The URL can be used to link to this page

Home My WebLink About15061 Springdale St - CofO (25)i APPLICATION FOR.CCATIFICATe OF OCCUPANCY CITY OF HUNTINGTON BEACH HUNTIMG'rON BEACHDEPARTMENT OF COMMUNITY DEVELOPMENT /w , (PRINT OR TYPE ONLY) DATE , '✓ Address 1,5,06 District V"Business Name_kS7Y �'/. � �%�✓iAi✓C/.4L L�oto' TeL Business Typee.^</e� C� -5 Occ. Group BUILDINGOWNER BUSINESS OWNER/MANAGER / �\ V Name. 17% •- !%�`a %%1��I��%.S v%Name4�' VAddress �� loRi9�,l Home -/Address VCit ti� S Tel. Cft _ �C�rN� C)4 -7/ / C '�y `� I ^roe T yf THIS USE WOULD BE DESCRIBED AS: l ❑l NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, ;f any Occupancy Gr. Div. SOUARE FT. OF BUILDINGTO BE OCCUPIED-3fKQeD t NOTrCE: 1. Occupancy of any building is prohibited and a business license will rot be issued until the building has /n inspected and a certificate of occupancy is issued, - 2. No eiectrical 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 schedu,e anefectrical 'fuse up' inspection in the Department of Community Development at the time this application s filed. 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 may be made in the character of occupancy or use of the building or premises which would place the building in a different division ' 9 n of the same gr oup ou of occupancy ccu ancv or I P na different group of occupancy, a change of c ' P P Y� g occupancy anc inspection fee of P Y P $ , all be paid to the city. ; 4. Huntington Beach Fire Code Section 10.208 requires that building lumbers must be a minimum f o four(4' f Inches In height with one half.(1/z) 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. 5Y, Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection`gnd distribution per the National Fire Protection Association pamphlet 10 (see r,3verse side). (FOR OFFICE USE ONLY) �� SUPPLEMENTAL INFORMATION ZONING l-- OCCUPANCY GROUP J PLAN CHECK NO, N0 PARKING SPACES OCCUPANT LOAD PERMIT NO. fEALTH DEPT, APPROVAL NO.OF STORIES ADMIN. ACTION UTILITIES RELEASED CERTIFICATE OF OCCUPANCY FEE < CL P OVED BY DATE ` CHANGE OF USE OR OCCUPANCY FEE $ TOTAL 75o39Rev.11190 COMMUNITY DEVELOPMENT w.- -� , ^` r;^. ;. +.� -'r�'.�.'�rm"a:4>u.. � : .. s ,,. _.'.t�+.r..i.xs4.-...,.+�u.a•.,.---"--+—. v.e+.rauixs +.?-k A -,SUPPLEMENTAL INFORMATION BUSINESS ADDRESS �°�C7�/ 4- _- rZ911� a. -27: Perso_rj to contact it case of emergency.✓�5 Telephone num.5er: ;7M im- �_ p p : i?.i —z 3. Does the building in question have electricity? Yes ❑ No (a) If No, are you requesting that the electricity ' be ❑ Yes turned on? ❑ No 4, The building is sprinklered? Yes ❑' No 5. Operations will produce _ dust / wood shavings or simi,ar material? 0-Yes ANo 6. Operations will involve the repair' or replacement of ❑ Yes automobile parts? PLNo 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 ' t load of more than 50 persons. result In an occupant P ❑ Yes 9 No 8. The est-" describes' my operation; Only =i��e Retail' Sales Warehouse Manufacturing / Distribution (describe process and end product)' i Restaurant / Take Out Food Medical / Dental Other (describe) f SUPPL:IMENTAL INFORMATION I `NAUTI `C`�CIASTtAAIR� All , « 1VIA�if TAGE1bIENT � y ,"DISTRICT i F. ...r S..a+�waun`Reu::-.. ..�4 K.,fEa .:""F... b �-' s• ,.. (Nonresidential Buildings Only) Location of Subject Property: I3'06f S A`OdG3 Property OwnerName: C Phone #: o i Name of the person preparing this form in print and signature --- ;I ' Name: a- Sgnabue: Name: - O (,-�y, �-v- . a -,-- The person preparing this form must be the same pers 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 TBE'YES' COLUMN: AQMD PER2d1TTING CHECKLIST i; YES NO i L Does your facility use any internal combustion engines greater than 50-HP? } 2.Does your facility involve the mixing, blending, or processing of any I, solvents,. adhesives, paints or coatings? X 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? i 6. Does your facility have any combustion equipment i.e. boiler, furnaces, broiler, baking ovens, etc.) rated greater than 2,000,000 BTUlHR? 