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HomeMy WebLinkAbout15237 Springdale St - CofO (3)APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF Hk;!hlTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT kiuNiatiK rort aA01 (MINT OR TYPE ONLY) DAT f t District Address _ , ,t. .< Business Name Tel Business Type a - C?cc. Group - BUILDING OWNER S SINESS OWNERIMANAGER NameName_. r _Yt y ra...' Home "`^ Address � Address"ib j b 7 n t x rtr r ✓�' 1 �c City i"r � 3-�a F� rt? �'=" Teil E Y �y} p Horne Te } THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT j EXISTING BUILDING G CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any. Occupancy Gr. Div t SQUARE FT. OF BUILDING TO BE OCCUPIED , �E�+TiG 1Occupancy of 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 the service has beer) 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 tfic time This application is filed. 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or t premises in order to determine If a change may be made in the character of occupancy or use of the building or premises which 'would place the t jilding in a different division of the same group of occupancy or in a diiferert group of occupancy, a chang,� of occupancy' inspection fee of $ shall be' paid to the city, 4. Huntington Beach Fire Corte Section 10,208 requires thatbuilding numbers must be ami,Iimum of lout(4) ? : inches in height with one half (1/2) 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 k National Fire Protection Association pamphlet 10,(see reverse side), �•--'t�1 DATL PAD _ i~Ei9 OU . ., . (FOR OFFICE USE ONLY) ZONING i ' — OXUPANCY GRO PLAN CHECK NO _ NO PARKING SPACES OCCUPANT LOAD PERNtfT NO HEALTH DEPT 'APPROVAL O F STORIE ADMIN ACTION—___ UTILITIES RELEASED ICATE OF OCCUPANCY FEE APPROVEit LAY 0 TE CHANGE OF USE OR 0LCUPANCY FEE' TOTAL $ f... — - - �. BUSINtSS ADDRESS t 14 Person to contact in case of emergency �J�-- Telephone number:1�� Does the building in question have electricity? IYes n No (a) If No, are you requesting that the electricity be ©Yes turned on? "No 4, The buiidiiig sprinklered? Yes r D`No S. Operations will produce dust/wood shavings or similar material? l=! Yes ;. No (( 6, Operations will involve the repair ,or replacement of 0 Yes automobile parts? ,R No if, Yes: (a) DescriL:Q 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 asserr bly use that will result in an occupant load of more than 50 persuns. ❑ Yes e No, 8. The following best ' describes mu operation; ;k Office Only Retail Sales Warehouse manufacturing/ Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other, 'describe)� UPPLE ztEty� i t. 1*07,NIATI v a t SUPPLEME14TAL INFORMATION (Continued) Djoes the operation involve any of the following materials'} 0Yes It Y�s;..mlicate ttiiis:' Material. Quantity 1. Flammable liquids Class f.-A Class I B Class l-C 2. Combustible liquids Class l f' Class 111-A 3. Combination flammable liquids 4:7_, Gmmable gases . f i€faefi*d fiiamnabie gases s -.,flammable fibers - fecse haled /y�t�ye�ya M* 1F+r+.11amj �m�a�yble }fibers F l'KF F'4Gi��M1>iSri 4/ls�`^iolidav'T , yy�� r =ar �yh }�/✓� �Y +aw++w.+.+.w.-.�rv+ j �y� yy,i�;�"{. le materials C�{1 iisdhSiiJF 5.).ELi1 AGG �iS" r.res. urnua.+�n+'s.t wuara•w+a1 rnr+wwanw :t,> r. ' Corrosive liquids ''Oxidizing material - eases 1Z xidizln material - liquids t xidizin" material solid's 14, Organic peroxides <15. Nitrometbane (unstable materials M .":Ammonium nitrate 17, Ammonium nitrate compound riii Hires containing more than % nitrate b eilxt Ia. Highly toxic material and Poisonous gas i 9,, Smokeless powder M Black sporting', powder 4 1 ereb :certify that the ab ve informatio ''ls , true and correct to the best of "ledge. ig t late °� I APPLICATION FOR CERTIFICATE OF OCCUPANCY CITYOF HUNTINGTON BEACH - DEPARTT ' NT OF'BUILDIN x & SAFETY (3"' Floor - Afast Apply lit -Person) - Business License's Date Address "Z'b''- S.�'lt't.,{ i�l� �•',�.ir�ir` k Business Name ice-,, ��,�� t �tt����.., � Telephone^?ik ��r� lac, Business Type C� tom.