HomeMy WebLinkAbout15061 Springdale St - CofO (10)F--
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CERTIFICATE OF OCCUPANCY
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CITY OF HUNTINGTON BEACH
Date'
Address ti c. r M r D t= ns r t c
J; r a,
District
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Business Name r.€� t r` i r x t' s�
c ", t h Tel.
Business Type I, t x 1— 1 ,,'i �'F'
Occ. Group
BUILDING OWNER
BUSINESS OWNER/MANAGER
LI,: ;I hVLE" 11.1ENT '
Name, FiUS-ILLULDINAL.
;
Name
Home';
_
Addressl ,_
r, Address c 2G.6 xt •o L r r T I C- C, IF
Home
CityT 41; 7 _ Tel.
-,�.r-- �
City � r � ,ti ' TeI.
Construction No, of Stories
Occupant Load ` 12 Sprinklers
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CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY
DEVELOPMENT
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This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the
by
Building Official.
COMMUNITY DEVELOPMENT
0 Ifflp�/p.Y
APPLICATION FOR CERTIFICATE OF OCCUPANCY
ary OF HUNTINGTON BEACH
t DEPARTMENT F COMMUNITY DEVELOPMENT
HUNnneroN•N arAar` D TE
� (PRINT OR TYPE ONLY)
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.��'� �/,. Gi /7id� ` A) q / District
Address
Business Name /2 .0 � Ac- 6i (F0- SJ75 Tel "
Business Type „ �� �" 4STj� Occ Group
--� BUILDING OWNER BUSINESS OWNS`Ifiy?ANAGER
Name �=� 3124 /Z—V 111"52%4`1 E N! -5 Name /S !mot �5 ���
!'t`� - �i /1/jl.L/r?�%`y �4U�r Home /636( 7� e-'/��G
Address f % Address
City l A�(; //1) 19 L / /G -'d-7/ Tel. City �/t/ %7/t%G 73 / F,iO Home Tel.
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THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG, ❑ CHANGE OF OWNER ,CHANGE OF OCCUPANT
® EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any /4 Occupancy Gr Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED lam
NOTICE: 1, Occupancy of any building is prohibited and business license will not be issued until the building has been
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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 electrical
'fuse up' inspection in the Department of Community Development at the time this application is filed.
3. Cheange 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 remises which would lace the building in a different division of the same group of occupancy or in a
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different group of occupancy, a change of occupancy inspection fee of $ shall,
be paid to the city.
4. Huntington Beach Fire Code Section 10.206 requires that building numbers must be a minimum of four (4)
g (1 ) , g g s
Inches in height with one half. /z inch stroke and of a contrasting color from the background. Thee
A numbers must be posted on your building in a location that Is visible from the street.
a 5. Huntington Beach Fire Code Section 10,301 requires fire extinguisher selection and distribution per the l
National Fire Protection Association pamphlet 10 (see reverse side),
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J (FOR OFFICE USE ONLY)
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SUPPLEMENTAL INFORMATION ZONING
i OCCUPANCY GROUP PLAN CHECK NO . NO PARKING SPACES
a OCCUPANT LOAD PERMIT NO HEALTHDEPT. APPROVAL—
t NO. OF ST tES ADMIN.ACTIC _ UTILITIES RELEASED '—
Gl, SIC CERTIFICATE OF OCCUPANCY FEE
APPROVED By DATE CHANGE OF USE OR OCCUPANCY FEE
TOTAL $
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75-039 Rev, i /so COMMUNITY DEVELOPMENT
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77
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_._- __.
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS
2.
Person to contact in case of urgency'
Telephone number: —�U
3.
Does ;the building in question have electricity?
es
(a)If No, are you - requesting that the electricity be
No
Yes
turned on?
❑ No
4.
The building is sprinklered?
Yes
El No
5.
Operations will produce dust'/ wood shavings or similar
material?
❑ Yes
i No
6.
Operations will involve the repair or replacement of
❑` Yes
automobile parts?
