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Home My WebLink About15231 Springdale St - CofO (2)9 a. APPLICATION FOR CERTIFICATE OF OCCUPANCY �'1� �3 CITY OF HUNTINGTON BEACH %ice' DEPARTMENT OF COMMUNITY DEVELOPMENT DATE NUPInNMON. BEACH (PRINT OR TYPE ONLY) a52 2 D121y� NCst 1�A%L G `J� i • �) A District Address Tel f �MMUG!-4CM "C� y Business Name 1�{ G� J€iL'l Occ. Group Business Type LM I BUSINESS QWNERWANAGER BUILDING G OWNER T �t T E Name_ ---- Name �0 VE t r�'} Home _ �- y 26414- I-A51010 Address - K 4q t Address '1^— ZQO % Home Te:.-�1-�� City—' C Z7 Tel 14— Cityr-��= fJ�— Ar%L Z3 192691 0166—a44 4 TR�H--I}}S USE WOULD BE DESCRIBED AS: CHANGE OF OCCUPANT El BUILDING EWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER L ❑ CHANGE OF USE ADDITIONAL C .CUPANT GdTp((2ti� Occupancy Gr Div Indicate former use, if any V SOUARE FT. OF BUILDING To BE OCCUPIED it NOTICE: 1. Occupancy of any building is prohibited and abusiness license will not be issued until thebuildiny has been tf inspected and a certificate of occupancy is issued.been 1. No electrical service will be released for anca in an existing Iding buildinguntil arethe requ rservice ed tons schedule aneelectrical certified safe. All applicants for occupancy application is filed, r fuse up` inspection in the Department of Community Development at the time this bh 3. Change of occupancy or USenfi a chafon fee. Whenever it is necessary to makenge may made in the character of occupancy or�use of the building i di g premises m order to determineu or premises which would place the building in a different division of the same group of occupancy or different group of occupancy, a change of occupancy inspection fee of $ be paid to the city, building numbers must be 4, Huntir . an Beach Fire Code Se ziositn 0roke, and sof a cacontrasting color from thebackground. These inches in he with one half ( ) inch numbers must be posted on your building in'a location that is visible from the street. 5, Huntington $each Fire Code Section 10.301 requires fire extinguisher selection and distribution per the Via" National Fire Protection Association pamphlet 10 (see reverse side). { r: 2- -l3 (FOR OFFICE USE ONLY) ZONING f r SUPPLEMENTAL INFORMATION. NO, RKING SPACES _ PLAN CHECK NO: _ACTH DEPT APPROVAL OCCUPANCY G^OUP_ PERMIT NO. OCCUPANT LOAD -- ADMJN. ACTION UTILITIES RELEASED-- NO. OF CTORIES GL 3 CERTIFICATE OF OCCUPANCY F S DATE CHANGE OF USE OR OCCUPAN Y FEE g--- P ROV.. BY TOTAL COMMUNITY DEV LOPMEN'T i -039 Rev. 11190 SUPPLEMENTAL INFORMATION 1 5 Z 1. BUSINESS ADDRESS p 2. Person to contact H^ case of emergency. 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? ❑ No 4. The building is sprinklered? ❑ Yes No 5. Operations will produce dust/wood shavings or similar material? O Yes No 6. Operations will involve the repair or replacement of ❑ Yes No automobile parts? If Yes: (a) Describe the components repaired or replaced. Yes No (b) Does the operation involve the use of an open flame? 7. The -business is drinking, dining or assembly use that will result in an occupant Toad of more than 50 persons. Yes No ' 8. The following best describes m;• operation; Office Only Retail Sales Warehouse . '�ranacturiIlgl istrihu" on (de`scribe process and and product) N U r�}CT v'14,� : 4-:S 6-iu 4� Ly F il/IG--1�! t - r Restaurant / Take Out Food Medical / Dental Other (describe) SUPPLIMENTAL INFORMATION t SUPPLEMENTAL INFORMATION (Continued) Does the operation. involve :any of the following: #aterials? Ye. m ❑ No If 'Yes, indicate quaritities,. Material _ Quai tity -�-- 1. Flammable liquids Class I -A_ — Class I - Class I-C �.._•__. ?