` � � � 1' xx � r�- _dt �� �x'�1 n� f r�� � =��•.w. Fnter�et�cCo�ntaeItafuaalioxt Business Owner . Name �t t' --��, It Name Address,,"t'n t, .,1-- C. S� _ _ Home Address I r r,-111 VVI \k s tt elCity 3 . Tel. City Q THIS USE WOULD 13E DESCRIBED AS: ❑Newly Constructed Building or ZlExisting Building CHECK ALL THAT APPLY: ❑Change of Owner ZI Change of Occupant ❑ Change of Use ❑Additional Occupant Indicate former use; if any an ? Does the building Have electricity? Yes M No❑ i If No, are you requesting that the electricity be turned on? Yes ❑ No The building is sprinklered?' Yes 0 No r Operations will product dust/wood shavings or sinular material? Yes Cl INTo 0 Operations will involve the repair or replacement of automobile parts Yes ❑ No ❑ If yes: Describe the components repaired or replaced. s , Does the operation' involve the use of welding or open flame? Yes ❑ No Ca The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. Yes ❑ No The foliowing best describes my operation: MOffice Only ❑Retail Sales ❑Medical/Dental ❑Restaurant/Take Out Food ❑'Warehouse ❑ Manufacturing/Distribution (describe process and end product) ❑ Other (describe) Office Use Ottlj3:�, � ?oning: In: C. -7 7 ScI Ft Occupied: Occ Group Occ Load: Stories: _ Parking Spaces: TIF Review: Y/ N Amt Paid$. Paid BEFORE Final invewon Building Permit # Entitlement -9: Comm ents: Planner Initials: Bldg/Plan CtIet er k lam`\ Cofo 4 r N APPLICATION FOR CERTIFICATE OF OCCUPANCY" CITY OF HUNTINGTON BEACH - DEPARTMENT OF BUILDING & SAFETY (3r" Floor - Must Apply In Person) Business License # _ Date Address 1523r t '� i of 2- Y Business Name c Telephone t g 6 4;? R na � Business Type -_, c rt ►: `.� hmn'�� vw �}1 3W'La kXa+a,q� �2`lb '�� Business Owner Name Nae ��--���=-�� �? Name -bi l r3 Address. Home Address I WASygn .. City' 1 .t ` Bz<--rt c- Tel. 'r +x€= City 6 rk c- Lt Tel. 1 t �t g 14 6 t 10 THIS' USE WOULD BE DESCRIBED AS: ❑Newly Constructed Building or ®Existing Building CHECK ALL THAT APPLY: ❑Change of Owner ®Ctt hange of lOccupant Q-Chair of Use ❑Additional Occupant Indicate former Use, if any Does the building have electricity? Yes w No❑ If No, are you requesting that the eleetricity be turned on? Yes ❑ No ❑ The building is sprinklered? Yes ❑ NoCI Operations will product dust/Nvood shavings or similar material? Yes ❑ No Operations will involve the repair or replacement of automobile parts Yes ❑ No If yes:, Describe the components repaired or replaced. Does the operation involve the use of weldiag or open flame? Yes ❑ ` No C 'rine business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. Yes ❑ No U The following best describes my operation: ®Office Only ❑Retail Sales ❑Medical/Dental ❑Restaurant/Take Out Food ❑Warehouse ❑Manufacturing/Distribution (describe process and end product) ❑ Other (describe) Office Use Only: Zoning. Sq Ft Occupied: i� Occ Group; ! N Occ Load:- ; # Stories:_ Parking Spaces: TIF Review: Y/ N Amt Paid$, Paid BEF` REFinelIns pcctian ; Building Permit # Entitlement #: # , Commetlts: - �%AA t Planner Inntnals; Bldgll'lan C er t✓of0 .,... .__ E 1 South Coast Air Quality Manage3r►Pr;t District 21865 E. Copley Drive Diamond Bar, CA 91765-4182 (909) 396-35.29 htpp://www.agmd.gov r Air Quality Permit 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 determine if you need to obtain Clearance from the South Coast Air.Quality Management District (AQMD). Company Name:., �ca to Property Address:+ - City: 4nw,..-.� ' 8 C �,l Zip Code: 4 -j Ll 9 Contact Person: Title: Type of Business: _ �, - . ^ Telephone: () T71 L - 6q g i a Applicant: (print name) C , n C « , : - c _ Signature: 01. � + Will the facility'nave any of the following equipment. Yes ❑ NO Charbroiler Dry cleaning machine Spray Booth Printing Press (screen/lithographic/flexograpliic) Internal combustion engine (greater than 50HP) (excluding motor vehicles) Boiler/comb stion equipment (greater than 2 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge type dust filter/scrubber .Motor fuel storage and dispensing equipment • tiVill any of the following operations be performed? Yes ® I0 Application of paints or adhesives Etching, plating, casting, or melting of metals Molding and blending of liquids and/or powders Storage of acids, solvents, organic liquids; or fuels Production of acids, solvents, organic liquids, or fuels i Production of fumes, dust, smoke or strong odors • .1f you ansviered "No" to Moth questions, this checklist is your clearance from AQMD. • If you answered "Yes" to either. question, you must contact AQMD to determine if air quality permits are required. If perrriits are needed, AQMD will assist you in submitting permit application(s) and then provide you j -2121. with a. clearance leto r. You can call. AQIVM at their Small Business Assistance Office at (800) 388