7. Does your facility handle or store soi , ants or motor fuel? >{ f 8. Do you use or store any acids? x 9. Do you use any chemical process? k 10. - Do you use any solvents for clean-up?" 4 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline I station, printer, or part coater? 12. Is the subject building located within one thousand (1,000) feet (property line to property, line) of any school (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 District beforo submission for City review. The Air Quality Management District may be contacted at: .. ° 21865C601ey Draw* } }-�ID�amoncl�Barf G"1765 4182 h Or call '' ii Check' 909 $396 2000x ( ;t (scagmd)' a 4 4: r�. H4 _ ¢? W^+'CR.SK.`-Xs"N��Jn%,d ..»»e . j�...i.-4 -, ert(t MI.`X-llvWMu��-/wrriw4s.�:tN+.C::u....'-i-..a+..,ia, „n•wL.Ar it+,-wra .. .. ... ..., 1 SOUTH COAST AIR QUALITY,' MANAGEMENT DISTRICT (Nonresidential Buildings Only) 6B Location of Subject Property: /sl�fo j' ��z /0ew Property C 77ker Name Phone #_3 7+ Name ;of the Person k,reparing this farm in print and signature Name: Signature:, �-- -�-� 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: AQMD PERMITTING CHECKLIST YES NO 1. Does your facility use any internal combustion engines greater than 50-HP? 2. Does your facility involve mixing; blending, or processing any solvents, adhesives, paints or, coatings? 16 3. Does; your facility create any dusts or smoke? 4. Does your facility refine any liquids or solids or reclaim any metals? �X 5. Does, your facility plate or coat anything? f 6. Does your facility have any combustion equipment r I.e. boiler, furnaces, broiler, baking ovens, etc.) rated greater than. 2,000000'BTUIHR? 7. Does your facility handle or store solvents or motor fuel? 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, body shop, gasoline station, printer, or part coater? 12. Is the subject building located within one; thousand '(1,000) feet of any school? PROPERTY LINE TO PROPERTY LIVE:, 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 1 Management District located at: 2.1,865 E� Copley Drive Diamond. Bar, CA 91765-4182 a; Please call: Plan Check (714) 396-2000 1, i (6OV-2 ) i I s F APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUN TINGTON BEACH �� DEPARTMENT OF COMMUNITY DEVELOPMENT k" 1g HUNT�ON BfAQ1 (PRINT OR TYPE ONLY) DATE / `'I o ` Address /.> o(n/ f� �Q�N��t�i¢G� ST�f�—�_,�r .PAL District {(Business Name 15145T-O/.aE� f%it/�i►rG.4G Go, CfaF� Tel ✓Business TypeOcc Group BUILDING OWNER BUSINESS OWNEWMANAGER V/Name V64ameHome v"Address425_,�" roeleAlWgM < %' VAddrpss Cra gz -7/ LI V/Cil N Tel Ci!}r__Ur vD Ho e Tef _ THIS USE WOULD BE DESCRIBED AS: ' SS6- U��S ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNERCHANGE OF OCCUPANT t EXISTING BUILDING ❑CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any - Occupancy Gr Div SOUARE FT. OF BUILDING TO BE OCCUPIED___. Y-0- 2 f NOTICE: t 1. Occupancy of any building is prohibited and a business license will not be issued until the building has /een inspected and a certificate of occupancy is issued. i 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 premises in order to determine if a change may be 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 4 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 offour(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. t£ tl 5, Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the y National Fire. Protection Association pamphlet 10 (see roverse side). y t, if ' y FFF--- (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION l ZONING I oC,I OCCUPANCI'n G OUP PLAN CHECK NO. NO PARKING SPACES. OCCUPANT LOAD PERMIT NO _ HEALTH DEPT APPROVAL NO OF STORIES ADMIN ACTION..._____. UTILITIES RELEASED f-/Y'- CERTIFICATE OF OCCUPANCY FEE g P ?VI—EDII'l ' DATE CHANGE OF USE OR OCCUPANCY FEE S TOTAL S I 75-039 Rev. 11/90 COMMUNITY DEVELOPMENT ? k AL Am, Aw- .: SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS Zv�Z/ ✓�o/L�/�l>�IC,E �Si A-4i7 /O,-a e!