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
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DEPARTWENT OF COMMUNITY DEVELOPMENT
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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
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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:
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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
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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?
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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
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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