HomeMy WebLinkAbout15177 Springdale St - CofOCERTIFICATE OF QCCUPANCY
CITY OF HUNTINGTON BEACH pate
District
Address 1317`t Si �;iL=dal v
TeL
Business Name PAC if' t
Occ. Group" ---
Business TYPeULLhLL I Fi1L isi BUSINESS OWNERIMA' .aER
BUILDING oVINER
TANAL,A
EI LEGA Cot,& / Rf AL3.LL GRP
!Jame
Horne ma c, } UF.'I1 F<CT('t: VILLAGE L4v ,
Name
Address` UrG LizIEiGL
1 Gt address
Home 714 -'V,7»2707
City Tel.
City rwi Tel.
17 Sprinklers
Construction � No. of Stories
Oc•.upattt Load -----
CONDITIONS OF APPROVAL
No RETAIL EALF S
it
a
DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of occupancy
conspicuous place on the
.n'
SHALL BE posted in a
and shall not be ten oved except by the
b Y
premulses
Building Official
#
CUMMUNITY_DEVELOPMENT ri=.. .,.,..
Y
1i APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH �f� , Cf _
° MENT OF COMMUNITY DEVELOPMENT /
T ATE
DEPAR D
RUNTINGTCON KAM PRINT OR TYPE ONLY)
✓� �' (� I��j!}' e District
/Address
Tel
V ness Name d -� -- f� /
��/ f, : � C.+• Occ. Group
usiness Type
BUSINESS OWNEMMANAGER
BUILDING OWNER j
/'� �j / _ /% � l/ .c
lAd ress N llv �/ �.�! /� ress /� 2��/ .'
L7 city ._P� Home Tel C 1 .
stye
q3.
�%A ,
LD BE DESCRIBED AS:
CHA
NGE OF OCCUPANT
ONSTRUCTED BLDG CHANGE Of OWNER
❑ C
BUILDING
❑ CHANGE OF USE
❑ ADDITIONAL OCCUPANT
use. it any
~-�a�lG�E- Occupancy Gi DIv
F BUILDING TO6�(�
gCCUPIED y
1. Occupancy of any building is prohibited and a business license will not be issued unfit the building s been
inspected and a certificate of occupancy is issued. r
2. No electrical service Will be released for any existing truildirg until the service has been inspected and
certified safe: All applicants for occupancy in an existing building. are required to scheduleanel file cal }
`fuse up' inspection In the Department of Community DevelopmE ; at the time this application is filed:
l 3. Change of occupancy or use inspection fee. Whenever it is nece: aary to make inspection of a building or
y be made in the character of occupancy or use of the building
premises in orderto determine if a change ma
i. or premises which would place the building in a different division of the same group of occupancy or in al {
different group of occupancy, a change of occupancy inspection fee of $
p be paid to the city.
4. Huntington Beach Vire Code Section 10,208 requires that building numbers must be a minimum of four (4)
inches in height with one half (1A .)_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 70.501 requires fire extinguisher selection and distribution per the g
.National Fire Protection: Association pamphlet 10 (see rwerse side).
d/40 -
(FOR OFFICE USE ONLY) ZONING
SUPPLEMENTAL INFORMATION F _
v� PLAN CHECK NO. — NO PARKING SPACES
OCCUPANCY GROUP HEALTH DEPT APPROv-L-- ;
OCCUPANT LOAD -- PERMIT N0 —
N0: OF S -- ADMIN ACTION
)TILITIES RELEASED _-- - —
j.
CERTIFICATE RTIFICATE OF OCCUPANCY FEE $ _
OVF' BY
DA E CHANGE OF USE OR OCCUPANCY FEE $`
TOTAL $ —
75-039 Rev. 11190 {{{
COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
1.
BUSINESS �✓000(_c
ADDRESS%��
/2-
Person to contact in rase of emergency -
Telephone number: _ 7%LZ-07?—i—
3.
Does the building in question have electricity?
v Yes
No
(a) if No, are you requesting that the electricity be
❑ Yes
turned on?
❑ No
4.
The building is sprinklered?
es
❑ No
5.
Operations will, produce dust/ wood shavings or simiiar
material?
❑ Yes
_
0'N o
6.
Operations will involve the repair or replacement of
❑ Yes
automobile parts?
Q-No—
If Yes:
(a) Describe the components repaired or replaced.
❑ Yes
(b) Does the operation involve_' the use of an open flame?
7.
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
❑ Yeses_.."
