HomeMy WebLinkAbout15061 Springdale St - CofO (2)it
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CERTIFICAT E OF OCCUPANCY
CITY s HUNTINGMN BEACH
ate
Address 15061 ,tTRINGDPLL
202
District _..
Tel.
714-897-7079 _—
Business Name 1a * � f
UW
C(N UTER HARL1, RE
SALES
Occ. Group
Business Type
BUSINESS OWNER/MANAGER
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BUILDING OWNEP.
YAt AL GRL :II
LF�i� 1t�VLiP��tu i'w
Name
Name _
Home f` 171 p:,ARY CF
Address
Addles % C Hkxl l
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ja} r Tome
{ G A Tel.' City —
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City
Construction No. of Stories
L.
Occupant Load Sprinklers
CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY DEVELOPMENT
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This Certificate of Occupancy
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SHALL BE posted in a cnrtspicuous place on the
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premises and shall not be removed except by the
by —_
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Building Official.
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COMMUNITY DEVELOPMENT
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�.J APPLICATION FOR CERTIFICATE OF OCCiJPANCY I ,
CITY OF HUNTINGTON BEACH
u�nHcrON DEPARTMENT OF COMMUNITY DEVELOPMENT
(PRINT OR TYPE ONLY) DATE
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Y Address.. ZX1.96 / .Sf'f'ri+✓lyd� L-off
—! District.C�
Business Name.— Tel >
Business Type G"(irvr 0&,
�.�rtyel= r Occ. Group
k BUILDING OWNER BUSINESS OWNERtMANAGER
Name E l / n. V o
f'T:,a t'ar.7`'S" Name
Address %',' ,5— G d in Home
Address
City Home Tel ' 7
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THIS USE WOULD BE DESCRIBED AS: h
❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER '+F
CHANGE OF OCCUPANT
EXISTING, BUILDING ' ❑CHANGE OF USE
❑ ADDITIONAL OCCUPANT
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Indicate fom.ar use, if any Occupancy Gr --Dig
_SQUARE FT. OF BUILDINGITBOOC'CUPIED Dli�
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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 app" cants for occupancy in an existing building are required to schedule an electrical
n 'fuse up' inspection in the Department of Community Development at the time this application is filed. s
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 ofthe buil
ding.
or premises which would place the building in a different division of the same group of occupancy or in a t, different group of occupancy, a change of occupancy inspection fee of $ shall
be paid to the city.
;v ; 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
I 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 bulldinq in a locaticn that is visible from the street,
e 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection said distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
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— "5e, CA, qfz- Cry
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(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
ZONING —
OCCUPANCY GROUP PLAN CHECK NO
OCCUPANT LOAD NO, PARKING SPACES
" PERMIT NO. _ HEALTH OEPT APPROVAL ` NO: 4S'ES ADMIN. ACTION / 1 q jUTILITIES RELEASED< Z� / / �`- CERTIFICATE OF OCCUPANCY FEE
PRDATE CHANGE OF USE OR 00CLIPANCY FEE
TOTAL
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75a3s Rev, 11 /so COMMUNITY DEVELOPMENT -
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SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS /s'061
2.
Person to contact in case of emergency,
Telephone number: 9 =
( 3.
Does the building in question have electricity?
❑ Yes
No
(a)if No, are you requesting that the electricity be
Yes
turned on?
❑ No
4.
The building is sprinklered?
ED'Yes
a
No
5.
Operations will produce dust/wood sha .. igs or similar
material?
❑ Yes
r:
No
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6.
Operations will involve the repair or replacement of
❑ Yes
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automobile parts?
II -No
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If Yes:
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(a) Describe the components repaired or replaced.
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❑ Yes
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(b) Does the operation involve the use of an open flame?
El No
7.
The business is drinking, dining or assembly use that will
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result in an occupant load of more than 50 persons.
❑Yes
R No
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8.
