HomeMy WebLinkAbout15179 Springdale St - CofO (2)r
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CERTIFICATE OF OCCUPANCY
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I CITY OF HUNTINGTON BEECH 7/ 0,Rf 9 3
Date
Address J517r SPRINGDALE: I�
District 1
Business Name —PACIFIC/PACIFIC' TEAK Tel. 774._q 7-9 ? I
BusinessType OFFICE Occ. Group B-
BUILDING OWNER BUSINESS OWNER/MANAGER i
VON DES; AHE PARTNERS 11, `
Name Name THCP'AS Ttst;AK.A
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Address 264�i0 LA ALLIEDA Home r� � i
it}£f Address 1 , �,�, KiITL&(f TQN 1TTT T ArT.Ts
City iiISSIGAa€IL:JG Tet. Home
_ City EB. CA Tel. 714-.N`Q7—P727
Construction No, of Stories _ Occupant Load 10 Sprinklers
CONDITIONS OF APPROVAL i
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` DEPARTMENT OFCOMMUNITYDEVELOPMENT t
` This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed e=c , � by the b !!!
Building Official, y
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S COMMUNITY DEVELOPMENT ((�
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J� APPLICATION FOR CERTIFICATE OP OCCUPANCY
CITY OF HUNTINGTON BEACH
(` DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNIDJCOH BEACH 1PRINT OR TYPE ONLY) DATE
District
Address
Business Name
Business Tlpe t5o�!!L—GFS:> Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name '�fPh� \ /�, �n\2 �.rc 1� ^, ���,, �,��NName `�F%L71�lhS lE2
Address Ome
.4`'"C0 LA /�`L���� 46��Address�. t'�,-7
City \`a^�\ ti �i� C� _Tel. CttygoK 1 RR A4f_ m i__
THIS USE WOULD BE DI ; :;RIBED AS:
❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER CHANGE OF CXUPANT
�-J yEXISTING BUILDIPr� El CHANGE OF USE El ADDITIONAL OCCUPANT
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Indicate former use, if any �17�' Occupancy Gr Div
SQUARE FT. OF BUILDING TO BE OCCUPIED �o
(FOR OFFICE USE ONLY)
ZONING
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP—
PLAN CHECK NO
NO PARKING SPACES
OCCUPANT LOAD �
1 --
PERMIT NO.
HEALTH DEPT. APPROVAL ---
NO. (:' STORIES
ADMIN ACTION
UTILITIES RELEASED
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CERTIFICATE OF OCCUPANCY FEE
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APPROVED
DATE
CHANGE OF USE OR OCCUPANCY FEE
$
TOTAL
$_
COMMUNITY DEVELOPMENT
75.039 Rev. 11/90
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SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS
2. Person to contact in case of emergency.`�"kov-�J
Telephone number: 4 I -7 u70 7
G 3. Does the building in question have electricity? ❑ Yes
w K'No
(a) if No, are you requesting that the electricity be 2'Yes
turned on? ❑ No
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4. The building is sprinklered? 2 Yes
5. Operations will produce dust/wood shavings or similar y'
El No
material? ❑ Yes
6. Operations will involve the repair or replacement of ❑ Yes
automobile parts? CYNo
If Yes:
(a) 'Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? ❑ Yes
7. 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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3. The following best describes my operation;
Office
Re es
re ouse
amcfacturing / Distribution (describe process and end p duct)
Restaurant/Take Out Food r
Medical / Dental
+ Other (describe)
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SUPPLIMENTAL INFORMA7rioN
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SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the fol1cVwi19 rryateriuls"
_lam,-
If Yes, indicate quantities: Quantity
Material
1. Flammable liquids
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Class I -A
Class I-B
2. Combustible (iquids
Class
-
Class ill -A -
—
—
Combination flammable liquids._-
4. Flammable gases
5. Uiquefied flammable gases
6. Flammable fibers - loose
7 • Fiemrnable fibers baled
8. Flammable solids
9. Unstable materials
10. Corrosive liquids
11 Oxidizing material - vases
_
12. Qxidiztng--- tnateriaI liquids
13. Oxidizing material - solids
14. 6rganic peroxides-
'i6:. Nitromethane (unstable materials)
16. Ammonium nitrate-
17, Ammonium nitrate compound mixtures w
containing more than 60% nitrate
by weight
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M 18. Highly toxic material and
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F poisonous gas
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19. ' Smokeless powder
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20. Black sporting: powder
I: hereby_ certify that the bove information is true and
to
the best of m t _ .'e-
Date
gnature
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+ ' City ®f Huntington Beach
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2000 MAIN STREET CALIFORNIA 92648
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` DEPARTMENT OF COMMUNITY DEVELOPMENT
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Building 536-5241
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Planning 536-5271
Housing 536-5271
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Government Code Section 65850.2(b) requires the City of Huntington
Beach 3uilding Division not to issue the final certificate of
occupancy unless the applicant has met or is meeting the
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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
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 Building Division) must complete the check list which
can be obtained either at the Building Division 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
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must contact an AQMD engineer by calling (714) 396-2000 to
find out whether air permits are required for the proposed
construction project.
