HomeMy WebLinkAbout15181 Springdale St - CofO (4)CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH Date
District
Address ...._
Te1.
Business Name
i. Occ. Group — - -
Business Type
BUSINESS OWNER/MANAGER
BUILDING OWNER
Name
Name
Home 1
AAA, -
Address
City
Tel. C
Construction No. of Stories Occupant Load _
CONDITIONS OF APPROVAL
This Certificate of occupancy
r`
SHALL BEpnsted m a conspicuous place on the
premises and shall not be removed except by the
Building Official.
COMMUNITY
a
i
-71
APPLICATION FOR CERTIFICATE OF OCCUPANCY
LY CITY OF HUNTINGTON BEACH -
HUNI,NGiONBFM'11 DEPARTMENT OF COMMUNITY DEVELOPMENT
OPIN, OR TY-F :_,Ni.I FATE
ll'
h t .(ram _ i�c V ,I AN Ce p po 02 l G. r
Bus+necs'yGr ►'ve•-�rNCx4=/-e�.,�_L'le__ r��rGtGv 4 •e -U�°�' �tiN�w(_Lit,t j —
Namt. !'�/ l�Li2 OQ 1L , i.Ne S J r -_ (Ll iss f wtp i� 1l. AFL K Ai- i--°,L_+._
{ �-"----- ----
Addr<•SS__—_---�--
Glty V,'�'v
--- ttit L
7 - _ - _ 5 i A-� - - L4_ -gr UwLHome (nll"a�sl
THIS USE WOULD BE DESCRIBED AS:
❑ NEVA Y C(--)NSTRt:CTEf � PJ, ❑ �..HAfv jE U Y - �iA�'aE GF �7t GU�AN'
tLJ EXISTING f31JIL"41'jG L i H Pv E �F ,1 ; ❑ Nt:;Di r i. fdAL O� ��'UPRNT
am,-
-- - - „:.
SQ'-'-RE FT 0E- 9UFI INC T;.) bf:.
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 oe reieased for any existing building until the service has been inspected and
certified safe. A!I 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 tc make inspection of a building or
premises in order to deternine if a change may be made in the character of occupancy or use of the building
or premises which would place the building in a different division of the same group cf occupancy or in a
l different group of occupancy. a change of occupancy inspection fee of S - shall !!!
be paid to the city, —_
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
inches in height with one half (',z) inch stroke. and of a contrasting color from the background These
numbers must be poson your building in a location that is visible from the street.
5. Huntington Beach Fire Code Section 10.301 requires fire extinguishe, selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
(FOR OFFICE USE ONLY) Vl i SUPPLEMENTAL INFORMATION S
OCCUPANCY GROUP- P qr� r HEM' N� J,i
-- Fv. F Ar.K d i ,,P�t �S _
-_
OCCUPANTLOAD _--._ , ---�� FFRt11T r ; F
J ' - - �4f At 1H DEPr t P OV
NO OF STORIES ---- - Af)f 1,n, A! :T - M1
�APPRC E r8 _"' C iATE
' FF�r UA.,E i�.HAFJ..E )t 1j,,iF Up(�i-�ifAfJ, TFEE
TGTAt i _----_
l -4C11
E 75-039 Rev. 11/90 ('
COMmUf-jiT'r hEEVEid,.^P10rNT
Ph
'I
I
SUPPLEMENTAL INFORMATION
���/ / s ��bAC Si /-4, , 4y �w<
1.
BUSINESS ADDRESS
I�
2.
Person to contact in case of emergency—, MAO-,w)
Telephone number: Cs.;)
I
3.
Does the building in question have electricity? Yes
`
❑ No
(a) If No, are you requesting that the electricity be ❑ Yes
O
No
turned on'?
i
4.
The building is sprinklered? 19 Yes
❑ No
5.
Operations will produce dust/wood shavings or similar
❑Yes.
material?
No
r 6.
Operations will involve the repair or replacement of ❑ Yes
TO NO
automobile parts?
If Yes:
laced.
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? ❑ YNes
7.
The business is drinking, dining or assembly use that will
❑ Yes
i
result in an occupant load of more than 50 persons.
L No
8.
s
The following best describes my operation;
Office Only
Retail Sales
Warehouse
awring / Distribu ar�'.'(describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
i
M�
7
SUPc'I.s;ViENThlm fNFURh4ATt0I II'
1
i
i
1
.r
SUPPLEMENTAL INFORMATION (Continued)
Does the operation ;nvo've ar?Y aTr tyiw fsx.',a: v: 4;� r �i iulsr7 Yes
NQ
M
If '�'-v. ��dic:ati. <<,3ntitieS:
is tee .al Qua ntity
1. Fiammable hquids,,
Class i - ^.
�a ,
L, lass
Glass 11
:'squids _
4� Fiarnmable gases
loose
. nSta e :Yi:Ate, ials
11 Oxid1zi, n q 1),ate r+cif %%�� —
"2. 1 xidii„ir rnatnG
;. C zing f?Z3tr't`idi`
t 1. Qrganiic peroxides
r , F�litYomethan{ (unsta'hle roaterials)
Ammonium n trate 4
17. A�ririion,rkrn rictrat�' s rrripound mixtures
containing more than FC,-!'a nitrate
by weight -- ----- _
18. Highly toxic material and
poisonous gas
19. Smokeless powder _
1 _.
20. Mack sporting powder —
I hereby certify hat the above information is true and correct to
the best of y knowledge.
' Signature Date
i
I
I �
r
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: /.S/y/ -WL4 DAL5%,
Property Owner name: 000 7 �rL ik_v P ''7r�� S Phone
Name of the Person Preparing this form in print and ;7n ure
Name Signature
f "
The person preparing this form must be the sam per .i applying for
building permits. Please answer the following questions regarding your
proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER
TO A QUESTION MARK IN THE "YES" COLU�!t:
SCAQMD PERMITTING CHECKLIST
YES NO
1. Does your facility use any internal combustion
engines greater than 50-HP? Q
2. Does your facility involve mixing, blending, or 0
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?
Reclaim any metals? El
5. Does your facility plate or coat anything?
6. Does your facility have any combustion equipment
i.e. boiler, furnaces, broiler, baking ovens, etc.)
rated greater than 2,000,000 BTU/RR?
7 Does your facility handle or store solvents or motor Fzx:l
fuel?
8. Do you use or store any acids?
9. Do you use any chemical proses::.?
10. Do you use any solvents for clean-up?
11. Are you a dry c'.eaner, 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? L___J C`�
PROPERTY LINE TO PROPERTY LINE. GRADES -12.
If you have marked "NO" in all columns, you do not need an Air Quality
permit at this time. If you have marked any questions in the "YES" Column
you must contact the South Coast Air Quality Management District located
at:
- 9150 FLAIR DRIVE, EL MONTE, CA 91731
Please call these offices: Plan Check (818) 572-6406
D:AL006
(818) 572-6111, (818) 572--6261
'03