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CERTIFICATE OF OCCUPANCY
3 / 0 3 / 95
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CITY OF HUNTINGMN BEACH
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Date
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Address 15175 SPRINGDALE
District
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GLORY SYSTEMS, INCORPORATED
Business Name Tel.I
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COMPUTER SOFTWARE
STORAGE
H-2
Business Type
Occ. Group
BUILDING OWNER
BUSINESS OWNER/MANAGER
VON DER AHE PARTNERS
RALPH PRUViNGE
Name
Name
�6440 LA ALAMEDA
300 Home 13531 IOWA
Addres
Address
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MISSION VIEJO 348-9690
;IESTMINSTER Home
893-4762
City Tel.
City TeL
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Construction No. of Stories
Occupant Load Sprinklers
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CONDITIONS OF APPROVAL
Comments: PC RESOLUTION #1266
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DEPARTMENT OF COMMUNITY
DEVELOPMENT
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
Awl/
premises and shall not be removed except by the
by
Building Official
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COMMUNITY DEVELOPMENT
�� APPLICATION FOR CERTIFICATE OF OCCUPAN eG
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT 2/21/95
NUNTINMON Brwctf DATE
(PRINT OR TYPE ONLY)
Address 15175 Springdale Street District
Business Name Glory Systems, Inc. Tel
Business Type Computer Software Storage Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name Von der Ahe Partners Name Ralph Province fi
I Home
Ad:'ress 26440 La Alameda, Suite 300 Address 13531 Iowa Street
City Mission Viejo Tel 348-9690City Westminster Home Tep23-4162
THIS USE WOULD BE DESCRIBED AS:
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❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ® CHANGE OF OCCUPANT
E2 EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
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Indicate former use. if any Occupancy Gr. Div
968
SQUARE FT. OF BUILDING TO BE OCCUPIED
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SUPPLFMENYAL INFORMATION
1.
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BUSINESS ADDRESS / /%5 zie-e t
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Person to contact in case of emergency- 'Ro-t�- j
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Telephone number: 7/Lf
3.
Does the building in question have electricity?
EYes
❑ No
(a) If No, are you requesting that the electri,.ity be
❑ Yes
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turned on?
❑ No i
F
I 4.
The building is sprinklered?
L'I Yes
4
❑ No
5.
Operations will produce dust/wood shavings or similar
material?
❑Yes
DIN-
6.
Operations will involve the repair or replacement of
❑ Yes
automobile parts?
4a--N-�o !
If Yes:
(a) Describe the components repaired or replaced.
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(b) Does the operation involve the use of an open flame?
❑ Yes
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C�"IVo
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The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
❑ Yes
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8.
The followingbest describes m operation;
Y P
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Office Only
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Retail Sales
arehouse
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Ing / Distribution (describe process and end product)
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Restaurant/Take Out Food
Medical / Dental
Other (describe)
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SUPPLIMENTAL INFORMATION
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SUPPLEMENTAL. INFORMATION (Con*inued)
Goes
the operation involve any of the following
materials? ❑ Yes
0,N °
r If
Yes, indicate quantities:
[Material Quantity i
t
1.
Flammable liquids
,-
Class I -A
Class 1-S
Class 1-C
2.
Combustible liquids
Class 11
Class 111-A,
3.
Combination flammable liquids
4.
F-lammable gases
5.
Liquefied flammable gases
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6.
Flammable fibers - loose
7.
Flammable fibers »baled-�
B.
Flammable solids
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9.
Unstable materials
' 10.
Corrosive liquids
11.
Oxidizing material - gases
12.
Oxidizing material - liquids
j 13.
Oxidizing material. - solids'
14,
Organic peroxides
15.
Nitromethane (unstable materials)
16.
Ammonium nitrate -�
17.
Ammonium nitrate compound mixtures4'
containing more than 60% nitrate
4
by weighs
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18.
Highly toxic material and
poisonous gas
19.
Smokeless powder
20.
Blank sporting powder
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1, hereby certify that the above information
is true and correctto
the best of my knowledge.
