HomeMy WebLinkAbout15131 Triton Ln - CofO (117)SUPPLEMENTAL: INF0111 ATIION
1.
BUSINESS ADDRESS j S j'31' (12��tZz�l l.►�; �G� \?C�
R...1
2•
'
Person to contact in case of emergencvGC.,
Telephone
number: p--------
117�.17 j "eJ2
_
3.
Does the building in question have electricity?
'
Yes
(a) If Na, are �.:
yc € requesting that the efect� city be
l turned on? -
❑ No
❑ Yes
EJ No
4.
The -building is sprinklered?
rsr Yes
5•
Operations will produce dust / wood shavings or similar
material?.
❑ No
i
❑ Yes
6.
Operations will involve the repair or replacement
p ment of
A No
autc.Tobile parts?
L Yes
P No
If Yes:
O Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame?
El Yes..
7.
The business is drinking, dining or assembly that will
result in
� No
an occupant load of more than 50 persons.
persons?
Yes'
8.
The following best describes my operation;
X No
Office Only
Retail Sales
arehouse]
Manufacturing Asttion
(describe process and end product
Restaurant / Take Out Food
Medical / Dental
.
Other (describe)------------
w
SUPPLIM%NTAL INFORMATION
r
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OUPPLEMENTAL., MF®RMATI0N
(Continued)
Does
the operation invaly any :of `they "rr i. �vv& g-` raters is
No
1f Yes, indicate talantities Quantity
Quantit
1. Flammable liquids
a, Glass I -A
e ,
Class I-E
Class 1-C
2."
Combustible liquids
I
I
Class Il
"Class Ill -A
3.
C6mbination flarnmabte liquids
4.
Flammable gases
5, `' Liquefied flammable gases
6. `'
. Flammable fiber.3 loose
7.
"'Fiammable fibers - baled^
$.
Flammable Salida
9,
Unstable materials
10.
Corrosive liquids
11.
Oxidizing material oases
-12.
Oxidizing material- liquids
13,
Oxidizj;ng= material - solids
14.::
Organic peroxides
15.
Nitromethane (unstabie ,materials}
16.
:. Ammonium ` nitrate .
17.
Ammonium nitrate compo,u::nd �--,mixtu.res
a E"
containing more than 60% nitrate
by weight
18,
Highly toxic material and
poisonous gas.,
19.
Smokeless powder
20.
Black sporting ' powder
I _ hereby ,certify; that the above 'Information is
trues. and; , correct to
„
the be s' afi my knowledge."
Signature
Date
'i
1' i
.mow
2
!
GitY of Huntington B
g each
e
2000`MAIN STREET
CALIFORNIA 92648
i
DEPARTMENT OF COMMUNITY DEVELOPMENT
I I
Buliding 535-5241
Planning 536=5271
tJ
Housing 5336-5271 ;i
a
;p
j
Government Code -Section 65850.2(b) requires' the City of Huntington
Beach Building Division
not to issue
oceu - the final certificate of
panty unless the applicant has met is
�
or meetingthe
requirements of the South Coast Air e
Quality. Management District
(AQMD). The Building Division,
must obtain a written rele—as g 'from°
AQMD to show the applicant has complied
with this law. The the ck
list on the reverse side is designed to help the applicant and the
�I building' division to meet
these requirements.' '
1• The 'applicant (the sam nelson wh or
a lies f`e.rmi'
o pp p is from
BuildinQ_Divial)
on
_
must complete the check list which
can be obtained either at the Building Division
-
- MD. Q
or at A
2., If all boxes in the list are checked "no#', the Building ;
Division can accept
the check list as the release.
I
i
3• If there are any "yes" answers in the list,
must contact an AQMD en the applicant
ginger by
calling i�
find out :`:whether . `air g (�-') 3.96-2000 to. .
permits are required f�=
.
construction ,project. the proposed
i
I
4. If air permits are not required, the applicant will obtain
a written releasefromAQMD.
-
5. If air permits are required, the applicant must submit the
necessary permit applications
before the release `can 'be (�
isP.ued.
Because of the time it may take for AQMD to procedures, h the above
the applicant is
go tAQMD gimmed•iately
�
advised to contact
after ;applying.for Building
g permits.''
{
(1360D)'
i
a a r r
t .s
r
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: lS�J�7 Z�Z
Property Owner Name: t f� G
,'3`-t
Ems-- — Phone #
Name of the Person Preparing this form in it an signa ure
Name :41
Signatu-r-e:
I
The person preparing this for mtmust be the same person a ,..-
.lying
building permits. Please
for
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:
AQMD PERMITTING CHECKLIST
YES
NO
1. Does your facility use any internal combustion
engines
greater than 50-HP?
2. Does your facilityinvolve mixing,,
blending,or
processing any solvents, adhesives, paints
I
or coatings?
3 Does
e s your facility create any dusts or smoke.:?
4. Does your facility refine any liquids or solids
or reclaim any metals?
5. 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
ter than 2,000,000 BTU/HR?
7. 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?
