HomeMy WebLinkAbout15209 Springdale St - CofO (3)APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNT TINGTON BEACH - DEPAR`I'IYt. NIP OF BVILDWG & SA.FETY '
(3'"aFloor -A ri tApplyXit-Person)
Date
Business License 4 A24ol Cfhi�
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Address % "Oi Alin 1 t VC�tU
Name �" !'t Inc . Telephone }' 6�
lllruslaess �72/
Business Type Y�
Pronerty Oer Information Business O%gier n
Narn i ` -CIA e Name
Address rs,2-N Ar r r z$vi Home Address 6i? 1=1y-c
'el.94;.
City . Vic d CA City " t [4,11 XA Tel. 31
TMS USE NVOUL Bf DESCRIBE AS:
QNewly Constructed Building or Z xisting Building
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CRECK ALL THAT APPLY:
IChartge of 04vraer bang o£Occu ant QCh.at ge of Use OAdditional Occupant
. .. `:.
Indicate former use, if any c
Does the building have electricity? 'Ycs;Ur NO0
If No, are you requesting that the electricity be turned. on'? 'des Q No D
The building is sprinkl,=d? yeso No ll
Operations wilt product dustfN vood shavings or similar material? Yes 1 0
Operations will involve the repair or roplacement of automobile parts Yes Q. 'oXB�'
rf yes-, Describe the components repaired or replac-ed.
J)oes'the operation involve the vs.� ofvvelding or open flame? ` Ycs Q Rio
The business is drinking, dining or assernblyr Lase that will result in an occupant load
of more than 30 persons. Yes i o`
The folloNving lest descriers n-ky operation.,
UOffice Wy OTtetail Sales DlvledieaMental DRestauranVTake Out } odd ZWarehouse
Q lvta$atifactudttgr'3 .istrihution (describe process and end product)
Other (describe)
L}3z e Use Ohly:
Zoning, ..- „ Sq Ft Occupied: Oco Group; Oce Load: % 2--
3
' Storiesr parking Spat es: TIF Review, YINtaid5
Paid D, �FOR� fiixw spw _
Bt�ildin�'e�trfit � > Bntitlemnut �:�
O'�ammeitts, F
RI trier initials: Bld&laa Checker'Tnittal CoID
ray.:, _,• �, •..� } t;,F , . .. ,
Y
r.
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South Coast
Aar Quality Management District r"
a
21865 E. Copley Drive k
Diamond Bar, CA 91765-4282
(909) -396-M29 ht Pp g
.//wNvw.a md. ov
Air Quality Per mit Checklist
California Government Code 65850.2 prohibits cities from issuing a Certificate of Occupancy to a business
without clearance from the local air quality agency. This checklist will'determirte if you need to obtain
clearance from: the South Coast. Air Quality 'Management District (AQMD),
Company NameInc
Property,Addresst 2,0, 5,orif41,-V,?K
City: 15le r- Zip Code: `
Contact Person: h k: CZ scVi„ Title: CEO
Type of Business,�� rt Telephone-.((f — 3
Applicant: (print name) jk/ C" ir' r, S Signature:; ,Z�
• Will the facility have any of the following equipment? Yes ❑ Nolur
Clarbcaiter ,:
Dr/ cleaning machine
Spray Booth
Printing Presss(screen/lithograpi ic/flexographic)
Internal combustion engine (greater than 50H'P) (excluding motor vehicles)
Boilerlcombusdon equipment (}greater than 2 million BTU/hr, maximum input) r
Abrasive blasting cabinet/roorn
Baghouse/cartridge type dust fclterlscrubber
;Motor ;fuel storage and dispensing equipment
• Will .any of the f',lowmg operations be performed? Yes U Na
Application ofpaints oradhesives }
Etching, plating, casting, or .melting of metals'
Molding and blending of liquids and/or powders y,
Storage of acids, solygnts, organic liquids or fuels
Production-ofacids, solvents organic liquids, or fuels
'Production of fumes, oust, stroke orstrong odors
0 If you anowered "No" to both questions, this checklist is your clearance from A.Q114D
i
'F
Ifyott animered "Yes" to eitherquestion, you must contact AQMD to determine if air quality permits are
required, Ifperxn,its art. needed, AQi D gill assist you i.rt submitting permit application(s) and,then provide you
rv)th a cle€rance later. You can cat AffNM at their Small.Rusiness Assistance. Office at (800) 388-2121.
i
APPLICATION FOR C fin`` IFICATE OF OCCUPANCYS
(3rtFloor — MustliplyA-.Person)
Business License
r
i3li; Telep�zw I�
?iSiSkM'aS Name
lvs+.iii J,"9 Type
ilYfe `I2�!`
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V4 3re+�. •z � sr
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,,p�' r� tt /� �(„t [[ 9 (
f1dr'ess it/t gJ{ ;i 1•fr Y�✓,f.M .iioiw� Address t i , I.Y4"i
it,.; i��� 'VAe & CA TeM City �.�.� Tel,1� �►� �f i t ��w
71 11S USE WOULD BE DESCRtDEU) AS;
i e ery Constructed Building or E !sting Bu td4i
CHECK L °�'pj�/,:yA T" :'ilIPVL'Y':(y�/jam!