�W' 2. Person to contact in case of emergency ow' i.vs Telephone number: 72.7- 3. Does the building in question have electricity? Yes No I (a) If No, are you requesting that the electricity be ❑ 'Yes turned on? ❑ No 4. The building is sprinklered? Yes ` ❑ No 5. Operations will produce dust/wood shavings or similar ?' material? ❑ _ Yes ANo 1 6. Operations will involve the repair or replacement of ❑ Yes , automobile parts? O-No If Yes: k' (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes EEL No f 7. The business is drinking, dining or assembly use that will ` result in an occupant Load of more than 50 persons. ❑ Yes kNo 8: The est describes my operation; j= ffice Only w„ Retail Sales t, Warehouse Manufacturing / Distribution (describe process and end product) l: Restaurant/Take Out Food Medical / Dental Other (describe) p , e a SUPPLIMENTAL INFORMATION r I SUPPLEMENTAL INFORMATION (Continued) po the 'operat on . involve anV of tho , foll;;Wino ta,.,riG<l C rrs k No r. If Yes, indreat ' 4UH Titres: >:iVhateriaL Quantity 1. Fiamniabte liquids Crass I -A Class I-B Class I-C 4 2. Combustible irquids t, Class 11 r r Class 111-A a 3. tiq- is � 4. �fammabie gases 5. Liquefied flammable gases 6. Flammable filers - loose 7. Fiammable fibers baled 8 l-laminable sralids 5. Unstable materials 10. Corrosive liquids 11. t7xidlzing material - gases 12. Oxidizing rnateriai -liquids 13. Oxidizing matertal -solids 14, Organic peroxides 15. Nitromethane (unstable materials) 16. -,'Ammonium nitrate -- -- 17. Ammonium nitrate compound mixtures ` containing more than 60% nitrate - r by weight 18, Nighty toxic material and 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 knotiyledge. - / tgnature Date i r l Location of Subject Property: 15,061 �, „� /, / /dG2 Property Owner Name: 2g;�4-2,22 : �-_) i�7�a, Phone #: '870a -- Name of the person preparing this form in print and signature D r" w-�z . �- Si nature: �., Name: g e The person preparing this form must be the same pers applying for building permits. Please answer the following questions regarding your proposed occupancy of the subject building. IF b YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN THE'YES' COLUMN: , AQMD PERMITTING CHECKLIST YES NO I 1. Does your facility use any internal combustion engines greater than 50-HP? 2. Does your facility involve the mixing, blending, or processing of any solvents, adhesives, paints or coatings? 3. Does your facility create any dusts or smoke? X, ' 4. Does your facility refine any liquids or solids or reclaim any metal-' 5. Does your facility plate or coat anything?_ 6. Does your facility have any combustion equipment i.e. boiler, furnaces, broiler, baking ovens, etc.) rated greater than 2,000,000 3TU/HR? 7. Does your facility handle or store solvents or motor fuel? ><r 8. Do you use or store any acids? X 9. Do you use an chemical process? X Y Y 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline r station, printer, or part coater? I s 12. Is the subject building located within one thousand (1,000) feet (property line to property line) of any school (Grades K-12)9 If you have marked "INTO" 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 District before submission for City review. The Air Quality Management District may be contacted at: A 21865.Copley I7►rive Diamond'Ear` CA 91765=4182'. Or call: Plan Check (909) 396-2000 (scagmd) R k, r i �" is .� �►� _ .� - �. l i _.r L , r I ► Government Code Section 65850.2(b) requires the City of Huntington Beach Building Division E not to issue the final certificate of occupancy unless the applicant has met or is muting the b requirements of the South Coast Air Quality Management District (AQMD). The Building - Division must obtain a written er lease from AQMD to show the applicant has complied with this law. The check list on the reverse side is designed to help the applicant and the building division meet these requirements. 1. The applicant (the same person who applies for permits from the Building Division) must complete the check list which can be obtained either at the Building Division or at. AQMD. 2. If all boxes in the list are checked "no' the Building Division can accept the check list as the release. 