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Home My WebLink About15209 Springdale St - CofO (5)I CERTIFICATE OF OCCUPANCY CITY OP HUNTINGTON BEACH 3! 1 2 /9 3 Date l Address 1 r, P ri C. N P R T T,, rT, R I r, District Business Name HCLCFt`F.NTX Te1. 21C-7fi?_n�:c Business Type OPTICAL I;ESEAhCF' X. DF.VKI,0PN9F.NT Occ. Group R-P BUILDING OWNER BUSINESS OWNER/MANAGER VOIN DER AHE' PARTNERS Name PH LIP BLAUSTEIN t ` Name - Nome Address 2( 11110 LA AT AMETIA P(lri Address, City VjTtST0NVTFJO Tel. 711:_TI4R-0690 City F.Ri C Telme 7itt_�liA..11Aan Construction No. cf Stories Occupant Load 1 a Sprinklers t j CONDITIONS OF APPROVAL a a I DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy I SHALL BE posted in a conspicurn!s place on the premises and shall not be removed except by the by,� Building Official. ` p...:-.�.,..................-.�....wr..--...-,.........e.-....,.,.,,-....+,-a.-,*,�.--.. COMMUNITY DEVELOPMENT mm�..-aR.m.-xmraI-- ---„-..,d,.._.-. .-,-.-M,- .-.-..,c-,+....,..,.-,- 1 =I I � 3lylys ,' APPLICATION OR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH 03/01/93 DEPARTMENT OF COMMUNIn' DEVELOPMENT DATE HUNINIGTON BiAOi (PRINT OR TYPF ONLY) 15209 Springdale Street, Hnntin ton Beach, CA 92549 District—'�Ls� ` iXddress Tel (310-783-0335 ) o'lluSiness Name HOLOGENIX O �siness Type OPTICAL INSPECTION INDUSTRIAL _ R11MAN BUSINESS OWNERrMANAGER BUILDING OWNER me PHILIP BLi�USTEIN 4 ,tdame VON DER AHE PARTNERS Home �ddress 26440 La Alameda, #200 .%� ress 3303 Tem Drive 714 Mission Veto. CA 92691 Te1714-348969 ,ty Huntinctton BEach 92649 Home Tel.846-4490 - THIS USE WOULD BE DESCRIBED AS; KI CHANGE OF OCCUPANT El NEWLY CONSTRUCTED BLDG- r❑-- CHANGE OF OWNER ; LJ CHANGE OF USE ❑ ADDITIONAL OCCUPANT k EXISTING BUILDING r Occupancy Gr :._-----Div # Indicate former use, if any i SQUARE FT. OF BUILDING TO BE OCCUPIED 1700 a NO ICE: 1 Occupancy of any building is prohibited and a business license will not be issued until the building has been I and a certificate of occupancy is issued. j; 2. No electrical service will be released for any existing building until the service i�as been inspected and i certified safe, All a,.plicants for occupaof Community tlytDevelopmenting at the time thfsrequired to sappication schedule an l filed. trjcal u 'fuse up' inspection in the Departmenti 3. Change of occupancy or use inspection fee. Whenever it is necessary tomake inspection off building g k premises in order to determine if achange may be made in the character of occupancy or use of the building r in a or premises which would place the building in a different division of the same group of occupancy °shall different group of occupancy, a change of occupancy inspection fee of $ t { � be paid 10 the city. � ' 4, Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) i i inches in height with one half ('h) 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 fleacisher selection and distribution per h Fire Code Section 10.301 requires fire extingu tht National Fire Protection Association pamphlet 10 (see reverse side). (FOR OFFICE USE ONLY) ZONING { SUPPLEMENTAL INFORMATION ' NO PARKIN S PLAN CHECK NO11 . OCCUPANCY GROU( -- HEALT EP? APPROVAL PERMIT NO OCCUPANT LOAD UTILI ES RELEASED I NO. OF STORIES ADMIN. ACTION CERTIFICATE OF OCCUPANCY FEE ' DATE CHANGE OF USE OR OCCUPANCY FEE { APPROVE TOTAL S 1 ), COMMUNITY DEVELOPMENT l` J _..