HomeMy WebLinkAbout15061 Springdale St - CofO (20)CERTIFICATE OF OCCUPANCY 2/ 2 9/ 9 6 -
CITY OF HUNTINGTON BEACH
..Date
Address 15061 SPRINGDALE #201 District
TO.MO TRADING COMPANY 714-899-1063
Business Name Tel.
TRADING COMPANY -OFFICE ONLY B
Business Type Occ. Group
BUILDING OWNER BUSINESS OWNER/MANAGER
EBM INVESTMENTS KATSU UKI WAKITA
Name Name
i 15495 GRAHAM Home 16362 ARDSLEY {
Adoress Address !
City $UNTING"' 'GAlel. 714-379-1718 City HU14TINGTON e a 714- 846-3923
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2 10
j Construction No. of Stories Occupant Load Sprinklers
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I CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY DEVELOPMENT
This Cerkificate of Occupancy
SHALL BE posted in a conspicuous place on the �, r
premises and shall not be removed except by the by
Building Official. i
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COMMUNITY DEVELOPMENT t
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APPLICATION FOR CERTIFICATE OF OCCU A Y
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMEN
FUNTMTON eva+ - DATE
(PRINT OR TYPE ONLY)
Address �J 0 5 / 1 "L UrC/i`( �D/ pistrict
Business Name 1 1/A/CT "Qf3i<l TeL P _ —/B 3
Business Type R ()7A1q: rA"P+?V ! —014—( CA O o� t `-i Occ. Group
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BUILDING OWNER BUSINESSOWNERIMANAGER
Name /it/;/�S T N�iV �S Name N-7,7-1111II&I 1-✓>4Kf ?r4
Home
Address c� _G'AN!>. Address
City uI(/T/ %n + Tel. LaV--/-f/19City-77v' tir/fnA BAF4�f-1 _,tiome Tel. = 1
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THIS USE WOULD BE DESCRIBED AS: {
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NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER CHANGE OF OCCUPANT t
EXISTING BUILDING CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any. _Occupancy Gr.--Div,
SQUARE FT. OF BUILDING TO BE OCCUPIEIJ xVOO ` `*" F
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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.
2. No electrical service will be released for 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 maybe made in 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
JdNational Fire Protection Association pamphlet 10 (see reverse €e):
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TRAFFIC IMPACT FEE S Z
DATE PAID
AMOUNT E EIV
NAME �
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION ZONING
OCCUPANCY GROUP - PLAN CHECK NO. NO. PARKING SPACES
OCCUPANT LOAD PERMIT NO, HEALTH DEPT APPROVAL
NO. OF STORIES 2. ADMIN. ACTION UTILITIES RELEASED
r;
CERTIFICATE OF OCCUPANCY FEE $
APP VED BY DATE CHANGE OF USE OR OCCUPANCY FEE $
TOTAL $
75.039 Rev, 11/go COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
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1. `
BUSINESS ADDRESS 15061 S`prigdale st. Unit 201 Htg. Bch. 92649
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2.
Person to contact in case of emergency,Lo�HiQa
Telephone number: (23fa)-F0�2-.
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3.
question y
Does the building in question electricity?
❑ Yes
Er No
(a) It No, are you requesting tha, the electricity be
Cry' Yes i
turned on?
❑ No
4.
The building is oprinklered?
Yes
No.
5.
Operations will produce dust/wood shavings or similar
material?
El Yes
lG No i
6.
Operations will involve the repair or replacement of
❑ Yes
automoblia parts?
ID -No
If Yes:
(a) Describe the components repaired or replaced.
t
❑ Yes
(b) does the operation involve the use of an open
flame?
C� No
7.
The business is drinking, dining or assembly use that
will
result in an occupant load of more than 50 persons.
❑ Yes
Er No
8.
The following best describes my operation;
Office Only
RetailSales
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant / Take Out Food
Medical / Dental
Other (describe)
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SUPPLEMENTAL IN FORMA-nOFd
SUPPLEMENTAL INFORMATION (Continued)
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P:
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Does the operation involve any of the following
materials? ❑ Yes
CNo
If
Yes, indicate quantities:
Material Quantity
ri
1.
_
Flammable liquids
Class I -A
Class I-B
Class I-C
2.
Combustible liquids
Class 11
Class 111-A
3.
Combination flammable. liquids
4.
Flammable gases
5.
Liquefied flammable gases_
6.
Flammable fibers - prose
7.
Flammable fibers - baled
B.
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
containing more than 60% nitrate
by weight
18.
Highly toxic material and
poisonous gas
19.
Smokeless powder
20.
Black sporting powder
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I hereby certify that the above information
is true and correct to
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the be> f my knowieoge.
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1-1-el'C-161
igna�u`re
Date
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v7� SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
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(Nonresidential Buildings Only)
Location of Subject Property:_ 15061 Springdale Street, _Unit_201 Huntington Beach, CA 92649
Property Owner Name:JE:_7B /�._ _I V _�Phone #:
Name of the person preparing this form in print and signature:
Name: Katsuyuki Wakita_ _ Signature:
The person preparing this form -rust be the sacs a person applying for building permits. Please answer the
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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:
AQMD PERMITTING CHECKLIST
YES NO
t. Does your facility use any internal combustion engines greater than 50HP? _ X
2. Does your facility involve mixing, blending, or processing any solvents, X
- adhesives, paints or coatings?
X
3. Does your facility create an} dusts or smoke? —
4. Does your facility refine any liquids or solids or reclaim any metals?- X
5. Does your facility plate or coat anything? _ X
6. Does your facility have any combustion equipment (i.e. boiler, furnaces„
B HR ? X
r 2,000,000 TU!
rizr baking ovens etc. rating greater than
broiler,
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7. Does your facBity handle or store solvents or motor fuel? X
8. Do you use or store any acids? X
9. Do you use any chemical process? X
10. Do you use any solvents for clean-up? X
11, Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline
station, printer, br part coater? _ X
12. Is the subject building located within one thousand (1,000) feet of any X
school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked
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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 91765-4182
Please call: Plan Check (909) 396-2000
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