at AQMD. i 2. If all boxes in the list are checked "no the Building Division can accept the check list as the release. � k 3 If there are any "yes" answers in the. list, the applicant must contact an AQMD engineer by cal.ing (714) 396-2000 to find out whether air permits are required, for the proposed construction project. 4 If air permits are not required, the applicant will obtain -a written release from AQMD. =•' 5. If air permits are required, the applicant must submit the necessary permit applications before the release can be Because of the time it may take for AQMD to go through the above procedures, the applicant is advised to contact AQMD imme4iatelY 1 after applying for Building permits. a t (1360D) 4 , o a �4 - HAZARDOUS MAT ERIALS7DTSCL-OSURE ^~ INFORMATION SHEET SE PRINT � h / ,z --= Zip Code Business Address �Una 1�1S c Number Streef �� z '; Z - Ln yl JV' Phone.1,14 • Business Name: �G ;l�C2`-' ' err Title; Owner/Manager: number of units: ��ip✓J n if rental,. — d" Date of occupation: �% ' Description of business operation: �t be ,C�%�i completed and returned to the t Disclosurerials Fire ndled or stored in your business: A Hazardous Maof thefollowi ha g are used, us Department if any " amount of chemical carcinogen. greater than 55 l.- An, equal to or 2. Any amoul-it of radioactive material. Hazardous materials or hazardous waste in am° ateria s are defined I Municipal • id or 500 POUNDS (if solid} PER YEAR or 200 CUBIC FEET of GALLOP1. (if liquid) Hazardous m producer gas ON SITS AT ANY ONE TIME- Hazardous waste is Material Safety Data Sheet (hASDS)• and Safety Code. Code Chapter 17.58 and include materials for which the manufacturer or is required to prepare a Mat defined by Sections 25l 15 and 25117 of the California Healt Disclosure is not required for the following: products, cosmetic or tobacco p hazardous materials contai general 1public. j ly in 1. Hazardous �ovalsubstances the contained Chief�d� drug, 2. Upon apP for use by and distributed to the consumer products packaged , esticides herbicides and 3mmonitem nitrate fertilizers over the However, t from disclosure. papers required disclosure amounts are not exemp als accompanied 3. Th e transportation of hazardous rovi aterions of 49 Code of Federal Regulations. t prepared in accordance with the p 4. Infectious waste generated by health. care facilities that. are regulated under Title 22 of the California Administrative Code. CHECK ONE OF THE FO LLOWING: ess No chemicals are used, handled or stored at thisbusinine „t do not meet the Chemicals are used, handled` or stored at this business, but ements for disclosure. use handled or stored at this business. (Disclosure required; { Chemicals are u , l forms will be sent to you.) arson to be verified during annual inspections. Amounts will of this ordinance. It is unlawful for any l'- knowingly violate any provision e alty of .perjury, that the above information is true and correct to I certify, uJet Pthe best ofw e'�^r'� Date*.-- �.--,rHome Phone: (__� h�Signature lease ca11714-536-•5676. Questaiding the Hazardous Materials Program, p 0703F/14(1/9�t J a 1 di J i I r T '4 _Q SUPPLEMENTAL INFORMATION 1. n BUSINESS ADDRESSfi/>D l/<'14 2 Person to contact in case of emergency L9ycOsstW 94 Telephone number: t4c) Z(g R 3. Does the building in question have electricity? Yes (a) If No, are you requesting that the electricity be No ❑ Yes i turned on? El No ; 4. The building is sprinklered? ❑ Yes y1 No 5. Operations will produce dust/wood shavings or similar material? ❑Yes No 6. Operations will involve the repair or replacement of Yes automobile parts? �No If Yes: #. (a) Describe the components repaired or replaced. i (b) Does the operation involve the use of an open flame? ❑ Yes No l 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. Yes 9'No 8. � The fo o_ in best describes my operation; Office Only ; Re VI' —&a es Warehouse" Manufacturing / Distribution (describe process and end product) I Restaurant/Take Out Food Medical / Dental r Other (describe) I 1 5 r--r--Iqpr-w r SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the follc��reina materials? rN o ff Yes, indicate quantities: Quantit _ .._.. Material �_ �_ - _.__.. 1. Flammable liquids Class I -A Class 1-8 Class t-G 2; Corm-ustble liquids ..._._.. Glass Class lil-A -. Combination flammable liquids 4, flammable gases 5. Liquefied flammable gases ---- �. Flammable fibers - loose Fiammable fibers baled 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) _.------- - 16. Ammonium nitrate — 17. Ammonium nitrate compound mixtures^-Y �. containing more than 60% nitrate f by weight —-------- r 18, Highly toxic material and poisonous gas r 19. Smokeless powder _ 20, Black sporting powder t hereby rtif\ that the above information is true • and correct to , , .nowledge. the best f , - 77J — - Date :Signature