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Signature
Gate
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Governmpnt Code Section 65850.2(b) requires that the City of Huntington Beach not 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 Department of Community Development must
obtain a written release from AQMD to show the applicant has complied with this law. The check
list on the reverse side is designed to help the applicant and the building division to meet these
' requirements
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1. The applicant (the same person who applies for permits from the
Department oV :ommunity Development) must complete the check list
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which can be obtained either from the Department of Community
Development or at AQMD. }
2. If all boxes in the list are checked "no", the Building Division can accept the
check list as the release.
3. If there are any "yes" answers in the list, the applicant must contact an
AQMD engineer by calling (714) 396-2000 to find out whether air permits ;are
required for the proposed construction project.
4. If air permits are not required, the applicant will obtain a written release from E
AQMD.
5. If air permits are required, the applicant must submit the necessary permit
applications before the release can be issued.
Because of the time it may take for AQMD to go through the above procedures, the applicant is
advised to contact ,^QMD immediately after applying for btiilding permits.
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ADDMONAL SUPPLIMENTAL PIFORMATION
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property:_._ 5 / 7 S �' `� "? a CL�f
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Property Owner lJam ::_JL N ci' e r �i e � e� S _Phone #: 1 E(o
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Name of the person preparing this form in print and signature:
Name: d_` ,�G(,t IJ±ve Signature:�
The person preparing this form must be the same person applying for building permits. Please answer the
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followinrd questions regarding your proposed occupancy of the subject building. IF YOU DO NOT
THE ANSWER TO A QUESTION, MARK IN THE "YES" COLUMN:
,
KNOW
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AQMD PERMITTING CHECKLIST
YES
NO i
1. Does your facility use any internal combustion engines greater than 50HP?
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2. Does your facilityinvolve mixing, blending, or processing any. solvents,
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adhesives, paints or coatings?
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3. Does your facility create any dusts or smoke?
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I 4. Does your facility; efine any liquids or solids or reclaim any metals?
n 5. Does your facility plate or coat anything?
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6. Does your facility have any combustion equipment (i.e. boiler, furnaces,
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broiler, baking ovens, etc.) rating greater, than 2,000,000 BTU/HR?
7. Does your facffity 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?
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11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline
station, printer, or part coater? —
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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 `ENO" in all columns, you do not need an Air Quality permit at this time. If you have marked
any pestions in the "YES" column you must contact the South Coa t 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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CASH RECEIPT
COMMUNITY DEVELOPMENT
CITY OF hUNTiNGTON MACh
JJ Address All Correspondence To:
P.O. SOX 190
• HUNTINGTON BEACH, CALIFORNIA 92648
IL OR CALL (71714 5365241
HUNTINGTON BEACH P �DATE
RECEIVED FROM
ADDRESS
FOR
RECEIVED BY ❑ CASH CHECK
DESCRIPTION
TR..
FUND
ACCOUNT
DEPT.
DIV. I
AMOUNT
BUSINESS LICENSE
R
AA
3-01-00
CD
234
BUILDING PERMITS
R
AA
3-06-00
CD
234
PLAN CHECK FEES
R
AA
7-05-00
CD
234
PLUMBING PERMITS
R
AA
3-07-00
CD
234
ELECTRICAL PERMITS
R
AA
: 3-08-00
CD
234
HEATING PERMITS
R
AA
3-09-00
CD
234
POOL PERMITS
R
AA
3-15-00
CD
234
PARK & REC (UNIT LOT FEE)
R
SK
3-55-00
CD
234
LIBRARY FEES (CELF)
R
AA
7-11-00
CD
234
GRADING PERMITS
R
AA
3-11-00
PW
411
GRADING PLAN CHECK FEE
R
AA
-7-24-00
PW
411
CERTIFICATE OF OCCUPANCY
R
AA
7-19-00
ZONING APPLICATIONS
R
AA
7-01-00
CD
231
PARK & REC (SUBDIV. LICENSE)
R
SK
' 3-14-00
G
AA
2-01-16
[CDSMIP
000
OTHER
OTHER
TOTAL $ 40
�J
OUNT RECEIVED
$ o ,
3023/119 22Feb95 001/12 $40.00 DEVELOPMENTSVC
CUSTOMER COPY
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