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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 X"ti++3;.,t ,.["A'✓'a.3�`ni'4.P'"'`x,'ii3i:+,-}M,iLaSY 'Y.. ... iq1 ! 'ham"4.+.k. •rnrG? .az?tlY.n-J4'.c.+'-!.":: +wM�:rotl +.. 4a..E 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* �i 1• � Jul r'� _ _� r� _ «... _ ,_ i 1. � yli% al_ - - �_ _ r^-