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HomeMy WebLinkAbout15215 Springdale St - CofOri=`aesir+rr+'�+1r i�iY lw3:Yl.F3i W+PwvNv✓ '�'iu�r'i"w ,'v ,.Yd.i •.. '.'�'� �•�• CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEA.,H Date Address 1 r 1 S5z T Rt District Business Name SLC—PITCH F IZZ A _ _ Tel. fi:E.Tft' UR A E T Occ. Group P Business Type - BUSINESS OWNER/MANAGER BU!LDING OWNER PJarne Name `f`� j i n Home t r C INC.k l-' Address1aLAt''E�' Address - -- t E:I-CSI , N IE3C Tel, yz;�'C�i C City EtE' , U!' Home City c Construction No.. of Stories Occupant Load _ Sprinklers CONDITIONS OF APPROVAL • 7 3 h J` APPLICATION FOR CERTIFICATE OF OCCUPANCY ' CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT HUNT1NCTON BFACN (PRINT OR TYPE ONLY) DATE Address ` •� District ZIuiness n e s s Name eLU �z Tel. Type Occ. Group BUILDING OWNER BUSINESS OWNERWANAGER /ale r��i/A-% � Name j AU 1 M — � �� L " � I� �tG 4 � C9} Add �s � � a ,� / L� �% ityt 551r� 1-� G11-�-D Tel. �r`�U ity —7!'7/ Home Tel._ ` �� _" y THIS USE WOULD BE DESCRIBED AS: NEW!_Y CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, it any �� %-YYyZ} Occupancy Gr._—Div OUARE FT. OF BUILDING TO BE OCCUPIED j p NOTICE: 1. Occupancyuf 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 be released for any existing building until theservicehas 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 i i .i ' P t Is necessary to make inspection of a building or i In ord 'premises_er to determine if a change may be made in g y the character ofoccu pancy oruse,ofthe building or premises which would place the building in a different division of the same group of occupancy or in a P Y different group of occupancy, a change of occupancy ins 9 P inspection fee of Y P $ sh all 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 (1/2) inch 'stroke, and of a contrasting color from the backgr<,und. 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 -,election and distribution per the National Fire Protection Association pamphlet 10 (see reverse side); (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION ZONING i OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES OCCUPANT LOAD q PERMIT NO: HEALTH DEPT. APPROVAL NO. OF STORIES ADMIN. ACTION UTILITIES fl_LEASED v CERTIFICATE OF OCCUPANCY FEE $ At Is A PROVED DATE CHANGE OF USE OR OCCUPANCY FEE TOTAL 75-039 Rev. 11/90 COMMUNITY DEVELOPMENT _Ll `'" h SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 15 PV S '5AIZI j4 0 ?Z'-e- 2. Person to contact in case of emergency- �0 Telephone number: 3. r Does the building in question have electricity? ❑ Yes No (a) If No, are you requesting that the electricity be Yes turned on? No 4. The building is sprinklered? Yes ❑ r,I o 5. Operations will produce dust/wood shavings or similar material? ❑Yes t No 6 Operations will involve the repair or replacement of ❑ Yes automobile parts? 0No If Yes: (a) Describe the components repaired or replaced. ❑ Yes (b) Does the operation involve the use of an open flame? No 7. The business is drinking, dining or assembly use that will result in an occupant load - of more than ' 50 ` persons. [ Yes ❑ No 8. The following best describes my operation; Office Only _Retail Sales Warehouse Manufacturing/ Distribution (describe process and end product) Restaura Take Out Food Medical / Dental Other (describe) SUPPLIMENTAL INFORMATION SUPPLEMENTAL ' ANFOR'MATIO (Continued) i Does the operatioriy "involve arty -I the` foil.owing materials? Yes Ci No It des:, indfcatek q;uantitles,; . uantit;r Matenwl'Q 1. Flammable liquids Class I -A 'Class l-B---__-------_.�.� Class l-C - �. Combustible liquids Class It --- Class 111-A &Combination flammable liquids -. , — ---_ _� TF abIO 2 gases Ut �? Y z5j2rf-m (�� ��• j� u.- i5 i uefied flammable gases 6.'`` Flammable fibers - loose 7. Fiammable fibers - baled 8. Flammable solids 9. Unstable materials 10: Corrosive liquids 11 Oxidizing matei.r.l = gases 12 Oxidizing material - liquids 13; OxldIzi.ncg.. material -:solids 14 -"'Organic peroxides g 15. ANitromeihane (unstable materials) 16,, Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weight 18. Highly toxic material and poisonous gas 19., Smokeless. povdder. . 20, Black sporting powder i her ert'fy, that the; above information. is true and correct to the est Signature Date �F } 'I O Ja * City of Huntington Beach 2000 MAIN STREET CALIFORNIA 92648 +' �wT ' r DEPARTMENT OF COMMUNITY DEVELOPMENT Building 536-5241 Planning 536-5271 z Housing 536-5271 i Government Code Section '5850.2(b) requires the City of Huntington Beach Building Division not to issue the final certificate Of - occupancy ,unless the applicant has met or is meeting the requirements of the South Coast Air Quality Management District (AQMD). The 'Building Division must obtain a written rfglease from AQMD to show the applicant has complied with this law. The check list on the reverse side is designed to help the applicant and the building division to meet these requirements. 