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HomeMy WebLinkAbout15061 Springdale St - CofO (43)J� HUNTINGTON BEACH Business Addr Business Own, Business Nam, Business Type CERTIFICATE OF OCCUPANCY 020 �- °1 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION c' (3'd Floor — The Applicant Must Apply In -Person) 50 1'l In �Q �rJ Date I — a-% —1 ame '1 r Zip Code 9 a(.P'+9 G Telephone No. 714 - 9q0- 567$ I► u— F-V2vx'q& O Bus. Phone 7Xf- M _6471" or Property Owner Information (required) Tena enc Contact (required) Name ain ►'tern© od 19 e Name i A R0 - Address ,� S30 ReA Ai 11ye - -A ad-5 Home Address A n Y City S A rl+A R f\ (k State/Zip CA gX70S City RU ✓it �7 State/Zip /4 "► C_�o Telephone No. -Tq - a 5z' q) o 0 Telephone No. / 1 q - 3 15 - 3 4o 3 oq THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or &fxisting Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes []No CHECK A ' THAT APPLY: Change of Business Owner dChange of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business r f+6u otJ 4 Cafy i j& Si ■ Are you requesting that the electricity be turned on? ❑Yes JaN6 ■ Will operations produce dust/wood shavings or similar material? ❑Yes 9<o ■ Will operations involve the repair or replacement of automobile parts? []Yes Flo- If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes ©<o ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? El Yes ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? []Yes Eq<_ ■ The following best describes my operation: R16-fice Only ❑ Retail Sales ❑Medical/Dental ❑Warehouse/Manufacturing/Distribution ❑Restaurant/Take-OutFood ❑Other ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes 21d0 If you answered yes, please proceed to the next question. • Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑Yes ONO For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: CM Date: Conditions of Approval or Other Notes: Area: ��P Area: Area: No. of Stories: Occ Load: 19, Occ Load:- Occ Load: _ TIF Review: Y/ N Entitlement #: Zoning: Building Reviewed By Initi is Datfe/�(� 4fPV-4 - mrbG4 WE ON01 Grease Interceptor Verified Inspected By Initials: Date: South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 p ' (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: A ►AC-0 - C, Property Address: 5-0(,/ S tr 1 n(qd ak_o_ S 0 5 City: � J Ct Zip Code: 5 a C041 Contact Person: Title: ©IU) �l e-y-- Type of Business: EUeVJ J"� JCTelephone: � 14 - gq 0' 5 679 Fax Number: 114 -841-,) $ �oq e-mail address: deb ba r r P' . m -5 h ' 6ARP-Signature:��- Applicant (print name):Deb � r Y��--- Date: 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- M19SI. HUNTINGTON BEACH FIRE DEPARTMENT FIRE PREVENTION DIVISION File#e Only 2000 MAIN STREET - HUNTINGTON BEACH, CA 92648 (714) 536-5676 FAX (714) 374-1551 FP: FIRE PREVENTION — BUSINESS DATA SHEET �p For new Certificates of Occupancy DtqvicL Business Name: Iyl�ai�'t�= Start Date: Business Address: o50 CD r► 'i da 6 Number Ste t Billing Addres4same as business Business Contact: ID I 6AAR— Emergency Contact: 18APP— (24-hour) Description of Business: Will there be any of the following uses on the premise? ❑ Storage >6 feet If yes, describe: _ 05 Unit Zip Code I - 910-54M de-b'i dangdhpma ccwv, C ,�vilk ❑Welding [-]Special amusements (escape room or similar) ❑Motor vehicle repair Will there be any of the following equipment (E =existing equipment, A = adding or new equipment) Dry cleaning — list solvent _ Industrial oven — list fuel _ Propane patio heaters —# of heaters, # of spares _ Cooking equipment (fryers, ovens, pizza conveyor, etc.) Backup generators — list fuel _ Walk in refrigerators or coolers — list size, refrigerant Spray booth or dipping tank _ Tents or air supported structure Grinding/milling equipment that creates _ Fuel dispensing (including storage tanks) combustible dust _ Carbonated beverage system — list total pounds of CO2 If yes, provide details (e.g., number, fuel, size, etc.) Does the building have any of the following features (E =existing feature, A = adding feature) V Sprinkler system _ Other fire suppression system _ Fire alarm system _ Smoke detectors _ Other detectors (e.g, methane) _ Other alarm system _ Private fire hydrants _ Battery systems _ Fire pump _ Methane barrier or other methane control installed If yes, provide details Does the business handle any of the following: YES NO 55 gallons or more of a liquid hazardous material or hazardous waste. ❑ l ' Compressed gas (or liquid/cryogenic equivalent) of 200 cubic feet or more ❑ C Inert compressed gas (e.g., argon, nitrogen, helium) of 1,000 cubic feet or ❑ L more. ,^.,// 500 pounds or more of a solid hazardous material or hazardous waste. ElL9' Extremely hazardous material or radioactive material ❑ I certify, under \the penalty of perjury, that the above information is true and correct to the best of my knowledge. -a� 1 Signature: Title: fin+? i2-- Date: _ C.. Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application 15061 Springdale St 106 BECKER NICK 15061 APN 145-531-37 Num Job Address 15061 ISprin Zoning CG File Number CofO? M2001-026145 No P1998-023374 No 01998-007338 Yes 01991-007339 Yes 01995-007340 Yes 01990-007341 Yes 01991-007342 Yes j 01992-007343 Yes 01994-007344 Yes 01989-007345 Yes 01999-008638 Yes 02001-010024 Yes Street Unit B( le St 1q5 APN 1 Lot Entered By C Default Inspector emit Type Certificate of Occupancy Origin Building Use - City Building Use -County New' Description Internal Notes Date Entered 108106/2001 Status I Issued Issue Permit? M Datenj 08/15/2g01 Issued By Planner Santos, Ron tg? Plan Checker Frisby, Chad Cof0 Number CO2001-010024 Choose Print All CofO Type Fees and Payments 511eefs to !ssue Inspections Issued By Chuor, Phillip Single C/O COO Status Issued — ............. Cof0 Date Issued 08/15/2001 Temp. CofO Issued Date Printed Utility Release Date Temp. COFO E.xpiratiorr Click the « button to copy the Business License i License Number information into the Certificate of Occupancy. Business Name SIR SPEEDY PRINTING OF HUNTING Business Licenses Business Name Business Type PRINTING &COPYING A240542 NOTARY DIRECT NATIONWIDE LLt A255946 HORIZON PREGNANCY CENTER Business Phone (714) 898-2628 A188910 SHRADER & ASSOCIATES A188912 MEDBY MICHAEL ...... Proposed Use Approved Occupied Area (Sci Ft) 1,860.00 Former Use COMPUTER CONSULTING # of Stories �x Conditions PRINTING/COPYING - 960 SF OFFICE - 900 SF QChange of Owner? Change of Use? Change of Occupant? Additional Occupant? Group Description Area BF1 .vr-. B,F-1 Group Definitic� 0 Elec. Available? Drinking I Dining ? 50 Occupants? 0 Want Electricity On? �' Welding I Open Flame? 11 Spdnklered? 0 Automobile Repairs? Dust / Wood? Auto Parts Desc. instruction Type Occupancy Load Y 13 13