HomeMy WebLinkAbout15203 Springdale St - CofO (2)I:
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CERTIFICATE OF OCCUPANCY
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CITY OF HUNTINGTON BEACH ` t"
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Address
bola
Business Name ' �� r -
District
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Business Type
Tel.
Occ. Group -----
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BUILDING OWNER
BUSINESS OWNER/MANAGER
Name
.,..,.
Name
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Address -
Home
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Address 4
City _. TeL
_ Te me
City
Construction No. of Stories _
Occupant Load
P Sprinklers
CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY DEVELOPMENT
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This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the
R
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Building Official
by
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COMMUNITY DEVELOPMENT
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a ` APPL.ICATiON FOR CERTIFICATE OF OCCUPANCY
` CITY OF HUNTINGTON BEACH01.
DEPARTMENT OF COMMUNITY DEVELOPMENT 7
HUNMWJ(Nv 131"1 iPRtNT OR?VPE ONLY
ra�3� f
Addre<a —_ ---
Bus,nnssN�fr-i�°�y.r__ -- -- ----- -
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6usi^essTvpe
RJI�tv(, :INt F3-`�irJE _ >1":NiFi✓1Af-JA.F_N '�
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Name -- - - --6 !_ —
Addres, -Home Tel
C;ry_erSf�rJ b�/��9 �,pf T• 1s3.:SB.S _ Y _�/.v�_.•�,, _-T-
THIS USE WOULD BE DESCRIBED AS:
El NEWLY CONSTRUCTED BLDc, 171
Xd i GRAN^' E OF OCCUPANT
P. EXIr"ING BUILD NC ❑ C;HHf�taF Cyr 115e ❑ ADDlTI()NAL 0CUPAN F
indlcatra former U:;e. ,t ar'v . --__— Div
SQUARE FT_ ()E BUlt Dl4C= T,> BE
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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 gill 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 flied.
�I 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or I j
premises in order to determine if a change mny be made in the chara ter of or,upancy or use of the building
i1 T or premises which would place the buildir - i a different division of the same group of occupancy or in a
different group of occupancy, a charge. of occupancy inspection fee of S _ shall
r be paid to the city.
4. Huntington Beach Fire Code Section 10.208 requires that budding numbers must be a minmrium of four (4)
q inches in height with one half (',z) inch stiok and of a contrasting color from the background. These
�C j numbers —ist be posted on your building in a location that is visible from the street.
5. Huntingta=r i3each Fire Code Section 10.301 requires fire extinguishe, selection and distribution perthe
National Fire Prote Lion AssociatiQD pamphlet 10 see rev+err e side)._
DV:Pr14,v- it- �4,5U14c;'In`I&J W.d:T i 4�iiaa �JlaU: Q3a1L..f
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(FOR OFFICE USE ONLY) I
Z c)NiN
SUPPLEMENTAL INFORINFORMATION':'• � - — ivi 4A�'�ivSPAt�E
--
OCCUPANCY GROUP r _ Pi -AN
ACiiti'.K Ni
OCCUPANT LOAD `Z - --- E`ER%1IT t j ( 1 _-__ - Hf Af TH DFPT APPROVAL -- _
NO OF STQJJ IE S ADMIN < Tir it.
�,.�,/�ir ti11 ;ERftFtc.ATE
APPROVED DATE CHANT it E,ir USE UFO t:h �'UPANC t FEE
76•039 Rev. 11190 CO,MMUivf i Y DEVELOPME14T
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SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS
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2.
Person to contact in case of emergency- �' --
Telephone number:
3.
Does the building in question have electricity?
E—Y-es
❑ No
(a) If No, are you requesting that the electricity be
❑ Yes
turned on?
❑ No
ET
4.
The building is sprinklered?
--Yes
❑ No
5.
Operations- will produc- dust/wood shavings or similar
material?
❑ Yes
@'Il o
M
6.
Operations will involve the repair or replacement of
❑ Yes
DIN o
automobile parts?
If Yes:
(a) Describe the components repaired or replaced-.
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(b) Does the operation involve the use of an open flame?
❑ Yes
❑ No
7.
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
O Ye
L�J'N o 1
B. .The
^fobest describes my operation;
1.
efa T Sales
Warebousa
Manufacturing / Distribution (describe process and end product)
Restaurant/ Take Out Food
Medical / Dental
Other (describe)
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SUPPLIMENTAL INl ORWION
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SUPPLEMENTAL INFORMATION
(Continued)
y
faioew
. p-:ratton rfvciiv&' an of the ice, _
tni� nt , $- � x . _il'rrvafng i'atu`te',riafs?
