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Home My WebLink About15061 Springdale St - CofO (4)}-- �I APPLICATION FOR CERTIFICATE OF OCCUPANCY r ' NCY CITY OF HUNTINGTON BEACH r WWMCTON KAGII DEPARTMENT OF COMMUNITY DEVELOPMENT (POINT OR TYPE ONLY) DATE 1506 SPRI DALE ST'. SUIT \ CA 9,64g 0' Addre .s 1,17_ 112, FiCTP"ITINGTON REACH YSB WORLD, INC District Business Name dba RSB_AMERICA; INC. TRADING F'OR IMPORT &EXPORT, WHOLE SALE Tel..-IA� AA ; Business Type Occ. Group-, fill BUILDING BUSINESS OWNER/MANAGER NameMM TN-VEs",myiVmS �( T t Name !nf/i ,4 ' C(: W) Address) 549,; [•raham St Home I Huntington Beach; Ca9264r e�. 379- Address City— _ 1318Cit y Home Tel. P THIS U:.X %4OULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ® CHANGE OF GCCUPAN T EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT l Indicate former use, if any ! I �yt7T Occupancy Gr. Div, 4 SOUARE FT. OF BUILDING TO BE OCCUPIED 4; 000 NOTICE: 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. } I 2. No electrical service will be released for any existing building until the service has been inspected and i certified safe. All applicants for occupancy inan 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 occupar y or use inspection fee. Whenever it is necessary to make inspection of a building or t' premises in order to determine if a change maybe made in the character of occupancy or use 'ofthe building or premises which would place the building in a' differentdivis:on of the same group Of occupancy or in a different group of OCCL!pancy, a change of occupancy inspection fee of $ F paid to the city. shall 4. Hi--ntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) inches' in height with cite half 1/2) inch stroke, and of a contrasting color from the background. These numbers must be posted c,i your building in a location that is visible from the street. l 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the i National Fire Protection Association pamphlet 10 (see reverse side). TRAFFIC IMPACT FEE 11P- DATE PAID Jr '11 ! AMOUNT RECEIVED - yJ NAME 1. ii SUPPLEMENTAL INFORMATION ~- (FOR OFFICE USE ONLY) C� t ZONING OCCUPANCY' GROUP' F2PLAN CHECK NO. NO. PARKING SPACES OCCUPANT LOAD t? PERMIT NO. HEALTH DEPT. APPROVAL NO, OF STORIES ADMIN, ACTION r % UTILITIES RELEASCD 1p A024, �/ %fCj CERTIFICATE OF OCCUPANCY FEE D BY $ VE DATE CHANGE OF USE OR OCCUPANCY FEE g' TOTAL 75-039 Rev. 1/97: , COMMUNITY DEVELOPMENT k , I L y M CL- � _ _ • tilt .. i C �� a J .� e . e . � Q _ . _ i � _ . - SUPPLIES ,-NTAL INFORMATION # 1. S-b � BUSINESS ADDRESS I I Sys"�� St. Su��e ALL y ; 2. Person to contact in case of emergency- tlLp Telephone '.number: i i 3• Does the building in question have electricity? ET"Yes ze= (a) 1f No, are you requesting that the electricity be turned ❑ No ❑ Yes tr on? ElNo i 'i 4. The building is sprinklered? ❑ es x '. 5. Operations will produce dust/wood shavings or similar ❑' No material? ❑Yes Er -No 6. Operations will involve the repair or, replacement of ElN"" automobile parts? [E' N o If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an openflame? ❑ Yes 7. The business is drinking, dining or assembly use that will ❑ No result in an occupant load of more than 50 persons. El Yes 9 8. The following best describes my operation; L�7`N o , , \JOffice Only Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) l Restaurant/Take Out Food ` Medical / Dental Y Other (describe) SUPPLEMENTAL INFORMAMON ; d 1 i '1 ■ SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? ❑ Yes �No If Yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A i Class 'I-B k Class ' I-C 2. Combustible liquids r Class _ 11 Class III -A -- Combination flammable liquids , 4. Flammable gases p 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled x 13. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing -material - solids 14 Organic peroxides 15. Nitromethane (unstable materials) 16, - Ammonium nitrate ' 17. Ammonium nitrate compound mixtures i containing more than 60% nitrate by weight 18. Highly toxic material and 4 poisonous gas _ 19. Smokeless powder I 20. Black sporting powder l : I hereby certify that the above information is true and correct 'knowledge./ to the best of my Cl Signature Date 4 71. I 9 y South Coast AIR QUALITY MANAGEMENT DISTRICT , 21865 L Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AIR QUALITY P—RNIIT CHECKLIST # ; " for nonreside�.aal buildings only Company Name: Ulm. x Location of Property: ? ( �� S I • 1I l v (I?.