_. Combustible liquids Class 11 Class 111-A 3. Combination flammable liquids 4. Flammable gases 5. LQ,uefied flammable gases 6. Flammable fibers - loose _ 7. ,Flammable fibers - baled ___.._— 8: Flammabl� —e solids 9. Unstable materials• i 10. Corrosive liquids 11. Oxidizing material -gases C, ' 12. Oxidizing material liquids ?cj7 ga.Q2 'Oxidizing) material -'solids -_— _ 1 14. Organic peroxides �}L.—94 2��5,�Lri10 15. Nitromethane (unstable materials) 16, Ammonium nitrate _ 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weight 18. Highly toxic material and poisonous gasi:. 19. Smokeless _powder" 20 . : $lack sporting powder t' F I hereby certify that Me -above information is true and correct to the Wiest of m knowledge. f �q� r 4)) ature 4 I a City f Huntington Beach 2000 MAIN STREET CALIFORNIA92648 DEPARTMENT CAP COMMUNITY DEVELOPMENT 1 Bull iing 536-5241 E' Planning 536-5271 j Housing 536-5271 i I Government Code Section 65850.2(b) requires the City of Huntington i 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 q` (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 can be obtained either at the Building Division or at AQMD. Is 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" answersinthe list, the applicant ! must contact an AQMD engineer by calling (714)`396-2000 to F find out whether air permits are required for the proposed construction project. 4. If air permits are not required, the applicant will obtain ` a writtenrelease from AQMD. 5. If air permits are r.cquired, the applicant must submit the necessary permit applications_ before the release can be issued. s Because of the time it may take for AQMD to go through the above procedures, the applicant is advised to contact AQMD immediately' r after applying for Building permits. { (136'0D) r t i I SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings only) Location of Subject Property:1 !25 Z 3 / -3 3 2t n% 7� Property Owner Name:--10/ Phone Name of the Person Preparing this form in print and signature Name: 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 QUESTION MARK IN THE "YES" COLUMN: aMD PERMITTING CHECKLIST y 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. Does -our facility 'plate or coat anything? 6. Does your facility have any combustion equipment i.e, boiler, furnaces, broiler, baking ovens, X_ etc.) rated greater than 2,000,000 BTUlHR? 7. Does your facility handle or store solvents or motor fuel? 1 - 8 Do you use or store any acids? 7 ��- 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 J F charbroiler, body shop, gasoline station, printer, or past coater? �_ l 12.Is the subject building located within cnc- 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 I the "YES" Column you must contact the South Coast Air Quality r Management District located at: 21865 E. Copley Drive Diamond Bar, CA ;91765-4182 t' Please call.: Plan Check (7,14) 396-2000 ; (136OD-2) AM L f i F APP. 29 '93 09:47A)i SCA011D DIRNOVVIDBAPCAL P.L/2 1 South Coast AIR QUALITY MANAGEMENT DISTRICT a 21865 E. Copley Drive, Diamond Bar, CA 9i 765.4182 (909) 396-2000 DATE: April 26, 1993 TO: Huntington Beach Building Department i- FRO::: Arthur Lawler, Air Quality Engineer F; SUBJECT: BUILDING PERMITTING UNDER AB3205, WATERS SILL i Regarding PLAN CHECK #: N LOCATION: Immuchem TechnologY Inc. 15231 Springdale Huntington Beach, CA. 92648 This site has 'met or is meeting the requirements of Secti-!n 42303 of the Health and Safety Code and the requirements for a permit to construct and operate for the South Coast Air F' t, Quality Management District APPLICANT HAS ALL REQUIRED PERMITS FROM THE SOUTH I COAST AIR QUALITY MANAGEMENT DISTF.ICT FOR THIS SIDE AND; OR PLAN CHECK ONLY. APPLICANT HAS FILED FOR PERMITS TO CONSTRUCT � EQUIPMENT WITH Ti?E SOUTH COAST AIR QUALITY MANAGEMENT DISTR:CCT. t X APPLICANT IS EXEMPT FROM PERMIT REQUIREMENTS AT E 1 THIS SITE AND/OR PLAN CHECK ONLY. I t ' :55 Gallon storage