HomeMy WebLinkAbout15061 Springdale St - CofO (58)APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNII40ON BEACH
(PRINT OR TYPE ONLY) ATE
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Address — ,� SEi/
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Business Name---
Business Type 52-51 eECFJ/ &aw/ C7'"/ itLiz 0.. Occ. Group
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BUILDING OWNER BUSINESS'OWNERlMANAGER t
Name 11/i1 ti
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THIS USE WOULD-BE DESCRIBED AS: � 5W V
NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
y"l EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
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Indicate former use, if any �,��i/2�,� Occupancy Gr. Div.
SQUARE FT, OF BUILDING TO BE OCCUPIEDFT
NOTICE:
1. Occupancyofany ' building is prohibitedandabusiness license will not be issued until the buil
ding mg has been a
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 required' to schedule an electrinal
'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 usu of the building t
or premises which, would place the building in a different division of the same group of occupancy orin a )
different group of occupancy, a change of occupancy inspection fee of $ shall
be paid to the city. t.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
I inches in height with one half (1/2) inch stroke, and of a contrasting color from the background. f ese
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).
A 6XI, log
TRAFFIC IMPACT FEE
DATE PAID
AMOUNT RECEIVED
NAME (FOR OFFICE USE ONLY)
ZONING.
OCCUPANCY GROUP PLAN CHECK NO. NO PARKING SPACES
t OCCUPANT LOAD PERMIT NO HEALTH DEPT. APPROVAL
NO. OF STORIES ADMIN. ACTION UTILITIESRELEASEDl
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CERTIFICATE OF OCCUPANCY FEE $
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE
TOTAL
75-039 Rev.1/az COMMUNITY DEVELOPMENT Ji
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South Coast
Air Quality Management District
21865 E. Copley Drive, Diamond Bar, CA 91765-4182
' " ® (909) 396-3529 • http://www.agmd.gov
•
Air Quality Permit Checklist
California State Law Code 65850.2 prohibits cities from issuing an occupancy permit without
clearance from the local air quality agency. This checklist will determine_if ou need to obtain
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clearance from the South. Coast Air Quality Management District MD A Q
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Company Name: rR4SY y .
Property Address: /J od l -01/ 2
City: ?y,/ RcN , Zip Code:
Contact Person: Ro g&f -r-A-Wg Q= Title: Dtyn1
Type of Business: ,l,�iecruy,, -s f c , Telephone: (71�)
Applicant (print name) Signature ._
• Will the facility have any of the following equipment? YES[ ] NO L(A
Charbroiler
Dry Cleaning Machine
Spray Booth
Printing Press (screen/lithographic/flexographic)
Internal Combustion Engine (greater than 50 BP (excluding motor vehicles)
Boiler/Combustion. Equipment (greater than 2MM BTU/hr. maximum input)
Abrasive Blasting Cabinets/Rooms
Baghouse/Cartridge-Type Dust Filter/Scrubber
Motor Fuel Storage & Dispensing Equipment
g
r • Will any of the following operations be performed? YES[ ] NO [ j�
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Application of Paints and Adhesives
Etching, Plating, Casting or Melting of Metals
Plastic Molding, Extruding or Curing
Mixing and Blending of Liquids and/or Powders
Storage of Acids, Solvents, Organic Liquids or Fuels
Production of Fumes, Dust, Smoke or Strong Odors
If you answered "NO" to both questions, this checklist is your clearance from AQMD. If you {
answered "YES" to either question, you must contact the AQMD to determine if air quality
permits are required. If permits are needed, AQMD will assist you in submitting permit
application(s) and then provide you with a clearance letter. If you have any questions, please call
o AQMD's Small Business Assistance office at (800)-CUT-SMOG, and press 41.
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