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Home My WebLink About15131 Triton Ln - CofO (122)r ' APPLICATION hOR CERTIFICATE OF OCCUPANCY �u CITY OF HUNTINGTON BEACH_�r�s- t ° DEPARTMENT OF COMMUNITY DEVELOPMENT DATE (PRINT OR TYPE ONLY) HurmrrcroN BFAOi -. District n,_�v N Address Tel U ereC'R:� c s` Business Name_ Occ. Group — Business Type BUSINESS O�NNER)MANAGCR BUILDIN�R � Yd.ytel12e9= �t1P7Sdy[� Name Name. Home 2Q � .� c..i.! .mot _ Address —� -- C 1 _Home Tel, Address Tel City i7 t��`� - a f City THIS USE WOULD BE DESCRIBED AS: ® CHANGE OF OCCUPANT EI CHANGE OF OWNER NEWLY CONSTRUCTED BLDG. ADDITIONAL. OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE Occupancy Gr _--------DLv. ' Indicate former use, if any 1 '7a ; SQUARE FT. OF BUILDING TO BE OCCUPIED NOTICE: of any building is prohibited and a business license will not be issued until the building has been � 1 Occupancy Is issued. inspected and a certificate of occupancy existing building until the service has been inspected and 2. No electrical service will be released for any I All a licants for occupancy in an existing building are required to schedule an is el sled. l certified safe. F pPne this fuse up' inspection in the Department of Community WheneveDret is ecessarytto�make mspetim cton otf ajbuild ng or I Change of occupancy or use inspection fe ncy or use of ng premises in order to determine if a change mayn aPdifferent d v sht made in the on of the same gerof aoup of occuptanoyuordiln a or premises which would place the building shall different group of Occupancy, a change of occupancy inspection fee of � — be paid to the city.st be a minimum of 4 Huntington Beach Fire Code Section 10.208 requires ohatbuilding nnumbers b or from he background.These � E inches in height with one half your inch stroke, numbers must be posted on your building in a location that is visible from the. street. r r 5. Huntington Beach be poFirsted Code Section 10.301 requires fire extinguisher selection and distribution per the I / National Fire Protection Association' pamphlet 10 (see reverse side). G (FOR OFFICE USE ONLY) ZONING SUPPLEMENTAL INFORMATION NO PARKING SPACES y PLAN CHECK NO. HEALTH DEPT APPROVAL OCCUPANCY GROUP PERMIT NO UTILITIES RELEASED t OCCUPANT LOAD — gDMIN ACTION to LAPPR04V OF STORIES yLj} CERTIFICATE OF OCCUPANCY FEE $BY DA E CHANGE OF USE OR OCCUPANCY FEE $$ TOTAL 1 CO MUNITY DEVELOPMEW 75-039 Rev. 11190 x. i _ SUPPLEMENTAL IiNFO€ MA'TPOIN 1. BUSINESS ADDRESS S. f 3 i IKlA2 1Y �/�/"'472A 2. Person to contact in case of emergency Telephone number: 3. Does the building in question have electricity? No (a) If No, are you requesting that the electricity be D Ye I turned on? Yes 4. The building is sprinkiered? El No 5. Operations will produce dust/ wood shavings or similar Yes material? NO 6. Operations will involve the repair or replacement of Yes No automobile parts? If Yes: (aN Describe the components repai►cu or replaced. (t } Does the operation involve the use of an open fiame? El Nos i, 7. The business is drinking, dining or assembly use that will D Yes result in an occupant load of more than 50 persons. No 8. The following best describes my operation; Office Only Retail Sales � Varehouse ``3 Manufacturing / Distribution (describe process and end product) s 1s Restaurant/Take Out Food Medical / Dental Other (describe) N e 4 SUPPUMENTAL INFORMATION .. --.. ---- r r A SUPPLEMENTAL INFORMATION (Continued) Goes the operation involve any of the following materials? ❑ Yes X No if Yes, indicate quantities: Quantity Material 1. Flammable Liquids Class I -A -------------- Class I-B ------------ Class '-C ' 2 -77777 Combustible liquids Crass It .ys III -A C rnbination flammable liquid's t 4. Flammable gases 5. Liquefied flammable gases -------- t 6. Flammable fibers - loose 'flammable fibers baled g. Flammable solids - g. Uns+able materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) k 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures - containing more than 60% nitrate l by weight -------- ` 1s. Highly toxic material ar poisonous gas !_ ! 19. Smokeless powder 20. Black sporting powder I hereby cer�ify that the above information is true and correct to the best of my knowledge. g Date S ture I 4 � Y 1 : f SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property:.. //�� ef+ORR IS/JJA,,51 Phone # G Property Owner Name: E ' Name the Person Preparing this form in print and signature- M1 of P C,11?1S4/ate Sigr ire: Name:OY3 The person preparing this form must be the same on pregiArdingr following questions ' building permits. Please answer the the subject building. IF YOU DO NOT KNOW your proposed occupancy of d A QUESTION MARK IN THE "YES" COLUMN: THE ANSWER AQMD PERMITTING CHECKLIST YES NO; 1. Does your facility use any internal combustion 1 engines greater than 50-HP? facility involve mixing, blending, or 2. Does your solvents, adhesives, paints s__ processing any _ or coatings? facility create any dusts or smoke?-- ; 3. Does your facility refine any liquids or solids j 4. Does your or reclaim any metals? or coat anything? 5 5. Does your facility p late ustion combroiler, 6. Does your facility have any broiler,. baking ovens, i.e. boiler, furnaces, rated greater than 2,000,000 aTUlHR? etc.) ?. Does your facility handle or store solvents or motor fuel? 8. Do you use or store any acids?_ 9. Do you use any chemical process?__ for ! 10. Do you use any solvents clean-up? restaurant with a ll Are you a dry cleaner, charbroiler, body shop, gasoline station, printer, or part co'ater?located within one the subject building 12, Is -__ thousand"(1,000) feet of any school? GRADES K 12. PROPERTY LINE TO PROPERTY LINE. 4 you do not need an Air' ue If you have marked "NO' in all columns, y d stions have marked any q in Quality permit at this time. If you the South Coast Air Quality the "YES" Column you must contact Managemen District located at: 21865 E. Copley Drive u Diamond Bar, CA 91765-4182 Please call: Plan Check (714) 396-2000 `(136od-2) I J "I i i at f I , ter t City of ti 1 2000 MA1N STREET AT CALIFORNlA9`Z 413 DEPARTMENT OF COMMUNITY DEVELOPMENT Building Division 536.5241 planning Division 536-5271 Government Code. Section 65850.2(b) requires the City of Huntington Beach Building Division not to 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 Building Division must obtain a written release from AQMD to sck how the applicant has complied .iith thes'la� canteandethe F: list on the reverse side is designed to help =pp� building division to meet these requirements. ` 1. The applicant (the same person who � _plie_ s forpermits £rom h_Biildin Divijlin) must complete the check list which can be obtained either at the Building Division or at AQMD, 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) 396-200osed 0 to find out whether air permits are required for the prop 1 construction project, 1 4. If air permits are not required, the applicant- will obtain a written release from AQMD. f Tf air permits are required, the applicant must submit- the necessary permit applications before the release can be issued. ` Because of the time it may take for AQMD to go through the above the applicant is advised to contact AQMD immediately procedures, after applying for Building permits. (1360D) 3 a _ i