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Home My WebLink About15241 Springdale St - CofO (2)1 I p C APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF DEVELOPMENT SERVICES—(L , IIVNn1K,roN t3rhQ1 :PRINT OR I VPE. rft.Y? DATE I i Address < �(21-1 District Business NamelJ�kly " ` >,o f'4'`l�� r ;� Tel F r Business Type .. cc Group_ _ BUILDING OWNER " �NE WANAGEI� U CZW t" Z Lr i, Name _.�C^_,' lle X � � ,� r c; e F' Name � l i I) ;-- 3� 1Hom Address s +'a / . ,— Address ram? < 4r(I > N Home Tel. , ,LL4 THIS USE WOULD BE DESCRIBED AS: 0 NEWLY CONSTRUCTED ELDia. 0t CHANGE OF OWNEIR n CHANGE OF OCCUPANT a f._: EXfSTfNG BUILDING L J CHANGE OF USE Q ADDITIONAL OCCUPANT -I Indicate farmer use it any __Gr,^cur)anry Car. Div, SQUARE Fi. OF 8U 3_DING TO BE OCCUPlbD__j1C1 i NOTICE: t Occupancy m any huilding i,4 prohibited and a business license will not be issued until the building has ' been inspected and a certificate or oc.Cupancy 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 Development Services at the time this application is filed. S Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or premises in order to determine it a change may be me(,- in the charac+er of occupancy or use of the buildmg or nremises which wculd place the bunting in differeIlt division of the Same group of occupancy or in a diffet'ertt group d: occupancy, a Change of occupancy inspection fee of shall no paid to the ci+y, ` 4 Huntington Beach Fire Code SecHon 10.208 requires that building numbers must be a minimum of four 0) inches in height half }inch "these vdi, one; t .'4 stroke, and of a contrasting color from the background. numbers must be posted of your Fuilding in a location that is visity,:e from tile street. " Huntington Beach Fire Code Section 10,301 requires; fire extinguisher selection and distribution per the National Fire Protection Association pamphlet tG (see reverse side) (FOR O-FICE USE ONLY) SUPPLEMENTAL INFORMATION Zi3NIPJC��" '�• QGCUPANCI GROUP ��e'' PLAN r�`HECr� NO _ _ _ _ _�" IJC1. PARK; N+I G S C:ES OCCUPANT LOAD PERMIT NO HEALTH DEPT. APPROVAL �-�� NO. OF STORIES _ _ _ ADMIN ACTiON" "`'�` UTILITIES RELEASED ' -zp,,-.CERTIFiCATE OF OCCUPANCY FEE 71� �"4; ~'� APPROVED BY DAI CHANGE ` 1— USE OR OCCUPANCY FEE $ TOTAL t CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH Date E Address District Business Name _ Tel. Business Type Occ, Group BUILDING OWNER BUSINESS OWNER/MANAGER Name Name Home Address Address Home City Tet. City TeL Construction No. of Stories Occupant Load Sprinklers CONDITIONS OF APPROVAL @ ` APPLICATION FOR CERTIFICATE OFDCCUPANCv CITY orHumr/woromBEACH DEPARTMENT nrCOMMUNITY DEVELOPMENT � .~�mo"�P,o^L~ ' Auuei^ | a~v",s`rvv~^LA�i -,~�1�!rr°<]��' ��'___—_______-- ' ' .~._`. � ^ . ' —C,ZU 7| THIS USE WOULD crDESCRIBED AS: wEVv1vr e�I cCCUPAwr � soo*nppr v^ � ` '1 Occupancy of any building is prohibited and a business license will not be issued until the building has be,, �inspected and a certificate of occupancy is issued2 No electrical service will be released for any existing building until the service has been inspected and I' � ^ ~ v ' �ment of Community Development at the time this applicatron is make inspection of a building or Premises in order to determine if a change may be made in the character of Occupancy or use ofthe building �or premises which would place the building in a different division of the same group Of Occupancy or in ` >different group of occupancy, a change of occupancy inspection fee of Sshall be paid to the cay. ' ^ 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a rnimmum Offour(4) ` inches'in '^~=.. _.". one .^". `., ."cn mm,� and 'x �avu color on ' ' ' . inust be posted on your building in a location that is visible from the sfreet. ` . 5 Huntington Beach Fire Code Section 301 , _ ' �^ SUPPLEMENTAL ^E,E,.~^.°,""M°,"° OFFICE USE ONLY) OCCUPANCY oCooeAwr/o^o --- ----- ��--- ---------'-- ` ` ] _-��=^—__�' � psnmr�s _ ,./x/r"n1 p, NO OF STORIES *rrPuXzvw/ o*�s' c,�wuc o' usp cnmz��wc,a� �/�-~--------------------- � rnrA, ` } ren39Rev. nmu ' ` .' ` , . ` h A SUPPLEMENTAL INFORMATION �A f N �. 4 �� .;`�i 1 - cf "� 1 fc r� Ly1r, 1. BUSINESS ADDRESS III: 2. Person to contact in case of emergency' 0, alp Telephone number:I 3. Does the building in question have electricity? i Yes ❑ No 'i (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No j ' 4. The building is sprinklered? ❑'Yes ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes 12-N o 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? P `4o If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes B-No 7. The business is drinking, dining or assembiy use that will result in an occupant load of more than 50 persons. ❑ Yes 2 No 8. The following best describes my operation; Office Only Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) w l Restaurant /Take Out Food Medical / Dental ' Other (describe) 1-h v" i c`(�tia 1 \ } C�� VACA C1 C�a �=�?C %tC�� i t) i I I" SLIPPLIMENTAL INFORMATION ` SUPPLEMENTAL INFORMATION (Coo*;n,md) 12.()xkjizxng ,uatonal _ kou,da � . 12 _________.___ 0,�idl.zing material - a(-thdm � 7 ` -------------------------------------------'------------' 14� Organic peruxides � ` i5 � K|i�ro�ethao� (unyte�le ma�enm/x} ) ~ �S Annmonium nitrate. 1� Ammonium riitas{� conip.uwnd mixtures ` V containing more then 60"� mtnate / . - by weight ---'-------'-------- ' | 18. Highly toxic material and � . ' po�xznoua g�� ° ^ ` )� Smokeless owd r � ^ � � 20 Black sporting � � | hereby certify that the above information is true and correct to the best LL ! / ---- — 8|goetUna Date ^ ' .' ` ` SOUTH COAST AIR QUALITY ?MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property: 't),2'L Property Owner name: %je�-)j 0-tw t ihL I %.t_Phone Name of the Person. Preparing this form in print and si a�ture- Name "�"},; �• 6?t , w 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 QUEST?ON MARK IN THE "YES" COLUMN: SCAQMD PERMITTING CHECKLIST YES NO 1. Noes your facility use any internal combustion engines greater than 50-HP? facility involve mixing, blending, or 2. Does your f y g, g, C� processing any solvents, adhesives, paints or coatings? 3. Does your facility create any dusts or smoke? 4. Does your facility refire any liquids or solids? Reclaim any metals? 5. Does your facility plate or coat anything? 6. Does you_ facility have any combustion equipment i.e. boiler, furnaces, broiler, baking ovens, etc.) rated greater i--han 2,000,000 BTU/HR? 7. Does your facility handle or store solvents or 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 subjec-L 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. It you have marked any questions in the "YES" Column you must contact the South Coast Air Quality Management District located at: 9150 FLAIR DRIVE, EL MONTE, CA 91731 Please call these offices: Plan Check (818) 572--6406 (818) 572-6111, (818) 572-6261 D:AL00603 1 ,i