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Home My WebLink About15052 Springdale St - CofO (22)j Z 1; CE,1TIFICATE OF OCCUPANCY _ CITY OF HUNTINGTON BEACH Date t Address 19,052 SPRINGDALE �`� District G i Business Name hOBERT G. { QNN, ARChIT'ECT" Tel. Business Type ARCHITECTURE OFFICE Occ. Group B-2 BUILDINGOWNERBUSINESS OWNER/MANAGER E'itE r Bush' ROBERT G. r'tJPsN Name Name Addres95052 SPRIEGBIALE Home A Address 52G1 CHOCTAW DR City l`ii . CATel. rE, CA_ Home City < Tel. 71�;—,R{�—f".'7 Construction No. of Stories Occupant L-)adSprinklers CONDITIONS OF APPROVAL r i DEPARTMENT OF COMMUNITY DEVELOPMENT ! This Certificate of Occupancy SHALL BE posted in aconspicuous ply ;, i the premises and shall not be remove except by the by � Building Official. i I COMMUNITY .VELOPMENT i ly' it B� :I SUPPLEMENTAL INFORMATION 1, 1, BUSINESS ADDRESS 2. Person to contact in case of emergency-� -elephone number: 747 4s 3. Does- the building in question have electricity? 0" Yes (] No (a) If No, are you "requesting that the electricity be ❑ Yes s turned on? ❑ No t A. 4. The building is sprinklered? ❑ Yes No 5. Operations ` will produce dust / wood shavings or similar h material? ❑ Yes C`f N o 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? i —,No If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve' the use of an open flame? ❑ Yes iv 0 7 The business is drinking, dining; or assembly use. that will result in an occupant load of more than 50 persons. ❑ Yes ®'N o 8. The following best describes my operation; 'tiff ce Only Retar ales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant / rake Out Food Medical / Dental ry Other; (describe)' . i SUPPLIMENTALINFORMA: ION % r# T SOUTH COAST AIR QUALITY MANAGEMENT DISTR_ICT,,,, ` (Nonresidential Buildings Only)'' to Location of Subject Property: ✓SQSZ `�(ONIa j,gl� r �j % Property Owner Name: � y��` Phone 1 _ # Name of the Person Preparing this form .in pr;.nt and signature Name:_ Signature:_ The person preparing this Form ,must be the same person applying for building permits, Plea:;e answer the following questions regarding Your proposed occupancy of the subject building. IF YOU DO NO1' KNOW T}•I} ANSWER TO h. QUESTION MARK IN THIF "YES`" CO LUMN:' AQMD PERMITTING CHECKLIST � 'YES NO DO CS Y0L)L' f'8CiIi'ty U:ie ia11j inLni1l,i1I C:ClrilbusLlon f engi.nes grealr r, than 50-11p? 2. Do your facility involv(.1 1111>ing, blr.ndinc�, or j>>.ocessing Iny rra}vclit:s, rc{hc:sivcs, pilil t.s or coating;? 3 , Does your r'aci 1 i.ty c:re;lte any dust's or,' i n, Does your facility rerinc any liquids or solids or reclaim any metals? V� ` 5. noes yott facility nl.atr.-a Or rnat an, thi.r.rl? u. Does your Eaci.iity h<Ive ;any comlaustiwn r✓(Juipment - i.e. boiler, Eurnaces, brGaler`, }caking ovens, ' etc.) rated greater than 2,000 060 ll'1'lJ/E1f2? 7, Does your Eac.iIi,t:y Iia1101t:_ or s(:6rf! o v(I[I S or - - - motor fuel?.^ 8. Do you use or store any acids? s Do you use any chemical process? ✓� 1.0. Ia0 YOU use any solvents for C1c:a11-up7 I 7..1. Are you a dry cleaner, restaurhrtt w'iCh a 1 charbroiler', body shop, gasoline stati^n, Printer, or part coater? �! r 1.2. Is the subject- building.located within rune thousand (1,000) Feat of any s;thnc>l? - PROPERTY LINE TO PROPER,[-y LINE. GRADES K-12. t � If you have marked "NO" in all columns, you do not need an Air 1 Quality permit at; this time. If you have marked any questions in "YES" ?f the Column you must contact- the South Coast Air Quality Management District located at: 21865 E. Copley Drive Diamond Bar, CA 91765-47,82 z } Please call: Plan Check (714),396-2000 ` F c t (13`60d-2) ` APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTIN GTON 6EACH DEPARTMENT OF COMMUNITY DEVELOPMENT ftfmtiffartOnt t9F{K}S (PRUrr OR TYPE; ONLY) DAT r g � "A,dritess 6 �.