HomeMy WebLinkAbout15061 Springdale St - CofO (6)l /V6- T ale sS� APPLI ATION FOR CERTIFICATE OF OCCUPANCY 1"------�- CITY OF HUNTINGTON BEACH _ DEPARTMENT OF COMMUNITY DEVELOPMENT DATE HUNTINGTON BEAOi (PRINT OR TYPE ONLY! }� � District O r� Address Business lame /" I Tel �21dlLB? Occ- Group Business Type BUSINESS r � MANAGER n� ��l BUILDING OWNEP.. ` 14 / /r��/I�l�/ Name— NameL�li��/�lL/Yli' _ Home Address % 7��� �1//h!/Y��1�— _ Address `J�j �/ `. -�y� /I p� Address C Home Tel. 77%� City L /� - Tel City r. THIS USE WOULD BE DESCRIBED AS: ' El NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER 'LJ' CHANGE OF OCCUPANT [ 2-EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT t Indicate former use, it any Occupancy Gr Div._ SQUARE FT. OF BUILDING TO BE OCCUPIED (. NOTICE: 1, Occupancy of any building is prohibited and a business license will notbe issued until the building has been E 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. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or misen order to determine, if a change maybe made in the character of occupancy or use of the building pres ir raise ses 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 in height with one half ('h) 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 Na 'oQe Protection Association pamphlet 10 (see reverse side). I , (FOR OFFICE USE ONLY) ZONING SUPPLEMENTAL INFORII'IATION PLAN CHECK NO NO PARKING SPACES ? OCCUPANCY GROUP,ERMNO HEALTH DEPT APPROVAL ADMIN. AC ' OCCUPANT LOAD ADMIN. . ACTION UTILITIES RELEASED NO, OF STORIES � 1 CERT'.FICATE OF OCCUPANCY FEE $ t APPRO PR*OD DATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ r 75-039 Rev. 11/so COMMUNITY DEVELOPMENT I f • 1 1 r i I I SUPPLEMENTAL INFORMATION i i 1. BUSINESS ADDRESS ('w�a� 9 2. Pi;"-')i1 to contact in case of emergency, /a•'I l j Telephone number: 'i l - 3. Does the It ding in question have electricity? ❑ Yes l C'No (a) If No, are you requesting that the electricity be O'Yes I turned on? ❑ No, s r 4 4. The building is sprinklered? ©'Yes El No, 1 5. Operations will produce dust/wood shavings or similar material? ❑ Yes Cho 6. Operations will involve the repair' or replacem; it of ❑ Yes , automobile parts? Q-KO If Yes; i a (a) Describe the components repaired , or replaced. e } El Yes s (b) ..Does the operation involve the use of an open flame? ❑ No 7. The business` is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes Cfii�o . 8. The {ollowin best describes my operation;' 'Office Only i Retail Sales j Warehouse # Manufacturing / Distribution (describe process and end product)' , t I } I 4; , • Restaurant/Take Out Food Medical / Dental t` Other (describe) t _1 i SUPPUMENTAL INFORMATION t' i a` i r a a SUPPLEMENTAL INFORMATION (Continued), r Does the operation involve any of the fallowing 'materials? El Ye If Yes, indicate quantities: Quantity Material 1. Flammable liquids Class I -A 4 Class I-B Cass I-C 2. Combustible liquids Class 11 Class 111-A 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases - t 6. Flammable fibers - loose 7. Flammable fibers - baled 8. Flammable solid 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases i 12. Oxidizing material - liquids { 13. Oxidizing material — solids 14. Organic peroxides 15. Nitromethane (unstable materials) i 16. Ammonium- nitrate f 17. Ammonium nitrate compound mixtures s containing more than 60%nitrate by weight j t r 16. Highly toxic material a►id i poisonous gas 19. Smokeless powder ` 20. Black sporting powder ` I hereby certify that the above information is true and correct to � ,the best of my knowledge. Sig lure Date i . i l f k t fi SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT. (Nonresidential Buildings 9 s Only) 't • Location of Subject Property: /ter Property Owner Name: Phone k G IL r Name of the Person Preparing this form in print rid situ gnare F; /. Signature: _he person preparing this form must be the same person applying uilcing permits. Please for answer the following questions regarding -ur i proposed occupancy of the subject building. IF YOU DO NOT KNOW i A.';SWER TO A QUESTION t+ARK IN THE "YES" COLUMN: J: AQMD PERMITTING CHECKLIST YES NO i 1. Does Your facility use .any internal combustion engines greater than 50-HP? 2. Does your facility involve mixing, blending, or processingan solvents, adhesives, Y .paints or coatings? fi 3. Does your facility create any dusts or smoke? 