HomeMy WebLinkAbout14896 Springdale St - CofO (2)• "� ' }�(3PPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON 13EACH
DEPARTMENT OF COMMUNITY DEVELOPMENT � G ' 1 ,� • �j
iiurriW,'ToN DFKt+ (PRINT OR TYPE ONLY) DATE
Address %�-i`1 ST�1�IfU �l /��T r L,�/ DiWtrict
Business Name �cl �— � A1Ur �� tTL. i- I Ss A-) Tel l/Ct- 576l'"�� �
Business Type c bo -rl-i C &AA)C-f- `Ci..'_ L4. . A"I Occ Group
BUILDING OWNER BUSINESS OWNE-R(MANAGEA
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Namet � ) Name I 'H 1k17y_f [%' 3 " X1721 %
Home
Address k`�C-ls f+�-� Address .C�Gfi4�-"�
Tei_ � 6 f s"'lue_,rr.JS Home Tel 21 ` !
city - � � t' � ,'I,?_�� -.-_. Crty_�__.-.— =i"�_ ...��L�
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THIS USE WOULD BE DESCRIBED AS:
C NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER � CHANGE OF OCCUPANT
EXISTING BUILDING / CHANGE OF USE ❑ ADDITIONAL OCCUPANT
a
Indicate farmer use; it any i _Occupancy r_,i _DN,
TO OCCUPIED
SQUARE FT. OF BUILDING 8E I
NOTICE: p fl
license t issued until the building has been
will o is t d n
f i s prohibited and a business Lice s.. I n be
1. Occupancy any building ,p t 9
inspected and a certificate of occupancy is issued,
2. No electricat 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 trine this application is filed. .
3, Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
premises in order to determine )ta change may be made in the characterof occupancy or use of thebuild";ig
or premises whichwould place the building 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.
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 (',z) inch stroke. and of a contrasting color from the background. These
j numbers must be posted on your building in a location that is visible from the street.
I: 5. Huntington Beach Fire Code Section 10,301 requires fire extinguisher selection and distribution per the
National Fire Protection Association Ram hlet 10 {see reverse side};
APRC INUP.0 'T
ttAN s Etui
(FOR OFFICE USE ONLY)
ZONING 0-32
OCCUPANCY CROUP PLAN CHECK NO NO PARKING SPACES
OCCUPANT LOAD PERMIT NO __ HEALTH DEPT APPROVAL.—__���
NO OF STORIES - ADMIN ACTION-- ___._...�. UTIt,ITIFS RELEASED
CERTIFICATE OF OCCUPANCY FEE
APPROVEFid DATL CHANCRE OF USE OR OCCUPANCY FEF
TOTAL '
75-033 Rim t;=sr COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS}(
-2 E-
2.
Person to contact in case of emergency• ' ! W 14 U
' %--r(,
Telephone number
I'
3.
Does the building in question have electricity?
EKYes
L�1 No
(a) If No, are you requesting that the electricity be
2-`Yes
turned on?
p No
4.
The building is sprinklered?
11 Yes a
M'No
5.
Operations will produce dust/wood shavings or 'similar
material?
I-ti YYes
6.
Operations w0i` involve the repair or replacement of
No
❑ Yes
automobile parts?
EKNo
if Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open" flame? C1 Yes
R'N o
7.
The business is drinking, dining or assembly use that
will
result in an occupant load of more than 50 persons.
Ci Yes
MIN
8.
The following `'best describer r(r., operation;
Office Only
Detail Sales
Warehouse
anuf cturingy'f I�ibutOn (des process and end
product)
Restaurants Take Otrt Food
Medical / Dental
Other (describe)
P`
SUPPLEMENTAL I ORMATION .
R
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the foltow;ng materials? 0 Yes
O-No
If Yea, indicate quantities.
Material __..__..�.._ _._ oar tit w. W
1. F6arnmable liquids
Class H-A
Class 1-8
.;lass l-C
2_ Combustible liquids
Class 11
Mass l 1 t -A
3. Combination le liquids
4, F}&MLmable gases
Liquefied tlarnmable gases
6, Flammable fibers loose
?. Flammable fibers - bated
8. Flammable solids
. Unstable materlai;�� �..
10. Corr'osh-, , liquids
11. aterial � gases
12, Oxidizing r,,aterial liquids
13. 0x1di7in material _- solids
14..Organic peroxides`
15. Nitromethane (unstable materia`s)
IS—, Ammonium nitrate
m"'moniurn- nitratecorr potird mi tr#res
containing more than 60% nitrate
by weight
18. Highly toxic material and
pongus gas
1;9, Smokeless powder
M Black sporting powder
l hereby certify that the above information is true and correct to
the Best of: knowledge.
