HomeMy WebLinkAbout15061 Springdale St - CofO (22)t
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CE TIFICATE OF OCCUPANCY °
2/14/9ii
CITY OF HUNTINGTON BEACH
Date
Address District-
15o61 SPRINGDALE #1G6A 1
�
Business Name
CF & ASSJCIr1'iES Tei. 714 i
_
CONSTRUCTION MANAGEMENT Occ. Group
Business Type E
BUILDING OWNER BUSINESS OWNERIMANAGER
FRA14F-. EI`;C"- DEAN FULLER/TOA1 COX ;
Name
Name
15495 GRAHAM STREET Home
Address Address 16321 EAIR;1AY LANE
City
HUNTT_.NGTt?3 BEA�e1 714-379-1718 City HUNTINGTONT�me 71$^$1*6-801t4
6
Consttuct�on _ No: of Stories Occupant LoadA Sprinklers
CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY DEVELOPMENT �
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This Certificaie, of Occupancy
SHALL BE posted in a conspic !ous place an the
premises and shall not be removed except oy the by
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Building Ofnciat
1.
COMMUNIT" � DEVELOPMENT ;`
A
JMe APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH � �?
o r q
Ue V DEPARTMENT OF COMMUNITY DEVELOPMENT DATE
HUNwCTON %A"1 (PRINT OR TYPE ONLY)
I/Addresso �.l r' 4or5� l O Yi (� t District
Y �i c S� CieL
t�Business Name Tel.
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/Business Type .` o �r , _ "� ✓Y1o.-o g em e Occ. Group
t BUILDING OWNER ! r� BUSINESS OWNERWANAGER
ri
t/ Name t C1.� �•-�\� rm
Name Home �^
Address
/
Address I
V /iy Ci
ty�T f�� `f % Tel, ty Home
I/ IS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONST94ICTED BLDG ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
EXISTING BUILDING ElCHANGE OF USE ❑ADDITIONAL OCCUPANT
1 �
I'P'Pdicate former use, if any �� Occupancy Gr.—Div.—
QUARE FT. OF BUILDING TO BE OCCUPIE
NOTICE: 1. Occupancy of any building is prohibited and a business license ;mill not be issued until the building has een
Inspected and a certificate of occupancy is issued.
V t 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
t� 'fuse up' inspection in the Department of Community Development at the time this application is filed.
e� G 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 maybe made in the character of occupancy or use of the building
or premises which would place the building in a different division of the same group of occupancy or in a
r, different group of occupancy, a change of occupancy inspection fee of $ shall
�\ be paid to the city.
1 4. Huntington Beach Fire Goole Section 10.208 requires that building numbers must be a minimum of four(4)
inches in height with one half (1/2) 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 Cade Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
I2
TRAFFIC IMPACT FEE
DATE PAID
AMOUNT RECEIVED
NAME (FOR OFFICE USE ONLY) ZONING
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP _ PLAN CHECK NO. NO PARKING SPACES
OCCUPANT LOAD PERMIT NO HEALTH DEPT APPROVAL
NO. OF STORIES ADMIN. ACTION-- _ UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE g >(
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE g
TOTAL S
75.039 Rev. 11190 COMMUNITY DEVELOPMENT _
SUPPLEMENTAL INFORMATION'
1.
BUSINESS ADDRESS 6 f na d of 1 S Fl `�
.2 `-?
2.
Person to contact in ease of emergency -
Telephone number: —'? o� Cn 2�
3.
Does the building in question have electricity?
Yes
❑ No
(a) If No, are you requesting that the electricity be
❑ Yes
,.
turned on'?
❑' No
�F
4.
The building is sprinklered?
91 Yes-
, -
❑ No
5.
Operations will produce dust/wood shavings or similar
i
i
material?
❑ Yes
y
L�N o
6.
Operations will involve the repair or replacement of
❑ Yes
automobile parts.?
No
if Yes:
(a) Describe the components repaired or replaced.
i
i
{
(b) Does the operation involve the use of an open Vame?
❑ Yes
CIL—°
7.
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
O Yes
9 No
8.
The following best describes my operation;
;
tt°
,Cg€ice , Unl
b
Retail Sales
Warehouse
Manufacturirig/ Distribution (describe process and end product)
,
Restaurant/Take Out Food
Medical / Dental
Other (describe)—
SUPPLEMENTAL INFORMATION
SUPPLEMENTAL
Does the operation involve any of the
If Yes, indicate quantities:
Material
1. Flammable liquids
Clasp I -A
Class I-B
Class I-C
2. Combustible liquids.
Class 11
Class 111-A
3. Combination flammable liquids
4. Flammable eases
5. Liquefied flammable gases
6. Flammable fibers - loose
7. flammable fibers - baled
8. Flammable solids
9. Unstable materials
10. Corrosive liquids
11. Oxidizing material - gases
12. Oxidizing material - liquids
13 Oxidizing material - solids
14. Organic peroxides
15. Nitromethanz (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate compound mixtt
containing more than 60% nitrate
by weight
18. Highly toxic material F.-id
poisonous gas
19. Smokeless powder _ ~�
20. Black sporting powder _..
I hereby certify that the above in
the best of my knowledge.
Signature
INFORMATION (Continued)
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property:_._/ 5-Q S
S�L r
7roperty Owner Name:_ J°-� _ __ _ Phone #: f `F - 7
Name of theperson preparing this form in print and signature:
Name:-C_��.�4r - Signature.4
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" COLUMN:
AGIVID PERMITTING CHECKLIST
YES No
1. Does your facility use any internal combustion engines greater than 50HP?�-
2. Does your facility involve mixing, blending, or processing any solvents,
adhesives, paints or coatings?
3. Does your facility create an} dusts or smoke?
4. Does your facility refine any liquids or solids or reclaim any metals?
5. Does your facility plate or coat anything? _ f
6. Does your facility have any combustion equipment (i.e. boiler, furnaces,
broiler, baking ovens, etc.) rating greater than 2,000,000 BTU/HR?
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r,
7. Does your facflity handle or store solvents or motor fuel?
8. Do you use or store any acids?
t
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, body shop, gasoline �-
station, printer, br part coater? _
12. Is the subject building located within one thousand (1,000) feet of any
PROPERTY
school? LINE TO PROPERTY LICE. 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 "YES" column you must contact the South Coast Air Quality Management Di..-rict located at:
21865 E. Copley Drive
Diamond Bar, CA 91765-4182
Please call: Plan Check (909) 396-2000