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HomeMy WebLinkAbout15061 Springdale St - CofO (5)CERTIFICATE OF OCCUi-A-14CY' CITY OF HUNTINGTON BEACH` 15061 SPRINGDALE #110 Date f Address Distr� ^ A N c CE EHb ( - i Business Name Tel. Business Type Occ. Group FRANK ELSEaBUILIVING OWNS A[dTHid�"ti (N S �WLNF MANAGER Name Name t 151495 GRAHAM Home 6242 BRIARCLIFF Address Address 1 J 1 A(. f y ! 1 l U.4 H` me r .. nT'jTUJI f I City Tel. - City Tel.' — - Construction No. of Stories Occupant Load Sprinklers f CONDITIONS OF APPROVAL k t i - 1 I I DEPARTWENT OF COMMUNITY DEVELOPMENT r This Certificate of Occupancy t- SHALL BE posted in a conspicuous place on the i premises and shall not be removed except by the by it ! Building Official. COMMUNITY DEVELOPMENT I J. APPLICATION FOR CERTIFICATE OF OCCUPA CY CITY OF HUNTINGTON BEACH l DEPARTMENT OF COMMUNITY DEVELOPMENT F t HUNTLNGTON BEACH (PRINT OR TYPE ONLY) DATE �O� Address t 5 BCD S p e-girl) e0 District Business Names) �C 1C P Ic ��@/j Tel. Business Type a Occ. Group BUILDING OWNER BUSINESS OWNERIMANAGER 3 ;pv�y� r Namea'1-- C C Name E l Horne r J Address t9ianP60,0 ^I Addresjjs—L�%�C�/f�/� L�►2Ct �/G �� � City a,( —Tel. I—� �)` City LCI .� Home Tel - I 319 nle THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT EXISTING BUILDING ❑ C HANGS OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, it any Occupancy Gr. Div. SQUARE FT, OF BUILDING TO BE OCCUPIEDy I — f NOTIC : 1. Occupanctsof any building is prohibited and a business license will not be issued until the building has been j �' Q(e inspected ; +•d a certificate of occupancy is issued. 2. No electrical service will be released for any existing building until the service has been inspected and 1 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 ? 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 (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 Code Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). N Ar C 30��3 TRAFFIC IMPACT FEE Afor DATE PAID AMOUNT RECEIVED IJAME f�%— (FOR OFFICE USE ONLY) 4_ . 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 _ CERTIFICATE OF OCCUPANCY FEE $ F GED BY I DATE CHANGE OF USE OR OCCUPANCY FEE g TOTAL $ -- 75-G.39 Rev. 11/90 COMMUNITY DEVELOPMENT SUPPLEMENTAL INFORMATION S ADDRESS 1. BUSINESS � 7 ; 2. Person to contact in case of emergency' iT Telephone number: i 3. Does the building in question have electricity? Yes ❑ No (a) If No, are you requesti electricity be turned on? ' /l� � ,e s�de9 441t WW. ❑ No 4. The building is sprinklered? Yes ❑ No 5. Operations will produce dust/wood shavings or similar El Yes material? ❑ No 6. Operations will involve the repair or replacement of ® ❑ Yes automobile parts? If Yes; (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? CJ Yes 7. The .business is drinking, dining or assembly use that', will 11 Yes result in an occupant load of more than 50 persons. 8. The followin best describes my operation; Re?ail Sales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant/Take out Food Medical / Dental Other (describe) SUPPLEMENTAL INFORMATION _ SUPPLEMENTAL i INFORMATION (Continued) Does the operation involve any of the fo.1lowing materials? ❑ Yes If Yes, indicate. quantities: VU terial Quantity 1. Flammable liquids Class I -A Class I-B Class I-C 2. Combustible- liquids Class 11 Class III -A 3. Combination flammable liquids 4. Flammable gases 6 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 - solid 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weight 18. Highly toxic material and poisonous gas 10. Smokeless powder 20. Black sporting powder her certify that the above information is true and correct to the est of my knowledge. Signature Date r r i SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property:_— /°� < e— C Phone #: 7/I wi Property Oner fvanie:_ __ _ Name of the person preparing this sfforrm/ in print and signature: Name,,Co I qep 4"- S.: ..__: 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 i THE ANSWER TO A QUESTION, MARK !N THE "YES" COLUMN: A �A J PERM ITTING G CHECK LIST td YES NO i 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 and dusts or smoke? - 4. Does your facility refine any liquids or solids or reclaim any metals? 5. Does your facility plate or colt anything? 6. Does your facility have any combustion equipment (i.e. boiler, furnaces, broiler, baking ovens, etc.) rating greater than 2,000,000 BTU/HR? 7. Does your facility handle or store solvents or motor fuel? 8. Do you use or store any acids? l M 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? i ( 12. Is the subject building located within one inousand (1,000) feet of any school,? PROPERTY LINE TO PROPERTY LINE. GRADES K 12. y 'g If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked i any questions in the "YES" column you must contact the South Coast Air Quality Management District located at: ! 21865 E. Copley Drive Diamond Bar, CA 91765-41.B2 Please call: Plan Check (909) 396-2000 i I l Address District ��,- Business Name � t" f K f -�- Telephone - �S/t �17 Business Type InIr'C L I '. rlU/�'r l Occ. Group Ading Owner Business Owner/Man er Name _-__ 1 1= (� /11! � Name _ I c h _` q Address. l 0 /2l J Home Address�C- city NT7 N� (` GL� Tel. _t� l C� a ' ✓�� City L t)A- ' S� Ci me Tel. T/ HIS USE WOULD BE DESCRIBED AS: � ?� Newly Constructed Building ❑ Change of Owner Change of Occupant E�asung Building Ll Change of Use Additional Occupant Indicate former use, if any (crOccupancy Gr. Div. SQUARE FT. OF BUILDING TO BE OCCUPIED' 3 NOTICE: i 1, Occupancy of any building is prohibited and a business license will not be issued until the building has been inspected and a certificate of occupancy is issued. 2 No electrical will be released for any existing building until the service has been inspected and tcertified safe. All applicants for occupancy in as existing building are required to schedule an electrical `:fuse Lip' inspection in the Department of Building and Safetyat the time this application is filed. 3. Charge of occupancy or use inspection fee. Whenever it is ncessaiy to make inspection of a building or s premises in order to detenrine 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 different group of occupancy, a change of occupancy inspection fee of shall be paid to the City. 4. Huntington. Beach Tire Code Section 10.208 requires t'iat building -numbers mustbe a minuniun of four (4) incises inbeightwith one-half (1/2) inch stroke, and of a contrasting colorfrom the badkground. These numbers.mustbe posted on your building in a location that is visible from the street. 5. Huntington bleach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the 4 National Fire Protection Association pamphlet 10 (see reverse side), Try' c Impact Fee Date Paid Amount Received Name (FOR OFFICE USE ONLY) Occupancy Group Plan Check No, No. Parking Spares Occupant Load Permit No. _ Health Dept. Approval Utilities Release No. of Stories Admin, Action d Celli of Occupancy Fee $ Approved by Date Change ofUse or Occupancy Fee S Total $ Building & Safety Department