The URL can be used to link to this page

Home My WebLink About15052 Springdale St - CofO (27)i I r 31 .a B!! i• OF OCCUPANCYCERTIFICATE APPLICATION FO3 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT p HUNEWGIO, BE.KNpEi T? OR T" PE nN, Yi / GaS� _T / 1rjC, �7/9 e e4, — — - / L Faye- S Add+� A CC.G u� n/ T, �« P_ 5_ _ T �2 _ — BuGmes� Name _ _ Buswnes� Tape - TAX PP PAP. A T i o - - -- -- - --- 5 „r�; � ,.OVd LIEN rJA"dA�i°E7 j So52— t oG _P_:E�'zFr��. _ d Addree, — --- - j ru. 49'218' 1 r rr r / . C"� - ---Horne Tel _ I� City'+ THIS USE. WOULD BE uESCRiBED AS: r—! 7,1 tNFh;, iE ;_,e )WNi n ,"riAt aE OE UCCUPANT J NEWLY CONSTRUCTED ELDU (� ADL_,,i! 10NAL 0L.(,rJFANT EXISTING BUILDiNG Indicate #ormer u •. ;' a 'r SQUARE f'T. OF Li:11i LUNG T -C BE "t .,'JPIf [)__ - NOTICE: 1. OccupEtncy of any building s prohibited and a business license will not be issued until the building has been I mspec'ad and a certificate of occupancy is Issued. In e 2 No electrical service will be released for any existing building until the service has been inspected and lding requir certified safe. All appectrical hcantDeo arkmelt of C nmun tyr occupancy in an tDeveloing tpmentatthe time thtsed to sapplication san ifiled. 'fuse up' inspection In the P r it is necessary to make inspection of a building or 3. Change of occupancy or use inspection tee. Whenever;,, yuse ea premises In order to determine if a change may be made in the character o occupancy or occupancy the building or premises which would place the biiiiJing in a differentdtvrsron of the same group of occupanoy cr in a / different group of occupancy. a change of occupancy inspection fee of -- — — A —sha11 be paid to the city, i 4: inches Beach with onCode halt (c2) inch stion troke, and ofhatebonttrasting color from he background, These inches In hetgt k numbers must be posted on.. your building in a location that Is visible from the street. 5. Huntington Beach sire Code Section 10.301 requires fire extinguisher selection and distribution, per the National Fir,., Protection Association pamphlet 10 (see reverse side). -- (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION �� NO __ __._ �_. NO f'ARhtfN; >^At�l S — OCCUPANCY GROUP PPLACAPLANM11 st1 t(FAtTfif rr'T AFPROVALFikl OCCUPANT LOAD NO OF TRIES r ? r� U t.ERFtf 1, a.Ff t� , cCUPAN,,:Y f-E R Cat t 'J f AFE GHAN :r ( �tSE r',PAt4C i' f LE 4 -- P.PPROV BY Tr!TAt 75-039 Rev. 11/90 COfc�P U114iTY DEVELOPMENT II ` t i i SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 15v5 2- S ('R I+y�s 2. Person to contact in case of emergency- kv A t-T A oM C- t I Telephone number: -714 Y9.3 - J ? 7 3. Does the building in question have electricity? .Rr Yes No (a)" If No, are you requesting that the electricity be ❑ Yes .i turned on? E7 No r� 4. The building is sprinklered? ❑ Yes; E3 No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes a N o' I 6. Operationswill involve the repair or replacement of =7 Yes automobile parts? E No If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes .II No + 7. The business is drinking, dining or assembly use that wi''lI result in an occupant load _ of more than 50 persons.- ❑ Yes lI N o " 8. The following best describes my .`operation; Office Only e ail Sales Warehouse_ k Manufacturing /'Distribution (describe process .and end product) Restaurant / Take Out Food Medical / Dental Other (describe) i i S47F LEME-:FgA!7u IE4>�i ORMATION (Coonlinved) a the operation ;nv �lve any r. f tST�i �'.R�i 44ifrP Yes J-41No Does It des, indic �Ac 11jantitfes �,unrtft ' a'.t r, lai mal le -"Woli s Class ;-r -------------- Class 1-C -_ -- 2, -Cornbustible, k4.3 ds Glass 3. Combination liquids _.. :larrarrlak�l gas-,s Liquefied fi'am at;,e uses C flammable fibe5s v loose prypYq ma , garsb, ledx....... rl�rnrriableT-1--so_.. ...... _. ' L1r?