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15061 Springdale St - CofO (52)
CERTIFICATE OF OCCUPANCY 3 / 21 / 9 6 CITY OF HUNTINGTON BEACH Date { Address 15061 SPRINGDALE District MAGIC SHOTS STUDIO Tel Business Name ~- IVPHOTOGRAPHY" Occ. Group Business Type BUILDING OWNER BUSINESS OWNER/MANAGER E o GISEL EB.M Name — Name I l SAME 15495 GRAHA14 Add ress Address Address HB 3 7 9 -1718 City Home Tel. L City Tel.2 0 Construction No. of Stories Occupant Load Sprinklers i CONDITIONS OF APPROVAL ,1 DEPARTMENT OF COMMUNITY DEVELOPMENT f 1 t This Certificate of OcculpNslcy SHALL BE posted in a conspicuous place on the ; premises and shall not be r9moved excopt by the by Bu� ilding Official i COMMUNITY DEVELOPMENT LA e we APPLICATION FOR CERTIFICATE OF QMVe, CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPM NT DATE s f urinNGTON grAUi: (PRINT OR TYPE ONLY) - { A 15061 sp1L/1V6a,qLc S�J�It2�;�{�1r�db� !�r�e�, e.4-ga� J,i;trict Address _ t Kfi6/C: S�D 5/t/19l� Tel._. Business Name Jr Occ. Group (Business Type UILDING�OWNER BUSINESS WNERIMANAGER ,--Name ame— Home �!Y �""rT•' I/ tt%r�r7S� 15VC? Sl • Address ,/'Address �� jr �. .f� ��`1 p H�1nJll1✓(�10/J .' �w�! , �A 9 i Tel. 3 -17i sty —Home Tel. ��ity �� ��/ THIS USE WOULD BE DESCRIBED AS: 2/EWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr. Div. SQUARE FT OF BUILDING TO BE OCCUPIED S r F t NOTICE: 1, Occupancy of any building is prohibited and abusiness 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 �3 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 r 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 11 be paid tc the city. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) A inchas in height with one half (1/2) inch stroke, and of a contrasting color from the backgtound. These t OU numbers must be posted on your buifding_in a location that Is visible from the street. # Huntington Beach Fire Code Section 10.301 requires fire exting uisher selection and distribution per the ✓ National Fire Protection Association pamphlet 10 (see reverse side). � N ; i �- -CIS TRAFFIC IMPACT FEE—' "VA — DATE PAID -- l NAME (FOR OFFICE USE ONLY) .�— ZONING ' SUPPLEMENTAL INFORMATION t PLAN CHECK NO. NO PARKING SPACES — OCCUPANCY GROUP----� HEALTH DEPT APPROVAL PERMIT NO OCCUPANT LOAD ----zl UTILITIES RELEASED NO. OF S`0RIES ADMIN. ACTION CERTIFICATE OF OCCUPANCY FEE $ OAfE CHANGE OF USE OR CCUPANCY FEE $ ' TOTAL f f 1� U !ED BY $ 039 taw. t t/sQ C©MMvNITY DEVELOPMENT SUPPLEMENTAL INFORMATION � gyp[ 5�'rti G4 S -4 jt7, A6g&? LA q2� l : t 1. BUSINESS ADDRESS 2. Person to contact in case of emergency - SlK 5S�-dl ,55 Telephone number: 3. Does the building in question have electricity? _ Yes (a) If No, are you requesting that the electricity be e Yes turned on? ❑ No 4. The building is sprinklered? ❑ Yes ❑ No 5. Operations will produce dust/wood shavings or similar Yes material? �No � 6. Operations will involve the repair or replacement of ❑Yes C'No? automobile parts? Ii If Yes: (a) Describe the compone repaired or replaced. K s (bl Does the operation involve the use of an open flame? 0 No ej 7. The business is drinking, dining' `or assembly use that will Yes result in an occupant load of more than 50 persons. ❑ No 8. The following best describes my operation; Office Only Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other (describe)A---- �z ryn ('t 1� SUPPLEMENTAL INFORMATION SUPPLEMENTAL INFORMATION (Continued) i Does the operation involve any of the. following materials? ❑ YY � o If Yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A Class. I-8 Class I-C 2. Combustible liquids Class lI Class III -A 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose t 7. Flammable fibers - baled 8. Flammable solids 9. Unstable materials 10. Corrosive liquids 1i. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material solids 114. Organic peroxides 15. Nitromethane (unstable materials) 113. Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate E by weight 16. Highly toxic material and poisonous gas 19. Smokeless powder 20. Black sporting powder t i I hereby certify that the above information is true and colrect to the best of my knowledge. S�1 ature Date kl r; i SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only), }t 1 SCE kl 5 rtf�Oby r�5% 1 1 ,v },..x,'Tvm 9�h CP g21.4d� f Locatioh of Subject PrUpertY:_ �'----- -- 4ti l. �3�i 37 - lid Property Owner Name:__ `_ ___-- _ __-- —Rhone #:-7-- 9# r Name of the person preparing this form ;n print and signature: l` i — --- —,�nat'u�re.Name: G2o i -- -- 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: }' �t s AQMD PERMITTING CHECKLIST tt t YES _NO I 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 an} dusts or smoke? 4. Does your facility refine any liquids or solids or reclaim any metals? F 5. Does your facility plate or coa�t anything? - �z 6. Does yot facility have any combustion equipment (i.e. boiler, furnaces,' _ broiler, f -°.king ovens, etc.) rating greater than 2,000,000 BTU/HR? it 7. Does your facRity handle or store solvents or motor fuel? --- — 8. Do you use or store any acids? Ts 1 1' 9. To you use any chemical process? -V// I 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 LINE. GRADES K-12. i� If you have marked "NO' in all columns, you do not need an Air Quality permit at this t':me, If you have marked; any questions in the "YES" column you must contact the South Coast Air Quality Management District located at: 21865 E. Copley Driver Diamond Bar, CA 91765-4182 Please call: Plan Check (909) 396-2000 f: {i !3