� 1 t Y SUPPLEMIcNTAL INFORMATION � S�>2t�t%�/cYL� S 1. BUSINESS ADDRESS J c 9a�y 2. Person to contact in case of emergency* PH ' c J h I Lf V S (cr ilf Telephone number: 7/,9 R �z L/Z6 3. Does the building in question have electricity? ' yes N,o -(a)If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No b 4. The building is sprinklered? Yes ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes O No 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? No If Yes: (a) Describe the components repaired or replaced. s i (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. ❑ Yes g No 3. The following best describes my > operation; ' Office Only F, Retail Sales Warehouse (Manufacturing / Distribution (describe process and end product) s t Restaurant /Take Out food Medical / Dental z Other (describe) �= ✓ SUPPLIMENTAL INFORMATION i� i SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? ❑ Yes ; PkN o if Yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A i Class i-B Class I-C 2. Combustible liquids k l Class 11 2, Class 111-A 1 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases ;. 6. Flammable fibers - loose fi 7. Flammable fibers - baled 8. Flammable solids 9. Unstable materials i 10. Corrosive liquids 11. Oxidizing maferlai - gases 12. Oxidizing material - liquids { 13. Oxidizing material - solidi - 4. 14. Organic peroxides {, k 15. I' Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate C by weight f ". 18. Highly toxicmaterial and ! poisonous gas ; 19. Smokeless powder 20. Black sporting powder h I hereby certify' that the above information is true and correct to the best of my knowledge. �Sig na ure 'Date { a i J ! I r 03-09-1993 04:32PM FROM HOLOGENIY, TO 17143741540 P.02 i I I I SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT t�onraes idea tial Buildinas Only) Lor: at ion of Sub; act Property! Phone TUF pA�tTj��-- - Property Owner Names LLD i Name. of theperson preparing this focal in paint and signature k The person preparing 4hia3 form must be the same Person applying for the tolloquariS iorss regarding wing b building Permits, phase answer the subject building: 2V YOU DO NOT KNOW j your proposed occupancy of THE ANSWER TO •A QUESTION MARX IN THE "YES" COLUMN: � AQMD pvTRMll'°1JNG CHECKLIST ? I YES NO 1, Does your facility use any $.rtt®tnel combustion Dngiritga greater than 50 -HP7 facility involve miring, blending, or 2. Does your pr4oestai ng any solvents, adhOsives, paints or coatings? . Door your facility create any duatie or Omoke? 3. liquids or �solidts Does your facility refine any or reclaim anymetals? facility plate Zr coat anything? 5. Does your S. rioe$ your facility navi ari combutdtiOn OquiPmOnt baking ovens, i i.e. boiler, furnaces, broiler, etc.) reted greater than 2,000,:0 gmU/HR7 " � ` 7. Does your facility handle or store solvents or 1 t motor fuel? a 81 DO you use or stave any acids? - 9. Do you time any chemical process? any solvents for clean -WO? 10. bo you use E {, 11, Are you a diy cleaner, restaUront w1th as tstation, I f charbrviler, body shop, 4asaline - y prSntes or .a11 12 is the subjOCt building located within one thoLaand (1,000) feet of any school? TO PROPERT'I LINB+ GRADES K-12+ � PROPERTYLINE if you have matkOd *NO" in $11 columne, you do not need an hit have marred any questions in OUR permit at this time. If you contact tha !South Coast Air Quality the "YES" Column You must management District located at: is 21865 E. Copley Drive Diamond Ear, Ch 91765-4182 { Please call: Plan check (714) 396-2000 (1360D-2,)• s � '• { TOTAL P.02 1 1 s I i