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Home My WebLink About15201 Springdale St - CofO (8)J� HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 - CITY OF HUNTINGTON BEACH — DEPT. OF PLANNING & BUILDING APPLICATION 714/536-5241 (3d Floor — Must Apply In -Person) Business License # Date Business Address S'j4ii, �j9,0A Lg- 5'/ 9 . 8Zip Code a G41 9 Business Owners Name br-AT Telephone No. 7/4'-�67- Bad Business Name N tj Bus. Phone Business Type Property Owner Information (re uired) Tenant/Emer enc Contact (required) Name 0 "t5-= 02 F Name R,,)61 6e,9 O /��/c Address D_441q Home Address /Q F.�_2 City �U � ss, �. � � � /,, � State/Zip ? City f t & State/Zip C& Telephone No. 7/1V- (` S Telephone No. %%- PZ, THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or XExisting Building CHECK ALL THAT APPLY: ❑ Change of Property Owner XChange of Occupant .Change of Use ❑Additional Occupant ■ Indicate former type of business 0.-" /moo e—oA-1 ■ Are you requesting that the electricity be turned on? Yes)( ■ Is the building sprinklered? Yes, No❑ ■ Will operations produce dust/wood shavings or similar material? Yes❑ . No V ■ Will operations involve the repair or replacement of automobile parts Yes Nod'. If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? Yes[] No El ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes []No ❑ ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes L.]No ❑ ■ The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (describe process and end product) Other (describe) For Official Use Only Occ Group: Area: Occ Group: Area: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Area: No. of Stories: Entitlement #: Plnr Initials:_ Date: r 3 1 Plan Chkr Initials: Date: of Approval or Other Notes: C"n Inspection Date: Occ Load: Occ Load: Occ Load: TIF Revie Y/ N Zoning: Insp Initials: Date: 0 zSouth Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 n (909) 396-3529 • http:// www.agmd.gov Air Quality Permit Checklist California State Law Code 65850.2 prohibits cities from issuing an occupancy permit 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 (AQMD). Company Name: Property Address: /C S a p f City:' (� Zip Code: Contact Person: �� 1��G Title: Cl� c �i12 Type of Business: 3 Telephone: 7iK_4'7s� s13 F' Fax Number: %1Z- �� y�� e-mail address: fc, 370 %-It Applicant (print name): �%/X/2-/` Signature: � 3 Date: • 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 50 HP (excluding motor vehicles) Boiler/combustion equipment (greater than 1 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge-type dust filter/scrubber Motor fuel storage and dispensing equipment Will any of the following operations be performed? Yes❑ NoB Application of paints or adhesives Etching, plating, casting, or melting of metals Molding, extruding, or curing of plastics Mixing and blending of liquids and/or powders Storage of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke, or strong odors If you answered "No" to both questions, this checklist is your clearance from AQMD. If you answered "Yes" to either question, you must contact AQMD to determine if air quality permits are required. If permits are needed, AQMD will assist you in submitting permit application(s) and then provide you with a clearance letter. You can call AQMD at their Small Business Assistance Office at 1-800-CUT-SMOG (1-800-288-7664). -2- HUNTINGTON BEACH FIRE DEPARTMENT FIE HAZARDOUS MATERIALS DISCLOSURE OFFICE 2000 MAIN STREET • HUNTINGTON BEACH, CA 92648 0 (714) 536-5676 9 FAX (714) 374-1551 HAZARDOUS MATERIALS DISCLOSURE INFORMATION PLEASE PRINT MANDATORY REPLY REQUIRED PRIOR TO ISSUANCE OF BUSINESS LICENSE Complete and return to the Business License Division 71. ��:3i Business Name: (� �1A �t Pr Phone: 7� 7 - FC) Business Address: �a� C) % S,Oa "EGA � — l / 2, Y6 Number Stleet Unit Zip Code Owner/Manager: C,361) Date Business 1W Start Operation: - , `1 ^ 12 Description of Business: �o / G 3 /j��T California's emergency response network requires all businesses to notify their local emergency response agency if they store or use hazardous materials above certain threshold quantities. In the City of Huntington Beach, the emergency response agency is the Fire Department, and the method of notification