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HomeMy WebLinkAbout15131 Triton Ln - CofO (56)CE FTTIFICATE OF OCCUPANCY 10/02/95 CITY OF HUNTINGTON BEACH Dale 15131 TRIT014 4103 District Address 714-895-9763 SUNSET MEDICAL PRODUCTS Tel. - V Business Name B2 OFFICE & STORAGE OF MEDICAL PRODUCTS Occ. Croup Business Type BUSINESS OWNER/MANAGER BUILDING OWNER i A C K I E F—h7T1K­-9J—!, J,—Y, U BOLSA BUSINESS—F--AFJ,' Name Name Home 16923 PARK STREET 7060 BOX 68684 Address Address MONTE, CA SUNSET BEACH Home 310-592-2862 EL Tel. Tel. Cit 1. y City 9 Construction _ No. of Stories Occupant Load Sprinklers CONDITIONS OF APPROVAL DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of occupancy - SHALL BE posted In a c.,,-P',-U-us place on the premises and shall not be removed except by the by Building Official. COMMUNITY DEVELOPMENT 04 i fl !iI1j1jWff APPLGCATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH ( 9/26/95 i ]at& DEPARTMENT OF COMMUNITY DEVELOPMENT \`'/`J DATE RUNn%4moN BFAW 0.1� (PRINT OR TYPE ONLY) Address 15131 Triton Lane #103 District — Tel f'71 A� Q 0 r p^roA Business Name SUNSET MEDICAL PRODUCTSu� Occ. Grou p Business Type SAT F (STORAr'F 1 MFnTr'aT �nrTm gPF'IEE I BUILDING OWNER BUSINESS OWNERIMANAGER I Name ROT SA Ri7 TNF y. PAl K I]RpefrLill].ds NamejAG*r Home Address PO Box 65684 ____ — Address - � 310) a F I Home Tel Ho City ERI plenf:2---�— 7-143el63-4=4-G54 City—SFd ; THIS USE WOULD BE DESCRIBED AS: k x BLDG. ❑ CHANGE OF OWNER © CHANGE OF OCCUPANT � NEWLY CONSTRUCTED I EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, it any°��+ r - Occupancy Gr. Div_ _ I OF BUILDING TO BE OCCUPIED—.p-7 SQUARE FT. r NOTICE: 1, Occupancy of any building is prohibited and a business license will notbe issued until the building has been { inspected and a certificate of occupancy is issued. 1 for existing building until the service has been inspected and 2. No electrical service will be released any 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. (+, n 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or lJti ' n\ premises in order to determine if a change may made in the character of occupancy or use of the building in different division of the same group of occupancy or in a or premises which would place the building a I- \lQ different group of occupancy, a change of occupancy inspection fee of $ — shall be paid to the city. 4. Huntington Beach Fire Code Sectien 10.208 requires that building numbers must minimum offour(4) �1 \\ 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. Fire Code Section 10.301 requires fire extinguisher ection and distribution per the i 5. Huntington Beach National fire Protection Association pamphlet 10 (see reverse side). TRAFFIC IMPACT FEE ,ebkh DATE PAID AMOUNT RECEIVED NAME (FOR OFFICE USE ONLY) ZONING lL SUPPLEMENTAL INFORMATION ^� OCCUPANCY GROUP PLAN CHECK NO — NO. PARKING SPACES HEALTH DEPT APPROVAL f OCCUPANT LOAD PERMIT NO. #; ADMM. ACTION UTILITIES RELEASED NO. OF STORIES C 7 i�td Oo. r ) 2 CERTIFICATE OF OCCUPANCY FEE $ -y I AP,PF}O ED BY DATE CHANGE OF USE OR OCCUPANCY FEE $ • (j TOTAL $ i 75039 Rev. COMMUNITY DEVELOPMENT _ -F1 l i ,k@ i' SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) l a Location of Subject Property:-___J_5_31 5_r_i.t0_n La3e -#103__ Hunt Beach, CA 92649 Property Owner Naffiie:_--.Reef _Funds Bolsa Business Park Phone #: (714) 634-4664 ' Name it the person preparing this form in print and signature: t Name:iruia_�iaCnnnell- _ Signaturl�r�c���� .k The person preparing this form must be the same person applying for building permits. Please answer the t I following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION, MARKIN THE "YES" COLUMN: { i AQIVID PERMITTING CHECKLIST r` YES NO 1l 1. Does your facility use any internal combustion engines greater than 50HP? ,_— X 2. Does your facility involve mixing, blending, or processing any solvents, X adhesives, paints or coatings? r 3. Does your facility create aril dusts or smoke? - — --_X ; 4. Does your facility refine any liquids or solids or reclaim any metals? 1. 5. Does your facility plate or colt anything? X 6. Goes your facility have any combustion equipment (i.e. boiler, furnaces, X I; broiler, baking ovens, ztc.) rating greater than 2,000,000 BTUIHR? — 7. Does your racftity handle or store solvents or motor fuel? t- 8. Do you use or store any acids? X l 3. Bo you use any chemical process? X +. 