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HomeMy WebLinkAbout15131 Triton Ln - CofO (97)FOTON APPLICATIONFOR CERTIFICATE OF or.cvPalvcv CITY aF MUNTINGTO14 BEACfi1DEPARTMFNTOF DEVELOPMENTSERVIG+cs DATE HE�tcr+ !fYRfNT OR TYPE ONLY) x District Address � ` 1 Try icy Laae. 5w ?7di7 ` Tel. cfet�tg. �f� (rkrevahvt Business Name— % — Occ, Group, Business IYPe sUILDt� rMtP �s Name _ LkrCrUt���tLtfr r Name ...a�--r—~ -- ' — # 1, R cJji �� r, p.1 ' 1 _I " Address __ _s `J r Address " t Tel. City THIS USE WOULD BE DESCRIBED AS. Fj NEWLYCONSTRUCTED BLDG. CHANGE OF a�uNEia � CHANGE vr' OCCUPANT � ` 4 CHANGE ADDIT1CNAL OCC JPANT , EXISTING BLttDii�i€z �CHANGE OF USE >. Occupancy Gr.'✓ Indicate former use, if SOY �--�-- J i Mpeot lut3TICE. 1.of any building is prohibited and a busiae license witl no4L- sued ifitii the buildingpected and a certificate of occupancy is issued. ot if T.Ij service has been inspected 2.l sertice'�iii becants forior ant/ exis occupanyiting n anbe;;'isti g buulding are requred to ing unt cieduce an sate. All app)'fuse up' inSfssction in fhe Department of Development Services,at the time this appiica- tior is flied. cy or fire inspection aEe. Whenever it is necessary to make inspection of a build- 3. Change of occupan ing or premises in order to determine if a change fbay be made in the character of occupancy ,w� use of the building or premises which would ,,lace the building in a different division of the sane group' ccupancy, a whange of occupancy inspection fee of $30.00 of occupancy or in e different group of o L shall be paid to the city. 4 Huntigtoi; £reach Fire Gone. Section 10.208 requires that huilding numbers must be a minimum offour t 1 inches in height rr�itt� one half 0',) inch stroke, and of a contrasting color from the back -ground, These nutnbe€s must be posted oryour building in a tacation that s`s visible front the street: 5. Huntington 3f ach �lre Code Section 10.301 requires fire extingf: shpr selection and distribution per the National Fire Protection As pamphlet 10 (see revers. s ._.4 '✓-1 �1 .w'a f 4,fF r i I,.r f �* (FOR OFFICE USE ONLY) SUPPLEMEN'TAU INFORMATION (f i PLAN CHECK NO. -- — — j O, PARKING SPACES _ ---- -- SQUARE FT. OF BUILDING _ � �_ HEALTH DEPT, APP80VAL ..� OCCUPANCY GROUP � PERMIT CdO. � � _._. OCCUPANT LOAD_ .� ADMIN. ACTION .�._-----..---------- UT1LiTIE RELEASED NO STORIES ` �� RE� -- r Zr `�' d" 4 CE;x riF ICA`{ E OF OCCUPANCY FEE S .�.j �r �..........�...;.....,.,.....r APPROVED 8Y DATE CHANGE OF OCCUPANCYFEE 5 :m. � � »+� ----� •�__�---.-- TOTAL S, 75-039 RV. CERTIFICATE OF OCCUPANCY CITY Or HUNTINGTON BEACH Address Date Business Name District w Business Type - Tel. Occ. Group BUILDING OWNER �-- i ± BUSINESS OWNERWANAGER Name Name Address Home -- Address City ; Tel. City Home ? � Construction No. of Stories TeL CONDITIONS OF APPROVAL Occupant Load Sprinklers DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the Building Offlr;ial, by T COMMUNITY DEVELOPMENT r d i r I y, �1 > APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH 1 DEPARTMENT OF COMMUNITY DEVELOPMENT HU"Nf,TON KAQi iPRINT OP T',PE ONL I j to TE i /MC. — �0, S N,jF _ _�`�� � � _ -_t +.T'{GF I'Lt i�-�_ ?� Cif=ss i= fi. Ni H,r,et,^JAakF� j 'on:., arTIE.._- AddrPs �b S�tik is __,.'; . r3�._lL synusi✓_ c g�c�_ec_ UU f PtyiS�ttivtl �AIVC i�Gi%GIf _ _ Ncm•_•TF 4S?__°L THIS USE WOULD BE DESCRIBED AS: — ❑ NEWLY CONSTRUCTED BLD�_� (L��J CHAt4r_& V, VET � ri 07OCCUPANT EXISTING BUILDING t+Ar,r,F .' F J:�, ❑ Ate ,1T�r�At OCCUPANT r. Indicate former if Limy._ i SQUARE FT 01' BUR DiNCi T-­ Br NOTICE: 1. Occupancy of any cuilding 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 ex'jting building until the service has been inspected and i certified sate. 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. }1y13, Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a buiiding or I ]-0 premises in order to determine if a change may be made in the character of occupancy or use of the building P or premises which would place the building in a different division of the same group of occupancy or In a different group of occupancy. a change of occupancy inspection fee of 5 _____. _. _ _ -- shall be paid to the city, i rs must be a minimum of four (4) 4. Huntington Beach Fire Code Section 10.208 requires that building numbe inches in height with one halt (1/2) inch stroke. and of a contrasting color from the background. These numbers must be posted on your building in a IOcation that is visible from the street. 