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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.
Because of the time it may take for AQMD to go through the above
procedures, the applicant is advised to contact AQMD immediately
I after applying for Building permits.
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(1360D)
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property:
Name —
Property Owner
Name of the Person 'Preparing this form in print and
Name : e"_i-�(Z�/ti Signat re:"
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The person preparing this form must be same p son applying for
the following questions regarding 4
building permits, Please answer
of the subject building. IF YOU DO NOT
KNOW
your proposed occupancy
THE ANSWER TO A QUESTION MARK IN THE "YES" COLUMN:
AQMD PERMITTING CHpCKLIST
1
YES
NO
i. Does your facility use any internal combustion
engines greater than 50-HP?
2. Does your facility involve mixing, blending, or
processing any solvents, adhesives, paints-
or coatings?
3. Does your facility create any dusts or smoke?
4. Does your facility refine any liquids or solids
tom -
or reclaim any metals?
facility plate or coat anything?
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5. Does your
6. Does your facility have any combustion equipment
✓. x
i.e. boiler, furnaces, broiler, baking ovens,
etc.) rated greater than 2,000,000 BTU/HR?
—�
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?
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?
12. Is the subject building located within one
,/-
thousand (1,000) feet of any school?
PROPERTY LINE TO PROPERTY LINE. GRADES
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If you have marked "NO" in all columns, you do not need an Air
any
in
Quality permit at this time. if you have marked questions
contacttheSouth Coast Air Quality
the "YES" Column you must
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Management District located at:
21865 E. Copley Drive
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Diamond Bar, CA 91765-4182
Please call: _Plan Cheek (714) 396-2000
(1360D-2)
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
49
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
H uNple'loN 9�", (PAINT OR TYPE ONLY) DATE
Address fS
Oistricl
Business Name t1 r~ J lei r( �<_
Business'rype pac. Group F
BUILDING OWNER � BUSINESS OWNERVANAGEFI
Name ,-T -- r Name Rat - GYM';
Home
Address .1 LLL r 1411) S &Z i ; Address C7WJ C t
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City 4 ` Tat "� Home Tel.6
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Y�tIS USE WOULD BE DESCRIBED AS:
�--ry �-� {{ CHANGE . F OWNER
Q ANCE OF OCCUPANT
4__f .NEtiV( Y CONSTRUCTED BLDG.
t_ ! C IAN O Q
EXISTING BUILDING 0 CRANGE OF USE 0 ADDITIONAL OCCUPANT
indicate former use, if any, � si, ° '' me E ccupancy Gr. Div
SQUARE FT,'0F BUILDING TO BE OCCUPIED
NOTICE: y. Occupancy of any build ing is prohibited and a business license will not be issued until the building has been
inspected and a certificate of occupancy is issued.
Z Nor electrical service Will be released for any existing building until the service has been inspected and
certified safe. At,' applicants tar occupancy in an existing building are required to schedule an electrical
`tune up° inspection in the Department of Community Development at the time this application is filed.
3. Change o! occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
premises in order to determine if fI changemay be made in the character of occupancyor use of the building
or� premises Which Would place the building in a different division of the same groL p of occupancy orin a
different group of occupancy, a change of occupancy inspection fee of $ shalt
be paid to the city.
4. Huntington Beach Fire Code Section 10.20$ requires that building numbers most be a ininimurn rat four (4)
inches in height witn one half (tax) inch stroke, and of a contrasting color frog•: the background. These
numbers must be posted an your building in a location that is visible from the street,
-5, Huntington Beach fire Code Section 10.301 requires fire extinguisher seler tion and distributions per the
National Fire.Protection AssociF* an pamphlet 10 (see reverse sic,t),
DATC PAI
A'AlOUN (FOR OFFICE USE ONLY)
t4At< -ZONING�
OCGUPANCY G OUP —PLAN CHECK NO NO PARKING SPACES
OCCUPANT LOADPERMIT NO h _ _ H5ALTH DEPT, APPROVAL � --
NOf OF STOF31 . ADMIN ACTION - UTII tTtES RELEASED
CERTIFICATE OF OCCUPANCY FEE $
APP136VED t3 DATE CHANGE OF US:' OR OCCUPANCY FEE �
TOTAL_
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