HomeMy WebLinkAbout15182 Triton Ln - CofO (3)F
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a� t� APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH Sept. 15, 1992 "
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE
HUNTINGTON. BEACH - (PRINT OR TYPE ONLY1
Address 15182'Triton Ln., Huntington Beach, CA 92649 _ District
Business Name
RAM Optical Instrumentation, Inc. Te1714-895-1880 ;
Manufacturing Occ.Group-
Business Type '
BUSINESS OWNERIMANAGER
BUILDING OWNER i
Rreef Management Co. _ Name John G. Hartwell i
Name Home
I' 1630 S. Sunkist, Suite A Address P.O. Box N
Address
Anaheim, CA 92806 —Tel 714-634-4&qk Huntington Beach, CA 92648 HomeTe1.960--0590
C
ity
THIS USE WOULD BE DESCRIBED AS: nn
ElNEWLY CONSTRUCTED BLDG. EJ CHANGE OF OWNER LXJ CHANGE OF OCCUPANT
❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT v�
❑ EXISTING BUILDING IN
Indicate former use, if any N/A Occupancy Gr. Div.
SOUARE FT. OF BUILDING TO BE OCCUPIED 18,190
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(FOR OFFICE USE ONLY)
ZONING --
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP
PLAN CHECK NO.
NO PARKING SPACESu
HEALTH DEPT. APPROVAL —
OCCUPANT LOAD
PERMIT NO
ADMIN. ACTION
UTILITIES RELEASED
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aC. CERTIFICATE OF OCCUPANCY FEE
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AT CHANGE OF USE OR OCCUPANCY FEE
$
TOTAL
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75 0:t9 Rev t t /so
COMMUNITY DEVELOPMENT
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SUPPLEMENTAL INFORMATION
15152 Triton Lane, Huntington Beach, CA 92649
1. BUSINESS ADDRESS
to contact in case of emergency J960-0ohn 5 Hartwell
80
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2. Person
Telephone number:
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ding in question have electricity?
the building
® Yes
❑ No
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i 3Does
.
❑ Yes
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are yoelectricity be
if No, u requesting that the
❑ No
;
(a)
turned on?
❑ Yes
4, The building is sprinklered?
El No
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Aw111 p roduce dust /wood shavings or similar
❑ Yes
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5. Operations
El No
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material?
will involve the " repair or replacement of
0 Yes
® No
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6. Operations
automobile parts?
' If Yes: components repaired or replaced.
Describe the comp
(a)
fla ae? operation involve the use of an open
o
Yes
No
8
(b) Do ,s the p
that will
dining or assembly use
` 7. The > business is drinking, persons.
toad of more than 50 p
❑ Yes
n No
'
result in an occupant
8. The, following best describes my operation;
Office Only
Retail Sales
Warehouse process and end product)
ring / Distribution_(desc
Manufact::iribe
inspection eugpment
Assembly of video based measurement and
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Restaurant / Take Out Food
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Medical / Dental
Other (describe) N/A,
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SUPPLEMENTAL INFORMATION (Continued)
Does
the operation involve any of the following materials
dyes
D No
If
Yes, indicate quantities:
Matol'iat Quantity
1.
Flammable liquids
Class I -A
l
Class I-B
Class I-C
2.
Combustible liquids 16 gal. Safety Kleen tank changed by Safety Kleen technician
Class once a
11 month.
1.
Class 111-A
3.
Combination flammable liquids
4.
Flammable yases
B.
Liquefied flammable gases
6.
Flammable fibers -'loose
7.
Flammable fibers - bale.i
8.
Flammable solids
9.
Unstable materials
10.
Corrosive liquids
A
11.
Oxidizing material - gases'
12.
Oxidizinr; material - liquids
13.
Oxidizing, material - solids
14.
Organic peroxides
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15.
Nitromethane (unstable materials)
g
-16.
Ammonium nitrate
` 17.
Ammonium nitrate compound mixtures'
containingmore than 60% nitrate
by weight
18.
Highly toxic material and
poisonous <gas
19.
Smokeless; powder
'
20.
Black sporting powder
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I hereby certify that the above information is true and correct
to
th best of my knowl ge.,
Sept. 15, 1992
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Sigr
Ature Date
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-�-' City of Huntington Beach
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2000 MAIN STREET CALIFORNIA 9264C
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DEPARTMENT OF COMMUNITY DEVELOPMENT
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Building 536-5241 i
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Planning 536-5271,E
Housing 536-5271
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Government Code Section 65850.2(b) requires the City of Huntington
Beach Building Division not to issue the final certificate of
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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 show the applicant has complied with this law;. The check
list on the reverse side is designed to help the applicant and the
building division to meet these requirements.
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' 1. The applicant (the same person who -applies for permits from
the Bu lding Division) must complete the check list which
car h= otl-wined either at the Building Division or at AQMD.
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2. If ail boxes in the list are checked "no", the Building
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Division, can accept the check list as the release.
3. If there are any "yes" answers in the list, the applicant
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must contact an AQMD engineer, by calling (714) 396-�,000 to
find out whether air permits are required for the proposed
construction project.
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4. If air permits are, not required, the applicant will obtain
a written release from AQMD.
5. If -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
procedures, the FYfi,)licant is advised to contact AQMD immediately
after applying fo.: Buildirg permits.
(1360D)
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: 15182 Triton Lane, Huntington Beach, CA
92649
Property Owner Name: Rreef Management Co. Phone # 714-634-4664
Name of the Person Preparing this form in print and signature
Name: Signature:
The person preparing this form must be the same person applying
for
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building permits, Please answer the following questions regarding
is
your proposed occupancy of the subject building. IF YOU DO NOT
KNOW
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THE ANSWER TO A QUESTION MARK 'IN THE "YES" COLUMN:-
i
' AQMD PERMITTING CHECKLIST.
YES
NO
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1. Doe's your facility ue any internal combustion
engines greater than 50-HP?
X
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2. Does your fa,_,ility involve mixing, blending, or
processing, any solvents, adhesives, paints
or coatings?
X
3. Does your facility create any dusts or smoke?
X_
4.Does your facility refine any liquids or solids
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or reclaim any metals?
x:
5. Does your facility plate or coat anything?
_X
6.' Does your facility have any combustion equipment
i.e. boiler, furnaces, broiler, baking ovens,''
x'
etc.) rated greater than 2,000,000 BTU/HR?
X_
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7. Does your facility handle or store solvents or
motor fuel?
x
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8. Do you use or store any acids?
X
i 9. Do you use any chemical process?
Xy.
= 1.0. Do you use any solvents for clean-up?
X
11. Are you a dry cleaner, restaurant with a
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charbrciler, body shop, gasoline station_,
printer, or part coater?
X'
12. Is the subject building located within one
thousand (1,000) feet ofany, school?
X
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PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
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I If you have marked "NO" in all columns, you do not need an Air.
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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
1;
Please call: -Plan Check -(714) 396-2000
X2468 Art Lawler
(1360D-2)
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