HomeMy WebLinkAbout15177 Springdale St - CofO (3)CERTIFICATE OF OCCUPANCY a i 1 f/ 9 7 I3
CITY OF HUNTINGTON BEACH _
Date
15177 SPRItvGDALE
Address District I
CREATIVE AD : EI'V1 �-L.3, Ii .
Business Name Tel.
ADVTJRTISI .G F4,E4jEEARCIli & DEVELOHILivT
Business Type Occ. Group
BUILDING, OWNER BUSINESS OWNER/MANAGER
I R 3 ALLEY C&I`fi.,- : tti R0T3r,RT yDURkf1"0".: �
Name _ Name
695 TWIN CENTER 110 Home 51 CALLE HAYCI
Address Address a
CUSTA MESA Rijn(' D,7 F; -AG Home
City Tel. _ City Tel.
Construction No. of Stories Occupant Load Sprinklers
CONDITIONS OF APPQOV�1�
C0MrilentS: Uk i L U3L UNLY/ is tis"CLUDE 1517; ,
I
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al
PPLICATION FOR CERTIFICATE OF OCCUPANCY
JV
1149 CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
H1JWT1NGTON KACH
(Pr'.INT OR TYPE ONLY)
17--1 I -q--?
DATE
Address �y�^ery
District
Business Name_ C��fl"rl �E } ? V I cy �C Tel. -114 —93C8q=7009,
Business Type— \I' Z-`-xSr4C 1 Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name 3n CAj� Name
lL�lyln►��RE;,H\Z�
Address J �Ch�N ���1 YJZ-- SJ+2ru>= U Home
j ! i� 3 C,,,,L 0A I
p Address
City rxctzh' c� , %e?Ae-o— Home Tel.
�•375^� (u
Clbf�"QgCAL4
THIS USE WOULD BE DESCRIBED AS:
I ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER -- CHANGE OF OCCUPANT
ISTING BUILDING ❑ CHANGE OF USE 1__J ADDITIONAL OCCUPANT
Indicate former use, if any r' Occupancy G(Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED S/ S
NOTICE, 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been
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 buil-iing or tI
premises in order to determine if a change may be made in the character of occupancy or use of the building
or remises which would lace the building P p g in a different division of the same group of occupancy or In a Is
different group of occupancy, a change of occupancy inspEction fee of $ shall
be paid to the city.
4. Huntingion Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
inches in height with one half (1/2) 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
National Fire Protection Association pamphlet 10 (see reverse side).
TRAFFIC IMPACT FEE l i�-� �Ci/i%
DATE PAID i
AMOUNT RECEIVED
NAME
(FOR OFFICE USE ONLY) — J
SUPPLEMENTAL INFORMATION ZONIN ,
OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES lk
1 OCCUPANT LOAD PERMIT NO. HEALTH DEPT. APPROVAL
NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE g i
PROVED EY DATE CHANGE OF USE OR OCCUPANCY FEE $ i
TOTAL
as-oss Rev. 1/97 COMAPUKiT7 DEVELOPMENT
,I
,ya
I
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS
2.
Person to contact in case of emergency '�urc,l��
Telephone number:
tuber:
iF<
3.
Does the buildingin question have electricity?
es
(a) If No, are you requesting that the electricity be
❑ No
❑ Yes
!
turned on?
❑
f
No
E.
4.
The building is sprin`klered?
es
t;
;-
5.
Operations will produce dust/woodshavings vin
s or similar
No
_
material?
❑ Yes
6.
Operations will involve the repair or replacement of
Yes
f
14
automobile parts?
l
If Yes:
(a) Describe the components repaired or replaced.
?_
1`
(b) Does the operation involve the use of an open flame?
❑ Yes
7.
The business is drinking, dining or assembly use that will
.o
�
result in an occupant load of more than 50 persons.
❑ Yes
4
8.
The following best describes my operation;
�No
!
C
ii
i.--�-Office Only—
Retail Sale
►.— Warehouse CS-6c �
Manufacturing / Distribution (describe be process and end produce)
�<
Restaurant/Take Out Food:,
Medical / Dental
Other (describe)
T
SUPPLEMENTAL WFORMATION
I
I's
C
1
i
SUPPLEMENTAL
INFORMATION (Continued)
Does the operation involve any of the
following materials? ❑ Yes
XNo
If
Yes, indicate quantities:
Material
Quantity
1.
Flammable liquids
Class I -A
Class I-B
Class I-C
2.
Combustible i;nuids
Crass II
Class III -A
3.
Combination flammable; liquids
4.
Flammable gases
5.
Liquefied flammable gases
6.
Flammable fibers - loose
7.
Flammable fibers - baled
8.
Flammable solids
` g.
Unstable materials
I 10.
Corrosive liquids
11.
Oxidizing material - gases
12.
Oxidizing material - liquids
13.
Oxidizing 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
l
poisonous gas
{
19.
Smokeless powder
_
20.
Black sporting powder
_
e y ttfy that the above information is true and correct to
the bet of knowledge.
Signature
Date
i
'III.
is
South Coast
AIR. QUALITY MANAGEMENT DISTRICT
�II
h
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000
E.
1-
AIR QUALITY PERMIT CHECKLIST
for nonresidential buildings only
hh Company Name:
I '
Location of Property: 1S 1 1 W l I t� ci Gi
City:— Jt� 1? i'lI'1 J11yy11 i�fla c h Zip Code:
Contact Person: R— O b t t- I 0 v f ! 1'� �'I �,(- Title: P(..5 I rA,& rt
f
Telephone Number:1.1 l LI) `, 9 G1--7 $ 1' `� Fax Number: 11 `i � 5M
Type of Industry/Business: /'8\ 61 l YA- k
t�
i
To apply for a nonresidential building permit, you must complete this checklist. If you have any
questions about completing this checklist, please call (800) 388-2121. ?.
YES NO it
1. Will the facility have a charbroiler? ( ] ( is
'r 2. Will any internal combustion engine with greater than 50 horsepower
operate at the facility (excluding motor vehicles)? ( (/
3. Will operations at the facility involve mixing, blending, or processing of f
solvents, adhesives, paints or coatings?
4. Will dust or smoke be generated at the facility?
5. Will refining of any liquids or solids be done at the facility?
6. Will any plating or coating of materials be done at the facility?
7. WiIl any combustion Pu aqi ment rated greater than 2,000,000 BTU/hr be { operated at the facility? ( ]
f! 8. Will any acids, solvents, or motor fuel be used or stored at the facility?
9. Will any organic liquids or gases be reacted or produced?
10. Will any ovens be used to dry or cure products at aci i ? ( ]
11. Will any CFC (Freon) recycling machines operate at th fac' ity?
Applicant: AOi� er4 bu f 11'1 uj �(' Signature:
(Print name clearly)
If you have marked NO in all the boxes, an air quality permit is not needed at this time,
and this checklist is your written release.
If you marked "YES" in an of the boxrs
y y ,you must contact the South Coast Air Quality �I
Management District (AQMD). Please read the requirements on the back of the checklist.
,800) 388-2121 "
y 6
ftftii
ADDITIONAL SUPPLEMENTAL INFORMATION �