is by filing a Hazardous Materials Disclosure Package with the Fire Department's Hazardous Materials Disclosure Program office. Types of hazardous materials that must be disclosed include: oils, solvents, paints and coating materials, gases (compressed or cryogenic), fuels, and hazardous wastes. You are required to submit a Hazardous Materials Disclosure Package if you store or use hazardous materials in quantities equal to or greater than the following amounts: ➢ 500 pounds of a hazardous solid ➢ 55 gallons of a hazardous liquid ➢ 200 cubic feet of a gas (or the compressed or liquefied equivalent) ➢ Extremely hazardous materials that exceed the threshold amounts listed in 40 CFR 355 Appendix A ➢ Radioactive materials that exceed the amounts listed in 10 CFR sections 30, 40 or 70 ➢ Hazardous wastes that exceed any of the thresholds amounts listed above ➢ Other materials determined to pose a significant hazard to human health and safety, or the environment Disclosure is NOT required for the following types of hazardous materials: ➢ When contained in a food, drug, cosmetic or tobacco product. ➢ When packaged for direct distribution to consumers (retail products). ➢ When the materials are stored, used, or handled at a facility for less than 30 days. ➢ Infectious waste generated by health care facilities. Please indicate which category most appropriately describes your business: 11d No hazardous materials are, or will be, used, handled or stored at the above location. ❑ Hazardous materials are present, but in quantities less that the amounts listed above. ❑ Hazardous materials are used, handled, and/or stored at or above the amounts listed above. A Fire Department representative will contact you at a later date to verify the above information and determine if you need to file a Hazardous Materials Disclosure Package. If you have any questions about the Hazardous Materials Disclosure Program, please call (714) 536-5469 or (714) 536-5676. You can also obtain additional information on the City's website at www.surfcity-hb•ore in the Fire Department page under the section Fire Prevention. I certify, unde e penalty of perjury, that the above information is true and correct to the best of my knowledge. Signature: Home Phone: 71�t�-J�pl Date: /J-a? 7- / �?, -3- Department of Planning & Building 2000 Mt)in Street Huntington Beach, CA 92643 Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application •• • 0 15185 Springdale St VON DER AHE PARTNER$ 15201 'APIN 145-532-06 - Application Binder Num Street unit Bld Job Addres 15201. Springdale St APN ' 145-532-06 RD 29f # Toning IL Lot I< I Tract P0117 Block 31 ; File Nuiriber Cof0? _ P2006-005365 No M2006-005366 - No 02006-007422 Yes 02006-008577 Yes 02007-000505 Yes 02007-000969 Yes 02007-000973 ` Yes 02007-000975 Yes 02007-000981 Yes 02007-001024 Yes 02007-001027 Yes 02007-001042 Yes Entered By. Date Entered 01/3112007 Default Inspector Coble, Russell Status Pending Permit Type Certificate of Occupancy Issue Permit? Date^� Origin Counter Issued By Building Use - City R-MISC Residential Miscellaneous Planner Talleh, Rami Building Use'» County R-MISC New Building? Plan Checker Description I OFFICE TO OFFICE i Internal Notes'�- CofO'Number CO2007-001042 Choose PrInt All ' CofO Type Permanent Fees and Payments Sheets tc; Issue a, Issued By' Single C/o CofO Status Pending Inspections CofO Date Issued TempCofO Issued Date Printed ..":,' , • Utility Release Date �� Temp.gCOFO Expiration I Click the << button to copy the Business License License Number A259205 information into the Certificate of Occupancy. Business Name PATTEN SYSTEMS INC - . Business Licenses Business Name Business Type Professional i OtA152888 HOLOGENIX her,. A247752 SERVPRO OF E FULLERTON f PLf Business Phone (71A) 799-5656'= _ A208552 CELLO-DERM i A245978 CORE DESIGNS ENTERPRISES IN i Proposed Use ' Approved Occupied Area (Scl Ft) t Former Use # of stories ` Conditions Change of Owner? Pt Elec. Available? Drinking 1 Dining > 50 Occupants? Change of Ilse? • Want Electricity On? Welding I Open Flame? 0 Chang eofOccupant? Sprinklered?, Automobile Repairs? Additional Occupant? Dust /Wood? Auto Parts Desc. Group - Description ', Area °= _ = Construction Type Occupancy Load Group Definiti '