HomeMy WebLinkAbout15061 Springdale St - CofO (80)/
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APPLICATION FOR CERTIFICATE OF(OCCUPANCY ~'
CITY OF FuwnworowBEACH
01. mj DEPARTMENT OF oumMuwnv oe/ELopMswT
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NOTICE: 1. Occupancy of any building is prohibited and a b ..''ess hcense will not be issued until the b0dirg has been
inspacted and a certificate of occupancy is issued.
2 No electrical service will be released for any exis"ing 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 'he time this application is filed.
henever it �s necessary to make inspe ',.ion of a building or
3. Change of occupancy or use inspection fee. W
premises in order to determine rfa changernaybe made in thecharactet ofoccupancyur use of the building
or premises which would place the building ai a different division of the same group of occupancy or in a
different group of occupancy. a change of occupancy i ispection fee of S shall
be paid to the city.
1 4. Huntington Beach Fire Code Section 10.208 requires that building r-,umbers must be a minimum oi ',-ur (4)
inches in height with one half (1,2) inch stroke. and of a contrasting -olor from the background. These
riumbers must be posted on your building in a location that is visible from the street. on per the
5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribUti
National Fire Protection Association pamphlet 10 (see reverse side)
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION -
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75-079 Re^noa
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS /�G6 n�1� '
2.
Person to contact in case of
emergency- �� 1"22eU/ e-
Telephone number:
3.
Does the building in question
.,ave electricity?
❑ Yes
K No
(a) If No, are you requesting
that the electricity be
&, Yes
turned on?
❑ No
4.
The building is cprinklered?
,Yes
❑ No
5.
Operations will produce dust/wood shavings or similar
material?
❑ Yes
K Na
6.
Operations will involve the repair
or replacement of
❑ Yes
automobile parts?
X( No
If Yes:
(a) Describe the components
repaired or replaced.
(b) Does the operation involve the use of an open flame? ❑ Yes
❑ No
7. The business is drinking, .',.,ing or assembly use that will
result in an occupant load of more than 50 persons. ❑ Yes
K No
8. The foI best describes my operation;
_Office Only -
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
SUPPLIMENTAL INFORMATION
SUPPLEMENTAL INFORMATION (Contir',iedi
I hereby certify that the above, informatic-n is true ai.,: correct to
m KIIIJ
the of my knowledge.
Si tore Date
L
SOUTH �_OAAT AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: SC'G/ S /-7i17 qGam- S�C•C ��Oj
7'/ y c4'9l Property Owner Owner name: f<"c',�e 1�7,7eye'` _ —� — Phone --`--
Nximo cf the Person Preparing this form in print and sig•iatur. e
E
..try person preparing this form must- be the same person applying for
building permits. Please answer the following questions regarding y7ur
proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWEI,
TO A QUESTION MARK IN THE "YES" COI_MMN:
SCAQMD PERMITTING C11ECKL,IST
YES
fiti
i.
ps ,r r facility use any internal comhus5 icn
_n i nps greater than 50-HP
2
i ops yunr facility invol7w mixin, blen ing, or-
p r oa f's : ng any solvents, arihosives , paints
or coatings?
3.
Does your facility create any dusts or smoke?
r
4.
Does your facility refine any liquids or solids?
Reclaim any metals?
S.
Does your facility plate or coat anything'?
6.
Does your facility have any combustion equipment_
i.e. Moiler, f-ur_naces, brcil.er-, baking ovens, etc. )
ratted greater than 2,0OO,?00 BTU/HR?
�
7.
Does your facility handle or store solvents Pr motor
�-
f
fuel?
x
8.
Do you use or store any acids?
--
9.
Do you use any chemical process,'
---�
-x
10.
Do you use a iy solvents for clear, -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-i2.
If
you have marked "NO" in all columns, you do not need an Air Quality
permit
at this time. If you have marked any questions in the "YES"
Column
you
must contact the South Coast Air Quality Management District located
at,
9.150 FLAIR DRIVE, EL MONTE, CA 91731
Please
call these offices: Plan Check (818) 5 7 2 - 6 4 0 6
(818) 572-6111, (818)
572-6261
D:AL00603