HomeMy WebLinkAbout15156 Transistor Ln - CofO (3)6 2 D -To
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
rlurri�vcraw eracrr DEPARTMENT OF COMMUNITY DEVELOPMENT
(PRINT OR TYPE ONLY) DATE
Address _ ' iC i1a ! r,?,m t3tstrict
Business Narne �M./ ll l V Tel
Business TYPe-E In^ALL Occ Group .5 —t
BUILDING OWNER �r � EUSINESS OWNERIMANAGER
`lame. VDA P j i°i oVe %rt/�5 Name
Addressl ��6 f ( Hcme� �,
Address j� 0_9
Tel w City a14 Home TeIV ..�cfg,
THIS USE WOULD BE DESCRIBED AS:
I: WLY CONSTRUCTED BLDG CHANGE OF OWNER CHANGE OF OCCUPANT
EXISTING BUILDING Q ^HANGS OF USE t—I ADDITIONAL OCCUPANT
y t indicate former use, if an 4�' occupancy Gr Div
SQUARE FT OF BUILDING TO BE OCCUPIED � j 0FP
1. Occupancy of any building is prohibited and a business license will not be Issued until the".auilding has been
inspected and a certificate of occupancy is issued.
2. No etectricai service will be released for any existing building until the service has been inspected and
certified safe. All applicants for occupancy in an existing building are required to schedule an electrical
'fuse up' inspection in the Department of Community Development at the time this application is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
v premises in order to determine ifa change maybe made in the character of occupancy or use of the building
or premises which would place the building in a different division of the same group of occupancy or inr a
different group of occupancy. a change of occupancy inspection fee of $ shall
be paid to the city.
4. Huntington Beach Fire Code Sectioi 10 208 requires that building numbers must be a'minimum of four (4)
inches in height with one half (':a) iich stroke, and of a contrasting color from the background. These
numbers must ice posted on your building in a location that Is visible from the street,
5, Huntington Beach t=ire Code Section 10.301 requires fire extinguisher selection and distrlbution per the
National Fire Protection Association parnphlet 10 (see reverse side),
6. a
t� Eft»;+ (FOR OFFICE USE ONLY)
N�rl'.1E---
UPANCi C-IROUP _ FLAN CHECK_ N1 NO PARKING SPACES
OCCUPANT LOAD p . _ PERMIT NO HEALTH DEPT. AnPr`iOVAI
NO, OF S RI S .,yam — - AOMW A0Ti3N_ LJTiL.PTIES RELEASED
CERTIFICATE OF Qi'CUi'ANCY FEE $
APPROVED BY �� DATE CHANGE OF USE OR OCCUPANCY FEE
: �
TOTAL $
?S03iiRev. 1197 00XV10 IjerN°F�Fllf It t C-9"3t ���`
4
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS
2.
Person to contact in case of emergency t
s z
Telephone number: yyy
R
3. `
Does the building in question have electricity?
Yes
(a) If No, are you requesting that the electricity be
❑ No
❑ Yes
turned on?
❑ No
4.
The building is sprinklered?
{
5.
Operations will produce dust/wood shavings or similar
,Yes
❑ No
material?
❑ Yes
XNo
6.
Operations will involve the repair or replacement of
❑ Yes
automobile parts?
No
If Yes:
i
(a) Describe the components repaired or replaced.
,x
(b) Does the operation involve the use of an open, flame?
❑ Yes
N o
7.
The business is drinking, dining or assembly use that will
result in an occupant lead of more than 50 persons.
❑ Yes
No
8.
The following ;best describes my operation;
Office Only
Retail Sales
'
__Warehouse )
Mane ac using 1``6istribution (describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
'r
5UPPLEMENTt4rL INFOi4k.!ATIOt,I
PPLEM 4RITA »
INFORMATION (Continued)
Does the *.Agpera.trw %nvoive.. any of the
.following rnateei•iials Yes Ili
w
If
W;s, €ndreate quantities, ..
_
Material
�-..�-.. ,..,r.. ..r..__.._..-._. ...-.. ... .,
''$; ,{
., _.,. ._..a..-....».,..N.�.
.;�
1.
F5t�.m�`icif.3te liquids
Y�Lde�T
,..r<.rt..-,-,......... .. .. ,,..„..v.�.
Class I -A
Class �7
gg
ass
2.
Combustible iiquid>
Class 11
Class
3.
do Din atr r f6 r arable Pouids
4.
Flammable gases:
.
i^ quefred flammable saws
•
Flammable fibers ,1o(; e
Flammable fibers M
F" a��.t=gab e solids
Corrosive Rquids
ill
Oxidizing material gases
l
'?
Hwy ,,,q r z'r'�� material - ... solids d
.4,
Organic ides
[
15.
