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HomeMy WebLinkAbout14928 Springdale St - CofO (5)�3 i CERT IFICATIE OF OCCUPANCY w CITY OF NUNTINGMN BEACH Date Address ? 1i Ca K A t i r 's' f't. T F P L District Business Name LC; lei., t.7£.fi!GF: Tel. Business Type LIC;bCh S'fGRT, Occ.Group_ BUILDING OWNER BUSINESS OWNER/MANAGER' Lxr 1tk iiC C d A: "�tsh Name `JPDX;C 1EGG GEC:!. Name _ ' Address 1 u; F i h r,t.'f' Nome Adc -- — CityLLLL. LL4, i. Tel. CV0 ir..6 CityCAVF.t.;,i Home Tel. 1 Construction 7 No. of Stories tfi Q Occupant Load Sprinklers CONDITIONS OF APPROVAL ' C2 1, CA 0DEPARTMENT OF COMMUNITY DEVELOPMENT 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. COMMUNITYDEVELOPMENT s o i,1 li s 'S3 APPLICATION FOR CERTIFICATE OF OCCUPANCY dui CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT MWIt lTON euc.r DATE (PRINT ORTYPEONL'f) � � n 'Address 7�j-7--31?idn1( ✓I%ily/z&, 1•c��C� District v � L Business Name 1 Tel [ i/�Hri m, 17742_ Business Type oN o O 6CC. CHpDG//roup BUILDINJ O ER BUSINESS OWNERR VAGER Name�Q1J�t�Ce V �t J rC' ,e t� _ L_ �G � Nam •�_ Norm 0 6 �S� Add Address less -3� � - City c T f ---Tel Cilg� C r^�t Home Tel THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER ❑ CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr.-Div SQUARE FT. OF BUILDING TO BE OCCUPIED %�3.1$ Y � ' NOTICE: 1 Occupancyof any building is prohibited and a business license will not be issued until the building has been - inspected and a_certifcate of occupancy is issued. 2. No electrical 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 Deparinient of Community Development at the time 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 if a change inay he made in the characterof occupancy cruse of the building or premises which would place the building to 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 r minimum of four (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). (FOR OFFICE USE ONLY) St9PPLEMENTAL INFORMATION) ZONING OCCUPANCY GROUP ^' PLAN CHECK NO.-- NO PAR G SPACERS OCCUPANT LOAD yt> PE2MITN0 HEA DEPT APPROVAL NO OF STORIES I ADMIN ACTION U ITIES RELEASED IJ /' CERTIFICATE OF OCCUPANCY FEE � �5 A OVED A E CHANGE OF USE OR OCCUPANCY F E g _ TOTAL $ -D3 75.039ner61ee COMMUNITY DEVELP.tj a' Y �ti l 0 l ' ' •-- .,,.mot+-•::;.���= • - '_' ::.may". _..., r BUSLDINGPERMIT/CERTIFICA.TE OF OCdUP,ANCY SUPPLEMENT _ SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT PERMITTING C"HECKLST it LOl'v'fMEECIAL BUILDINGS ONLY , I. DOES YOUR FACILITY USE ANY IPTERI4AL COMBUSTION ENGINES GREATER THAN 50 HP? 2. DOES YOUR FACILITY ' 1?tJOLVE MIXING,, BLENDING, OR PROCESSING ANY SOLVENTS, ADHESIVES, PAINTS, OR COATINGS? 3. DOES YOUR FACILITY CREATE ANY DUSTS OR SMOKE? 41DOES YOUR FACILITY REFINE ANY LIQUIDS OR SOLIDS?, RECLAIDf ANY METALS? I 5. DOES YOUR FACILITY PLATE OR COAT ANYTHING? 6. DOES YOUR FACILITY HAVE ANYCOMBUSTION EQUIPMENT (I.E., BOILERS, FURNACES, BROILERS, BAKING OVENS, ETC) 7. DOES YOUR FACILITY HANDLE OR.STORE SOLVENTS OR MOTOR FUELS? 8. DO YOU USE OR STORE ANY ACIDS? 9. DO YOU USE J CHEMICAL PROCESSES? 10. DO YOU USE ANY SOLVENTS FOR CLEAN Up? 11. ARE YOU A DRY CLEANER,:RESTAURANT., BODY'SHOP' GASOLINE STATION, PRINTER, OR P4-RT COATER? '• IF YOU DO NOT KNOW THE ANSWER TO A QUESTION, MARK IN THE "Y" COLUMN. IF YOU HAVE, MARKED ANY QUESTIONS. IN THE "Yll COLUMN YOU MUST ' 'ONTACT THE SOUTH 'COAST AIR QUALITY MANAGEMENT DISTRICT LOCAL 9150 FLAIR DRIVE, EL MONTE C.A., 91731.. PLEASE CALL PUBLIC RMATION AT (818) 572-6283 OR CUSTOMER SERVICE AT (818) 57 f® JOB ADDRESS . r DATE: _ SIGNATURE: J Q i i SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? Oyes No I Yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A Class- I-B Class I-c 2. Combustible liquids Class II Class III -A 3, combination flammable liquids ' 4 Flammable gases 5. Liquefied flammable gases 6. Flammable fibers ---loose 7. Flammable fibers - baled 8. Flammable solids' 9. Unstable materials 10.. Corrosi i; liquids 11. oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. Organic peroxides -15. Nitromethane (unstable materials) 16. Ammoraum nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate . by weight 18. Highly toxic material and w poisonous gas 19. Smokeless powder, 20. Black sporting powder ® d s I hereby certify that the above information is true.and correct to the best of ,ny "knowledge, 1 Si nature Date (0562D) (12/8%8b) X i SUPPLEMENTAL INFORMATIION 1. BUSINESS ADDRESS /�P ✓'1�'�Z''t ` ! Q�CPtit�w( �C�i�^ Q Qce e�ti 2. Person to contact in case of emergency: �'AW , CROP S Telephone numbers / _t ' t_t i 3. Does the building in gp•estion have electricity? es ONo a. If No, are you requesting that the electricity ,be ❑Yes turned on? ❑No 4. The building is sprinklered? Dyes b'No 5. Operations will produce dust/wood shavings or similar material? 0j,Yes 'ID No 6. Operations will involve therepairor replacement of Oyes automobile parts? DiNo f yes: (a) Describe the components repaired or replaced.` (b) Does the operation involve the use of an. open flame? Oyes 1 C 4to 7. The business, is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. es fto { 8. The following best describes: my operation: Office Only Retail Sales warehouse Manufacturing/Distribut.ion (describe process and end product) 4 # Restaurant/Take out good © 0 Medical/Dental J Other (describe) i (0562D), (12/6/86) sY