4. Does your facility refine any liquids or solids' - or reclaim any metals? 5. Does your facility plate or coat anything? 5. Does -our facility have any combustion equipment i.e. boilers furnaces, broiler, baking ovens, ✓'ti etc.) rated greater than 2,000,000 BTU/HR? 7. Does your facility handle or store solvents or ^rotor fuel?' B. Do yci use or store any acids? 9. Do yc,-, use any chemical process? a -o. Do yc•j use any solvents for clew- up? =1. Are you a dry cleaner, restauri ,r with a chartroiler, body shop, gasolir.e station, printer, or part coater? _2. Is the subject building located within one -_ thousand (1,000) feet of any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. `_ you have marked "NO" in all columns, you do not need an Air t1al1cy pernit at this time. If you have marked any questions in -e _ES" Column you must contact the South Coast Air Quality X=nacement District located at: 21.865 E. Copley Drive Diamond Bar, CA 91765-4182 pr =lease call: Plan Check (714) 396-2000` (1360d-2) i j fi ® Hunting Beach. 4?f -Iunt city k _ - CALIFORNIA92648 , 2000 MAIN STREET op COMMUNITY DE VE'LOPPIIENT ; s DEPARTMENT Building Division 536-5241 planning Division 536<5279 City of Huntington requires the issue the final certificate of Code Section 65850.2is iss Government Beach Building Di -vision not to meeting the applicant has met or isManagement District occupancy unless of the South Coast Air Quality a tlawrel_ T mumL'loeaawith requirements check tiD The Building Division thisin (AQ ) licant has complied applicant and app the AQMD to show the side is designed to help list on the reverse division to meet- these requirements, e buldaca (the_ name pers-- -n who aP lies for ermits Erorn the. check list which k 1. The applicant • 'on must complete the Build Division) Division or at AQMD. -- the Building } } li ---- can be obtained either at "no", the Buildings are checked+ If all boxes in the list t as the release. lis 2 Division can accept, the check applicant', answers in the list, the 3. If there are any „Mpsengineer by calling (714) 396-2000 to, must contact an AQMD permits are required for the proposed p find out whether air construction project. required, the applicant will obtain 4. If air permits are not from AQMD. a written release the applicant rnusL- submit the ire, c 5. I£ air permits are required, before trelease can be necessary permit applications issued. ' AQMD to go through the above take for is advised to contact AQMD immediately Because of _the time it may rocedures„ the applicant Papplyingfor Building pe armits. after • (1360D) I . ; 1 E l F" 0 t t MeAPPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH 11�4% Rtp DEPARTMENT OF COMMUNITY DEVELOPMENT r - HUSIMIGTON BEACH (PRINT OR TYPE ONLY) ATE Address 15col vPn'nA8e -i Oyl1-� 10 Distric Business Name -e s TI( O my � �VICI a Te 71s1� j840 -40 `�•��n1�' �n Wier Business Type,.�d��`�� Occ. Group q yy BUILDING OWNER BUSINESS �OWNERIM�ANAGER ,,�G 1C!�4� Named �iL`C� V W� Name_ G /� _ ,� , b t Address 4c�l4q'5y�i%& Ay" Address f4e`c7 Er1(�• City V , Tel `y _ City�l%� , /Vl n il k✓i-�ICJr 1 Home Tel. THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG, ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT former u it -Occupancy Indicate form. use, I Y Y Gr.