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection .nd distribution per the y National Fire Protection Association pamphlet 10 (see reverse side). ez- L%/Linj� (FOR OFFICE USE ONLY) Rf SUPPLEMENTAL INFORMATION OCCUPANCY GROUP_' — PLA HECf< [t ` _ N—_— OCCUPANT LOAD __ _ _----------._ _ PERt11T tdc; ------- H+ A, TP DFPT APPR(WAt_ --- NC OF STORIES — -- 1 At-iMIN AC'If''�- .. Y ,)) OU tS i ATF OF OCC PAP j— AFPROV BY DA F. CHAN, OF jSti C5R ,C � tl''AtdC Y f EE TO?At, 75-039 Rev. 11190 COMMUNITY DEVEi iJIPMENT C� r t i 1. f I SUPPLEMENTAL INFORMATION BUSINESS ADDRESS�- 1. t, kc: re�1 2. Person to contact in case of emergency-�3 (43f� a Telephone number: 3. Does the building in question have electricity? ® Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes ❑ No turned on? ® Yes 4. The building is sprinklered? ❑ No 5. Operations Will produce dust/wood shavings or similar ❑ Yes material? Na 6. Operations will involve the repair or replacement of El ❑ s Yee automobile parts? if Yes: (a) Describe the components repaired or replaced. i � l k en flame? (b) Does the operation involve the use of an open ❑ Yes No 7. The business is drinking, dining or assembly use that will Yew result in an occupant load of more than 50 persons. No R. The following best describes my operation; Office Only ,_Retajj1,,Sa11es Warehoused product) / Distribution (describe process and end p ) Manufacturing Restaurant / Take Out Food Medical / Dental Other (describe) -- ------------- StlPPLIMENTALINFONMP IOId I i r 1 1 -SUPPLEMi—NTAL INFORMATION (Continued) Dees #n )pera,ion ir;vOlve any ^` the following materials? Yes No Quantity i. Flarrimabie. liquids Class i-A Class 1_P .�..__ Class I-'` .©t7ib S#rt?dE 'iquidc Clasp i1 I# - . Flammat�j( r 5. Lique#led flair rrlable gases.- Flarrrrr�able fibe•s - loos+ '-- 7. Flammable fibers._. - baled v Flammable s(Aids g. [,Unstable materials —_ b Corrosive liquids Oxiciizirg material - gases 12 Oxidizing material - liquids iT� oxidizing material solids ___._... µ._ _ __. _ __ f4. Grgan.c pe_-_._...__ roxides 15. Nitromethane (unstable materials) 16. AmmoniL,m nitrate Amm0r,urn nitrate compound mixtures -- containing more than 600ro nitrate .- by weight 16- Highly toxic ,naterial and -- _ poisonous gas 19. Smokeless powder 20. Black sporting powder I hereby certify that the above information is true and correct to the best of my knowledge. 1 Signature Date } I i 1 -, _ SOUTH COAST AIR QUALITY `ANAGEMENT DISTRICT (Nonresidential Buildings Onl,) Location of Subject Property: 1 3i `(92.i"'fou I -A *Ilq H_WsS BCti C,p ?26 Property Owner name: bi/krvi� N/ia_t � Phone # f4�i<I-Y�6N Name of the Person Preparing this form in prin4 and signature Name Signature n?`� The person preparing this forytt must be the same person applying for building permits. Please answer the following questions regarding your =) proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN THE "YES" COLUMN: SCAQMD PERMITTING CHECKLIST YES NO 1. Does your facility use any internal combustion engines greater than 50-HP? 2. Does your facility involve mixing, blending, or -- processing any solvents, adhesives, paints or coatings? 3. Does your facility create any dusts or smoke? 4. Does your facility refine any liquids or solids? Reclaim any metals? G Does your facility plate or coat anything? 6. Does your facility have any combustion equipment i.e. boiler, furnaces, broiler, baking ovens, etc.) rated greater than 2,000,000 BT.U/HR? 7. Does your facility handle or store solvents or moto'e fuel? S. Do you use or store any acids? 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline station, printer, or part coater? 12. Is the subject building located within one thousand (1,000) feet of any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. 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; 9150 FLAIR DRIVE, EL MONTE, CA 91731 Please call these offices: Plan Check (818) 572-6406 (818) 572-6111, (818) 572-6261. D:AL00603 Owl