12
ignaLur 'Date
,*g
Souk 'Coast
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RIC T
t A�. ITY MANAGEMENT DISTRICT
,
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21865 E. Copley Dr'tve, Diamond Bar, CA 91765-4162 (909),996--2000
t
AM QUAIATX PERA T CMECK LIST
;s
for nonresidential buildings only
'
4
Company Name: r. —5 Leh i-,�� y
Location of Property, l 49 :22t
Casty: Zip Code: )244,z 'r
'
Contact Person: `i`T(Ai)Ffi UTitle:
Telephone Number. Fax Number:
a
r
Type of lndustryBusmess: C 53 h,
t
To :apply for a nonresidential building permit, you must complete this checklist. If you have any
}
questions about' completing this checklist, please call (800) 388-2121.
}
YES
NO
'
1. Will the facility have a charbroiler? j)
G}�
2. Will any internal combustion engine with greater than. 50 horsepower
operate at the facility (excluding motor vehicles)? ( }
L
3. 'Will operations at the facility involve mixing, blending, or processing of
solvents, adhesives, parts or coatings? [ }
4. Will dust or smoke be generated at the facili? j }
L
5. Will refining of any liquids or solids be done at the facility? }
6. Will any plating or coating of materials be done at the facility?
7. Will any combustion equipment rated greater than 2,000,000 BTUihr be
operated ;at the facility? }
S. Will any acids, solvents, or motor fuel be used or stored at the facility? j }
9. Will any organic liquids or gases be reacted o. produced? [ }
[ r-T
10. Will any ovens be used to dry or care products at the facility? i ]
[ L}-'`
11. Will any CFC (Freon) recycling machines operate at the facility?� `My
%
Applicant: Signature:
(Print name clearly)
If`you have marked "NO" in all the boxes, an air quality pen t is note needed at this time,
,
and this checklist is your written release.
If You marked "YES" ir. any of the boxes, you must contact the South Coast ,Air Quality
Management District (A'QMD). Please read the requirements on the back of the checklist.
(800) 388-2121
ADDIT10NAi. SLI 'LEP1!>~1VTAl.1NFOFtMAT1Cl4
- .
Califi?mla Suite La-vv aCB[lvcrz.mi;'nt (Iola Mplophs too *M'D,na; Dw 'a ien 'von,.,
issuifig a dint P»t:til%t4'v?4e ��f;?ccapan,-' u r ak s r "t 'r i�`eew"``UN O Olt 30m, al i3'.i zl�fr.' its C x may" L"v
me AR required to .. %. ? k amit �;huk Sari. lie est.cUst t
designed
yry,yy.�p }. �`� p1 /�� yF�Y+� 3 }w i 5- } r} h<
de igned tc i + h ppli at x a PSS1..: 9 a 4 F .{MA z.. I ik �r n v I£ 6e an rvS on A, . yy
i7e question ` ITQ OwEiag M= i Z! t,:1ivC1 '4a}' Exitto local .%.
quality ag,en ; , if�•int that the apple x,,
1. A!,I A'>oi1resiiitial b iIiin,,? p:T'm i.,x y^;" ?. ,z , 1.1>. '.. v0' t',ze t i CIw`zk1iS»,
,err. If tie zo c+.d questions arc E .... maT, dw chnklif,
as the ;,ritton i,'elmse.
.,�...- s"lr 4y. ',�".,ti iiw` .z"Ak'i:" r" i. �i1 i' i.'.9. ff.'kiix: s,... , `t: I 2 yxlx n
to t c lem-line pemill s aw i'�Wuir ed for any equi mz, %z,,a
which : iy be operated at the skt« If f� s Q. ID d—.,t "�"%",.ia?d.' E�ia= 3?t �.E i �i �?m ""��t. �'sr
hat r;qiiared or Oat all requirements t, wriven, xerease :1,!R z issu &
4. If adt 1 I° rpmir,46 --rc a`equin� dl WT mit l"ieer.: Li6ii'i=tmd dw i
i'iu!. l "..fit, the. necessary Permit and <�,:JJpCbpriate Iles before a 'iiiRen
AQMD is to expediting y [i tt y y T y ma"',
y
yy i u M.IW..,Aend..., i�..k . , $ua Vl �4a i+{SY��e+ Ya LL 4 R» t'lk-C Several
v l t�� c'i :4 c�tiar�e'iiPi¢ i4if : T ElS:za ire: zrm advised to ir` ul3: -t "wi, MD
i mediawl a• prier applyiag for IndI Eng p->nAw
(S SR-212
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