10. Do you use any solvents for clean-up?
11. Are you a dry cleaner, restaurant with a
charbroiler, body shop, gasoline station,
printer,
v
or part coater?
l�
12. Is the subject' building; located within one
thousand (1,000) feet of any school?
j
PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
Ifyouhave 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:
2.1865E. Copley Drive
Diamond Bar, CA 91765-4182
Please call: Plan Check (714) 396-2000
'' (1360D-2)
I
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH ✓ Q z O} 4
Date
` Address 1 F 1�Z 1 7 RTTON iF 9 Pri District i
Business Name OFFICE EQUIPhENT SPECIALISTS Tel. *77R-1
6 Business Typi S�-RVIC'E & REPAIR OF OFFICE EQUIPMENT Occ. Group E;-2
:- BUILDING OWNER BUSINESS OWNERIMANAGER
Name
RREEF�-IV, INC. Name BRIAN BRUNER
I
Home f
Address 16;0 S. S[iNKIST A Address 1077 F. PCH i F7
City ANAFiEIh; Tel. 714-6;4-4664 City SEAL EEACF Home
I
Construction No. of Stories Occupant Load Sprinklers
j
CONDITIONS OF APPROVAL f
r
Comments. NO RETAIL, NO CUTSILE STORAGE
I
r
1 t
t
r
i
kDEPARTMENT OF COMMUNITY DEVELOPMENT
F- This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the ti
premises and shall not be removed except by the by I
Building Official. I ti
t
COMMUNITY DEVELOPMENT
"i
I
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH L1/Za b DEPARTMENT OF COMMUNITY DEVELOPMENT
HUN71NG-TON BEACH [PRINT OR TYPE ONLY) DATE
Address , J J 1 a \ i�N LN . 1 Drstricl
-"Business Name �)F(Zj Ce aC uNqy(e-s� al?gC-\f X--1SnS Tel 3`] 3 l` S3
Business Type
SiL�C� a-`(��� lC.tOcc Group )
BUILDING OWNER BUSINESS OWNERiMANAGER
/Name GL F - v C-
A ress �(o C) c�, c�l�Nl���` �1 'Flume
(�- - Address
I City �►.rAN _I IV\ Tel �3 iu-�C [y 5E0�`��t )�i Home Tel��3 tJ�3
IS USE WOULD BE DESCRIBED AS:
� t
K ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
I dicate former use. it any Occupancy Gr Div
S UARE FT. OF BUILDING TO BE OCCUPIED Obi i
N TICE: 1. Occupancy of any building is prohibited and a business license will not be issue, rntil 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 hLs 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
premises in order to determine if a change may be 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 in a
different group of occupancy, a change of occupancy inspection fee of $ shall
be paid to the city.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) I
r 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. i
r 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
(FOR OFFICE USE ONLY) �
SUPPLEMENTAL INFORMATION ZONING_l--�- --A I,
OCCUPANCY GROUP PLAN CHECK NO NO PARKING SPACES
OCCUPANT LOAD PERMIT NO HFALTH DEPT APPROVAL_
NO. OF STORIES ADMIN ACTION UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE
APP VED DATE CHANGE OF USE OR OCCUPANCY FEE g _
TOTAL 5_
_ 75•039 Rev. 11/90 COMMU DEVELOPMENT
11iiiii MAI--
=�
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS
2.
Person to contact in case of emergency -
Telephone number: _CDlaS-S`E3�'i
3.
Does the building in question have electricity?
Yes
❑ No
(a) If No, are you requesting that the electricity be
❑ Yes'
turned on?
❑ No
4.
The building is sprinklered?
,� Yes
❑ No
5.
Operations will produce dust /wood shavings or similar
'
material?
❑ Yes=
No
6.
Operations will involve the repair or replacement of
❑ Yes
automobile parts?
No
`
If Yes:
a
(a) Describe the components repaired or replaced.
It
(b) Does the operation involve the use of an open flame?
❑ Yes
la
r
No
l
7.
The business- is drinking, dining or assembly use that will
result in an occupant Toad of more than 50 persons.?
Yes
!
( No
k
8.:
The following best describes my operation;
Office Only
;
Retail Sales
arehouse�
is
f,
Manufacturing 'Distribution (describe process and end product)
�R
Restaurant/Take Out Food
Medical / Dental
y.;
Other (describe)
i
it
f
SUPPLI MENTAL INFORMATION
I
__w= i Ab
4
l
k
City of Huntington Beach
P
2000 MAIN STREET CALIFORNIA 92648
DEPARTMENT OF COMMUNITY DEVELOPMENT
t
r
Building 536-5241
Planning 536-5271
Housing 536-5271
I'
I
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 I
(AQMD). The Building Division must obtain a written release from
AQMD to show the applicant has complied with this law. The check
F list on the reverse side is designed to help the applicant and the
F building division to meet these requirements.
1. The applicant (the same person who applies for Permits from
the Building Division) 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) 396-2000 to
find out whether air permits are required for the proposed
construction project.
4. If air permits are not required, the applicant will obtair
a written release from AQMD.
5. I'f air permits are required, the applicant must submit the t
necessary permit applications before the release can be
I
issued.
Because of the time it may take for AQMD to go through the above
procedures, the applicant is advised to contact AQMD immediately
_after applying for Building permits.
t
4
(1360D) k
3
t
4
SOUTH COAST ATR QUALITY MANAGEMENT DISTRICT
(Nonresidentiaal22BLildinggs Only)
Location of Subject Property:
Property Name: IT — l �e-�
Owner , Phone #
Name of the Person Preparing this form in Dfipt an signature
21�};�L 1QA3
Name: /Signat.ur"e,,
The person preparing this form 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:
AQMD 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
1 or reclaim any metals?
��--
5. Does your facility plate or coat anything?
i 6. Does your facility have any combustion equipment
-J-
i.e. boiler, furnaces, broiler, baking ovens,
E etc.) rated greater than 2,000,000 BTU/HR?
. 7. Does your facility handle or store solvents or
f' motor fuel?
8. Do you use or store any acids?
9. Do you use any chemical process?
10. Do you use any solvents fcr clean-up?
lI. Are you a dry cleaner, restaurant with a
--�,
I charbroiler, body shop, gasoline station,
x
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.
s
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
Please call: Plan Check (714) 396-2000
f
f
(1360D-2)
s
r*
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