HomeMy WebLinkAbout15061 Springdale St - CofO (45)�J
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 -
CITY OF HUNTINGTON BEACH —
714/536-5241
DEPT. OF PLANNING & BUILDING APPLICATION.
Business License # A��d9�J
Business Address 150 b ( S
Business Owners Name
Business Name Ad2_ I n G
Business Type �,l V�PA n Q
(3`d Floor Must Apply In -Person)
Date q I 1I 2D 11�
skip Code Zb H
j Telephone No. 3 -n P
Bus. Phone
Properly Owner Information"(required) Tenant/ Emer enc Contact (required)
Name 00 Name
Address 150 Home Address !�
City (} State/Zip CA 2 City WeN610&-} State/Zip
Telephone No. q q q Z,� glop Telephone No.
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Yxisting Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner XChange of Occupant ❑Change of Use ❑Additional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? Yes El NOD aj yzo4q M
■ Is the building sprinklered? Yes❑ No❑
■ Will operations produce dust/wood shavings or similar material? Yes ❑ NoW
■ Will operations involve the repair or replacement of automobile parts Yes Nd�' If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? YesO N
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes QNo X
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes ONo j
■ The following best describes my operation: `'Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food
(describe process and end product)
Other (describe)
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:.
Bldg. Permit #
Area:
Occ Load:
Area:
Occ Load:
Area:
Occ Load:
No. of Stories:
Entitlement #:
Plnr Initials: Date: 11- I I —t'fian Chkr Initials: Date:
Conditions of Approval or Other Notes:
(D1�6 B2 rf�6 w
TIF Review: Y/ N
Zoning: C.c,
Insp Initials: Date:
Inspection Date:
South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 917654182
(909) 396-3529 • http:// www.aqmd.gov
Air Quality Permit Checklist
California State Law Code 65850.2 prohibits cities from issuing an occupancy permit 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: 3#16N "Z1 tnu
Property Address: 1 SW Vq aj dw_ ai A-Vz
City: RV Vl (1) 8'h Zip Code: CA_ vl264c!
Contact Person: rCoIitle:%�Y�r��dC�-
Type of Business: maw— Telephone: q�—O � 3 ! ub
Fax Number: V11 A e-mail address:
Applicant (print name): Signature: v S It (i7�t�/ Gtd Z • , n(
Date: q
• Will the facility have any of the following equipment? Yes ❑ No
Charbroiler
Dry cleaning machine
Spray booth
Printing press (screen/lithographic/flexographic)
Internal combustion engine greater than 50 HP (excluding motor vehicles)
Boiler/combustion equipment (greater than 1 million BTU/hr. maximum input)
Abrasive blasting cabinet/room
Baghouse/cartridge-type dust filter/scrubber
Motor fuel storage and dispensing equipment
• Will any of the following operations be performed? Yes❑ No�
Application of paints or adhesives
Etching, plating, casting, or melting of metals
Molding, extruding, or curing of plastics
Mixing and blending of liquids and/or powders
Storage of acids, solvents, organic liquids, or fuels
Production of fumes, dust, smoke, or strong odors
If you answered "No" to both 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 permits are needed, AQMD will assist you in submitting permit
application(s) and then provide you with a clearance letter. You can call AQMD at their Small
Business Assistance Office at 1-800-CUT-SMOG (1-800-288-7664).
-2-
HUNTINGTON BEACH FIRE DEPARTMENT
HAZARDOUS MATERIALS DISCLOSURE OFFICE
2000 MAIN STREET • HUNTINGTON BEACH, CA 92648
(714) 536-5676 9 FAX (714) 374-1551
HAZARDOUS MATERIALS DISCLOSURE INFORMATION
MANDATORY REPLY REQUIREDPRIOR TO ISSUANCE OF BUSINESS LICENSE
Complete and return to the Business License Division
PLEASE PRINT RD##:
Business Name: 0—>-k�m W2,
Business Address: 1 5'u b
Number Strdd
Phone: -71 7 [)
Unit
Owner/Manager: MA 4 k /i � ate Biisirn ss Will Start Operation:
A _ f
Description of Business:
Zip Code
I 12-01
California's emergency response network requires all businesses to notify their local emergency response agency if they store or use
hazardous materials above certain threshold quantities. In the City of Huntington Beach, the emergency response agency is the Fire
Department, and the method of notification is by filing a Hazardous Materials Disclosure Package with the Fire Department's Hazardous
Materials Disclosure Program office. Types of hazardous materials that must be disclosed include: oils, solvents, paints and coating
materials, gases (compressed or cryogenic), fuels, and hazardous wastes. You are required to submit a Hazardous Materials Disclosure
Package if you store or use hazardous materials in quantities equal to or greater than the following amounts:
➢ 500 pounds of a hazardous solid
➢ 55 gallons of a hazardous liquid
➢ 200 cubic feet of a gas (or the compressed or liquefied equivalent)
➢ Extremely hazardous materials that exceed the threshold amounts listed in 40 CFR 355 Appendix A
➢ Radioactive materials that exceed the amounts listed in 10 CFR sections 30, 40 or 70
➢ Hazardous wastes that exceed any of the thresholds amounts listed above
➢ Other materials determined to pose a significant hazard to human health and safety, or the environment
Disclosure is NOT required for the following types of hazardous materials:
➢ When contained in a food, drug, cosmetic or tobacco product.
➢ When packaged for direct distribution to consumers (retail products).
➢ When the materials are stored, used, or handled at a facility for less than 30 days.
➢ Infectious waste generated by health care facilities.
Please indicate which category most appropriately describes your business:
No hazardous materials are, or will be, used, handled or stored at the above location.
Hazardous materials are present, but in quantities less that the amounts listed above.
❑ Hazardous materials are used, handled, and/or stored at or above the amounts listed above.
A Fire Department representative will contact you at a later date to verify the above information and determine if you need to file a
Hazardous Materials Disclosure Package. if you have any questions about the Hazardous Materials Disclosure Program, please call (714)
536-5469 or (714) 536-5676. You can also obtain additional information on the City's website at wxkw.surfcity-hb.orj in the Fire
Department page under the section Fire Prevention.
I certify, under the penalty -of perj , that the above information is true and correct to the best of my knowledge.
Signature: Home Phone: b C1 Date: L 1Ual
-3-
41
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
fi Phone: (714) 536-5241 Fax: (714) 374-1647
CERTIFICATE OF OCCUPANCY
Cert. Number C01992-007360
Date Printed 04/11/2014
Address:
15061 Springdale St 202
Issue Date: 09/01/1992
Permit Number:
01992-007360
TCofO Issue Date:
Business Name:
ARTEX
TWO Expiration:
Business Type:
COMPUTER HARDWARE SA
Approved Sq Ft.: 400.00
Current Use:
# of Stories: 0
Occupant Groups:
Description: Area:
10ccuoant Load:
B-2
4
Conditions of Approval:
Contacts:
Contact Type: Name: EBM INVESTMENTS
Phone: (000) 891-2651
Property Owner Address: 15495 GRAHAM
Cell: ( ) -
City / State: HB, CA
Fax: ( ) -
Zip:
Pager: ( ) -