�+r��r«.�}1 g y ,�s�j. y{ry���p�yy ��yy ry���ry}} j; � fY YyYy ry y f y� } p r�pj � j�}J � } ypp
T^s Ct�'G>`i�tw o o�it� e lEkhange o +,di<o'4pant O�,ehange o se A>fdit;.VY 1 TMli+Yhi 1}r
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DI(il- ate former use, if any m wvwaw.+w.m..ouk n�tgMnm
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y
yy }} )aSq�g yyyy p ty�+i SS ��yy {{��1 �+ yyqq♦♦}yy���y y.✓r..
+�'�v v 111W 4't.ti• '1i lZ ll Rrie 4 'v T+t>t.�/it� .r� es oC3
4
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If 1�ic,, tine yw requesting that the electricityb; . turned aji? Yes Q No Q
The btfl' in is sprit ter�dr: yes'a N�Nrc��1
I
Operalkms will P. smJ'�F�4.( �ii?�An�v;0.E�d ,81h"�i�iigs, or simii.�+S, mii.te#rW? }es +....i Noa"
� p. «era ''.vilT itx r Tvt the re pair i:x replueemeat of-mitermbite parts Yes io
If fires: Desclflbe ;tt� mpaimi orreplaced.
grYow44i NtwSroIe tho MN
#use thatwillresult intinWY-i uCrt} 1VS..
ases¢+yxs7 rtyt dining mbly
i yi.
,
of more 1113u 50 persons. Yes -0 NOIT
The folfiwvir4g beat describes my operation,
3
tnly Z)yR}et}ail Sates OR t€turwivrako Out T°cad Z"'Var�ebot'se
0-ffi :ep�
, ���{DMedical/Dental
(descrjbii.: process and end product)
m»nr•s+e�:nvxwjre�e� +�mn•fi�w+to-u�cc M�+�tlres�e+r+.�+i+.wvW++.+w'w>'--n=w+�.�..wa�.�...ri •Mw�Y�r..�+r+.�+�.
.:
,T11v Use Only
$q (C6 (rC)tiTlr' Ooo Load.
Teti ccupiled. ?
xw k r k° ° lttu Spaces. 11l? p"evtcwc YIN ikmt pard
l
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!. 4.+�i}i.fr',FBi%+i w,.'r,w;�3.iaF '> ttrwletzFAl f
h. �ta...nraun+.a�+���ws+••+.u++vn•rvr.+i
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�,W,l7��r"�It4(M��,*�i .wnl+M r+..�vw+r+s� �•nY+ry.• 4 y+�»��n+e•.�.iraewr.+�.wneu�r.r.ru.
ftzuie�� Cd�l4iir trey Eer lri3ttal GTLin
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cr+w z-w,>» �'�rwv�- ,.ww�:a,,sw:� t-..a:..w- ..�c:�..�a.::m :'4ca:+5t <iww �:�• •w.;#-:,t,.a_..,«�W3,.r.�s:wa+,vsa•eK�+.....r,.:M:,-.ZR
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Trancode : ICOFO 1 - 0 M 14 U N I T 'Y D E 9 L 0 P M E N T 1.44121
Function: INSTl C E R T I F I C A T B
O F 0 r C U P A 'N' C Y
Addr I152091 [SPRINGDALE 4 T 3 Issue rats 192119993 App�Rcv. " 72619991
Business Name IPACIFIC CELLULAR SUPPLY,
INC< 1 kIhoue [ ) { 1
Business Type MOLFsALE
1 Occ, Oroup CB,s-11
Building IASHWILL ASSOCIATES 1 Addr
[725 TOWN G COUNTRY RD #1:40
Owner City IORANGE CA
1 Phone. (7141 (5640500),
ausi.ness UTA OU A sods 3 AddrM 26.0151 CCYPrRESs
Own/Mgt City 4LOMITA CA 1
Phone, j3I01 I32686SSI
Comment; I830 SQ FT IS OFICE-LETTER ON FILE 1'OR SXEMPTI 0 1
tlew? IN] Chg Own2 I141 Chg Occ? IY1_" Old Sl.d? 1,Y1 Chg Use? ( 1 Add Occ? [N)
former Use [COMPUTER DISTRIBUTION
I Former Oc Group' i 1
$q;.Ft.Occupied ' 17521 District " 1 PC 730 h 3 Par�J- *ri Spaces 1
Occ. Load - Sl Building Permit [
1 ` tiea:l;th App. By ' I 1
No. Of Stories " 11 Admin. Action
1 Zoning Use r �
Pees: COVO [125.001 Ch. Occ. [ .001
Special.? t0i [ .051 Tot is 1125,001
Building Appr. [ED 3 Building Date
' 82319991
Land Use Appr� ERR 3 Land. Ilse Date
72619991 COFO Nbr IT00 5621
Issued By CEGD3 Issue Date
9:1i999j Certificate P, *nted g (11i
Utilities* Gas Date- 3 El,ec.Date
j Aelea. zed. By ( 3
C
3,
PCV ( -FOR24 1I LTAX (
l Col 13 } Row I 1 P45a 21 Suzi
J
T,zancode. (PERMIT)
C O M M V N x T
Y D E
V E L 0 P M S' 'O T
C90701
Function: CRSTI
P E$ M i
T H
S, S T 0 A X
$C I I
C ] t
) CE0075217
Address [15209)
[SPRINGDALE � C �
till a
jPLEASE CONT11WE
Unit
Permit issued Status
Effective
BuIldlog Use
Link
Pge
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