-Div. Py SQUARE FT. OF BUILDING TO BE OCCUPIED �Z® yy TRAFFIC IMPACT FEE Pi6_1 C110 jL D M� DATE PAID b AMOUNT RECEIVED NAME (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION ZONING ) OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES OCCUPANT LOAD _ PERMIT NO, HEALTH DEPT. APPROVAL NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED g CERTIFICATE OF OCCUPANCY FE- $ APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ ; 75-039 Rev. t 1/90 COMMUNITY DEVELOPMENT a APPLICATION FOR CERTIFICATE OF OCCUPANCY r << CITY OF HUNTINGTON BEACH - DEPARTM[ENT OF BUILDING & SAFETY (3"d Floor-AfustApply In -Person) Business license f Date 0 Address ll t t k 9-4` - IV -W Business Name C t i f F Telephone lq- Business Type 6W -�l Zy arga" net In%naiinn sines Owner Name t /ads t Name, ,� �1E -1 %1 Address i ' cv" ( Home Address �t l Gu , City/ d/i. Zva Tel. CityJ� La - TeI.1'°� THIS USE yVOL't;D BE DESCRIBED AS: ❑Newly ('oastructed Building or Existing Building CHECK ALL THAT APPLY: ❑Change of Owner *hangeof Occupant ❑Change of Use ❑Additional Oct. -pant Indicate former use, if any Does the building have electricity? Yes No❑ p If No, are you requesting that the electricity be turned on7 Yes ❑ No ❑ The building is sprir_klere&,,, Yes 0 NoQ Operations will product dust/wood shavings or similar material? Yes ❑ NO Operations will involve the .repair or replacement of automobile parts Yes ❑ No If yes: Describe the compoinents repaired or replaced, { Does the operation involve the use of welding or open flame? Yes ❑ No The business is drinking, dining or assembly sa that will result in an occupant load of more -than SO persons. Yes U No Th(0Z owing best describes my operation. e Only Retail.Sales, _ ❑Medical/Dental, ❑Restaurant/Take Out Food ❑Vlarehouse ❑Manufacturing/Distributiom (describe process and end product,) {? f 7 ❑ Other (describe) Office. Use i Zoning: Sq'Ft Occu-Died: Occ Group: Occ.Load, r Stories: Parking Spaces, TIF'Review: YIN Amt PaidS Paid BEFORE Final Insp.ctlon Bailding.Permit Entitlement #. _ l 1It r� i Comrterts:kA Planner In+t aisi-- - ldg 'ia*� Checker �uttals; Coft? m �r � FOR CERTIFICATE OF oCcu 'ANCY APPLICATION OF HUNTII GTON BEACH - DEPARTMENT ENT OF-B-UILDING & SAFETY CJTY (3," Flool. - jWnstApply bi-Pelson) Date` - Business License l - 1 1� eAlk.o Address 1' 1 5 �tN� Telephoned tom( 3Ci� i Z Business Name _ t $ltS1r1e5S Types Business owner PrD ei.. Owner inforination Name — Name \i A {1�1 �Y �- Home Address \�iu Address 15 "�a _ _ _ Tel. `l % -t City � 11� 4-� ; City ik-S3"'•°� t � THIS USI', �,,( LD BE ICESBED aS;-fxisting Building a CjNetivly Constructed Bui g CHECK ALL THAT APPLY; Occupant hancr of Occupant ®Change of Use OAdditional C1 Change of Owner a Indicate former use, if any �--i Does the building have electricity? Yes NOD El No Yes If No, are you requesting that the electricity be turned on, No C2 The building is sprinklered?'f% material? Yes No Operations will product dust/wood shavings or similar automobile parts,Yes No .- Operations will involve the repair or replacetnetit of repaired or replaced. if yes: Describe the components N®J ration involve the use of welding or open flame? Yes Elo Does the ope use that will result in an occupant load The business is drinking, dining or assembly than 50 persons. Yes Q NO of more Th�flowing best describes my operation: ❑Nledical/Dental ©Restaurant/Take Out Food UWarebouse Office ord F-1Retail Sales ❑Manufacturin&Distribution (describe process and end product) [� Other (describe) -------------- Office Use Only: Oct Group;pcc Load: ------ Sq`Ft Occupied:______ __ _ _ 1 l Zoidng: _ �`� Aut Paid,$:y___-___ �! Panting Spaces: ,_------ TIC` Review: YIN paid BF IF Final inspection j3 Entitlement #: Building Permit 14 l sF O C ti Convnents:0 G� Q--t Initials — -^ B1dglPlan Checker �; Planner Initials: - - -