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Home My WebLink About15315 Pipeline Ln - CofO (10)i r CERTIFICATE OF OCCUPANCY 9 f 21 / 5 CITY OF HUNTINGTON BEACH Date Address 15-315 PIPELIRE District Business Name 1NNGVATIVE PL LSTICS Tel. 714-85 1484C PLASTIC FPBR I CATION B--2 Business Type Occ. Group BUILDING OWNER BUSINESS OWNER/MANAGER R.G NIGIvT GARY ELM4ER Name Name Address 4242 CAMPUS DR Home 14322 HLCIEI DA Address NEWPORT" BCH 756-150C HV, CA 714-897-2569 City Tel. Tome City 5 Construction No. of Stories Occupant Load Sprinklers CONDITIONS OF APPROVAL b tt / DEPARTMENT OF COMMUNITY DEVELOPMENT ! This Certificate of Occupancy }� SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the i by%/'�/ Building Official. - ' —I COMMUNITY DEVELOPMENT --..._....----------- —--- �_ � ___ ___ _-�---_____�or_-------- ------------------r r , II L r >I APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT nUNTINMON B[aoi DATE t IP[iINT OR TYPE ONLY) 9 ss -�/ ' CJ'/ District It Ad�e Busi ess Name ,//i/? 11 KCt �-1 U� P�lL� 1f.S Te171-- Business Type 1GL�/ IL,l��1 rah Occ. Group BUILDING OWNER BJSINESS OWNER/MANAGER I, Name �� . Mae, Named A dress `tj Hd�ress ' 1 nZ GCl✓l 2JY1C�G� �i.� Tel S Grty t`! . C?. Home TeI. ^Uq'j�'^'—" Aso j. THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER CHANGE OF OCCUPANT f EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT v/wIndicate former use. if any Occupancy Gr. Div SQUARE FT. OF BUILDING TQ BE OCCUPIED SW1i L— ti (FOR OFFICE USE ONLY) — y SUPPLEMENTAL INFORMATION ZONING OCCUPANCY GROUP- PLAN CHECK NO. NO PARKING SPACES OCCUPANT LOAD r'r PERMIT NO. HEALTH DEPT APPROVAL NO OF STORI S ADMIN ACTION UTILITIES RELEASED *DA CERTIFICATE OF OCCUPANCY FEE $ APP OVED BY CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ 75.039 Rev. 11190 COMMUNITY DEVELOPMENT i u r d n Aft _ACIillliwt.� TT11 J f, SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS _ ��i P,��iVl-e LVI, 2. Person to contact in case of emergency- ( C)arblotr Telephone number: 3. Does the building in question have electricity? Yes (a) If No, are you requesting that the electricity be E3 No ❑ Yes turned on? ❑ No �. 4. The building is sprinklered? j ❑ Yes 5. Operations will produce dust/wood shavings or similar No 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 I, (b) Does the operation involve the use of an open flame? ❑ Yes No i 7. The business is drinking, dining_ or assembly use that will result in an occupant load of more than 50 persons. El Yes ;£ No F. 8. The following best describes my operation; F Office Only Retail Sales i Warehouse ; X Manuf cturing / D'stribution (describe process and end product) a Acr h6 roo&464 > -�� a t "� ✓ Restaurant / Take Out Food Medical / Dental u Other (describe) 4 SUPPLIMENTAL INFORMATION l ► 'i i SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the followieig materials? Yes El No 1f Material Cuantity 1. Flammable liquids _ /Class I -A Cass I_g Class t-C I 2. _..__. __. -------- Combustible__liquids ' 4 Class I1 Class I11-A _.._... i ' 3. Combination flammable liquids 'j 4. 5, Flammable gases liquefied flammable gases f 6. -- , Flammable fibers - loose 7. -- m__. Flamable fibers -baled 8. Flammable solids 0• ._ Unstable materials 10. Corrosive liquids 11, Oxidizing material - gases _ _Oxidizing � 12. ._._ _ .._materi�al. -liquids_ 13. Oxidizing materolids i i' 14 `"Organic peroxides Nitromethane (unstable materials) r 16, Ammonium nitrate 17. Ammonium nitrate compound mixtures l containing more than 60% nitrate - by weight 18. Highly toxic material and 1 poisonous gas [ 1.; — Smokeless powder Blabk sporting powder I. hereby certify that the above information is true and correct to th best of y knowledge. _ Signature ate ;i f l i " S_OUTH"COAST AIR' QUALITY MANAGEMENT " UTRICT` ` -; zt^ (Nonresidential Buildings Only) i; � �� rY-1 L - Locavon of Subject Property: r Property Owner Name: r /` rCt-[i Phone 4: Name of the person preparing this form in print and signatur . w Name: G fx r!l Ely," 1,2 Signature: The person preparing this form must be the same person applying for buil ing permits. Please ,. answer the following questions regarding your proposed occupancy of the subject building. IF �. YOU DO NOT KI\TOW 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 the mixing, blending, or processing of any k - 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? t� k 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? t 7. Does your facility handle or store solvents or motor fuel? L 8. Do you use or store any acids? j r 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? E 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 (property line to property line) of any school (Grades K-12)? If you have marked "NO" in all columns, you do not need an AIR Quality permit at this, time. If l you have marked any questions in the "YES" column you must contact the South Coast Air Quality Management District before submission fcc City review. The Air Quality Management District may be contacted at: I k =11865`Co `Ie 'Drives' P y :. - D�amond•Bar, CA-91765=4182�` �Y Or call- Plan. Check (909),396-2000: (scagmd) 5 f yI 1 i 1 k R 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 «ritten release from 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 meet these requirements. e l• The applicant (theame oerenn who annlie for pen m. 'from the Building �ri�` ) must complete the check list which can be obtained either at the Building 4 at AQMD. Division or I 2. If all boxes in the list are checked "no", the Building Division can accept the check list as the release. 3. If uhere are an �� ¢ y yes answers in the list, the applicant must contact an AQMD ` engineer by calling (909) 396-2000 to find out whether air permits are required for the y proposed construction project. 4. If air permits are not required, the applicant twill obtain a written release form AQMD. I 5. If air permits are required, the applicant must submit the necessarye applications before the release P rnut V can be issued. Because of the time it may take for AQMD to go through the above procedures, the applicant is advised to contact AQMD immediately after applying for Building permits. ( i f1' 1 lg i rh k