HomeMy WebLinkAbout15246 Transistor Ln - CofO (3)••� Ord �lo�r'- ���n�� n ,
PLICATION-FOfi- RTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
v DEPARTMENT OF COMMUNITY DEVELOPMENT --T(1.W E
MUiJnNBON KAQ1 DATE .
(PRINT OR TYPE ONLY)
Ad ress - 15AY6-7 &� 72%1iaNSIS/-"li (R .L)Lwr� Dis + 9
Business Name— /Y Ziv%E9,,y.4,,-ay.4L �+LFt'- e 71y 7�` //7(
Business Type SEY", - e U y o u c'ra /L$ !ID/IlZO Ic /514 w Q t2tMF'&fE�rS Occ Group _
BUIL^INGOWNER �V'fvw&S BUSINESS OWNERIMANAGER
Name � de P. P11E ?1/?P N/;/2S Name s wy
Home 11�.t'� �GtiICS S%
Address S J s .;T� s +fit= ' Address `� +
City ('h/S'Sri>>,r 06 %* J C4 511 -9 ely*�> 0- CiIy 1'2cs C t � /Home Tel St2 r7 ( —2
THIS USE WOULD BE DESCRIBED AS: (-�/
❑ EWLY CONSTRUCTED BLDG F-1 CHANGE OF OWNER E CHANGE OF OCCUPANT
LJ EXISTING BUILDING I YI CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED 1!5 SQ rT. f Z, / 'Z S.r . / 3
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been
inspected and a certificate of occupancy is issued.
2. No electrical 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 file?.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
premises in order to determinu if a,change maybe made in the characterof occupancy or use of the building
A or premises which would place the building in a different division of the same group of occupancy or in a
A'11 different group of occupancy, a change of occupancy inspection fee of $ _ shall
1 be paid to the city.
4. Huntington Bv.ach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
inches in height with one half (1/2) inch stroke, and of a contrasting color from the background. These
numbers must be posted on your building in a location that is visible from the street.
5. Huntington Beach Fire Coo- Section 10.301 requires fire extinguisher selection and distribution per the
I' National Fire Protection Association pamphlet 10 (see reverse side).
W Z1�/L—-111—f1
C <, T ,���
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TRAFFIC IMPACT FEE? 11 �C�tvl ,G 2 5 J✓� t z �o cP
DATE PAID_
AMOUNT RECEIVED (- rr V%ea d .00 r- I v, iyL✓�-
NAME _ vCy1-C ---j- i
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION _ ZONING
OCCUPANCY GROUP 8 r Z PLAN CHECK NO NO PARKING SPACES
OCCUPANT LOAD °C`` PERMIT NO HEALTH DEPT APPROVAL r
NO. OF STORIES ADMIN ACTION T. UTILITIES RELEASED
. CERTIFICATE OF OCCUPANCY FEE $ l 1
A PRO D BY DATE CHANGE OF USE OR OCCUPANCY FEE $
TOTAL
75-039v. 1+97 COMMUNITY DEVELOPMENT
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V
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS /5 ay�O -lS� � %f�i�wS1S%bn �iy. F
�llhThdlOh/ Q�il4c�
2.
Person to contact in case of emergency. -7- max
Telephone number:
13" Yes
3.
Does the building in question have electricity?
❑ No
I
(a) If No, are you requesting that the electricity be
❑ Yes
turned on?
El No
+3
Yes
r
4.
The building is sprinklered?
❑ No
5.
Operations will produce dust/wood shavings or similar
❑ Yes
'
material?
CINo
f
l
6.
Operations will involve the repair or replacement of
❑ Yes
automobile parts?
"O
`
If Yes:
(a) Describe the components reraired or replaced.
(b) Does the )peration involve the use of an open flame? ❑ Y s
o
7.
The business is drinking, dining or assembly use that
will
❑Yes
result in an occupant Load of more than 50 persons.
"o
8.
The following best describes my operation;
1
Office Only
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end
product)
b
Restaurant/Take Out Food
'
Medical / Dental
Other (describe)
SUPRLFWNTAL INFORNAMnN
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rt
-
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YO
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_SUPPLEMENTAL INFORMATION (Continued)
Does
the operation involve any of the following materials? ❑ Yes
EK0
If
Yes, indicate
Material Quantity
1.
Flammable' !iquids
Class 1--A
4
Class I-B
Class I-C i
2.
Combustible liquids
'
Crass II
Cass
t'
3.
Combination flammable liquids
I
4.
Flammable gases
5.
Liquefied flammable gases
6.
Flammable fibers - loose
7.
Flammable fibers - baled—__..__ _ —
8.
Flammable solt.I
9.
Unstable materials
'
10.
Corrosive liquids
11.
Oxidizing material - gases -- -
12.Oxidizing
material - liquids --
13.
Oxidizing material - solids
14,
Orga iic peraJxides
15.
�____
Nitromethane� (unstable �materials)
1
16.
Ammonium nitrate
17.
Ammonium nitrate compound mixtures
ccritaining more. than 60% nitrate
by weight
18.
Highly toxic material and
poisonous gas
19.
Smokeless powder
j20.
Black sporting powder
i hereby certify that the above information is true and correct to
the best of my knowledge.
SignatPre Date
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South Cast
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 �909) 396-2000
AIR QUALITY PERMIT CIIECIOAST
for nonresidential buildings only
Company Name: i�/'c� w TF_ iv 2 w /`iF e2 wf? T :: zg n L
P
r Location of Property: 1-6-a - f 5 2 y k T/1� S isi �r� J, 0 15
I
City: N u Lr l t w 6- a,-, VF/Y c k 14- Zip Code: 926 �
Contact Person: W M,5 S- /2 %/9Wo,2 Title: �� s Ah w7'
Telephone Number: .%/ / 7 7/ Fax Number: �Z/> 729 - 6 3'/6 _
Type a f I n du s try /B u s ine s s: _ SF_ 1.;,) C'0k0toc7-Q 2S 661-2E 0 CZ) 1NrP0-1fi 7-s
ETo apply for a nonresidential building permit, you must complete this checklist. If you have any
questions about completing this checklist, please call (800) 388-2121.
YES NO
1. Will the facility have a charbroiler?
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? [ ] [L ]
4. Will dust or smoke be generated at the facility?
5. Will refining of any liquids or solids he done at the facility? [ ] [L]
6. Will any plating or coating of materials be done at the facility? [ ] [-
7. Will' any combustion equipment rated greater than. 2,000,000 BTTJ/hr be
operated at the facility?
8. Will any acids, solvents, or motor fael be used or stored at the facility?
9. Will any organic liquids or gases be reacted or produced?
10. Will any ovens be used to dry or Lure products at the facility?
11, Will any CFC (Freon) recycling machines operate at the facility?
Applicant: 1 S / 'k . Signature: �,luLna� 1
(Print name clearly)
If you have marked "NO" in all the boxes, an air quality permit is not needed at this time,
a.-!d this checklist is your written release.
a
If you marked "YES" in any of i.tre boxes, you must contact the South Coast Air Quality
Management District (AQMD). Please read the requirements on the back of the checklist.
i
(800) 388-2I21
AnSaSTf0W1_ qUr-P1 FF'RNTAL IMFORNMTION