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HomeMy WebLinkAbout15061 Springdale St - CofO (50)-fro! APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH NU�1TLDEPARTMENT OF COMMUNITY DEVELOPMENT $� � •+GTt7v BFAC}i _ (PRINT OR T rr�E ONLY) DATE Aftes- + District — Business Name i' 'V MiF'-� Tel t % } ii Business Type .UY -N4 8+ ,�" � � C Occ Groul:;Z�-At BUILDING OWNER BUSINESS tiwPtiERrtyIANAGEa NameName511c- ` 1. Home Address / Address! _ t- l f`^ �� City 1'1 �*'}-1 1 `T, City �)J' __ ._..Home Tell r, ", 1 9-:� :l THIS USE WOULD BE DESCRIBED AS: � ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNS=R 1 CHANCE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT indicate former use if any Occupancy Cr Dry SQUARE FT. OF BUILDING TO BE OCCUPIED t � iari •{il� j © � 4 l NOTICE: I, 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 etectra. of service will be released foi 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 buitdmg in a different division of the saute 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 `our (4) inches in height with one half (1v) inch stroke, and of a contrasting color from the background. These numbers must be posted on your building in a location that is visibip from the street. 5. Huntington Beach Fire Corte Section 10.301 requires fire extinguisrer selection and distribution per the National Fire Protection Association pamphiet lQ isee reverse sidel. AMOUNT M.EGEWED �iFsl��E (FOR Oi=FI;:E USE ONLY)ONLY)ii ZONING— ' D£ PERMIT OCCUPANCY GROUP.__._�....,.,_.�. _ PLAN CHECK N+) APPNt1 PARKING SPACES OCCUPANT t OACa " : NO __ __ HE At 7ti F3 RCiV~L d' NO. OFSTORIES _ ADMIN `� l I�,%_ . UTILITIES RELEASED -- �w . ."" __ _'j.. � •... CE141'IF-ti:A"'r OF OCCUPANCN FEE XWROVED By- ATE CHANGE OF USE OR 00CUPANCY FEE g TOTAL S 7s-o39flev. axs� COMMUNITY DEVELOPMENT t_ _ SUPPLEMENTAL INFORMATION 1#. BUSINESS ADDRESS r 2. Person to contact in case emergency*1 Telephone number': —�Z 3. Does the building in question have electricity? Yes ❑ No (a) of No are you requesting that the electricity be 0 Yes "urned on? ' No 4. The building is sprinklered? ZYes ❑ No 5. Operations will produce dust /wood shavings or similar material? ❑ Yes i1!5 No 6. Operations will involve the repair or replacement of D Yes automobile parts? No If Yes: (a) Describe the components repaired or replaced. (b) Dees the operation involve the use of an open flame? ❑ Yes d 7. The business is drinking, dining or assembly .use that will result in an occupant load of more than 50 persons. ❑ Yea No 8. The following best describes my operation, Off' i I Only Retail albs Warehouse Manufacturing/ Distribution "(describe , process and end product) Restaurant ✓ TaKe Out Food Medical I Dental Other (describe) SUPPLEMENTAL INFORMATION , : 1 � South Coast Air Quality Management District' 2'1865 E.;Coyolev Drive, Diamond Bar, CA 91765-4182 1,909) 396-3529 a http://,,v«tiv.agmd.gov is A h• Quality Permit Checklist CaUbmia State Law Code 65850,2 prohibits cities from issuing an occupancy permit without clearance from the local air quality agency. This checklist will determine if you need to obtain clearance from the South Coast Air Quality Management District (AQMD), Company Flame: Uo—' �-D 5L -c k-jc Property address, / (~ City; j(�o"I .Zip Cade: Contact Person: Title: Tyne of Business: &3A-Vt.CL—� Telephone: f�'r Applicant (print name) �?z1.1 d' � Signature: �--- 3.; s Will the facility have any of the following equipment? YES j ] NO j Charbroiler Dry Cleaning Machine Spray Booth Printing Press (screen/lithographic/flexographic) 't Internal Combustion Engine (greater than 50 FIP (excluding mutor vehicles) i Boiler/Combustion Equipment (greater than 21AM BTU1hr. maximum input) Abrasive Blasting Cabinets/Rooms Baghouse/Car'fridge-Type Bust Filter/Scrubbr.r ` Motor Fuel Storage &Dispensing Equipment ® Will any of the following operations be performed? YES j ] NO Application of Paints and Adhesives Plating, Casting or Melting of Metals >lding, Extruding or Curing 31ending of Liquids and/or Powders <:}raga ;.cids„ Solvents, Organic Liquids or Fuels :Prortui.�i ii of Fumes, bust, Smoke or Strong Odors If you answered "CVO" to bothquestions, this checklist is your clearance from AQMD: If you. answered "YES" to eithcr question, you must contact the. AQiv1D to determine if air quality permits are required. If permits are needed, AQMD will assist you in submitting permit application(s) and then provide you «nth a clearance letter. If you have any questions, please call AQMD's S call Business Assistance oiT,te at (800)-CUT-SMOG- and press 41.. i' 1