HomeMy WebLinkAbout15235 Springdale St - CofO4
CERTIFICATE OF OCCUPANCY 6/a7/95
CITY OF HUNTINGTON BEACH
Date t
Address 15235 SPRINGDALE District
LARLAS SYSTE14S
Business Name Tel.
Business Type _QFFICE Occ. Group S2
BUILDING OWNER
BUSINESS'OWNERIMANAGER
'VON DER kNE PARTNERS
LOU SCHWAB
Name
Name
F
Addres 6�l4U LA ALAMEDA
3Op Home 430 CALIFORNIA
Address
MISSION VIEJO
345-96,J NORCO Home 9;.,9-73 —3365
City Tel.
City - Tel.
11
Construction No. of Stories
Occupant Load Sprinklers
1
CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY DEVELOPMENT
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This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the
by
Building Official
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COMMUNITY DEVELOPMENT$
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0.
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNn4GtoN wAoi DATE
(PA1N7 OR TYPE ONLY) ><!
Address District
Business Name TeL
Business Type Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name V4261 49 ,14 AA6T 134A7AI/ PS Name 4" SG�i w
�1�05/4�0 G� //G�tilcO.`} SyirE 3C0 riome/jai GGivp
Address Address
F»S
City d fi6.S1,041 CA. 4.769/ Tell/44 TeL> 336
1��HIIS USE WOULD BE DESCRIBED AS:
0 EWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER
I EXISTING BUILDING ❑ CHANGE OF USE
Indicate former use, if any
SQUARE FT. OF BUILDING TO BE OCCUPIED
E CHANGE OF OCCUPANT
❑ ADDITIONAL OCCUPANT
Gr Div.
TRAFFIC IMPACT FEE r�
{
i DATE PAID --
AMOUNT RECEIVED
NAME
(FOR OFFICE USE ONLY)
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ZONING )—
SUPPLEMENTAL INFORMATION
Z
OCCUPANCY GROUP
PLAN CHECK NO.
NO. PARKING SPACES
OCCUPANT LOAD
PERMIT NO,
HEALTH DEPT APPROVAL
NO, OF STORIES
ADMIN. ACTION
_ UTILITIES RELEASED
-Y
- 7''C
CERTIFICATE OF OCCUPANCY FED
/
F � OVED BY
DATE CHANGE OF USE OR OCCUPANCY
FEE $ HU f
TOTAL
$ 1
75.039 Rev, 11/90
COMMUNITY DEVELOPMENT
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1
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS /-f7--3 S/��, �cDACe ST
2.
Person to contact in case of emergency -
Telephone number: 9oS 73Y 3GS
3.
Does the building in question have electricity?
Yes
0 No
(a) If No, are you requesting that the electricity be
❑ Yes
turned on?
❑ No
' 4.
The building is sprinklered?❑
Yes
El No
5.
Operations will produce dust/wood shavings or similar
material?
❑ Yes
-0-N o
f
o.
Operations will involve the repair or replacement of
❑ Yes
E
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automobile parts?
2-No
I Yes,
(a) Describe the components repaired or replaced.
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(b) Does the operation involve the use of an open flame?
❑ Yes
I!
Cl No
7.
,'he business is drinking, dining or assembly use that will
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result in an occupant load of more than 50 parsons.
n Yes
No
a
8.
The following best describes my operation;
ffi ee Onl
P
Re°tail Sales
Warehouse
r.
Manufacturing / Distribution (describe process and end product)
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Restaurant / Take Out Food
Medical / Dental
Other (describe) —
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SUPPLEMENTAL INFORMATION
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SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials?
❑ Yes
No
If
Yes, indicate quantities:
_
Material Quantity
1.
Flammable liquids
-
Class I -A
Class 1-B
Class I-C
E
2.
Combustible liquids
;
I
Class II
i
Class Ili -A
3.
Combinatiui, flammable liquids
w 4.
Flammable gases
5.