10. Do you use any solvents for clean-up? -- X i 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline x !: station, printer, br part coater? - - 1� 12. Is the subject building located within one thousand (1,000) feet of any X LINE TO PROPERTY LINE. GRADES K-12. school? PROPERTY If you have marked "NO" in all columns, you do not need an Air Quality permit at this time, If you have marked any questions in the "YES" column you must contact the South Coast Air Quality Management District located at: 21865 E. Copley Drive Diamond Bar, CA 91765-4182 g i Please call: Plan Check (909) 396-2000 i i l R r. I 0 P t Government. Code Section 65850.2(b) requires that the City of Huntington Beach not issue the final certificate of occupancy unless the applicant has met or is meeting the requirements of the South Coast Air Quality Management District (AQMD). The Department of Community Development must obtain a written release from AQMD to show the applicant has complied with this law. The check I list on the reverse side is designed to help the applicant and the building division to rneet these 6 requirements. 1. The applicant (the same person who applies for permits from the i Depa. tment of Community [development) must complete the check list which can be obtained either from the Department of Community r� Development or at AQMD. , r, 2. If all boxes in the list are checked "no", the Building Division can accept the check list as the release.' 3. If there are any "yes" answers in the list, the applicant must contact an AQMD engineer by calling (714) 396-2000 to find out whether air permits are required for the proposed construction project. 4. If air permits are not required, the applicant will obtain a written release from ). 1: i AQMD. 5. If air permits are required, the applicant must submit the necessary permit applications before the release can be issued. sm l Because of the time it may take for AQMD to go through the above procedures, the applicant is s advised to contact AQMD immediately after applying for building permits. ; I jt t� ADDMONAL SUPPLEMENTAL INFORMATION r I. 1 SUPPLEMENTAL INFORMATION 1. BUSINESS Ar.^DRESS 15131 Triton Lane 1013 mint- Reach, CA 92C,49 I 2. Person to contact in case of emergency- Linda Mcconnell i Telephone number: 3. Does the building in question have electricity? Yes ❑ No I �a) If No, are you requesting that the electricity be ❑ Yes El No s turned on? ' � 4. The building is sprinklered? ,�7 Yes ❑' No k 10 f 5. Operations will produce dust/wood shavings or similar material? ®o 6. rep p Operations will involve the repair or lacement of Yes No li automobile parts? If Yes: (a) Describe the components repaired or replaced. i • (b) Does_ the operation involve the use of an open flame? Q No r 7. The business is drinking, dining or assembly use that will ❑Yes b a result in an occupant load of more than 50 persons. ®No 8. The following best describes my operation; Office Only Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) rWarehouse/ Product: housed and ship ged ont of tt,an I Restaurant / Take Out Food Medical / Dental': Other (describe) Medical ( 1 i I SUPPLEMENTAL INFORMATION � .... I I - i i r SUPPLEMENTAL INFORMATION (Continued) Does the operation invo.ve any of the fohowing materials? C1 Yes C� No If Yes, indicate quantities: is Material Quantity 1. Flammable liquids Class I -A t Class 1-6 i. Class I_C 2 Combustible liquids Class It r Class Ill -A f 3. Combination flammable liquids 4. i=lammable gases it 5. Liquefied flammable gases 6. Flammable, fibers - loose 7. Flammable fibers - baled j 8. Flammable solids 9. Unstable materials 1' E 10.. Corrosive liquids _ 11. Oxidizing material - gases { a � 12. Oxidizing material - liquids ' I. 13. Oxidizing material - solids 14. Organic peroxides e� 15. Nitromethane (unstable materials) i 16. ,ammonium nitrate 1;. Ammonium nitrate compound mixtures it containing r.,ore than 60% nitrate i by weight 18. highly toxic material and poisonous gas l 19, Smokeless powder 20. Slack sporting -powder I hereby certify that the above information is true and correct to i the best of my knowledge. ?° - Signature bate .l