� �.3 � ��!/ ' .mil �' # � DistnCt Business Name ( e00 Se iness Type �(? S } !mo t Ccc. Group BUILDING OLVNEF3 BUSINr$S iJy NEMI'MANAGER . _ �E5 -Name ,'Name Addressi { is , . Addres;l�d City THIS USE iYQULD BE DESCRIBED AS: Q NEWLY CONSTRUCTED BLDG. L._I CHANGE OF OWNER CHANGE OF OCCUPANT EXISTING BUiLDiNG Q CHANGE QF USE ' LJ ADDITIONAL OCCUPANT Indicate formes use. it any Cty` E ""� _ CSccaE3anc; Gr Diu SQUARE FT. OF t3WLDtNG TO BE OCCUPIED NOTICE. 1. Occupancy of any building is prohibited and a business license will not be issued until the building has beer insoect-i and a certificate i-, occupancy is iscued, 2. No electricW service will be released for any -existi,ig building until the service has been inspected and certified sato. At` applicants for occupancy in an existing building are required to schedule an electrical 'fuse up' inspection in the Departmeni of Community Development at the time this application is filed. 3. Change of occupancy or u.ve ins j. irtion fee, Whenever it is necessary to snake inspection of a building or premises in order.to determine ;' ., range may ire made in the character ofoccupancyoruse ofthe 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 $ shalf be paid to the city. 4. Huntington Beach Fire Code Section TU 208 requires that building numbers must be a m-imurri of four(4) , inches in height with one half (1,1z) 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 Sevtion 10.30" requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 'lp (see reverse side): It 1:zx2 TRAFFIC INIPA AMOUNT FaB F- NAIME ._- IFOR OFFICE USE ONLY) k'ONitNtC, OCCUPANCY GROUP— _: PLAN CHECK NO _ NO PARKING SPACE'S OCCUPANT LOAD PERMIT NO , W��_ HEALTH DEPT APPROVAL NC! Oil STORIES w_ ADN N ACTIONi ,.._ ...: ttTtLiTiES RELEASED CERTIFICATE OF 01"CUPAN("'y FEE $ APPROVED BY DATE CHANGE CF V&d OP CiCCUPANCY FEE g TOTAL, $ APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF ULTNTINGTON BEACH DEPARTMENT OF BUILDING & SAFETY (3ra floor —.gust 1pplyTit-Person) Business Licetlse ## h l`t Date_ J i� .jam", G�:� € ), Address . Business Name Pf,- t___� 3_,. Ai, ivl Telephone i{ f� .= i BusinessType t'21"�t�< Emergency.Contact Information Business Owner Name kJA'j a ic: �rrs=- Name e ;_ -r J N Address�Horne Address City 1 _ Tel. - u; City Tel .lt;t THIS USE WOULD IIE DESCRIBED AS: ~ �_ ❑Newly Constructed Building or Z xistirg Building CHECK ALL THAT APPLY: QChange of Owner OC►range o `Occupant (JChange of b1se CJAdditional Occupant Indicate former use, if any Does the building have electricity? Yes t i'J,q❑ If No, are you requesting that the electricity b4 turned on? Yes No The building is sprinklered? Yes ® NO Operations -,;,'!!,'product dust/wood shavings or similar material? Yes. ❑ No � Operations will involve the repair or replacement of auioxnobile parts Yes a No Q If yes: Describe the components repaired or replaced Does the operation involve the use of welding or open flame? Yes ❑ No The business is drinl ing, dining, or assembly use that will result in an occupant load of more than. SO persons. Yes (J No 12 The following bcst describes my operation; 100ft ce Only L]Retail Sales ❑iviedical/Dental ❑lkestaurantt`T'ake Out Food JWarehouse OManufacsuririgiUistribution (describe process and end product) Other (describe) HAZARDOUS M,ATEMLS DISCLOSURE MiORMATION Tfunll.ngton Beach Fire, Department California Health and Safety Code requires the Fire Department to regulate businesses that .handle hazardous materials. Motor oil, hydraulic fluids, gasoline, dry cleaning fluid, etc., are considered hazardous materials and rntlst be disclosed. If