Liquefied flammable gases
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6.
—
Flammable fibers - loose
7.
Flammable fibers - baled
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8.
Flammable solids
9.
Unstable materials
10.
Corrosive liquids
1.1.
Oxidizing material - gases
12.
Oxidizing material - liquids
k
13.
Oxidizing material - solids
14.
Organic peroxides
F i
15.
Nitromethane (unstable materials)
16.
Ammonium nitrate
F
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
18.
Highly toxic material and
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poisonous gas
19.
Smokeless powder
20.
Black sporting powder
I hereby certify that the above information is true and correct
to
the best of knowledge.
pmy
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Signature Date
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Government Code Section 65850.2(b) requires that the City of F- tington Beach not issue the final
certificate of occupancy unless the applicant has met or is meeimg the requirements of tthe South
Coast Air Quality Management District (AQMD). The Department of Community Developn;?nt must
obtain a written release from AQMD to show the applicant has complied with this law. The check
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list on the reverse side is designed to help the applicant and the building division to meet these
requirements.
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1. The applicant (the same person whc applies for permits from the
Department of Community Development) must complete the check list
which can be obtained either from the Department of Community
Development or at AQMD.
2. If all boxes in the list are checked "no", the Building Division can accept the
check list as the release.
4�
3. If there are any "yes" answers in the fist, 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.
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4. If air permits are not required the applicant will obtain a written release from
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AQMD.
5. If air pen -nits are required, the applicant must submit the necessary permit
applications before the release can be issued.
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Because of the time it may take for AQMD to go through the above procedures, the applicant is
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advised to contact AQMD immediately after applying for building permits.
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ADDITIONAL SUPPLEMENTAL INFORMATION
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_ .. eY'_ .w. � .'Z. v E _ _._..
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
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Location of Subject Property:_
Property -.---Phone
Name of the person preparing this form in print and signature:
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Name:_.Lam Scw3. --- ---- -- Sig nature. c�
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 bt.i►ding. IF YOU DO NOT KNOW
THE ANSWER TO A QUESTION, MARK IN THE "YES" COLUMN:
AQMD PERMITTING CHECKLi;.T
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YES NO
1. Does your facility use any internal combustion engines greater than,50HP?
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2. Does your facility invoive mixing, blending, or processing any sc:vents,
- -^
adhesives, paints or coatings? t---
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3. Does your facility create any dusts or smoke?
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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.) rating greaier than 2,000,000 BTU/HR? _
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7. Does your facRity handle or store solvents or motor fuel?
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8. Do you use or store any acids? _
9. fro :you use any chemical process?
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10. Do you use any solvents for clean-up?
11, Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline €
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station, printer, br part coater? _
12. Is the subjEot 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" column you must contact the South Coast Air Quality Management District located at:
21865 E. Copley Drive
Diamond Bar, CA 91765-4182
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Please calf: Plan Check (909) 396-2D00
3
I �17
APPLICATION FOR CERTir NCY
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CITY OF HUNTING T Ott BEACH �
DEPARTMENT OF COMMUNITY DEVELOPMENT
wurrrux.7tRvnar CfATE
tpratN r nu Tvea aNi,YJ
Address� Y 4 vA- C A District
Business Name 0)3,
t7 C_
6 0. Mil � Oea Group -
Business
f. iype_
j— BUIi ING OW BUSINESS OwP]ERIMANAGeA
Marne— _�" � �`+� CUC-
Home
Address z} L -.Ce ` Address
City ,i�`'t�. V\ > t �— Tel ,_.� City 1Jt l'C r � Nome Tel-
' HIS USEWOULD BE DE,50RISED AS:
Ell td WLY CONSTRUCTED BLDG FJ CHANGE OF OWNER %,CHANGE OF OCCUPANT
3
EXISTING BUILDING 0 C14ANGE CF USE � ADDITIONAL OCCUPANT
Indicate former use, if any 9' W ��... s can ney or:�____:�. Div
-vim
SQUARE FT. OF BUILDING TO OCC P» a �
NOTICE* 1. Occupancy ofany building is prohibited and a business license will not be issued unfif the buildinghas been
inspected and a certificate of occupancy is issued.
