HomeMy WebLinkAbout15061 Springdale St - CofO (19)6
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CERTIFICATE OF OCCUPANCY
12I08/95
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CITY OF HUNTINGTON BEACH
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Date
Address 15061 SPRINGDALE
#203
District
Business Name EDWARD JONES
_ Tel.
714--892-3262
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INVESTMENT/BROKER
Business i pe
D--2
Occ. Group _
BUILDING OWNER
BUSINESS OWNER/MANAGER
FRANK EISii
GARY SPRINGER
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Name
Name
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4ddrets5495 GRAHAM
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Address3832 BUSBY CIR.
Cit Tel.
COB
STMINSTER Home
Cit TeL
114- 898-6917
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Construction No. of Stories
Occupant Load Sprinklers
7
CONDITIONS OF APPROVAL
DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
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premises and shall not be removed except by the
by C
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Building Official.
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COMMUNITY DRVELOPMENT
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APPLICATION FOR CERTIFICATE OF OCCU N Y
CITY OF HUNTINGTON REACH
LeL DEPARTMENT OF COMMUNITY DEVELOPMENT 2 _)-13
HUMINGfOh REMN (PRINT OR TYPE ONLY) DATE
Address f b pistrict
Business Name �/►c�,� 5pk� Tel.l�j,
Business Type _l /1lie-' Occ. Group
BUILDING OWNER BUSINESS -'VNERIMANAGER
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Name .. Name
Hofre
Address ''cif s- 6 Address
City r � W5 Tel. - City <STyi ..—Home Tel. _ %MII %
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
XISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr.—Div.
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SQUARE FT. OF BUILDING TO BE OCCUPIED
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TRAFFIC IMPA
DATE PAID
AMOUNT$0IVED.,�NAM_(FOR
OFFICE USE ONLY)��,
SUPPLEMEN INFORMATION
ZONING
OCCUPANCY GROUP —PLAN
CHECK NO.
NO PARKING SPACES If
OCCUPANT LOAD '
PERMIT NO.
HEALTH DEPT APPROVAL —
NO. OF STORIES
/ - 45
ADMIN. ACTION
UTILITIES RELEASED
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CERTIFICATE OF OCCUPANCY FEE
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PROVED.B DATE
CHANGE OF USE OR OCCUPANCY FEE $
TOTAL
$
75.039 Rev. 11/90
COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS
{'F x
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Person to contact in case of emergency'
Telephone number: R9 fGci /7
3.
Does the building in question have electricity?
'r1N es
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(a) If No, are you requesting that the electricity be
. Yes
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turned on?
❑ No
'building
4.
The is sprinklered?
CJ No
5.
Operations will produce dust/ wood shavings or similar
material?
p Yes
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6.
Operations will involve the repair or replacement of
❑ '-es
automobile parts?
XNo
1f Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame?
Yes
0
7.
The business is drinking, dining or assembly use that will
El Yes
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result in an occupant Load of more than 50 persons.
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8,
The follOwi est describes my operation;
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Retail Sales
Warehouse
Manufacturing / bistribution (describe process and end product)
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Restaurant / Take Out Food
Medical / Dental
Other (describe)
SUPPLEMENTAL INFORMATION
SUPPLEMENTAL INFORMATION
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(Continued) '
Does
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the operation involve any of the following materials? ❑ �s
If
Y7es, indicate quantities:
Material Quantity
`
1.
Flammable liquids
Class I -A
Class 1-B
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Class I-C
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2.
Combustible liquids
Class 11
Class III -A
3.
Combination flammable liquids
4.
Flammable gases
5.
Liquefied flammable _gases
Flammable fibers - loose
7.
Flammable fibers - baled
8.
Flammable solids
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9`.
Unstable materials
10.
Corrosive liquids
- 11.
Oxidizing material - gases
12.
Oxidizing material -• liquids
13.
Oxidizing material - solids
14.
Organic peroxides
15.
Nitrometnane (unstable materials)
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16.
Ammonium nitrate
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
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by weight
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18.
Highly toxic material and
poisonous gas
--
19.
Smokeless powder
20.
Black sporting powder
hereby certify that the above information is true and correct to
the best of 1my knowledge.
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Signature
Date
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
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Location of Subject Property:--J
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Property Owner Name:_..- � tL0,1 k �(,S�t-- - -- Phone #:
Name of the person preparing this form in print and signature;
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Signature.-
The person preparing this form must be the .sarr;e person applying for building permits.: Please
answer the
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following,questions •egarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW
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THE ANSWER TO A QUESTION, MARK IN THE "YES" COLUMN:
AQMD FERMITTING CHECKLIST
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YES
1. Does K j4•rr i30itY use any internal combustion engines greater than 50HP?
NO
2. Does your facility involve mixing, blending, or processing any solvents,
adhesives, paints or coatings?
3. Does your facility create any'dusts or smoke?
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,) rating greater than 2,000,000 BTU/HR?
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7. Does your facility handle or store solvents or motor fuel?
8. Do you use or store any acids?
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9. Do you use any chemical process?
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10. Do you use any solvents for clean-up?
11. Are you a dry cleaner, restaurant with a charbroiler, body ,shop, gasoline
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station, printer, br part coater?
12. Is the subject building located within one thousand (1,000) feet of any
s&-,)o(? 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
any questions in the "YES" column yc i 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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