The fo!jDmna best describes my operation;
Oafice n
Retail Sales
Warehouse
ivianufacturing/ Distribution (describe process and end product)
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Restaurant/ Take Out Food
Medical / Dental
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Other (describe)
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6UPPUMENTAL INFORMATION
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SUPPLEMENTAL INFORMATION
(Continued)
Does
the operation involve any of the following materials?r—I Yes
U�'N o
If Yes, indicate quantities:
Quantity
Material'
1. Flammable liquids
Class l-A
Class I-B
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Class I-C
2.
Combustible liquids
Class II
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Class III -A
3.
Combination flammable liquids
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Flammable gases
5.
L:qu+efied flammable gases
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6.
Flammable fibers - loose
Flammable fibers - baled
8.
Flammable solids _
9.
Unstable materials
10.
Corrosive liquids
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11.
Oxidizing material - gases
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12,
Oxidizing material - liquids -
13.
Oxidizing; material solids
4 14.
Organic peroxides
15,
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Nitromethane (unstable materials)
16.
Ammonium nitrate
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17.
Ammonium nitrate compound m°ixtuies
containing more than 60% nitrate
by weight
18.
Highly toxic material and
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poisonous gas
19.
Smokeless powder
' 20.
Black Sporting powder
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if that the abL,ve information is
i hereby certify
true and correct to t
the bof my knowledge.
Signature
Date
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City of Hunfington Beach
2000 MAIN STREET CALIFORNIA 92648
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DEPARTMENT OF COMMUNITYDEVELOPMENT
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Building Division 536-5241
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Planning Division 536-5271
Government Code Section 65850.2(b) requires the City of Huntington
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Beach Building Division not to issue the, final certificate of
occupancy unless the applicant has met or is meeting the
requirements of the South Coast Air q Quality idananement District
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(AQMD). The Building Divisionmust obtain a wL -n release from
AQMD to show the applicant has complied with this aw-. The cheek
list on the reverse side is designed to help the applicant and the
building division to meet these requirements.
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1. The applicant (f_he same person who applies for permits from
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the Building Division) must complete the check list which
can be obtained either at the 'Building Division or. at AQMD,
2. If all boxes in the li,t are checked "no" the Building
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Division can accept the check list as the release. ,
3. If there are any "yes" answers in the list, the applicant
must contact an AQMD engineer by calling (714) 396-2000 to
find out whether air permitsarerequired for the proposed
construction project.
4. If air permits are not required, the applicant- will obtain
a written release from AQMD,
5. If air permits are required', the applicant must submit the
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necessary permit- applications before the release can be
issued'.
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Because of the time it may take for AQFID to go through the above
procedures, the applicant is advised to contact AQMD immediately'
after 'applying for Building permits.
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(1360D)
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SOUTH COAST AIR QUALITY.ifANAGEMENT DilSTRICT,,,.
(Nonresidential B-aildings Only)
Location of Subject Property:_%y z�6 i_ �S ��iwG C7/GL' %a• 6-
Property Owner Name: /��6hEDiA�r� Phone #
Name of the Person Preparing this form in print and signature
��, �ir� EL S
Name: 6 C i✓l — signature:
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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 YGIJ DO NOT
KNOW,
THIS ANSWER TO A QUESTION MARK IN THE "YES" COLUMN:
AQMD PERMITTING CHECKLIST
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YES
NO
1. Does your facility use any internal combustion
engines greater tnan 50-HP?
2. Does your facility involve mixing, blending, or
processing any solvents, adhesives, paints
or coatings?
3. Does your facility create any dusts or smoke?
— 5.0
4, Does your facility refine any liquids or solids
or reclaim any metals?
5. Does your facility plate or coat anything?
6. Does your facility have any combustion equipment
i.e_. boiler, furnaces, broiler, baking ovens,
etc.) rated greater than 2,000,000 BTU/HR?
k 7. Does your E'ecility handle or store solvents or
motor fuel?
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8. Do you use or stone any acids?
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9. Do you use any chemical process?
10. Do you use any solvents for clean-up?
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11. Are you a dry cleaner, restaurant with a
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charbroiler, body shop, gasoline station,
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printer, or part coater?
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3.2.Is the subject building located within one
thousand (1,000) feet of any 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 mark,ad 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 91764 182
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Please call: Plan Check (714) 396-2000
(136od-2)