HomeMy WebLinkAbout14916 Springdale St - CofOCERTIFICATE OF OCCUPANCY 2 ✓ 21 ✓ 9 6
CITY OF HUNTINGTON BEACH
Date
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Address 14916 SPRINGDALE
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District
THE BIG 0 PIZZA 71�4--894--5321
Business Name- Tel, _
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PIZZAB
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Business Type Occ. Group _
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BUILDING OWNER BUSINESS OWNER/MANAGER
LARRY MEYERSOMEALLA wtTh
Name Name
14025 FAUST AVE Home, 3145 LOCUST AVE
Address _ Address
BELLFLOWER 9 310-925-5 ?20 LONG BEACHHome 310-427-8904
City Tel. City Tel.
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Construction No. of Stories Occupant Load Sprinklers
CONDITIONS OF APPROtAL
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DEPARTMENT OF COMMUNITY DE`✓ELOPMENT
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the by
(Building Official.
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COMMUNITY DEVELOPMENT
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APPLICATION FOR CERTIFICATE OF OC ANC I
3 cfi CITY OF HUNTINGTON BEACH I IJj
DEPARTMENT OF COMMUNITY DEVELOP NT '( C-PI l
Hur+rrrw-roN HEAM / TE
(PRINT OR TYPE ONLY)
Address, S�/2//lIC �� Lc 3 i i{�fNi/N /ll (C1r`�ej %6b 6trici P
2usiness Name '77Yc 61 1"- 6 E[2 -� Tel
BusinessType i �� �i — Onc. --)Up }
BUILDING 01NNER BUSINF ,S OWNER/h JR'
t"Name�y % /�'�+� f/Name
�- Home
,,"Address //1�a�S- P- !� S� �(1e /Address
�Ci 42iaL/ E4L,-n.c < 154-- 9� 1. Test 0 _ Ity f_O&L5 13c �1� G �jD£3 Home Te(��� � e
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER,641-1, �HANGE OF OCCUPANT
(EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indi�UA
te former use, if any j� _Occupancy Gr. Diva
REFT. OF BUILDING TO BE OCCUPIE
NOTICE: 1. Occupancy of any building is prohibited and a business license will not bedssued until the building has en
inspected and a certificate of occupancy is issued:
2. No electricalservice 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`
D 'fuse up' inspection in the Department of Community Development at the time this application is filed. i
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
vvv premises in order to determine if a change maybe made in the characterof occupancy or use of the building
or premises which would 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,
h. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of r^sur(4)
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
National Fire Protection Association pamphlet 10 (see reverse side).
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TRAFFIC IMPACT FEE �•i���'
DATE PAID
AMOUNT RECEIVE
NAME - (FOR OFFICE USE ONLY)
SUPPLEMENTA NFORMATION ZONING
OCCUPANCY GROUP ,6 PLAN CHECK NO. NO PARKING SPACES
OCCUPANT LOAD PERMIT NO HEALTH DEPT APPROVAL
NO. OF DRIES ADMIN ACTION UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE $-
`VED BY DATE CHANGE OF USE OR O"CUPANCY FEE $
TOTAL $
75-039 Rev. 11/90 COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
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1.
BUSINESS ADDRESS Lam° /� s'Inlr;ft.�SEE
2.
PerSon to contact in case of emergency
Telephone number:
eyes
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Does the building in question have electricity?
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❑ NO
(a) If No, are you requesting chat the electricity be
❑ Yes
❑
turned on?
No
$
4.
The building is sprinklered?
❑ Yes
❑ No
)
5.
Operations will produce dust/wood shavings or similar
❑ Yes
material?
CNo
6.
Operations will involve the repair or replacement of
❑ �fe�
N.,o
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automobile parts?
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If Yes:
(a) Describe the components repaired or replaced.
(b Does the operation involve the use of an open flame?
❑Yes
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7.
'The business is drinking, dining or assembly use that will
❑Yes-
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result in an occupant - load of more than 50 perpons.
[3-INo
rx
8.
The following best describes my opera'dor;
Office Only
eta�ilSa1es
Warehouse
Manufacturing / Distribution (describe process and end product)
;
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Restaurant ake Out Food
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Medical / Denta
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Other (describe)
SUPPLEMENTAL INFORMATION
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SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? El yes
No
If Yes, indicate quantities:
Material Qdantity
1. Flammable liquids
Class I -A
Class I-B
Class I-C
2. Combustible liquids
Class It
Class Ili -A
3 Combination flammableliquids
4. Flammable gases
5. Liquefied flammable gases
6. Flammable fibers - loose
7. Flammable fibers - baled
8. Flammable solids
9. Unstable materials
10. Corrosive liquids
11. Oxidizing material - gases
12. Oxidizing material - liquids
13. Oxidizing material - solids
14. Organic peroxides
15. Nitromethane (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60%o nitrate
by weight
18. Highly toxin material and
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: -
Property Owner Name:._
Phone
Srl./t! Jsf1 CC_ Pho iN
e #:
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Name of the person preparing this form in print and signature: '
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Name _ �2-/_.Lu'�2�, _- -- Signatures=� G'
The person preparing this form must be the same person applying for building permits. Please answer the
followingquestions regarding our proposed occupancy of the subiect building. IF YOU DO NOT KNOW
q 9 gY P P P Y 9
MARK IN THE "YES" COLUMN:
THE ANSWER TO A QUESTION, '
AQIVIO PERMITTING CHECKLIST
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YES NO
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1. Does your facility use any internal combustion engines greater than �OHP.
2. Does your facility involve mixing, blending, or processing any solvents,
adhesives, paints or coatings? - — --- -
3. Does your facility create an} dusts or smoke?
4. does your facility refine any liquids or solids or reclaim any metals?
5. Does your facility plate or coat an}(:hinge
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6. Does your facility have any combustion equipment (i.e. boiler, furnaces,
broiler, baking ovens, etc.) rating greater than 2,000,000 BTUIHR? t
7. Does your facRity handle or store solvents or motor fuel?
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8. Do you use or store any acids? "r 1
9. Do you use any chemical process?
10. Do you use any solvents for clean-up?
_11 Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline '
station, printer, br part coater? - - -
12. Is the subject building located within one thousand (1,000) feet of any
school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked
any questions in the "YES" column you must contact the South Coast Air Quality Mananement District located at:
21865 E. Copley Drive
Diamond Bar, CA 91765-4182
Please
call: Plan Cheak(9 09) 396-2000
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