- city:- L6 Zip i',ode: � 5 ContaNt Personae �rI . [L ,,r, _ Title: Telephone Number: �214 03 — it P r Fax Number: q 0 3 -- N o Type of IndustryBusiness: �1/c-of «t �, � y �c..� (%►1-fi -19-vovf To apply for a nonresidential building permit, you must complete this checklist. If you have any y questions about completing this checklist, please call (800) 388-2121. YES NO ' I . WiIl the facility have a eharbroiler? [ ] 2. Will any internal combustion engine with greater than 50 horsepower operate at the facility (excluding motor vehicles)? 3. Will operatior - at the facility involve mixing, blending, or processing of solvents, adhe- ives, paints or coatings? [ ] [ Will dust or smoke be generated at the facility? 5. Will refuting of any liquids or solids be done at the facility? 6. Will any plating or coating of materfids be done at the facility? 7. Will any combustion equipment rated greater than 2,000,000 BTU/hr be operated at the facility? [ ] [ j 8. Will any acids, solvents, or motor fuel be used or stored at the facility? [ ] [ y 9. Will any organic liquids or gases be reacted or produced? 10. Will any ovens be used to dry or cure products at the facility? 11. Will any CFC (Freon) recycling machines operate at the facility? Applicant:K C ei• r Signature:(— i (Print name clearly) If you have marked "NO" in all the boxes, an air quality permit is not needed at this time, and this checklist is your written release. If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality Management District (AQNM). Please read the requirements on the back of the checklist. (800) 388-2121 sg ADDIMONAL SUPPLEMENTAL INFORMATIOM , . r, MANDATORY REPLY REQUIRED PRIOR TO ISSUANCE OF BUSINESS LICENSE Complete and return this form to .he Business Licensing Division HUNTINGTON BEACH FIRE DEPARTMENT HAZARDOUSMATERIALS DISCLOSURE INFORMATION SHEET PLEASE PRINT Rp Business Address: 15061 Springdale St 111 &112 Ca92649 H tg Bch ; Number Street Unit Zip Code Business Name: YSB�WORLD, INC dba KSB AMERICA, INC. Phone: (71 1 903-1188 Owner/Manager: JAE 14. KIM Title: President Date of Occupation: 1 /1 /98 2 P If rental, number rf units: Description of business operation: tiding for import & export, Whole sale A Hazardous Materials Disclosure Form must be completed and returned to the Fire Department if any of the ioliowing are used, handled or stored in your business: 1.' Any amount o: chemical carcinogen. 2. Any amount of radioactive material. 3. Hazardous materials or hazardous waste in amounts equal to or greater than 55 GALLONS (if liquid) or 500 POUNDS (if solid) PER YEAR or'200 CUBIC FEET of 1 gas ON SITE AT ANY ONE TIME. Hazardous materials are defined in Municipal Code Chapter 17.55 and include materials for which the manufacturer or producer is required to prepare a Material .Safety Data Sheet (MSDS) Hazardous waste is definedby Sections 25115 and 25117 of the California Health and Safety Code. Disclosure is not required for the following: 3 1. Hazardous substances contained in food, drug, cosmetic or tobacco products. , 2. Upon approval of the Fire Chief, hazardous materials contained solely in consumer products packaged for use by and distributed to the general public. However, Pesticides, herbicides and ammonium nitrate fertilizers over the required disclosure amounts are not exempt clos from disure, 3. The Transportation of hazardous materials accompanied by shipping papers prepared in accordance with the provisions of 49 Code of Federal Regulations. 4. infectious waste generated ,by health care' facilities that are regulated under' Title 22 of the California Administrative Cody CHECK ONE OF THE FOLLOWING: No chemicals are used, handled or stored at this business. Chemicals are used, handled or stored at this business, but do not meet the requirements for disclosure. Chemicals are used, handled or stored at this business. (Disclosure required; forms will be sent to you.) Amounts will be verified during annual inspections. it is unlawful for any person ;a knowingly violate any provision of this ordinance..; I certify, under the penalty of perjury, that the above information is true and correct to the best of my knowledge. Signature: Home Phone: (711 903-1188 Dates l 2/26/97 E Questions regarding the razardous Materials Program, please call 714-536-5676. 0703F/14(1/92)