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HomeMy WebLinkAbout14896 Springdale St - CofOos J� HUNTINGTON BEACH Business Addr Business Own Business Nam Business Type CERTIFICATE OF OCCUPANCY 020 CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION (3'd Floor — The Applicant Must Apply In -Person) ess 9 S 6n q S� • . C�' q� Date Chi /05 1-7 ers Name �� l Zip Code, L� 7 e "-/0 U K, C LbANMS>Telephone No. '714 021 %j 0 Bus. Phone 71 — *ii2�6 Property Owner Information (reauirvd) Tenant/EmergencyContact (required) Name_0� jVA .� a Name L&V lvktl---lE/\l Address 'Fj55 rv,�_V_ EjtjjX 19-� Home Address City- `' 'State/Zip (A _City �cl'd.e�l VQ, State/ZipCA q2343 Telephone No.� l �p I � ; � Telephone No. 7W - -M— P 4 l THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or Existing Builo' g IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes Mo CHECK L THAT APPLY: Change of Business Owner UChange of Occ a ❑=of Use ❑ A ditional Occupant Indicate former type of business G) Qi(� 0�.� l�(/1 ■ Are you requesting that the electricity lYe turned onT ❑Yes `[V]No v ■ Will operations produce dust/wood shavings or similar material? []Yes R(N�K(o ■ Will operations involve the repair or replacement of automobile parts? ❑Yes If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes ZNo ■ Will the busi ess be a drinking, dining or assembly use with an occupant load of more than 50 persons? ❑Yes No ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 'nches in height? ❑Yes 7<0 ■ The following best describes my operation: ❑Office 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 PO If you answered yes, please proceed to the next question. • Does your facility currerytly have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑Yes UNo For Official Use Only Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: Date: I q / 17� Conditions of Approval or Other Notes: Area: Area: Area: No. of Stories: Entitlement #: Occ Load: („ Occ Load: Occ Load: TIF Revi : Y/ N Zoning: Building Reviewed By Initials:MAJ Date: 1 //4/1_'F Grease Interceptor Verified Inspected By Initials: Date: Oil'US South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (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: � r Property Address: {� ✓l 5� City: l9 A 40, r-, aq2ZCZip Code: 7 � Contact Person: �4q Title: Lz- 1, . Type of Business: -A40'0A_k C'W Telephone: �U� 2) !� 60 tv Fax Number: e-mail address:' ddress: [��c 0 �l ( `" 00 CU Applicant (print name)d 006 WE mignature: Date: ,2T04 t % • Will the facility have any of the following equipme . es ❑ 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[:] Nolv� 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 FIRE PREVENTION DIVISION 2000 MAIN STREET • HUNTINGTON BEACH, CA 92648 (714) 536-5676 • FAX (714) 374-1551 p �1- y S Fire Only File #: FP: FIRE PREVENTION - BUSINESS DATA SHEET For new Certificates of Occupancy q F Business Name: I 0 CLr;--A Start Date: oC�d 1 Business Address: Number Billing Address: ®same as business. Business Contact: �f}I /yi✓ a `Vy Emergency Contact: Y\& CG N (24-hour) Description of Business: Will there be any of the following uses on the premise? ❑ Storage >6 feet If yes, describe: _ Unit Zip Code ❑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 Propane patio heaters —#.of heaters, # of spares Backup generators — list fuel Spray booth or dipping tank Grinding/milling equipment that creates combustible dust If yes, provide details (e.g., number, fuel, size, etc.) Industrial oven — list fuel Cooking equipment (fryers, ovens, pizza conveyor, etc.) Walk in refrigerators or coolers — list size, refrigerant Tents or air supported structure Fuel dispensing (including storage tanks) Carbonated beverage system — list total pounds of CO2 Does the building have any of the following features (E =existing feature, A = adding feature) Sprinkler system Fire alarm system _ Other detectors (e.g, methane) _ Private fire hydrants Fire pump If yes, provide details Does the business handle any of the following: _ Other fire suppression system _ Smoke detectors _ Other alarm system _ Battery systems Methane barrier or other methane control installed YES NO 55 gallons or more of a liquid hazardous material or hazardous waste. ❑ Compressed gas (or liquid/cryogenic equivalent) of 200 cubic feet or more ❑ Inert compressed gas (e.g., argon, nitrogen, helium) of 1,000 cubic feet or ❑ more. 500 pounds or more of a solid hazardous material or hazardous waste. ❑ / Extremely hazardous material or radioactive material ❑ Q' I certify, under the penalty of perjury, that the above information is true and correct to the best of my knowledge. Signature: Title: y1l1 Date: L1110;5117 m % Department of Planning & Building 2000 Main Street k. Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 CERTIFICATE OF OCCUPANCY Cert. Number Date Printed 0�1 qS CO2000-009587 01/04/2017 Address: 14896 Springdale St Issue Date: 07/20/2001 Permit Number: 02000-009587 TCofO Issue Date: Business Name: YOUR CLEANERS & ALTERATION TCofO Expiration: Business Type: CLOTH CLEANER & ALTE Approved Sq Ft.: 560.00 Current Use: # of Stories: 1 Occupant Groups: I Description: Area: Occupant Load: B 6 Conditions of Approval: Contacts: Contact Type: Name: RHE INVESTMENT INC Phone: (714) 375-2240 Property Owner Address: Cell: ( ) - City / State: Fax: ( ) - Zip: Pager: ( ) -