HomeMy WebLinkAbout15171 Springdale St - CofO (5)t
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CERTIFICATE OF OCCUPANCY
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CITY OF HUNTINGTON BEACH # "
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Date
I Business Name T
District
Business Type PROPESS10KAL. SGCTAL WORKERSTel.
BUILDING OWNER
0cc. Group_
Name VC3Pa DE( puTlakRa
BUSINESS OWNEMMANAGER t
Address
Nime TINA MARIE JANEN
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Address F 15� fi aRrNirf��;y
Construction
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C ONDITIONS OF APPROVAL
Occupant Load 1
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DEPARTMENT OF COMMUIJ�TY
This Certificate of Occupancy
DEllFLOpMFNT
SHALL BE posted in a conspicuous
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place on:the
I premises and shall not be removed except by the
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Official.
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COMMUNITY DEVELORMENT �
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SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS
2.
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Person to contact in case of emergency,
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Telephone number:
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3.
Does the building in question have electricity? � s
(a) if No, _ are you requesting that the electricity be �s
❑ No
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turnedon?
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The building is sprinklered?
CJ No
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5.
Operations will produce dust/wood shavings or similar ❑Yes
material? ❑-tom
6.
❑ Yes
-Operations will involve the repair or 'replacement of ❑�a�
automobile parts?
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If Yes:
(a) Describe the components repaired or replaced.'
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(b) Does the operation involve the use of an open flame? ❑D Yld6 _
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. G-N
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8.
The following best describes my, operation;;
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Retail Sales,:
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Warehouse
Manufacturing / Distribution (describe process and end product)
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Restaurant / Take Out F oc,.r
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Medical / Dental
Other (describe) -
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SpPPUMENTAL INFORMATION
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sUPPLEMENTAL )NFOF#i' ATION
(Continued)
Does
the operation involve any of the following materials?
0 Yes
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if Yes, indicate quantities:
Quantity
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Material
1. Flammable liquids
Class I -A
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Class i- B
Class l-C
2.
Combustible liquids
Class l!
Class Il -A
3.
Combination flammable liquids
4.
Flammable gases
5. ;
Liquefied flammable gases
6.
Flammable fibers -'loose
7.
Flammable fibers - baled
g_ ,
Flammable solids
g.
Unstable materials
10
Corrosive liquids
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11.
Oxidizing material - gases
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12. _
Oxidizing material -liquids
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13.
Oxidizing material - solids
_. 14.
Organic peroxides
16,
Nitromethane (unstable materials)
16,,
Ammonium nitrate
` 17.-
Ammonium nitrate compound- mixtures
than 60% nitrate
containing more
by weight
18,
Highly toxic, material and
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poisonous gas
19
Smokeless powder
20.
Slack sporting powder
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1hereby certify that the above information is
of my knowledge.
true and correct to
,.
Date 1.
Signature
C
SOUTH. COAST AIR QUALITY MANAGEMENT DISTRICT
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(Nbnresidential Buildings Only)
'Subject
Location of Property:
Phone
Property Owner' Name: #
Name of the Person Preparing this form in pi if' T:t--&n signature
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Name:���i e:
Signatur
`- a 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 YOU DO NOT 'KNOW
THE ANSWER TO A QUESTION MARK IN THE "YES" COLUMN.}
AQMD PERMITTING CHECKLIS`
YES NOt
1. Does your facility use any internal combustion
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engines greater than 50-HP?
2. Does your facility involve mixing, blending, or
processing any solvents, adhesives, paints
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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.) rated greater than 2,000,000 BTUfHR7-
7`. Does your facility, handle or store solvents or
motor fuel?!
8. Do you use or store any acids?'
9. Do you use any chemical process? L�
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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 station,
y printer, or part coater?
r` 12. 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
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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:
21865 E. Copley Drive`
Diamond Bar, CA 91765-4182
Please call: Plan Check (714) 396-2000
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(1360D-2-)
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City of Huntington Beach,
2000 MAIN STREET CALIFORNIA 92648
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DEPARTMENT OF COMMUNITY DEVELOPMENT
Building 536-5241
Planning 536-5271
Housing 536-5271
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Government Code Section 65850.2(b) requires the City of Huntington
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 Quality Management District
(AQMD). The Building Division must obtain a written release from
AQMD to show the applicant has complied with this law. The check
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list on the reverse side is designed to help the applicant and the
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building division to meet `these requirements.
1. The applicant (the same person who applies for permits from
the Building Division) must complete the check list which
can be obtained either at the Building Division or at AQMD.-
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2. If all boxes in the list are checked "no", the Building
Division can accept the check list as the release.
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3. If there are any "yes" answers in the list, the applicant
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must contact an AQMD engineer by calling (714) 396-2000 to
find out whether air permits are required for theproposedconstruction
project,
ect
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
;
necessary permit applications before the release can be
issued:
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Because of the time it may take for AQMD to go through the above
procedures, the applicant is advised to contact AQMD immediately
after applying for Buildingpermits,
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('1360D)
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