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Home My WebLink About15061 Springdale St - CofO (47)1_ ' l - r i i - I w APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH GA � DEPARTMENT OF COMMUNITY DEVELOPMENT 0 DATL HUNrINGTON BEACH (PRINT OR TYPE ONLY) - i t Address % -S-0 b % S//U ✓ L �� -Z a District Tel Business Name � Business Type GU.+t Ptyw 1f1 (1��'� Occ. Group BUILDING OWNER BUSINESS OWNERIMANAGER � Name n Name /lu �% �i/�-r V Home _ (✓� Address-L%�T- �'y-�-2--- Address Home Tel City /4 , Q. Tel 5/= 5/ City 4 ' z ri THIS USE WOULD BE DESCRIBED AS: i ❑ NEWLYCONSTRUCTED BLDG. ❑ CHANGE OF OWNER 2—CHANGE OF OCCUPANT p �y, ❑ -ADDITIONAL OCCUPANT t l4' EXISTING BUILDING / ❑ CHANGE Of USE a Indicate former use if any __ Occupancy Gr Dui. , SQUARE FT. OF BUILDING T E OCCUPIED t NOTICE: 1. Occupancy of any buu, g'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 I premises in order to determine if a chance may be made in the character of occupancy or use of the building I or premises which would place the buiiding in a different division of same group of occupancy or in a t L{' different group of occupancy, a change of occupancy inspection fee of $ — shall be paid to the city. l j 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) �V inches in height with one half (Yz) 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. 1 requires fire extinguisher selection and distribution per the 5. Huntington Beach Fire Code Section 10.30 i National Fire Protection Association pamphlet iA (see reverse side). 4 l (FOR OFFICE USE ONLY) ZONING - SUPPLEMENTAL INFORMATION, OCCUPANCY' GROUP PLAN CHECK NO. - - NO PARKING SPACES OCCUPANT LOAD PERMIT NO HEALTH DEPT APPROVAL— a NO. OF STORIES ADMIN ACTION UTILITIES RELEASED -- - �� CERTIFICATE OF OCCUPANCY FEE $ �- RO ED DATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL t r' 75•039 Rev. 11/90 COMMUNITY DEVELOPMENT ' a j a a 1 i lf, h SUPPLEMENTAL INFORMATION „A 1. BUSINESS ADDRESS %J_0°✓ 2,. Person to contact in case of emergency - Telephone number:5> 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 p is s rinklered? Plyes � ❑ No 1 5. Operations will produce dust/wood shavings or similar material? ❑l Yes No t t 6. Operations will involve the repair or replacement of ❑ Yes (` automobile parts? jB No � i if, Yes i; (a) Describe the components repaired or replaced. s= (b) Does the operation involve ,the use of an open flame? ElYes Flo 7. The business is drinking, dining or assembly use that will k result in an occupant load of more than 50 persons. ❑ Yes r " 0 8. The follo best describes my operation,; t � k OffieeLy� Retail Sales Warehouse Manufacsuring /Distribution (describe process and end product) i i 4 Restaurant/Take Out Food Medical / Dental Other (describe) I I SUPPLIMENTAL INFORMATION, s a i 3UPPLEMENTAL. INFORMATION (Continued) Does the operation involve any of the following materials? ❑ Yes If Yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A E. Class I-B Class I-C I z. Combustible liquids_ Class 1! Class III -A 3. Combination flammable liquids 4. Flammable gases 5 L-,quefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled 8. l=lammable solids 9. _ Unstable materials x 10, Corrosive liquids 11. Oxidizing material,- gases e 12. Oxidizing material - liquids i 13. Oxidizing material - solids - } i 14. Organic peroxides 15. Nitromethane (unstable materials)' 16. Ammonium nitrate L17. Ammonium nitrate compound mixti-res i F containing more tharr 60% nitrate by weight 18. Highly toxic material and f poisonous gas 19. Smokeless, powder m 20. Black snorting powder herebycertify that the above information is true and .o rect o { the bet of y knowledge. P YY Date Signature t i f I s u • f'.untiigton Beachcity 0 4 r '-----"gym""' CALIFORNIA92648 4 • 2000 MAIN STREET � g DEPARTMENT OF COMMUNITY DEVELOPMENT ' Division 536-5241' Building ' Planning Division 536-5271 of Huntington r; Government Code Section 65850.2(b) requires the City Division not to issue the final certificate of Beach Building licant has met or is meeting j occupancy unless the oPp Management District j requirements of the South Coast Air Quality t (AQMD). The Building Division us tliedawith this tlaw. check # AQMD to show the applicant has p the applicant and the list on the reverse side is designed equirements. 4 building division to meet these requirements. licant (the am r on who a li s for Perr__ °_- 1 -is-Crom The apt 1• �, ion) must cocompleL-e the check list which _theme la n Dim_ Division or at AQDID can be obtained either at the Building If all boxes in the list are checked "no the Building 4, 2 t the check list as the release, Division can accep applicant the es" answers in the nlist,(714) 396-2000 to 3• If there are any y calling ( proposed must contact an AQMD erabe required for the I find out whether air permits construction p ro)nct ' permits are not required, the applicant will obtain 4. If air p a written release from AQMD. licant must submit the ` If air permits are required, the ape b�Fnrthe release can be 5, necessary permit applications, � issued. take for AQr1D to go through the above Because of the time it ,may MD immediately procedures, the applicant is advised to contact AQ after applying for Building permits. I. 'I (1360D) R i t SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT,:,., (Nonresidential Buildings Only) Location of Subject Property:. - /dam' 6/ Property Owner Name:[-/_/� Phone #-Sq Name of the Person Preparing this form in print and signature k Signature:_ ThepeThe person preparin. � rson g this form must be the same building permits. Please answer the followingperson applying for # Your proposed occupancy of the subject building. regarding THE ANSWER TO A QUESTION MARK IN THE g' IF YOU DO NOT KNOW t YES" COLUMN; AQMD PERMITTING CHECKLI€T YES NO I. Does your facility use an engines Y internal combustion g great 50-HP? 2. Does your facility involve mixing, blending, or �- Processing any solvents, adhesives, or coatings? paints 3. Does your facilit 4. Does Y create any dusts or smoke, or your facility refine any liquids or solreclaim any metals? ids 5. Does your facility plate or coat an -- - 6• Does your facility have an ything? boiler, furnaces Y combustion equipment - etc.) rated , broiler, baking ovens., 7. Does greater than 2,000,000 BTU/HR? Your facility handle motor Euel? or sore solvents tor —�- 8• Do you use or store any acids? 9. Do you use any chemical 10. Do you use any solvents s Process. _ for clean-up? 11 Are you a dry cleaner, • restaurant- with a - `-- charbioiler, body shop, gasoline station, printer,, or part coater? 12. Is the subject building i-ocated within thousand (1,000 one —.-.. ) feet of any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. If you have marked ",NO" in all • Quality permit at this - columns, tiyou do not need an Air r the "YES" Column me. If you have marked an you must contact the South questions in Management District located at: Coast AirQuality g 21865 E. Copley Drive Diamond Bar, CA 91765-4182 : Please call: Plan Check (714) 396-2000 (1360d-2) # a F