Yes
,7j No .
� It
�f Lug tnUiii[it�° 3�l.I C�r�t{Y��.rT.
Material,. Quantity
Ffaairnabje liquids
aC tass i-Yti
Glass I-E
Gass 9_C
2.
Cornbustibl,� ig�Ui"��u`
Class 19
Class 111-
kkf 3.
"o nbinaieon flammable f qui-,d
III' - �.
rlamrnaole i�ase�.
,.
5.
Liouefied flamrr2ab' gage,
e 8.
Flammable Gibers loose ,
a,
Fidmrria- ile fibers - bale
S.
Fiamraabl ofic�s
9.
unstable i�aa=uric s
�
10
Corrosive liquids
? .
Oxidizing fnateinaf eases
12.
Oxidizing material - liqui,,-is
3.
Oxidizing material - soiids
'14.
Organic peroxides
15.
Nitromethane (unstable materials)
16.
Ammonium nitrate
17.
Ammonium nitrate compound mixtures
�
contai ling more than 60% nitrate
by _weight
18
Highly toxic material and
poisonous gas
19.
Smokeless powder
1 20,
Black sporting powder
I t..er y certif at the above information is true and correct
to
best of n, nowledge.
Signature
[late
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PK
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'4 SOUTH COAST AIR QUALITY N,ANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property;
Property Owner name: O� /OHS: Di9i,y Phone # ��
4 d
f Name of the Person Preparing this form iP_ print s at re
Name Lam'/fe.r� �i*�,/hD�l Sigratu`
The person preparing �-
p pre arin this form must be the same person 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" COLUMN:
SCAQMD PERMITTING CHECKLIST
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?
Reclaim any metals?
5. Does your facility plate or coat anything?
F- 6• Does your facility have any combustion equipment�_J
4 i.e. boiler, furnaces, broiler, baking ovens, etc.)
rated greater .JAan 21000,000 BTU/HR?
7. Does your facility handle or store solvents or, motor B
fuel?
8. Do you use or store any acids?
i 9. Do you use any chemical process?
10. Do you use any solvents for clean-up?
ll. Are you a dry cleaner, restaurant with a'cha7,broiler,
body shop, gasoline station, printer, or part coater?
12. Is 'the subject building locatedwithin one thousand
(1,000) feet of any school? [� L
PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
If you have marked "NO" in all columns, you do not need an Air Q1
ty
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:AL00603 (818) 572-6111, (818) 572-6261
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AUG 21 '91 01:S2Ft9 SCA001D
L,
South Coast
AIR QUALITY MANAGEMENT DISTRICT'
J150 FLAIR DRIVE,
I=L f iONTE, CA 91731 (918) 572-62DJ
DATE: August 21, 1991
TO: H ti;ngton Beaoh Building Depart.mOnt
?'RON7.a ohn: Yee, Air ,Qualit.ylEngi'neer
ISuBuEC`I'7 BUILDING PERMITTING 'U\tDER AB-1205, FIATERS BILL
Regarding PLAN c1JECK #: Not Available
LOCATION: Adhesive Sery : .Qs
I J691.2 Qotlt ord i t. ,, unit
Huntington 3aaah
This site has met OHealthr
rand Safetyis gthe requjre-ments Of Code and the requirementsSection
for
a ,
a permit
of the
permit to construct and operate ,for the South Coast Air
Quality Management District
APPLIHAS ALL REQUIRED PERMITS FROM THE ;�OLTTi:
CANT 3
COASI'' AIR QUALITY 14ANAGEMENT DISTRICT FOR TAIS
SITE AND/OR PLAN CHECK ONLY
APPLICANT HAS FILED FOR PERMITS TO, CONSTRUCT
EQUIPMENT SMITH THr SOUTH COAST AIR QUALITY
14ANAGEMENT DISTRICT
i
m B(t UTREMENTS' AT
APPLICANT IS EXEMPT FRC)M PELINII_ R,,,�
THIS SITE AND/OR PLAN CHECK ONLY.
Distribut on of Adhes ve Systems 1Wgholesale
> '1.000 feet from a school
f REVISED 7/13/89
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