HomeMy WebLinkAbout15301 Springdale St - CofO (4)CERTIFICATE OF OCCUPANCY
12 / 12 f " 4
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CITY OF HUNTINGTON
BEACH
Date
Address 15 U 1 ; P R I N G L d L E
District i
Business Name ARAI: DA TOOLING, 1DIC.
Tel.
714-- 79—E5G5
Business Type NAAUr'ACTURT.' G iMETAL FORN1IPIG)
Occ. Group S"L
i
BUILDING OWNER
BUSINESS OWNER/MANAGER
VON DER AHL PARTNERS
P.EDRO
ARANDA
Name
Name
i
Address'G440 LA ALAMEDA 2OO
Home
Address (�,'�5
K
L'ROOa�ILL
RD 1
City 14ISSIOIIVIEjj ; Tel. 714.-34ts -9f 9O
City DL ;'tf)✓Y,
me
CA Tel.
310—$62--5094
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Construction No. of Stories Occupant Load
166 Sprinklers
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CONDITIONS OF APPROVAL
DEPARTMENT OF COMMUNITY DEVELOPMENT
by
COMMUNITY DEVELOPMENT
, Ell APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
HUMINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT Tel
(PRINT OR TYPE ONLY)
DATE �.
Address /S3�/ ����GE"�• <�77". District
Business Name e4 "p"'::::0w m //V _�.✓G. Tel�A' e 3 j 9- G S'4 S f
Business Type�CVVvtAV!A) Occ Group
BUIL )ING OWNER / BUSIIN63S OWNERWANAGER
Name �r,1/rt' E � Name D 2.9 19MA,niPA
I Address '5T Z. 0 O Address 3 C 13Pz o �c 0✓l i �Lr� Q ��
r City 1 SS 1 �k/ �%IE2^O Tel � $-- City IJmr.+? &1eyf 07-4 n Ho a Tel. B(-2-So9y
�
THIS USE WOULD BE DESCRIBED AS: f
❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr.-Div
SOUARE FT. OF BUILDING TO BE OCCUPIED S t
(FOR OFFICE USE ONLY)
--�'
SUPPLEMENTAL INFORMATION
2
ZONING .�---
OCCUPANCY GROUP
PLAN CHECK NO
i
NO PARKING SPACES
OCCUPANT LOAD /��
PERMIT NO
HEALTH DEP-i APPROVAL
NO. OF STO I S / `-
ADMIN ACTION
UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE
PPROVED
D TE
CHANGE OF USE OR OCCUPANCY FEE
TOTAL.
$75TODZ
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75-039 Rev, 11/90
COMMUNITY DEVELOPMENT
SUPPLEMENTAL. INFORMATION
1.
BUSINESS ADDRESS 'S �/-���'�v4A�r�� �T ZVI,
2.
Person to contact in case of emergency rC e
SSo9
� 2-
`)
Telephone number: �3►�1
Yes
3.
Does the building in question have electricity?
❑ No
(a) If No, are you requesting that the electricity be
❑ Yes
❑ No
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turned on?
!
Yes
!
4.
The building is sprinklered?
❑ No
`
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5.
Operations will produce dust/wood shavings or similar
❑Yes
material?
19 No
ir
`
6.
Operations will involve the repair or replacement of
❑YesZ No
automobile parts?
`I
a
�
if Yes:
(a) Describe the components reM.',red or replaced.
4
h:,
!
(b) Does the operation involve the use of an open flame?
❑Yes
No
I
7.
The business is drinking, dining or assembly use that will
❑Yes
result in an occupant load of more than 50 persons.
No
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t
8.
The following best describes my operation;
Office Only
i a
t`
Retail Sales
t
Warehouse
Manufacturin Distribution (describe process and end product)
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1.
�r�� �.��..✓�
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Restaurant/Take Out Food
Medical / Dental
Other (describe)
t
M
n
t
Y
SUPPLIMENTAL INFORMATION
•.
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9
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SUPPLEMENTAL INFORMATION (Continued)
Does- the operation involve any of.. the following' materials? Cl Yes
NO
If- Yes, in3icate-'4gtaantities~. •-'
i
_ j "Material Quantity
1. Flammable liquids -
Class I -A
Class I-B
Class I-C
2. Combustible liquids
Class II
'Class III -A
3. Combination flammable Liquids
4, Flammable gases
5. Liquefied flammable gases
6. Flammable fibers loose
7. Flammable fibers - baled
8. Flammable solids — - -_ —
9. '
Unstable materials
10.
Corrosive liquids
11.
Oxidizing material - gases
----- --._ ___
12.
Oxidizing material - liquids
13.
Oxidizing material -"solids
l
14.
' -' Organic peroxides
F
15.
Nitromethane (unstable materials)
16.
Ammonium nitrate
17.
Ammonium nitrate compound mixtures
containing more than 60% nits ate
by weight
18.
Highly toxic material and
-
poisonous gas
.-
19.
Smokeless powder :..:
20.
Black sporting powder
I hereby certify that the above information
is true and correct to
the best of my knowledge.
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Cate
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Government Code Section 65850:2(b) requires that the City of Huntington- beach not iesbe'the-fh,al
certificate of occupancy unless the applicant has met or is meeting the requirements of the South
Coast Air Quality Management District (AQMD). The Department of Community Development 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
Department of Community Development) must complete the check list
which can be obtained either from the Department of Community
Development or at AQMD.
E 2. If all boxes in the list are checked "no", the Building Division can acceh§ 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. i
4. If air permits are not required, the applicant will obtain a written release from
AQMD.
1
5. If air permits are required, the applicant must submit the necessary permit
applications before the release can be issued.
Because of the time it may take for AQMD to go through the above procedures, the applicant is w
advised to contact AQMD immediately after applying for building permits.
I
(1360D)
ADDI NONAL SUPPLIMENTAL INFORMATION
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THE !ONER TO A r3E VON } MARK R9HF „YESS Ci! Gn 4-
- YES
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1. Does your fatuity use any internal cornbms1ion engsnes groater than 50 iP?
2. Does your facilR mixing, bl riding, =_:r iiro` esf.i i 7 any solvents,
adhesives, M inks or !;cafings?
i. Does your fac€?Ety create any dusts at smoi e
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'. 5 Dges your facility {date or coat anything?
Y S. Does yaw fe dWy We ny combuW equipment (i.e. boiler, furnaces,
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