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HomeMy WebLinkAbout15061 Springdale St - CofO (10)F-- Iv 1 II `I i CERTIFICATE OF OCCUPANCY / Jtr CITY OF HUNTINGTON BEACH Date' Address ti c. r M r D t= ns r t c J; r a, District i 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 „< CONDITIONS OF APPROVAL i i 3 w DEPARTMENT OF COMMUNITY DEVELOPMENT 1 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) / L �j .��'� �/,. 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. i 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 P i 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 p F 9 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), F•� , J (FOR OFFICE USE ONLY) , 1 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 $ I 75-039 Rev, i /so COMMUNITY DEVELOPMENT tj l 77 ,.Yd Lde`3 'h 3M.c _._- __. 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 is R 4� 2 i^ SUPPLEMENTAL INFORMATION (Continued) - Does the opor-ation involve,; any -of the followind "materials? ❑ � �s lqo 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 , 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