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HomeMy WebLinkAbout15207 Springdale St - CofO (2)r n o SO l / x APPLICATION FOR CERTIFICATE OF OCCUPANCY i CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT ' HUNTsacTON KAai (PRINT OR TYPE ONLY) DATE f o Address ! J © sp ` I v Va- District Business Name �IZSn/I)1 RO M Est W l �(LVi(.0 S Tel, 7I �i`' 3 7�/—%7gi Oca GroupBusiness Type A -/Z V `C_ e-S BUILDING NER BUSINESS.OWNER£JANAGER t V�ff� �N�PC�TI�S 1�i4wL \ U(Ztl I�tdq`r Name Name /t'L'l c-�� 1 -' %�� 5 &t'Home I Address 27g5j �05 OL�'bS 5(tite ��d Address�G�b kw,05 fCD ��� ,S''+L149_ 2-10 Home CA 1 .T'on) U 1 V-.T ': 2,6A I Tel_ City �yTS V i City M ZSSOtt✓ � L Tel._ i THIS USE WOULD BE DESCRIBED AS: ' i 2 �—I ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE:- OF OCCUPANT - EXISTING BUILDING ❑ GRANGE OF USE ❑ADDITIONAL OCCUPANT Y t � a Indicate former use, if any Occupancy Gr.—Div. SQUARE FT. OF BUILDING TO BE OCCUPIED I i ` F NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been t inspected and a certificate of occupancy, is issued. r 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 building or premises in order to determine if a,change may be made in the character of occupancy or use ofthe building , o or premises which would place the building in a different division of the same group of occupancy or in a differentgroup' of occupancy, a change of occupancy inspection fee of $ ` 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) I inches in height with one half (yi) inch stroke, and of a contrasting color from the backgroun& 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 a y National; Fire Protection Association pamphlet 10 (see reverse side). } TRAFFIC IMPACT FEE DATE PAID AMOUNT RECEI NAME (FOR OFFICE USE ONLY) ZONING OCCUPANCY GROUP PLAN CHECK NO. NO PARKING SPACES :I OCCUPANT LOAD PERMIT No, [ 7 HEALTH DEPT APPROVAL ` OCOF STORIES ADMIN. ACTION UTILITIES RELEASED t 1cpA CERTIFICATE OF OCCUPANCY FEE $ DgrE CHANGE USE OCCUPANCY FEE Y APPROVED BY OF OR $ E TOTAL $ • 7e-039 Rev. 1/97 COMMUNITY DEVELOPMENT X 1 Y f h. t r. I { 1'x: )e { SUPPLEMENTAL INFORMATION �. t 1. BUSINESS ADDRESS ' 2. Person' -Jo contact. in case of emergency• Telephone number;�ZD ' J7,Y_ . 3. Does the building in question have electricity? Yes, G No (a) If No,' are you requc., ng that the electricity be Yes turned -on? a 4. The building is. sprinklered? Yes t allo- 5. Operations will produce dust I wood shavings' or similar material? p Yes- No 6. Operations will involve the repair or replacement of "0`Yes } automobile parts? l No .t (a) ®escribe, the components repaired., or replaced. (b) Does the operation involve the use of. an open- flame E1 Yes y 'K No M 7. The business is drinking, dining ` or' assembly use 'that wilf., A -result: in an .;.occupant toad of more than 50, persons. ❑ Yes-, '. 1 8. �. No The f best describes my operation,. e Office Oni Retail Sales Warehouse i 'and Manufacturing / Distribution (describe process end- product) Restaurant / Take Out Food Medical /.Dental - Other jd4scdtibe) gr 14 SUPPLEMENTAL INFORMATION a*-"^., ^e--i "7 ..lJ: . i..r. ..,V^ .e... 'Y•'_ 'Sn -4 ^'^ 7777 ri z i 4 i 1 s SUPPLEMENTAL •'FNf:ORl VTtOW (Continued) � 'Doe's the.�.bpeCa.io �nSTv� ar�.y ?ohf. .he folio�uang -materials..h. 9=Yes a IANo If Yes, indicate -quantities: } s Quantity f> F �... - Wteri.alu_... r 1. Flammable liquids - ,. Mass I -A � 1 f v. Class I-B I-C i .Class 2. p` 'Combustible liquids j; Class II •Class 111-A g 3. Combination flat ble�.v. Jiqu„!ds 4 �'Tldmmabie gases 5. L'iquefied flammable gases 6 ,Flammable fibers - loose`` i 7. Flammable fibers -baled 8. Flammable solids 1 9. Unstable materials 10. Corrosive liquids 11. • "Oxidizing 'materiah - gases ' 12_„,.._.. Oxidizing —;-material --liquids- 13 Ca kid izing,,.material; - solids, ' 14. Organic peroxides 15 Nitromef' ne »,{unstable mat r 16 } -Ammonium nitrate 17. Ammonium nitrate compou t4I�,,,mixturesi ,-. ,: r• containing more than 60% nitrate f by weight , ' 18. Highly toxic material and pojsPgo.us 9F,' A 19.�__..�;,Smoketess ;powder . ' 20. Slack. sporting owder herby �eifs! that #heabove information isv true anrJ:corr�ct tthe , bes omy knowledge. Signature Date �. • r,*�^r`,,-;"�'"' ��".!�^.�,+.":'w�,""T,.»"."";r-.'�"'%"i.r",.,.�,„.'".; ^^..^r«'„�z�:m•.r �•aer,x,�.�^......»- .w.:aMa�+—..,.-,--- f t j s a ;ti C e S 4 Y• �Y { South Coast AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AM QUALITY PERMIT CHECKLIST for nonresidential buildings only i Company Name: 145Y/2a�n✓1�/Jr,FILGS, Location of Property: 1 s,G32iit1 frG�c ' City: �02*) Zip Code: 4' Contact Person: TAU iTG,�-L Title: /'►l%.� •9rr,�/ P " tYl�.�ott 7 Telephone Number: — Fax _ Number: Type of It astry/Business: AA 1.r"V1z/N( Alf..G✓]' `J- J"yxfck : 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 J. Will the facility have a charbroiler? [ ] [ 2. Will any internal combustion engine with greater than SSQ horsepower operate at the facility (excluding motor vehicles)? 3. Will operations at the facility involve mixing, blending, or processing of solvents, adhesives, paints or coatings?; 41 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? O 7. gWil1 any combustion equipment rated greater than 2,000,000 BTU/hr be operated, at the facility? (� 8. Will any acids, solvents, or motor fuel be used or -,stared at the facility? i 9. Will any organic liquids or gases be reacted or produced? (] [ 10. Will anovens be used to or cure roducts at the facility? Y �y P � 11. Wilhy CFC (Freon) recycling machines operate at the fac' ty? Signature: Applicant: Signature: E (Print name clearly) If you have marked "NO" in all the boxes, an air quality permit is nQ_t nee ed at this time, and this checklist is your written release. If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality *" r Management District (AQMD). Please read the requirements on the back of the checklist. (800) 388-2121 q kt_ 3 s N. ADDITIONAL SUPPLEMENTAL INFORMATION i }