1. The ; applicant (the same person who applies for *permits from the Building Division) must complete the check list which t can be Obtained either at the Building Division or at AQMD. 2. If all boxes in the list are checked "no", the Building Division can accept the check list as the release. 3. If there are any "yes" answers in the list, the applicant must contact an AQMD engineer by calling (714) 396-2000 to find out whether air permits are required for the proposed construction project. 4. If air permits are not required, the applicant will obtain a written release from AQMD. 5. If air permits are required, the applicant, mustsubmitthe necessary permit, applications before the release can be issued. Because of the time it may take for AQMD to -go through the above — v' raat a� i .leiu sitL`[tCl1la LC ty aft,er__. �...... .. _., applying for Building pef ri r,_ (1360D) �.... r, SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property: �.� D� i }k) l�L. <_ r Property Owner Name; udAJ Phone # Name ofthe Person Preparing this form in print a d signature Name:, i�r-iL) 2y 91 �l�S Signature: The person preparing _-this -form must be the same person applying for i 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: AQMD PERMITTING CHECKLIST YES NO 1. Does your facility use any;internai 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 or reclaim any metals? 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/HR? 7. Does your facility handle or store solvents or motor fuel? 8. Do you use or store any acids? bC —�-" 9. Do you use any chemical process? 10. Do you use any solvent's for clean-up? 1,, Are you a dry cleaner, restaurant with a charLroiler, body shop, gasoline station, printer, or part coater? 12. IS the subject building located within one thousand (1,000) feet of any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. Ir 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 -tath , -_. C _ _ l..he. "YES" CnIiimn yn11 rnsiC4- --tact yV ...... cs. ai V a...1.: L tilt S1: W d 11 (,�/ Management District 'located Vat: 21865 E. Copley Drive Diamond Bar, CA 91765-4182 Please call: Plan Check (714) 396-2000 (1360D-2) ; CERTIFICATE OF OCCUPANCY r c CITY OF HUNTINGTON BEACH = ,f ` 1 / r I' ' Date Address 1 ` : _ ' T r. r t District i SLC —Faa 1 F 2.2s Tel. i Business Name LL IrZ'F U�.:.i:! Occ. Group Business Type ` BUILDING OWNER BUSINESS OWNER/MANAGER VCe, tat. ALL Name - Name. AddressL.L� L: LI.�F.F;1� Home Address F t?Cr_i � I yiVi:11!�.JZ. tome i; r " ^ /t c .Gf C: City TeTel.F _ C j r .: Tel, City y Construction No. of Stories .Occupant Load Sprinklers ! CONDITIONS OF APPROVAL ll t R i r � DEPARTMENT OF COMMUNITY DEVELOPMENT 1 This Certificate of occupancy SHALL BE posted in a conspicuous place on the �✓f and shall not be removed except by the by �' premises �� Building Official. l 1` COMMUNITY DEVELOPMENT t i a 1 r i 1 I 1 • i. HIJNTIN .(TON iE4Oi 7 3 krh (PRINT OR TYPE ONLY) DATE A!/ ddress ! �4/`�1/�l!l2 District Ziness Name \ L r/ l � � L` / �! z Tel Ziness Type S � G� Occ. Group fBLIILDIN:; OWNER n BUSINESS OWNERIMANAGER Na 'L9 oQ i� Akddre 5— �' 6:"o Xu A' d ss ,ty Lcl�r, N ��� G _ TeI I!Y E�G l7 Home Tel. ' THIS USE WOULD BE DESCRIBED AS: d ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER �' CHANGE OF OCCUPANT t , EXISTING BUILDING ❑ CHANGE OF USE El ADDITIONAL OCCUPANT Indicate former use, If any 1-96 % %} Occupancy Gr -.-Div 1 QUAKE FT. OF BUILDING TO BE OCCUPIED ! 1 � I NOTICE: of n building is prohibited and a business license will 'not be issued until the building has been i 1. Occupancy a y g 1 inspected and a certificate of occupancy is issued. 2. No electrical service will be released for any existing building until If, , service has peen inspected and j 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. hy/f 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 of the building k or premises which would place the building in a different division of the same group of occupancy or in a different group of occupancy, a change of occupancy inspection fee of $ shalt be paid to the city. 