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