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Home My WebLink About15317 Pipeline Ln - CofO (5)CERTIFICATE OF OLb:urmn-' :z/2 219:< CITY OF HUNTINGTON BEACH Date District Address Tel. it-c lt_ 1 to Business Name % C;Ir':I i T t, i t` t.— Occ. Group i•lirFHSIlIT T k()uFIiUSPER Business Type ,CA{ (tiEl'1CPL BV31NESSOWNER/MANAG^- -- ' BUILDING OWNER r Ffi i Name jC;SE?ti 0PLRA07 41 RF Name Home ;f, t°T3.F: I4CRRa rC 1T Address 7F=t F, Home Address P O ( F, f U F �i P 1 1 U City E p C' i.>A , h1 ..Tel. City SAhTA ANA Tel. Occupant Load Sprinklers Construction No. of Stories _ 4 CONDITIONS OF APPROVAL i_ 'r ; DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy SHILL BE in a conspicuous place on the preralses and shall not be removed except by the by Building Official. COMMUNITY DEVELOPMENT i I, i APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT 4DE HUNTINGTON BEACH (PRINT OR TYPE ONLY) Addr_ss �l�1�y1�, District Busifess Name-Ai.�/G�'� C 1 Tel ; u yp ,fi+ r J �G✓li7E� l u �jE Busness T e Ix�f .l�itr'� ��-Z � u ��s�-�XSi�tl�rnOvJ Occ. Group BUILDING OWNER BUSINESS OWNERIN4 NAGER ma ! raarne N ' ,per � ��L��f� f-� ��yp �r,—e, Ad res.—�.SL—¢ `' --- Addre-/1/[1—=1d=42 z_::7 � ��/.�f---Tel --- Itv ,�i�i��YJ I_,ril�Sf�rl1L �/i%}Y�'.�if'j%� Home Tel.�r��_"`L-� HIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT I idicate former use, if any_ --Occupancy Gr. Div S UARE FT. OF BUILDING TORE OCCUPIED---{/t�Y- l. NOTICE: 1. Occupancy of any 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 isnecessaryto make inspection of a building or premises in order to determine if a changa maybe made in the characterof occupancy oruse ofthe building or premises which would place the build,ng 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. 3 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) i inches in height with one half (1/2) 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 extinguisher selection and distribution per the I' National Fire Protection Association pamphlet 10 (see reverse side): (FOR OFFICE USE ONLY) I SUPPLEMENTAL INFORMATION ZONING 9 OCCUPANCY GROUP PLAN CHECK NO NO PARKING SPACES r OCCUPANT LOAD PERMIT NO. HEALTH DEPT APPROVAL NO. OF STORIES ADMIN. ACTION UTILITIES RELEASEp p `- 42 -h-32'C' RTIFiCATE OF OCCUPANCY FEE S �J j A ROVE BY DATE CHANGE OF USE OR OCCUPANCY FEE TOTAL S. Rjon t , 75039 Rey. >>(so MMM11IIY DEVEL0111ENT i i i 1 r i` SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS / �3%� {�l{'fL/%yn7 2. Person to contact in case of emergency - Telephone number: 3. Does the building in question have electricity? ® Ye �' ❑ t (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No r 4. The buildiiig iz sprinklered? IN Yes ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes No E. Operations wil! involve the repair or replacement of ❑ Yes automobile parts? No i If Yes: (a) Describe the components repaired or replaced. - flame? ❑ Yes (b) Does the operation involve the use of an open I �ilk 7. The business is drinking, dining or assembly use that will l result in an occupant load of more than 50 persons. Li Yes ? ? i No 8. The following best describes my operation; Office Only Retail Sales Warehouse i Manufacturing / Distribution (describe process and end product) I 4 LC t Restaurant / Take Out Food Medical /Dental i Other (describe) r. i i ` _ a _ \ SUPPLIMENTAL INFORMATION s SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? 1 Yes ❑ No !f Yes, Indicate quantities: Material Quantity 1. Flammable liquids Class I -A Class I-B r Class I-C 2. Combustible liquids Class It Class III -A i 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose _ 7. Flammable fibers -baled Flammable solids t; 9. Unstable materials — 10. Corrosive liquids 11. Oxidizing material - gases 1 r 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 4 16. Ammonium nitrate _ 17. Ammonium nitrate compound mixtures E containing more than 60% nitrate by weight 18. Highly toxic material and poisonous gas l _ 19. Smokeless powder }' r_ 20. Black sporting powder l hereby certify that the above information is true and correct to the best o my k owled a u rP ate 4 y y j I 4 r .0° I J� .ity of Hunting o beach 2000 MAIN STREET CALIFORNIA92648 DEPARTMENT OF COMMUNITY DEVELOPMENT i Bui!ding Division 536-5241 C Planning Division 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 { 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 thew 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. 2. If all boxes in the list are checked "no the Building Division can accept the check list as the release. 3, If there are any "yes answers in the list, the applicant ;oust contact an AQMD engineer by calling (714) 396-2000 to find out whether air permits are required for the proposed construction project. I 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 issued. Because of the time it may take for AQIvID Lo go through the above { procedures, the applicant is advised to contact- AQMD immediately after applying for. Building permits. I � (1360D) } E i a A SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property: Cf_D Phone # --- Property Owner Name: _"- Name of the Person Preparing this form in print nd sig at e Signature: Name:�U�'� in form must be the same person a/p1Y gin for The person preparing this uestions regard g building permits. Please answer the Following q IF YOU DO NOT KNOW your proposed occupancy of the subject buildingCOLU MN: . THE ANSWER TO A QUESTIOII MARK IN THE "YES" AQMD PERMITTING CHECKLIST YES NO internal combustion 1. Does your Facility use any _-X__- engines greater than 50-HP? blending, or involve mixing, (' 2, Does your facility paints i processing any solvents, adhesives, - or coatings? -r y create any dusts or smoke? 3. Does your Facilit& 4, Does your £acility refine any liquids or solids -x 5 or reclaim any metals? ? 1 S. Does your facility plate or coat anything. �- 6. Does your facility havC any combustion equipment Furnaces, broiler, baking ovens, F i.e. boiler, ter than 2,000 000 BTUIHR? — - etc.) rated grea ty handle or store solvents or 7. Does your facili�- motor fuel? 8, Do you use or store any acids?___ 9 Do you use any chemical process? - t 10 Do you use any solvents for clean-up? �1. Are you a dry cleaner, •restaurant with a charbroiler, body shop, gasoline station, printer, or part roater? 12. Is the subject building located within one f thousand (1,000) feet of any school? --- PROPERTY LINE TOPROPERTY LINE, GRADES K-12, h do no Air If you have marked "NO" in all columns, you anneedquestions in Quality permit at this time. If you have masked y t "YES" Column you must contact the South Coast Air Quality igement District located at: 21865 E. Copley Drive Diamond Bar, CA 91765-4182 x Please call: Plan Check (714) 396-2000 ti (1360d-2) r } i I