0
8.
The follo 'ag st describes my operation;
i"cg'O n 1
are Ouse
anufacturing 1 Distribution (describe process and end product)
"
Restaurant I Take Out Food
Medical / Dental
Other (describe)
SUPP! IMENTAL INFORMATION
e
SUPPLEMENTAL 2NFUFtM AiION t "ontinuedj
Does
the operation involve any of the following
nla'40rials,7
❑ No
if `res, incfieate quantities:
[Material Quantity__.
1, Flammable
liquids
Class I -A
Class I-B�2_.
Class I-C
2.
Comlaustible liquids
Class 11
Class Ill --A
3.
Combinai'ion flammable liquids
4.
Flammable gases
_
5:
Liqueried flammable gases
6.
Flammable fibers
7.
Flammable fibers baled
5.
instable materials
is
Corrosive liquids
11.CxdizGng
material - gases
12.
Oxidizing material - liquids
13.
(xidizin9 material - solids
14:
Organic 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
pgisono�ss gas
19.
Smokeless powder `-
24.
Black sporting powder
i hereby certify th t the above information
is true and correct to
the sf nowledge.
,.__Z�
i
Signature
Date
f �
9
►
hT I3xy City of Huntington Beach
All 2000 MAIN STREET CALIFORNIA 92648
&� DEPARTMENT OF COMMUNITY DEVELOPMENT
I Building 536-5241
i Planning 53E5274
Housing 535-5271
Government Code Section 65850.2(b) requires the City of Huntington
Beach Building Division not to issue the final certificate of 3'
occupancy unless the applicant has met or is meeting the
requirements of the South Coast Air Quality Management District
(A0111)). Thf. Building Division must obtain a written release from
AQMD t.o show the applicant: has complied with this law. The check
list
On the reverse side.. is
designed to help the applicant and the
-
builc}ing division to meet- these requirements.
i. The applicant- (the same person_who applies for ermits From
n the Buildi4 Division) must complete the check list which
can be obtained either at the building Division or at AQMD. t
t
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 1
find out whether air permits are required for the proposed t
construction project.
If air permits are not required, the applicant will obtain
a written release from AQMD,
5.. If- air permits are required, the ap
plicant ppli.cant roust- submit the
necessary permit applications before the release can be
issued. t
Because of the -time it may take for AQMD to go through the above k
Procedures, the applicant: is advised to contact AQMD immediately
after applying for Building permits.
! l
i r
1
r }
(1360D) ;
F
i
l
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildinns Orly)
Location of Subject Property:
Property O- n e r Name :• i4&, /6-(�G�_N. aO ,.--Phone
f'
'game of the Person Preparing this Form in pr'nt an ,ign ure
ll
`;ame: 1? ✓�/-� Signature.
"=he person preparing this form must be the same person applying for
�_.ilcing permits. Please answer the following questions regarding
_ur proposed occupancy of the subject building. IF YOU DO NOT KNOW
7nE ANSWER TO A QUESTION MARK IN VIE "YES" COLUMN:
i
I.QMD PERMITTING C1ll:CKLIS'P
YES NO
1. Does :our facility use any internal combustion
engi:-es greater than 50-IiP?
2. Does ••our Iaeilicy involve mixing, blending, or
processing any _solvents, adhesives, paints
or ccatings? ---
3. Does your facility create any dusts or smoke?
4. Does :our facility refine any liquids or solids
or reclaim any metals?
5. Does your facility plate or coat anything?
5. Does your facility have any combustion equipment
i.e. 'boiler, furnaces, broiler, baking ovens,
etc.) rated greater than 2,000,000 BTU/11R?
7. Does your facility handle or store solvents or
;,otoc Euel?
Do yc-i use or store any acids?
j. Do y._ , use any chemical process?
=?. Do yca use any solvents for clean -LIP?
1. '.re '. ou a dry cleaner, restaurant. with a
chart oiler, body shop, gasoline station, f
printer, or part coater? v
_2. Is the subject: building located within one
thousand (1,000) feet of any school?
PROPERTY LINE TO DROPERTY LINE. GRADES K-12.
_f yo-j have marked "NO" in all columns, you do not neec an Air
"�valiry permit at this time. If you have marked any
y questions in
the "YES" Column you must contact the South Coast Air Quality
Management "istrict located at
21865 E. Copley Drive
Diamond Bar, CA 91765-4182
_lease call: Plan Check (714) 396-2000
j
(1360d-2)
i