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Home My WebLink About15061 Springdale St - CofO (33)' CERTIFICATE OF OCCUPANCY 020� - CITY OF HUNTINGTON BEACH le!D DEPT. OF PLANNING & BUILDING APPLICATION 714/536-5271 (3`1 Floor — Must Apply In -Person) Business License #- 421 ] q 2- Date q f ID I Ia Business Address 1 Q101 VjIm4ft Zip Code 9 X41 Business Owners Name �4yfl Telephone No. -7 j 4 - 611- 50 Business Name _1Fie. P-0,�4M b(etwv0(- Bus. Phone ATM - Business Type loft j b1l — 7-g6 -- 01to � Property Owner Information (required) Tenant/Emergency Contact (required) Name 5k,*r,- vbW Vx- I Name OJ'Lto- Address 19M I Ss ; # (l2 Home Address Z; City wry State/Zipg,26g CA City \vK c6eack State/Zip ggogq Telephone o. Telephonewo. `l _ j —Ge;(; i THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or /Existing Building CHECK ALL THAT APPLY: �^/ ❑ Change of Property Owner Z Change of Occupant ❑ Change of Use 0 Additional Occupant ■ Indicate former type of business ft ■ Are you requesting that the electricity be turned on? Yes ONO/ ■ Is the building sprinklered? Yeslo❑ ■ Will operations produce dust/wood shavings or similar material? YesONo❑ ■ Will operations involve the repair or replacement of automobile parts Yes ONo� If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? Yes ONo �f ■ Will the b smess be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ❑No ■ The follo ing best describes my operation: T Office Only ❑ Retail Sales 0 Medical/Dental ❑ Restaurant/Take Out Food ❑ Warehouse /Manufacturing/Distribution (describe process and end product) ❑ Other (describe) For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Area: Area: Area: No. of Stories: Entitlement #: Occ Load: Occ Load_: Occ Load: TIF Review: Y/ N Zoning: C6;1 Plnr Initials:._ Date:Plan Chkr Initials: Date: Insp Initials: Date: Conditions of Approval or Other Notes: Otr-e1Le +0 dFPtl-G. rlb CoF o 9,6a Inspection Date: (G:Building/Forms/document id goes here) • 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 # A Zy U S y Z Date //Z-31/3 Business Address /SO(d/ ��r7hcn�l� % ��f l�Z �� L Zip Code 1ZGY r Business Owners Name 5d,ar✓1erg Sei t`- L,�it'� Telephone No. 5'9'B'ZZk-77o5— Business Name fi an«ilt C. C G Bus. PhoneI Ll L 7-�- dy Business Type �10 fT;y Property Owner Information (required) Tenant/Emer enc Contact (required) Name Name 571cn r Ci1 R_1 9 i n1 Address W L lr �� i�C6i S f ✓ zC %�7j Home Address fig" f�77`1`/ s City State/Zip G/'I' City State/Zip C/� 11iZG4B Telephone No. q�/ 1 Z-60 /' 0 0 Telephone No. W Yz k�'1 7"29 D THIS USE WOULD BE DESCRIBED AS: / El Newly Constructed Building or P Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner [ICI ■ Indicate former type of business ,e of Occupant ❑Change of Use ❑Additional Occupant -CL On(y, ■ Are you requesting that the electricity be turned on? Yes [I Noi� ■ Is the building sprinklered? Yeses No❑ / ■ Will operations produce dust/wood shavings or similar material? Yes ❑ No Q" ■ Will operations involve the repair or replacement of automobile parts YesO NoP' If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? YesEl No ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ONo ?" ■ Will there be storage racks, gondolas, or shelvi exceeding 5feet 9 inches in height? Yes ONo ■ The following best describes my operation: K Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (describe process and end product) Other (describe) For Official Use Onl Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Area: Area: Area: No. of Stories: Entitlement #: Plnr Initials: �� Date: Plan Chkr Initials: Date: Conditions of Anproval or Other -Notes: 2 Occ Load: Occ Load: Occ Load: TIF Review- Y/ N Zoning: Insp Initials: Date: Inspection Date: South Coast r Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (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: City: 14 3 Zip Code: r fi- ContactPerson: stiGvt�vh S[�`��in✓GZ'� Type of Business: N"�1f�i �Cj'✓� �GT y24,'qj Title: f r"S'de" -/ Telephone: 'grg- ajg* -7 Fax Number: q0L 40 17 - '1 address: _ Applicant (print name): � < z j t��"� Signature: Date:111-�113 • 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[:] No[/ 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 -± HAZARDOUS MATERIALS DISCLOSURE OFFICE 2000 MAIN STREET • HUNTINGTON BEACH, CA 92648 (714) 536-5676 • FAX (714) 374-1551 HAZARDOUS MATERIALS DISCLOSURE INFORMATION MANDATORY REPLY REQUIRED PRIOR TO ISSUANCE OF BUSINESS LICENSE Complete and return to the Business License Division PLEASE PRINT Business Name: I✓D h(tr(A %)11'CGd RD#: Phone: Fffb- Business Address: l S/I�`%�' ��1� A11 Z, (�Pj (1 Z G le Number Street Unit Zip Code Owner/Manager: 9704'4a"' S(f fF-t k1f- r-' Date Business Will Start Operation: /U / l Description of Business: VC) &(/-,/ S—CiY( 6::�3 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 i dicate which category most appropriately describes your business: Please 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 Nyww.surfcity-hb.ore in the Fire Department page under the section Fire Prevention. I certify, under the penalty of pV al the above information is true and correct to the best of my knowledge. 7 Signature: Home Phone: ��yZ �3 bfC,/ Date: t' Z 7� -3- Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application 15061 Springdale St 112.' BECKER NICK 15061 APN 145-531-37, Application Binder Num Street Unit 'Bldg Job Addres 15061 Springdale St _ i APN ,145-531-37 RD 2911 Zoning CG ' Lot �� Tract[P0159 Block 11 File Number CofO? 02008-000640 Yes B2008-004441Yes 02009-002356 Yes 02009-006253 Yes 02010-001471 Yes 02010-002735 Yes 02010-003580 Yes 02010-004373 Yes 02010-004375 Yes 02010-004376 Yes B2010-004959 No 02010-005658 Yes Entered By Martin, Sarah Date Entered 11011112010 Default Inspector Kirby, Kevin Status Pending Permit Type Certificate of Occupancy Issue Permit? Date Origin Counter Issued By Building Ease- City- Planner jArabe, Jill Ann Building Use-CountyF ------ T]NewBuilding? Plan Checker Description I OFFICE TO OFFICE Internal Notes ITHE RELIANT NETWORK s ® • . � ��:., � � .mow \� ��\��\ � \' ,\ ...�... CofO Number CO2010-005658 Choose Print All CofO Type Fees and Payments, Sheets to Issue Inspections Issued By 'Single CIO Cof0 Status Pending CofO Date Issued Temp. CofO issued Date Printed Utility Release Date Temp. COFO Expiration Click the «button to copy the Business License License Number A277922 information into the Certificate of Occupancy. Business Name THE RELIANT NETWORK _ Business Licenses Business Name Business Type Professional t Ofhei A240542 NOTARY DIRECT NATIONWIDE LL i A265946 HORIZON PREGNANCY CENTER Business Phone (877) 674-7502 ' A188910 SHRADER & ASSOCIATES A188912 MEDBY MICHAEL Proposed Use OFFICE Approved Occupied Area (Sci Ft) 0.00 Former Use OFFICE # of Storiesi�� Conditions Group Defln