HomeMy WebLinkAbout15329 Pipeline Ln - CofO' AT! � � FOR CERTIFICATE OF OCCUPANCY
CITY QP 3 UNTINGT N BEACH - DEPARTMENT OF B'UILBPI`tG & SAFET�
(3r`Floor - Must Apply III-1'ersntl)
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Date 31
Business License'
'Address —1 S Z9 n,
Telephon
Business Name PAP6,y\ a All igrme.nl 7AS sP �}� , y�
Business Type R)�kV
Property Owner Information Business Owner
�tame��l,,. C r�r.�,
Name_ri,ne. Pr�e�� es
Address �'�✓ �`r-'.�_� Home Address 0H c� _�� b v S - 31 Z
_Te(u�
^3�3 9G9 66�
City o Tel,0 F17U ity _
THIS USE IOULD BE DESCRIBED AS:
F-2fYisting
ONewly Constructed Building or Building
CHECK ALL THAT APPLY: '
❑Change of Owner ❑Chance of Occupant ❑Change of Use ❑.Additional Occupant
Indicate former use, if any
Does the building have electricity? Yes
Yes 1`To
If o, are you requesting that the electricity be turned on?
N
The building is sprinklered? Yes No 0
No
Operations will product dust/wood shavings or similar material? Yes
or replacement of automobile parts Yes No
Operations will involve the repair
Innf yes: Describe the components repaired or replaced.
� Y+ft�er r
Does the ope atiop involve the use of welding or open flame? Yes No
The business is dr °' I -wing or assembly use at will result in an occupant load
of more than 50`persons. Yes ❑ No
The following hest describes my operation:
❑Office Only ❑Retail Sales ❑Medical/Dental ❑Restaurant/Take Out Food ❑ {Warehouse
❑ManufacturingMistribution (describe process and end product)
Other (describe)
! Office >'Jse^O1:ly:Occ Load:
7oiurl�� Sq Ft Occupied: 0 Oec Group;
g. _
is Parking Spaces: _ TIF Review: Y/ N AriZt PaidS:
t n= Stories: p� Paid BEFORE Final lnBpecnon
i
.
a=. Entitlement Y:
Building Permit
E
Comments: _ CofO R
3 liu1 Checker Initials
1? Plaimer Initials: Bld tP
K --]
South Coast
Air Quality Management District
21865 E. Copley Drive
Diamond Bar, CA 91765-4182
(909) 396-3529 htpp://www.agmd.gov
Air Quality Permit Checklist
California Government Code 65850.2 prohibits cities from issuing a Certificate of Occupancy to a business
without clearance from the local air quality agency. This checklist will determine if you need to obtain
clearance from the South Coast Air Quality Management District (AQ1D).
Company Name: i , \ r tr ems,
Property Address: 15 3 2.q P e) % A e- E
City; 1-�l u n 1 r� i r�r�er�Cl, Zip Code: ? 6 4 9
Contact person: 01 Y' C 5 �Y• Title: CaWY\e- "Y'
Type of Business: _A vU rrmc) I, v e. v4 11, q �, rnen }-s Telephone:
Applicant: (print name)v1�r Ges i-�r Signature:
Will the facility have any of the following equipment? Yes ❑ No
Charbroiler
Dry cleaning machine
Spray Booth
Printing Press (screen/lithographic/flexographic)
Internal combustion engine (greater than 50B2) (excluding motor vehicles)
Boiler/combustion equipment (greater than 2 million BTU/11r. maximam input)
Abrasive blasting cabinet/room
Baghouse/cartcidge type dust filter/scrubber
Motor fuel storage and dispensing equipment
• Will any of the following operations be performed? Yes ❑ N
Appioation of paints or adhesives
Etching, plating,. casting, or melting of metals
Molding and blending of liquids and/or powders
Storage of acids, solvents, organic liquids or fuels
Production of acids, solvents, organic liquids, or fuels
Production of fames, dust, smoke or strong odors
• If you answered "No" to both questions, this checklist is your clearance from AQNM.
• if you answered "Yes" to either question, you roust contact AQNID to determine if air quality permits are
required. If permits are needed, AQ'YID will assist you in submitting permit application(s) and then provide you
}
with a clearance letter. You can call AQNID at their Small Business Assistance office at (800) 388-2121.