Nitrome pane (unstable materials)
16.
Arrrmonium nitrate
Containing nnFe th" 1'1- rirtr to
weight9
C
18.
Highly toxic rnateria! air;,,
poisonous gad
1191.
Smokeless F,)II., v CA, er
0.
;- elk �'Porting g rfv ae
I hereby certify t av t-rej above information is true and correct to
the bast Daly, Y YY W
..w... f +„• ..��v1.
) ,. of{{rtlp,�..
�7j
�,,.. r ....... ..:"...-V. .�.,�..,Y.rr.>-$ r.
South Coas
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, GA 91765-4182 (939) 396-2000
x,
AI QUALITY PERA41T CBECF.IST
for nonresidential buildings only
Company Name: ;
Location of Property: % � � � �� � j �r' � � 17 a
Cityy. Zip Code:
r 9
Contact Person:,1~rJ c Title: '^ t
Telephone Number: � "' i� FaxNumber:
Type of Industry/Business:
j To apply for a nonresidential building permit, you must complete this checklist. If you have any;
questions about completing this checklist, pleasee call (800) 388-2121.
YES
NO
1 Will the facility have a charbroiler? [ j
2. Will, any internal combustion engine with, greater than: 50 horsepower
operate at the facility (excluding motor vehicles)?
3. Will operations at the facility involve mixing, blending, or processing of
solvents, adhesives, paints or coatings? [
4 Will dust or smoke be generated at the facility? [ ]
5. Will refining of any liquids or solids be done at the facility? [ ]�
6, Will any plating or coating of materials be clone at the facility;
7. Will any combustion equipment rated ,greater than 2,000,000 E, T Uliu be
operated at the .facility? [ ]M
$. Will any acids, solvents, or motor fuel be used or stored at the facility? j ]
G,`
9. Will any organic liquids or gases be reacted' or produced? [
10 Will any ovens be used to dry or cure products at the facility'?` [ ]
Ski
IL Will any C FC (Freon) recycling machines operate at the facility?
Applicant:_': r f 7� 7 j? Signature;
(Print name clearly)
i
If you have marked "NO" in all the boxes, an air quality permit is ; .t needed at this time,
and this checlist is your written release.
If you marked "YES" an any of the boxes, you must contact the South Coast Aar Quality
Management District (A QMD). Pleasereadthe requirements on the lack cf the checklist
ADDITIONAL SUPPLEMENTAL IWORMATION
j
i
9
x
NOTICE OF RRATIREADANI'S
.. i,. v . _. _ . Buill"snetmertzsfi4's$".2
i t i i t�1. eta }'v4L u.°`at t7 a> i l ' p :'a4!`r'? �.. 0✓. p # - ARa_-:. ax�X �., >
R «
id ct. "MI.. rp-ph 4aix..._ 're 3iq,..'.Y" za conThve Al
x `.`q.t p-zr.'? Gh xiii. iSvh'blli.xLje
dLsti6gto aid Its ipr.m. A :?k24iµ��'sg; only. `4�.�:`+4r��x'�- to any of
ii',.4 t I4 �..i y�"l . 2;i l:` t ts?. $L:: t!t. _...♦� air
t
1h, xi y�il. r t. `�:�a..c1 x d, in
1, Ad!
' $tw#.fi b; 4a.a!, w't r .Y a a x',Y
as the fib . Rna ➢- Y n. n
Ix i.'.n a.P Fxy,x.:;Fe.�TE`: c'-r. _i .r`4*a r,w.: i �'} ti n t .�.,.., .S4_ 4: ^�.�f iz. 'hc . e.r.,�' t ^a..fi by1 c�.J� ng .
�`AT$,
�i M&A %ys be cyw'iaxtn.,d at The 510 If Ow AQMD dttdm'i4.v'iY`..
not a�u'���t.�
.
�i rz4 ,'U
3
I7' �c # i"`;°'3 s are, � � ..". ''- l 6 ip1 zt ,"? "�y�! boo;
q 8 it x
ii '7r Cr �..t �. .. x. 1'i _ > a; ,,a.i�s ...,. .$ � ${x �L�b..> ,. xca°Y l,. ;,i-_ _, ^..k �.--�i:11�1 P..t'w'tit the appN4as'�L
gain;,::, ? aiY. L, i > �� , w,:: z Y*Ya:c :h :ti w£ 3T1�,� :end ap €o t'trze fc:wti .&< c4 �ii l�fka!
yvu& as— fib. l
r, it rnAy ti_.. s�,sn:r
UMS to vowly' t �� T$��3s" #,t„"Min all Y:"s'q_2,.~,:me? iww Y04.'re advised to .tint-. iv AQ%MD
f