HomeMy WebLinkAbout15061 Springdale St - CofO (13)VI
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CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Cate
Address 15061 -PRINGLALE it 101 District
Business Name UTS CORPORATZCIi Tel.
Y
Business: Type
MAIL SALES/ENG< G�T4�A2;�: _ Occ. Group
BUILDING OWNER BUSINESS OWNER/MANAGER
Name Eil`RALD GRADCA�SKY
Name
Home
Address17 ;43 NL3'RFE.1 AVE.
C Address r)61 c C,AV Q 'E ALR
: 21, .;.fC—'1 66 NAJ'LES,LR, Home 21:�,a47q--FF6()
�i11 �( _ Tel.
City .l. k i Tel. _ City
Construction - No. of Stories Occupant Loads Sprinklers
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CONDITIONS OF APPP iJAL
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a DEPARTMENT OF COMMUNITY DEVELOPMENT
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L This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except.by the by a, ,, e -
i
Building Official.
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COMMUNITY DEVELOPMENT'
COMMUNITY DEVELOPMENT
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT -1 9
HUNnINcTcN BEAQi.
(PRINT OR TYPE ONLY)
DATE
Address 1 a tp�-1,� C R �.. CJa( �'� L Q District
Business Name n) 1 C O po 9-AT1 O ri Tel ! ly
Business Type c?: i`; l SA 1 _r_ / 6NG . �2of--EW A-*- E, Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name tO Elleves TW,1F NTS Name 84P—,94d, C-44 0ij_s
Address r `7 1 LP I" Mu e- pj A u e, � � Homers f a� Cr 1 1 Po f9 / iG
--�^ I Address A !!
City -1- C9iN Tel.( U=�2lat City ��,�.� .40�l�r,°�>`, eir il+ Home el.
THIS USE WOULD BE DESCRIBED AS;
❑ NEWLY CONSTRUCTED BLDG. ❑ CHskNGE OF OWNER ❑ CHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any LJT lC' �� Occupancy Gr. w
SQUARE FT. OF BUILDING TO BE OCCUPIED— t2 34
'
(FOR OFFICE USE ONLY) G
SUPPLEMENTAL INFORMATION
i
ZONING
OCCUPANCY GROUP
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PLAN CHECK NO. NO. PARKING SPACES
OCCUPANT LOAD
PERMIT NO. HEALTH DEPT APPROVAL
NO. OF ST RIES
ADMIN, ACTION UTILITIES RELEASED
f,c
FEE
ERTIFICAT E OF OCCUPANCY $
PROVE
DAte
CHANGE OF USE OR OCCUPANCY FEE $
TOTAL _ S
75-039 Rev, 1 ; /so
COMMUNITY DEVELOPMENT
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SUPPLEMENTAL ' INFORMATION
1. BUSINESSADDRESSlzj-
2. Person to contact in case of emergency` ��- _�
Telephone number: - _
� �+�Sa: �l
4,9 9--�,
3. Does the building in question have electricity?
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(a) If No, are you reauesting that the electricitybE
El No
❑
turned on?
Yes
No
4. The building is sprinklered?
&-
5. Operations will produce dust/wood shavings or similar
es
No
material?
Zos
6. Operations ,will involve the repair or replacement of
p
�
automobile parts?
Ye.
0
1f'- Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame?
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❑Yes
7. The .business is drinking, .
g, dining or assembly use that w;I!
result in an occupant load of more than 50 .persons.
Ye
The
8. followin9 best
ng describes bes my operation.,
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Office Only
Retail _ Sales
Warehouse
Manufacturing / Distribution describe
( process and end product)
0
Restaurant / Take OuF Food
Medical / Dental
Other (describe)
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SUPPLIMENT L lIQFORh1AT!0N
SUPPLEMENTAL INFORMATION (Continued) a �,
Does the operation; involve any of the following materials? ❑ �s
No
If Yes, indicate 'quantities:
Material Quantity
1. Flammable liquids-
Class I -A
Class I-8
Class I-G
4, Combustible liquids
Class 11
Class III -A
3. Combination flammable liquids
4. Flammable gases
5. Liquefied flammable gases --
6. Flammable fibers - loose
7. Flammable fibers - baled
a. Flammable- solids
9. Unstable materials
10. Corrosive liquids
11. Oxidizing material gases
12. Oxidizing materisi liquids
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13. Oxidizing material - solid's _
14. Organic peroxides
15. Nitromethane (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate_
by weight
18. Highly toxic material and
poisonous gas
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19. Smokeless powder
{ 20. Black sporting powder
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i hereby certify that the above information is true and correct to
� e est of my knowledge.
21 r?g
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Signature Date
71
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Orly)
Location of Subject. Property: �SG � ( � �n}N � �e� � e t"
Property Owner name:Phone
Name of the Person Preparing this form in print and signature
Name 30Ar\, Signature
The person preparing this ..orm must be the same person applying for
buildings -permits. Pleas: answer the following questions regarding your
proposed occupancy of the subject building. IF YOU DO NOT XNOw THE ANSWER
TO A QUESTION MARK IN THEi 71YES" COLUMN:
SCAQMD PERMITTING CHECKLIST
- YES NO
1. Does your facility use ary internal combustion
engines grsater than. SG --HP.
2. Does your facility involve mixing, blending, or C� r--f,
- processing any solvents, -adhesives, paints I / I
or coatings?
3. Does your facility create any dusts or smoke?
4. Does your facil�zy refine any liquids or solids? � HE
Reclaim any metals?
5. Does your facility plate or coat anything?�
6. Does your facility have any combustion equipment
f broiler, ban etc.)
os.ler, ,.urnace� 1
i e b
r baking ovens, t
.rated greater than 2,000,000 BTU/HR?
7. Does your facility handle or store solvents or motor
fuel?
8. Do you use or store any acids?
9. Do ;you use any chem:i°al process'
10. Do you use any solvents for clean-up? /.
11. Are you a dry cleaner, r.staurant with a cha.rbroiler,
body shop, gasoline station, printer, or part coater?
12. Is the subject building located w,?!Iiin one thousand
(1,000), feet of any school?
PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
If you have marked "NO" in all columns;,you do not need an Air Quality
x 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
a
Please call these o' ices: Plan Check (818) 572-6406
(81,8) 572-6111, (818^) 572-6261
D:AL00603
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