2. No electrical service will be released for any existing building until the service has 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 timethis application pis filed.
3. Change of occupancy or use itispectivn fee. Whenever it is necessary to make inspection or a building or
premises in order to determine if a change may be made in the characterof occupancy oruse of the building
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 $ - shall
be paid to the city.
A, Huntington Seach Fire Code Section 10.208 requires that building numbers trust be,a minimum of four (4)
' inches in height with trait (1,12) inch stroke, and of a contrasting color frum the background. These
nurribers must be posted on your building in a location that is visible from the street.
S. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National fire Protection Association pamphlet 10 (see reverse side).
Ott
TRAFfIC I11. PAIC T FED
t r J P,p.Z
A i01" i l"QED ' (POR OFFICE USE ONLY)
NAME ZONING;
OCCUPANCY PLAN CHECK NO NO PARKING SPACES
OCCUPANT LOAD � PERMIT NO _ _ .._. - HEALTH DEPT, APPROVAL_
No. OF STORIES ADMIN ACTION— V tLffltS RELEASED
CERTIFICATE OF CCU: UPANCY FEE �
'kPPfJOVE s BY GATE CHANGE OF USE CR OCCUPANCY FEE $
TOTAL S j
t .kP?L1C LT10N FOR CYRTIFICATE OF OCCUPANCY
ciT`� o uNTIN �`O BF-4--CH CAI - EP RTIMEIN + BUILDING �%
Cr< (fir . 1-'loot- - Witst.Apply lie-Peisolr}
Business License .'
DaTe
Address j, Fb6€.EAC16 rfntTln� i� C
$tf sine wane�a61 S-t� C S G LC �1 _ l: elepl� oneo—t! c� - o 0
Busir_ess Type
—Information BCisilless o lg,r
Hanle V�'l Nanaz,4ttt/r421:f/�ZRI/�
_Address � � l 1 � ,3 -Ili-Hnznc Address � � � � t o i r ��
i 0� : "i2� t i oCity : 'W vt n, F-, 6p . 9 z 6 (�r Tel. `i
city MIS s i ,ti-------T—
THIS -USE WOULD BE DESCRIBED .AS:
IJNewly Constructed Building or gExistin- Buiidina
CHECK ALL THAT APPLY.
OChange of Owner iCh�rlae of Occ tpant C]Change of Use 'ClAdditional Occupant
Indicate former use if and
Floes the building have electricity? Yes No U
If No, ark ycurequesting that the electricitybe'turned on? Yes No
The building is sprinkler; d? Yes No
operations will product dustINvood shavings or similar material? Yes No
Operations will involve the repair or replacement of automobile parts Yes Q NO
if yes: Describe -die compozlents repaired or replaced,
t'
Does the operation involve, the else of welding or flame? Yes No
A open n as
The business is driji c ng, dining or usembl-v UP that will result in all occupant loa 4
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of morethan SO persons. Yes I i
Th�SalloNviYta best describes my operation:
)MOffice only QRetail Sales CIMedzcal/Dental ORestaurant/Take Out Food UWarehouse
CQatiranufacturiug/Distribtition (describe process and end product)
Other (describe)
Office Use Only; (?cc Group, Occ Load:__ �.
! Znzrizia: Sq Ft Occupied; i
1
:- Parking Spa, es TIF Revie��r; Y1r An
3� m Stories: i'nid 3Er"Off Final tnspeccinn
Building Perm t �- _ Entitle syzat ,
ts. �, fit. 7rt+[!i L✓'v� k {yt !`� RI
Comn�ezz I CafO k,
Plazu1ez Initiazs. """ Bldfz/Plat Checker Inlas s
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