you ttse, Dandle or store hazardous materials or waste materials equal to or in excess of the following basic quantities, your are required to disclose: x • 55 gallons of liquid l • 500 pounds of solid • 200 cubic fcc+t of compressed gas • An, :,mount of radioactive materials •, Any amount of Class A explosive • Anyam(,unt of chemicals known to cause cancer • Any amount of commercial pesticides Reportable quantity of any chemical on EPA Extremely Hazardous Materials Substance List Disclosure is not required for the following: 1. Hazardous substances contained in food, drug, cosmetic or tobacco products; 2. Upon approval of the Fire Chief, hazardous materials contained so. ely in consumer products packaged. foruse by and distributed to the general public. However, pesticides, herbicides, and ammoniurn nitrate fertilizers over the required disclosure amounts are nct exempt from disclosure. 3. The transportation of hazardous materials accompanied by shipping papers prepared in accordance with the provisions of 49 Code of Federal Regulations; 4. Infectious waste generated by health care facilities that are regulated under Title 22 of :the California Administrative Code. Check one of the following: i No chemicals are used, lumd'led or stored at this business. Chemicals are used, handled or stored at this business, but do not meet the requirements for disclosure Chemicals are used, handled or stored at this ousiness. Disclosure forms W11 be sent to you. Amounts will be verified by the Fire Department during annual inspections. It is unlawf r'or any person to knowingly violate any provision of this ordinance. I certify, under the penalty of perjury, that the above information. is true and correct to the best of my knowledge. Signature Home Pbone Please Gaff 714- 53 6- 5 6 76 1 v it It gaestio ns regardhj; .tit Raz a rdo os Miter !a Is Program; x 1. South Coast Air Quality Management District 21865 E. CopleyDrive Diamond Bar, CA 91765-4182 (909) 396-3529 btpppl/ww-w.agmd.gov Air Quality Permit Checklist t California Government Code 65850.2 prohibits cities from issuing a Certifi;ate of occupancy to a business without clearance :from the local air quality agcncy. This checklist will determine if you need to obtain clearance from th4 South Coast Air Quality Management District (AQA,ID), f Compnny Name;_ Property Address: city. A. i. ,Zip Code: Contact Person: T)v,4-,Gj c4aL3 Title: l't tT� tr." Type of Business: Telephone:() Applicant. (print name) j.eiy J L Signature: • Will. the facility have ar;y+' of the following equipment"? Yes .Q \L To Charbroiler Dry cleaning machi-ne Spray Booth Priinting Dress(screen/lithographichlexogr3plvc) Intetrial combustion c,tgine (greater than 50HP) (excluding motor vehicles) Boilo,r/cornbustion equipment (greater than 2 million BTU/br. maximun, input) 4bmsive blrsting cabinet/room Baglaouse/cartridge type dust filter!scrubber Motor fuel storage and dispensing eq-,lioment • Wit, any of follo,%ving operations be performed? Yes Q No`gf Application of paints er adhesives Etching, plating, casting, or melting of metals Molding anO 11encting of liquids and/orpowders Storage of acids, solvcants, organic liquids or fuels Production of acids, .�olvents, organic liquids, or fuels Production offmies, dust, smoke or Wong odors • I.fyou answered "No" to both IL ucstions, this checklist is your clearance from AQMD, l: • If ou answemd "'Yes" to either question, you must contact AQI',%tD �.3;determine if airqualitypermits are required. Ifpermi.s are needed, AQMD will assist you in submitting permit application(s) and then provide you with a. clearw ce i?%ter. You can call AQMD at their Small .business Assistance Office at (800) 388-212L