�fai l rrnaterials 10corrosive liquids_ Y ma erial gasps 12. 0;XIdizing mate i al aiquid l,3. oxidizing material solids _ � - �-- '- - r t4, Organi p oxideS (unstable materials) 1`!}tromethane b iG. Ammonium nitrate II` 17. ,�mrr9onium nitrate compound mixtures nitrate containing more than 6�tor� ----� by weight _ _ --- -- - - - 18, Highly toxic material and I poisonous gas. ,_—__-____-__ —.. - . lg. Smokeless wder-_- - ---- r - ---� 20Blacks_ orun owder M l hereby certify that the above information is true and correct to the est o knowied e. -- -Date d Signature i t r I� c i N SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) s Location of Subject Property: j 5v15 2 R 1N�t kl t_E 7- Property Owner name: P-7 C P 1 C. e -F--- 0,5, FA Phone e Name of the Person Preparing this form in print and signature Name ( D C� e r �i'Signature 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 MARK IN THE "YES" COLUMN: SCAQMD PERMITTING CHECKLT_ST r YES NO 1. Does your facility use any internal combustion-� j engines greater than 50-•HP? 2. Does your facility involve mixing, blending, or processing any solvents, adhesives, paints or coatings? 3. Does your facility create any dusts or smoke? B 4. Does your facility refineanyliquids or solids? x Reclaim any metals? 5. Does your facility plate or coat anything? 0 F; 6. Does your facility have any combustion equipment i.e. boiler, furnaces, broiler, baking ovens, etc.) rated greater than 2,000,000 "BTU/HR? r� 7. Does your '" cility handle or store solvents or motor fuel? 8. Do you use or store any, acids?' � j 9. Do you use'any chemical process? �0. 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? 12. is the subject building located within one thousand (1,000) feet of any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. A 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 Management District located at: 9150 FLAIR DRIVE, EL MONTE, CA 91731 Please call these offices: Plan Check(818) 572•-6406 = (818) 572-6111, (818) 572-6261 D:AL00603 i � f I ®' APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT�<� HUNTINLTON BEACH - (PRINT OR TYPE ONLY) DATE 4 Address S�/�✓pi District Business Name! r4rtJ f!/ 1/��G�iZl Business Type /GL Ili Occ. Group BUILDIN OWNER BUSINESS OWNEFUMANAGER �] a Name -f�� /S'/i Name • �;f. AddressZ15-4 ra ses !✓* Home -- Address city` — Tet�'7�� Home TeG I THIS USE WOULD BE DESCRIBED AS; ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER ��7 ,,,,,� I L-iTiYIANGE OF OCCUPANT --EXISTING BUILDING ❑ CH 1AE OF USE ❑ ADDITIONAL OCCUPANT i �j Indicate former use, if any V fC� J Occupancy Gr. Div. SQUARE FT. OF BUILDING TO BE OCCUPIED NOTICEc / 1 !I Occupancy of any building is prohibited and a business License will not be issued until the building has been 0 inspected and a certificate 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 r-iquired to schedule an electrical 'fuse up' inspection in the Department 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 may be made in the character of 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. 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) inches .i height with one half (�/z) 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 r' National Fire Protection Association pamphlet 10 (see reverse side). IMIPACT FEL. D9FF PAID AMC LINT RECEIVED (FOR OFFICE USE ONLY% ZONING _ OCCUPANCY GROUP PLAN CHECK NO _ NO PARKING SPACES OCCUPANTLOAD PERMIT NO HEALTH DEPT APPROVAL NO. OF STORIES ADMIN ACTION --UTILITIES RELEASED CERTIFICATE OF OCCUPANCY FEE $ APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE g TOTAL $ 75-039 Rev.1/97