CERTIFICATE OF OCCUPANCY EVALUATION FORM
F GENERAL BUILDING INFORMATION i
I Owner name: Address and/or suite #:
l ; n
gj I Emergency contact: _ I Phone number:..
f I Occupancy Class a primary use(s) & sq. ft.: Occupant load: ?
F i i i
I Occupancy Class - second use(s) & sq. ft.:
s i
T)pe of constructuon:
Stories & Height(ft)
Sprinkling used?
❑Story increase
l
❑City Ordinance
❑Unlimited area
QOne hour construction_
OAtria
OArea increase `
Chapter 9
Area allowed:
Basic:
Yard:
Area separation:
Sprinkling: i
1 For multistoried and mixed use attach a separate work sheet or include in sketch area
Attach work sheets b 'Piannin or Fire If orovided
YARD 2
HAM091FpWG PECEMNG. �' RINGYARD 3 10 tSTORAGE)
IMr Ga YARD 1
wssFxa RECEPTION
ENTR
t OPEN OFFICE
PARKING
rLul
IN ®(•P'R IN
Q A nAM1
LE
INDUST'L/COMMERCIAL USE
i : i n,
PA KI qG
V. STREET NAME
.G:\BUILDING\FORMS\COUNTER\COINDRY.DOC May 1,1996
_ Alvcat
�� (\J APPLICATION FOR CE IFICATE OF OCCUPANCY
l•,' CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
yu+rwr.�rar e+nn !. IP91NT On rYPE o«tn ' DATE ?
Address _ G� ?�L��_ L 1'�,^L`�_J� /� • DWricro
�' u
13uslne3s Name
8uiclnc!.s Type_ '1/f�� YCei� N�evG?tii q� CFsYt i/ Occ Grouof2 !S
t ,�x
B IL INC OwNEn BUSINESS Dr,"EWMANAGER i XA
Nmef-Jl
Nnma'
/ �j �• _
Add, _i/s'+_� 1r.1✓!'�•._L>fir/�fL'_Lif__.._..✓fpU,�/Hddr��s�jy�C-,._.-�Y�yA
city - 4.� .f ' ... ._.... ir�t� :l.L �1CrIy ,2�ttilrt Hon-1011(f/'�E/
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THIS USE WOULD BE DESCRIBED AS:.
EWLY CONSTRUCTED BLDG ❑ CHANGE Or L�f C
OWNER 4ANGE OF OCCUPANT
r�fJ7 t
Lip EXISTING BUILDING ❑ CHANGE Of USE ❑ ADDITIONAL OCCUPANT
indicate loaner use, it any /+<//' OccupAncy Gr —Ory
SQUARE FT OF BUILDING 1019E OCCUPIED_(�'�� ia�90r r
r
NOTICE: (, Occupancy of any building is prohibited and a busrnsss 11cense will not be iss ed until the building hea been
Inspected and a certificate of occupancy is issued
2. No elecWcat service will be released for any existing building until the service has been tnsprteted and
cer/iffed sale. All applicants for occupancy In an existing building are requfred'to schtdu!e an electrical
'fuse up' Inspection In the Department of Community Development at the time this applicapon Is filed.
3 Chongs of occupancy or use Inspectlon Ito. Whenever It Is necessary to mgke Inspection of a building or
premises In order to determine it a chenpe maybe made in the character of occupancyoruseof the building ilk
or premises which would place the btlldmil in a different division of the same group of occupancy or Ina a? �$ • ! �i
different group of occupant° a change of occupancy Inspection lee of S shad
t
be paid to the city.C3:r ra .
4. Huntington Beach Fire Code Seellon 10203 requires that budding numbers jnust be a minimum or four(4)
Inches In height with one hall (t�) Inch stroke. and of a contrasting color from the background. These
numbers must be posted on • our building in a location lhet Is visible. from the street Y $r 4 s'.r*
5, Huntington Beech ire Code Section IO.SOI requires Are extinguisher sale- Itod end distribution per the ` � e � a � t s.
.t National Fire Proto lion Association pnmphle�t0(s�reNvoroe side. *rye a t .
FF�A
MR` + Ii&QUtii • PIt!s� rtt'
t�LD,af, ott
r ?