JZ No
If Yes:
(a) Describe the components repaired or replaced.
flame? ❑ Yes
(b)',`- Does the operation involve the use of an open
No
7.
The business is drinking, dining or assembly use that
will
result in an occupant load of more than 50 persons.
❑ Yes
No
8.
The foll wing best describes my operation;
ffice Only
Retail Sales,
Warehouse
;
a
Manufacturing / Distribution (describe process and end product)
Restaurant / Take Out Food
Medical / Dental
Other (describe)
SUPPL1�iEiViAL INFARMAiIisN
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SUPPLEMENTAL INFORMATION (Continued) -
Does the opor-ation involve,; any -of the followind "materials? ❑ � �s
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if 'Yes, _indicate > `quantities:'
M'ateria! Quantity
1. Flammable liquids
Class I -A
Class I-B
_Class !-C
2. Combustible liquids
Class J 1
Class Ill -A
3. Combination flammable liquids ^-
4. Flammable gases
5. Liquefied flammable gases
6. Fiamm=able fiber's - loose
7. Flammable fibers - baled
8. Flammable solidi
0. Unstable materials
10. Corrosive liquids
11. Oxidizing material - gases
12. Oxidizing material - liquids
13. Oxidizing material - solids
14. Organic peroxides
15. Nitromethane unstable rn .erials
16. Ammonium nitrate
17. I mmonlum nitrate co pound mixtures
containing more than 60% nitrate
by weight
n 18._ Highly toxic materi l and
poisonous gas
19. Smokeless powd
20. Black sporting powder ,
I here ertify that e ove information is true and correct to
the of y k d
R
nature Date
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only) l
Location of Subject Prop-erty:_D /5-70?IAJ C P,41 6--
Property Owner name.: f 1,VIJ L-"57-M 6x1 % 3 Phone
Name_D-f,the Person Preparing this form in print and signature
Name f,LSSr3� f C)iya /L Signature
o�
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" COLUt4'i.-':
SCAQMD PERMITTING CHECKLIST
YES NO
1. Does your facility use any internal combustion
engines greater than 50-HP7
2. Does your facility involve mixing, blending, or
processing any solvents, adhesives, paints
or coatings? i
3. Does your facility create any dusts or smoke?
4. Does your facility refine any liquids or solids?
Reclaim any metals?
5. Dces your facility plate or coat anything? C�
6. Dcss your facility have any combustion equipment
i.e. boiler, furnaces, broiler, baking ovens, etc.)
rated greater than 2,000,000 BTU/HR?
7. Dees your facility handle or store solvents or motor
fuel? El
8. Do you use or store any acids?
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„
li body shop, _gasoline station, printer, or part,coater?
12. Is the subject building located within ona thousand C�
(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
permit at this time. If you have marked- any questions in the "YES1t Column
you must contact the South Coast Air. Quality Management Distract located'
at:
9150 FLAIR DRIVE, EL MONTE, CA 91731
Please call these offices: Plan Check ('818) 572--6406
(818) 572-6111 (818) 572-6261
L D:PL00603
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SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any -of the following' 'materials?
If � 'Yes, indicate 'quantities:
Material v Quantity
1. Flammable liquids
Class I -A
Glass I-B
Mass I`-C f
2. Combustible liquids
Class 11
Glass 111-A
3. Combination flammable liquids
4. Flammable gases
5. Liquefied flammable gases
o. Flammable fibers loose
7. flammable fibers baled
3.
Flammable solids
0.
Unstable materials'
10.
Corrosive liquids
.11.
Oxidizing material - gases
12.
- Oxidizing material - liquids
13.
Oxidizing material - solids
14.
Organic peroxides
15.
Nitro.methane (unstable ma eri;~Is)
-;
16.
Ammonium nitrate
17.
Ammonium nitrate co ound mixtures
-�,
containing more than 60% nitrate
I
by weight
18.
Highly toxic mat eri l and
'
poisonous gas
10.
Smokeless powd ,
20.
Black sporting powder
{
I here ertify that e ove information is true
and correct to
t
the " of MY k d
'5f6nature
Date