HomeMy WebLinkAbout14896 Springdale St - CofOos
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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: ( ) -