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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