HomeMy WebLinkAbout15061 Springdale St - CofO (66)i
.41
^ER''! 9FddATE OF OCCUPANCY
r jC f I9 1
CITY OF HUNTINGTON
BEACH
Date
Address15C61 SPRINGDALE
.
If'208
District
—
D�, f" �i
2t4� 4-0110
Business Name _
_ Tel.
CONSThUCTION, CONTR,6CTING
B-2
:Business Type
Occ. Group
_
BUILDING OWP:rR
BUSINCSS OWNER/MANAGER
EM {ihCu
M'AZ1N Misr
Name
Name
15495 GRAF-AN ST
Home ?1{ 5 SU�ZFLIiy DR
1?
Address
Address'
hb? CA 714-- 9 1-265
1
HL, CA Home
'1 14-965-01180
City _ Tel. ,_
City TeL
2
i 7
Construction No. of Stories
Occupant Load
Sprinklers
w:
CONDITIONS OF APPROVAL
9
F
`
DEPARTMENT OF COMMUNl1-Y DEVELOPMENT
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the
by
Building Official
COMMUNITY DEVELOPMENT
s
i
J APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNnNGTON BEACH DATE
(PRINT OR TYPE ONLY).. 1
Address l G��/ C7, s' 1� Le l��L6District _
Business NameL ,/&-d 1sIG • Tel, ��dy-f1Pe�C%
Business Type er4z,5_ ✓ ' �' Occ. Grouri
BUILDING OWNER BUSINESS OWNER/lAAMAGER
Name d� Name
Home
AddressAddress /a• /f ,�i i/.L4�:
City� .V� kqa Tel; City &Z4 �i'1� . 1 Vlir zz Home Tel. OLl �j
THIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BL.DG, 7kCHANGE OF OWNER D CHANGE OF OCCUPANT
EXISTINGBUILDING CHANGE OF USE ❑ ADDITIONAL OCCUPANT
!ndicate former use, if any Occupancy Gr. _..—Div.
oU
SQUARE FT. OF BUILDING TO BE OCCUPIED
a
�NCTiCE: 1. Occupancy of an building is prohibited and a business license will not be issued until the building has been
p Y Y g _P 9
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 may be made in the 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/z) 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
x
NatienalFire Protection Association pamphlet 10 (see rev -.Se side).
(FOR OFFICE USE ONLY) CI ZONING.
Z—%`"7SUPPLEMENTAL INFORMATION f
OCCUPANCY (3HOUN F'_AN CHECK NO: NO. PARKING SPACES
OCCUPANT LOAD — PERMIT NO. HEALTH DEPT. APPROVAL
3 NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE $
AFPRC"lE Y DATE CHANGE OF USE OR OCCUPANCY FEE $ _
TOTAL $
75.039 Rev 6/88 COMMUNITY DEVELP.
*¢ s
SUPpk4mgNTAL INFORMATION,
1
1.
BUSINESS ADDRESS
2.
person to contact in case of emergency: iC�zi� �G�o✓
-
Telephone numbers
3.
Does the building, in question have electricity?
C�,'Yes
a
ONo
a. If No, are you requesting that the electricity be
®Yes
turned on?
13No
4.
The building is sprinklered7
C(Yc- s
ONo
5.
Operations will produce dust/wood shavings of similar
material?
Dyes
%No
6.
operations will involve the repair or repLA-ement of
OYes
automobile pants?
IgNo
If yes.
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an ogee fly?
®Yes
7.
The business is drinking, dining or assembly use that will
result in an occupant load of more than .50 persons.
®yes
ONo
8.
The following best describes my 'operation:
office Only
Retail Sales
warehouse
Manufacturing/Distribution (describe process and end
product)
esta►ura�n`t 7ria a u• " 63
MedicaI./D )t al
Other (de2cribe)
(0562D) (2/8/86)
U
SUPPLEMENTAL INFOFMATION (Continued)
Does the operation involve any of the following material's? Leos
it es, irn ica—e quant ties: Quantity
uantity
1, 'Flammableliquids'
Ca s I -
Class I-8
Class I-C
2. Combustible liquids
Class IT
Class III --A w
3. Combination flammable liquids
'4. Flammable gases -
r5. Liquefied flammable uses
6. Flammable fibers --loose
Flammable fibers - baled
8. -Flammable' solids b
9. Unstable materials
10. Corrosive liquids
ll. Oxidizing material -_gases
12. oxidizing material --liquids---
13 Oxidizing material - solids --
14 O2anic 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 --
Smokeless powder
19, tee.
f _
r 20. Black sporting powder
I hereby certify that the above information is true and correct to the
best of my knowledge.
ggn Le Date �
(056.2D):
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only) l
Location of Subject Property:_+7�
Property Owner name: -��
,/� Phone
f�-f--
Name of the Person Preparing this form in print and signgture
Name Signature
The person preparingthis form must be the same p son applying for
building permits. Please answer the following q estions regarding your
proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER
TO A QUESTION ;MARK IN THE "YES" COLUMN;
SCAQMD PERMITTING CHECKLIST
YES NO
1. Does your facility use any internal combustion
engines greater than 50•-HP?
2. Does your facil-Lty involve mixing, blending, or C�
processing any solvents, adhesives, paint:;
or coatings?
3 Does your facility create any dusts or smoke?'
4 Does your facility refine any liquids or solids?
Reclaim any metals?
5. Does your facility plate or coat anything?
6. Does your facility have any combustion equipment EXI
i.e. boiler, furnaces, broiler, -bakii • ovens, etc.)
rated greater than 2,000,000 BTU/HR?
7. Does your facility handle or store solvents or motor
fuel?
8, Do you use or store any acids:
9. Do you useanychemical process?
10. Do you use any solvents for clean-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? r
PROPERTY LINE TO PROPERTY LINE. GRADES K=12.
If you have marked NO" in all columns, you do not need ar 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:
9150 FLAIR DRIVE, EL MONTE,_CA 91731
Please call these offices: Plan Check (818) ,572-6406`
('818) 572-6111, (818) 572-6263_
D:AL00603
•. s