TRAFFIC IMPACT FEE Qq i
* DATE i'AID
a x z AMOUNT RECEIVER _�1 # a
NAME (FOR OFFICE USE ONLY)
1 k
SUPPLEMENTAL INFORMATION TONING �—
a ,
OCCUPANCY QaOU PLAN CHECK NO NO PARK14G SPACFS U4����. �
PERMIT NO HEALTH DEPT'. APPROVAL. t.e A.x'r""�
OCCUPANT LOAD
NO: OF STORIES
AOMIN ACTION UTILITIES REL ED
V t
CERif"'GATE OF OCCUPANCY FEE' S, '�"" � a
DATE CHANGE OF USE 08 OCCUPANCY FEE
VE 8Y ¢^ F;
• TOTAL S
7'' 73oJ9M.usT COMMUNITYDEYF.LOPME'.T �
(, a •c s
b �
lore ACH
4
APPLICATION FOR, CERTIFICATE Or OCCUPANCY
CITY OP "UNTINGTO" MaACN
DEPARTMENT OF DEVELOPMENT SERVICRi
if RtNT Ufi TYPK ONLYt DAI t
j j j 757',3 "i
4ddrrnt L1L`r C .�' z I. i 1.7 l
8usinesrNama Q .J�.S._I L.�.. tit 1 �r�LA
Business TVpt S J ,*
7 i
el1ILDINO oY_/N En ..�tt1-C: GL �,rliljN�11�MA?I(�r)tn
Name Namp
Address ' �1.L! 1-1 _ Address '__�,1 _ % .i..a
THi& USE WOOLO 6Z: 0 Zt5CRt8ED AS;
NEWLY CONSTRUCTED BLOCi CHANCE Of O'vNER I—KCItAN01 01' OC(J)PAN I
EXIST!NG BUILDING { } CHANGF OF USE � i ACOITi0NAL O CCIII'AN I
Indicate former use, it any ..__ __ . _ _ _ _ :_:__. Occupancy Gr v} Div,
n s ri �11 i 'i prohibited business license will not he iu r ti 111 h bul n .._
NOTICES 1, Occ Ipancy of er.�� but dulq is prohlbl and a i n s a f n t I g
has been Inspected and a cortificata of occupancy is issued
2. No slect6mil service wilt be released for any existing building until the sarvi ;n lint lwwl Impnotnif
and certifiedsafo. All applicrrsts foe occupancy in an existing building are rntlulred to whodt 1p rift
electrical 'fuse Up' inspection in the Deportment of D"lopmont, Sarvtens at the time thls sppi,tir
lion Is filed.
3. Chongm of occupancy or us -it inspection tee. Whenever it is necescary to rnske inspection of a build
ing or premises In order to determine If a change may be made In the i I.arawnr r I uccupanay or is%#
of the building o, premises which would place the building In a differnn divolon tot the tarots group
of occupancy or in a different grouts of occupancy, a chanria'otioccupnmw inApoetlott No at $30.00
AM! be paid to the city.
4. Huntington Beach Fire Code Section 10.1J8 requites that nul�ding numhers mini ba a n1IWt1 IT1
of four (4) inches in height with one haft (M inch stroke, and of a contrasting color bout file hntlk
ground.. 'These numbers "must be posted nr your building in a lo�atlon that is visible Flom the itrnat,
5, Huntington Beach Fire Codit Section 10.301 requires fire actin selattlo(l and dlattlbutit)n
per the Notional Fire Protection Association pamphlet �10�slda;)
(FOR OFFICE'1SE ONLY)
SUPPLEMENTAL INFORMATION J
SQUARE FT. OF SUiLC`r^7Ct 7 L r Ji? PLAN CHECK NO NO PAFIKiNC SFrAC1 ;r
OCCUPANCY GROUP L j� PER4itT NO ttl A!,TF1 DEPI APPIi0VAI
OCCUPANT I,OAD .. / ADMIN ACT'ON UrttlTrF [+t thnsltf)
NO. OF STlgAIE5 1 r L ,. s 1
C(.,RTtFYCATC OF OCCUPANCY FEE S
APPt10VU BY SATE CHANGE OF OCCUPANCY FL( #
TOTAL ti
TEAafP1S DEVEIOPIAlI'lI
Y