3. If there are any "yes" answers in the list, the applicant must contact an AQMD engineer by calling (909) 396-2000 to find out whether air permits are required for the proposed construction. project. 4. If air permits are not required, the applicant will obtain a written release form AQMD. { t 5. If air permi s are required, the applicant must submit the necessary permit applications before the release can be issued. ' f Because of the time it may take for AQMD to go through the above procedures, the applicant is advised to contact AQMD immediately after applying for Building permits. i -At,��: �_ �.:. .may .. Ii I � f JJ '' City ®f Huntington Beach r # 2000 MAIN STREET CALIFORNIA 92648 V DEPARTMENT GF COMMUNI"(Y DEVELOPMENT I, Building 536-5241 Planning 536-6271 r Housing 536.5271 i I j, Government Code Section 65850.2(b) requires the City of Huntington Beach Building Division not to issue the final certificate of occupancy unless the applicant has met or is meeting the requirements of the South Coast Air Quality Management District (AQMD). The Building Division must obtain a written release from AQMD to show the applicant has complied with this law. The check: list on the .reverse side is designed to help the applicant and the building division to meet these requirements. 1. The applicant (the same Person who applies for permits from the Building Division) must complete the check list which can be obtained either at the Building Division or at AQMD. !. 2. If all boxes in the list are checked "no", the Building Division can accept the check list as the release. ,x 3. If there are any "yes" answers in the list, the applicant must contact an AQMD engineer by calking (714) 396-2000 to find out whether air permits are required for tha proposed P construction project. w 4. If air permits are not required, the applicant will obtain a written release from AQMD. 5. If air permits are required, the applicant must submit the, r r necessary permit applications before the release can be issued_.. Because of the time it may take for AQMD to go through the above procedures, the applicant is advised to contact AQMD immediately after applying for Building permits. {{ E ` (13'60D) t V /Zi Phi 4$ i i _a a i �..-`•- ._ _ . t._� _., y ._ � _. err � _ ._ _ w. - - - - - C t �.� -'� - - - - `'�'� 1 i f SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT i (Nonresidential Buildings Only) Location of Subject Property: /or- Property Owner Name: Phone #_.,3 9- ,21-? j Name of the Person Preparing this form in print and signature Name • ,gipW Signature • - �%- The person preparing this form must be the same person applying for t building permits. Please answer the following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW j THE ANSWER TO A QUESTION MARK IN THE "YES" COLUMN: AQMD PERMITTING CHECKL.,IST YES NO 1. Does your facility use any internal combustion engines greater than 50-HP? X 2. Does your facility involve mixing, blending, or processing any solvents, adhesives, paints or coatings? 3. Does your facility create any dusts or smoke? _16 Y 4. Does your facility refine any liquids or solids —i—_ or reclaim any metals? 5. Does your facility plate or, coat anything? 6. Does your facility have any combustion equipment —7 — Ii.e. boiler, furnaces, broiler, baking ovens, _46 l etc.) rated greater than 2,000,000 BTU/HR? _ X ' r 7. Does your facility handle or store solvents or motor fuel?' uel? C� 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, body :shop, gasoline station, printer, or part coater? x 12. Is the subject building located within one T thousand (1,000) feet of any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. 1 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 inx the "YES" Column you must contact the South Coast Air Quality Management District located at: N 21865 E. Copley Drive Diamond Bar, CA 91765-4182` Please call: Plan Check (714) 396-2000 !_ 3i ; (1360D-2) '+ f t i r i � f 1 i .... _ � _ �. rl� �� _ �� _ t_ '' � Jew .. _ _ � _ - -• +1 � ' �_ _._ _ a. \? a�L.% �1 - �. _., t —� � .