HomeMy WebLinkAbout15052 Springdale St - CofO (18)i
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CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Address
Date
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District
Business.dame
Business Type
Tel.
Occ. Group
BUILDING OWNER
BUSINESS'OWNERIMANAGER
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Name
Name
Address '_^ , . - . - - . _
Home .. ,
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Address a
City + 'rel.C+ly
Home
Tel.
Construction No, of StoriF ;
Occupant Load Sprinklers
rr CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by tlr.
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Building Official,
by
COMMUNITY DEVELOPMENT
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
I DEPARTMENT OF COMMUNITY DEVELOPMENT
ttuKnNGION srnui
SPRINT GR T V,E Or,LY
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I G S rut- fir; � _ S�. �u t
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e4177
Bus.ne... Tyry« � Occ
E3.�I i�at.- tag
Name ��hY1tC2 fjJfl _ _"N'Imo
Addres<,
�j
City__f/
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fir THIS USE WOULD BE DESCRIBED AS: 1/7-/s6 9
NEWLY CONSTRUCTED H' D( (❑- �:HFr,'E C F '�'1PJER {���CHAN6E OF �- �UPANT
1 EXISTING BUiLf IN6 L HA d �,E �. t � `, !_l ,ADDITIONA.L OCCUPANT
trd+Jate former sa�, I iinV -- — - - -_.- -t
SOIJAR.F FT GF BUrLDfNG T`,,BE JCt.'.1 PIrL _ � but l lti9
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NOTICE: tIt 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been
inspected and a certificate of occupancy is issued. 1
I 2, No electrical service will be released for any existing building until the service nas been in ,pected and
certified safe. All applicants for occupancy in fin existing building are required to schedule an electrical
'fuse up' inspection in the Department of Ccmniunity 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 of
premises in order to determine if a change may be made in the character of occupancy or use of the building I
or premises which would place the building in a different division of the same group of occupancy or in a
1 different group of occupancy. a change of occupancy inspection fee of S _. _ _ ._. shall
be paid to the city.
4. Huntington Beach Fire Code Section 10.208 rrquires that building numbers must be a minimum of four (4) I
inches in height with one halt ("z) inch stroke, and of a contrasting color from the background. These i
numbe.s 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 ext -fisher selection and distribution oer the
National Fire Protection Association pamphlet 10 (see reverse side).
�:�...-. `�'� 1.1 - `7 • �C l
(FOR OFFICE USE ONLY) 1i*-�-.. tf of q
( SUPPLEMENTAL INFORMATION �>00 ; � l_-
OCCUPANCY GROUP P[ AN CHf ^.k Nij __._ . _ ._ Nr`+ 1'ArPKIPJj i ,SPAC;FS
OCCUPANT LOAD �� t% __,.-,- FERfv'tT N:) -._. _ .-...___ HFAi TH DF P1- A,PPROVAL
NO OF 5 RrES �� ,__- At'tt4iN Ati Ti(�F» --__-� L,TIt; i IFS Rf=I_EASECi
�l 1 ,rRTIf )CATE C,f 0"C'UPA` C-T i Fft
__— ..ROVE Y DA E wHf+"JfiE <)f USE Qr'`l (JC:C;i!FAFJ? ;'rF FE <
TOIAC_
75•039 ptv. ttfso COMMUi IrY DEVELOPMIIRIT
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IJF�PI.,E�r9ENTAL INFORMATION
S.y
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ULISI'NESS ADDRESS
2.
Person to contact in case of emergency
Telephone number: OIf VotCe iTLu[ 1
q9 --7-717
3.
Does the building in question have electricity?
Yes
❑ No
f
(a) If No, are you requesting that the electricity be
❑ Yes
❑ No
turned on?
4.
The building is sprinklered?
❑Yes
N o
,
5.
Operations- will produce dust/wood shavings or similar
0 Yes
material?
9 No
6.
Operations will involve the repair or replacement of
❑ 0 Yee s
Er No
automobile parts?
If Yes:
(a) Describe the components repaired or replaced.
i
❑Yes
❑ 'N o
(b) Does the operation involve the use of an open Flame?
7.
The business is drinking, dining or assembly use that will
Yes
i,
result in an occupant load of more than 50 persons.
® Ye
No
8.
The followin best describes my operation;
Office Only
Retail Sales
R
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
SUPPLIMENTAL INFORMATION
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�.-�IC� :. �y •-.�� .mot. ...
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SUPPLEMENTAL
INFORMATION (Continued)
of tli
foI!r,,�v};nq roaM er`als'?
i.-S yes
N _
v;
Class r.
kAt�f ri ir{ i°el ir�i ids
r.if, is bid
tn.... .. ,.�
I�,.� taC�--� .v�Fw.i l'w� �'i....'s .s
" oer4
1' E nr.: { i :~f A E c ,. h:". S wf ....:9 .✓ .ry q ,,,..i
-----
«; ro ive,
..
.
-
12.
xipAJing
Oxidizing
i1.
0YJd 7,ij-, 4g vra „rial �,o d,..
^
15.
Nitfo netharie (unstable materials)
16.
Ammoniu;p nitrate
nif..Rate cornpo and mixtures
3
Containing rnw};e than 60",,, nitrate
by weight
18.
Highly toxic material_ and
poisonous gas
19.
Smokeless powder �W
_
k
20.
_ Black sporting powder
i hereby certify that the above
information is true and correct
to
the best of my knowledge.
_
Signature
Date
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m RETURN TOTHEPLANNING DIVISION, CITY OF HUNTING'ViN BEAI>H, P.O Box 190,
2000 Main Street, Huntington Beach, CA 92648
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
0� 1VYta�i & .5�.�c� F G_c�1.q___ ��
Location of Subject Property:- v u Z&Vf
Phone�i� g�71 �335��
Property owner namex'-}'VllL�'(ll
Name f the Person P^�payring this form in print armature '
Name J� Oh Yt I�� T Signature t }LiZi
The person preparing this form must be the same person applying for
building permits. Please answer .the following questions regarding your
proposed occupancy of the subject building. IF YOU Do NOT KNOW THE ANSWER
TO'A QUESTION 14ARK'IN THE "YES" COLUMN:
SCAQID PERMITTING CHECKLIST
YES NO
Y
1. Does your
facility
use an internal combustion
enginesgreater than 50=HP?
2. Does your facilit involve mixing, blending, or
processing any solvents, adhesives, paints
or coatings?
!� 3. Does your facility create any dusts or smoke?
4. Does your facility refine any liquids or solids?
El
Reclaim any metals? �]
5. Does your facility plate or coat anything?
6. Does your facility have any combustion equipment i
i.e. boiler, furnaces, broiler, baking ovens, etc.)
rated greater than 2,00o,00G BTU/HR?
r ,
7. Does your facility handle or store solvents or motor
El
fuel?
8. Do you use or store any acids? -- j
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, or part coater? C]
12. is the subject building located within one thousand
(1,000) feet of any school?
PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
in all columns, you do not need an Air Quality
it you have marked "NO"
i
permit at this time. _If you ,have marked any questions in the "YES" Column
you wust contact the South Coast Air Quality Management District located
a :
9150 FLAIR DRIVE, EL MONTE, CA 91731
{'Irns'e call these offices: Plan Check (818) 572_6406- 572-Ci261
(818) 572 6111, (818 )
D:AL00603
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