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) J d �► �'�� inches in height with one half (J1z) 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 Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the I National Fire Protection Association pamphlet 10 (see r3verse side). I (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION ZONING I OCCUPANCY GROUP PLAN CHECK NO NO PARKING SPACES OCCUPANT LOAD q PERMIT NO HEALTH DEPT APPROVAL — NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED L L✓ -3 CERTIFICATE OF OCCUPANCY FEE $ APPROVED DATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL S 1 75-039 Rev. 11190 COMMUNITY DEVELOPMENT w i r a I _ f APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT SUPPLEMENTAL INFORMATION r V;zG 1. BUSINESS ADDRESS 2. Person to contact in case of emergency' 9-10237� Telephone number: 3. Does the building in question have electricity? ❑ Yes No (a) If No, are you requesting that the electricity be Yes turned on El Non? 4. The building is sprinklered? C Yes 5. Operations will produce dust / wood shavings or similar ❑ Yes I material? IS No I ► 6. Operations will involve the repair or replacement of ❑ Yes INo i automobile parts? If Yes: (a) Describe the components repaired or replaced. , F; r. r , ❑Yes Y No I (b) Does the operation involve the use of an open flame? 7. The business is drinking, dining or assembly use that will [ Yes result in an occupant Load of more than 50 persons. ❑ No 8. The following best describes my operation; i Office Only Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) I Restaura Take. Out Food :iical / Dental i Other (describe) y SUPPLIMENTAL INFORMATION i r I 1 , SUPPLEMENTAL INFORMATION (Continued) Does the operatior= involve any of the follc w,ng Y6 El No If Yeas, indicate quantities: Material Quantity 1. F ammable liquids Class I -A r Class I B Class I-C r r 2. Combust?ble liquids Class li Class Ill -A Combination flammable liquids 10 Fmablgases 4 L �oZ rla��i 4�— 5. Liquefied flammable gases 6. Flammable Iibers loose Fianimable fiber's baled $. l iammable soiid� Unstable materials 10. Corrosi��e liquids 11 Oxidizing material - gases 12. Oxidizing material Liquids 13; Oxidizing r►ater'lal - solids - a 14. Organic peroxides 15, Nitromethane (unstable materials) J 16. Ammonium nitrate 17. Ammonium nitrate compound -mixtures containing more than 60% nitrate �. by weight i 18. Highly toxic material and poisonous gas 19. Smokeless _powder i 20. Black sporting powder � I here rert'fy that the above info; mation is true and correct to - the est y kno�NlP.dg� --- I Signature Date r -Aidk% _ AML a r R J�! City of Huntington Beach �i— 2000 MAIN STREET CALIFORNIA 92648 DEPARTMENT OF COMMUNITY DEVELOPMENT Building 535-5241 Planning 536-5271 Housing 53C-5271 i I L Government Code Section 65850.2(b) requires the City of Huntington Beach Building Division not to issue the final certificate of occupancy unless the applicant has met or is meeting the requirements of the South Coast Air Quality Management District (AQMD). The Building Division must obtain a written release from AQMD to show the applicant has complied with this law. The check list on the reverse side is designed to help the applicant and the building division to meet these requirements. 1. The applicant (the same person who applies for permits from the Building Division) must complete the check list which is ` can be obtained either at the Building Division or at AQMD. E. 2. If all boxes in the list are checked "no the Building Division can accept the check list as the release. 3. If there are any "yes" answers in the list, the applicant must contact an AQMD engineer by calling (714) 396-2000 to find out whether air permits are required for the proposed construction project'. 4. If air permits are not required, the applicant will obtain a written release from AQMD. 5. If air permits are required, the applicant must submit the necessary permit applications before the release can be issued. I. Because of the time it may take for AQMD to go through the above C _ ..rr- .. i.: -:�uc. i. .-iuiZ.i si��ilcLLl a�Cly after applying for Building permits. (1360D) F 1 7 r I - - .j SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property:_ l S���)/J(.M% L.<_ Property Owner Name: Qdti /)r /t Phone #_311;f 506 Name of the Person Preparing this form in print and signature Name: I)YaU 2 L �-� �eS Signature: The person preparing 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 QUESTIONMARKIN THE "YES" COLUMN: AQMD PERMITTING CHECKLIST YES NO 1. 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 ` or reclaim any metals? 5. Doss 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/HR? 7. Does your facility handle or store solvents o_ motor fuel? 8. Do you use or store any acids? _ 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, 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? _ PROPERTY LINE TO PROPERTY LINE. GRADES K-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" Cnliiml yn11 t1 - L l LL LL ha u3. th �.VaJL Al, �2ud11Ly Management District located at: 21865 E. Copley Drive Diamond Bar, CA 91765-4182 Please call: Plan Check (714) 396-2000