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HomeMy WebLinkAbout15201 Triton Ln - CofO (6)I CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH Address Date District Business Name TT-T •r,-tf r �r _, ., ' - _. - — = •- --�c �: Tel. Business ype _ l;- TFiCTAtF CQ n c s n `" , BUILDING OWNER Occ. Group BUSINESS OWNER/MANAGER Name ARGOSY P--RS, C o VOC GN Name JO EFH Va fvrOJICl: Address.. e nr Home Address City Tel —�I . tines City Y home — r—� s Clt Construction No. of Stories Occupant Load 0 Sprnklers CONDITIONS OF APPROVAL APPLICATION FOR CERTIFICATE OF OCCUPANCY k, CITY OF HUNTINGTON $EACH HU,YnMLTONW-" DEPARTMENT OF COMMUNITYDEVELOPMENT 4� (PRINT OR, TYPE ONLY) DATE r `Address 2 0( %�iiati� / /�-VAM V6 7-rok `, 904, i 6 IY9 // District _ B siness Namn mozo- DLl-rlffN(r op, oic Tet._7�� a�' �/ o � Business Type `SF�vtc B�sIJ£tI A!gsF�� Occ, Group BUILDING OWNER BUSINESS OWNER/MANAGER lame_ C-r92!_ i �}� �.r-cS Ll/�It%F�,( p �* flame J 14! gO709 ,/Hddress 7 a 7 �� Home /4Jdress (p7�r' 96A)Ntlnl -57, `v ABC {t9�aSy'e11�S e1� / 310- Te1377_— 290�y ��LL ��5 Ctl 9�10/ r Home TeL91R- f?7�� HIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG, ❑ CHANGE OF OWNER IYCHANGE OF OCCUPANT EXISTING BUILDING ` ❑ CHANGE OF USE ❑ 'ADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr. Div. I SQUARE FT. OF BUILDING TO BE OCCUPIED C>5 { N TICE: 1 Occupancy of anv building is prohibltr;•i 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 existing building until the service has been inspected and certified safe. All applicants for occupancy in an existing building are required to schedule an electrical fuse u ' in spection nspection in the Department of Community Development at the time this application is filed'. 3. _Change of occupancy,or u p�' s _ e inspection fee. Whenever ' p en ever. It is necessary #o make inspection . y . remises in order �� � of abuilding or p er to deterruine if a ch ange may made In the chat aOccupancy� building oforuse of t h e bulldin 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 ofu 3 • be paid to the city. shall 4. Huntington Beach fire Code Section 10.208 requires that building numbers must be a minimum of four (4) inches in height with one half (r/2) inch, stroke, and of a contrasti ng g color rn from the back numbers must be posted ground. These p s ed on your building in a location that is visible from the street. 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). �73 yU -'4Ca--t SUPPLEMENTAL INFORMATION- (FCt3 OFFICE USE ONLY) ZONING A OCCUPANCY GROUP~ PLAN CHECK NO. N OCCUPANT LOAD O. PARKING SPACES PERMIT 1,40. HEALTH DEPT APPROVAL NO. QF STO l ADMIN, ACTION — UTILITIES RELEASED A VED CERTIFICATE FEE $ OF OCCUPANCY O BATE CHANGE OF USE OR OCCUPANCY FEE g i TOTAL i' s d 75-039 Rev. 11/99 COMMUNI cVE PMENT r a ws-e;: � .,kx ,h.��.i?�.sw..��`+nwtr ,..tom ' .....,, _ .. ... m4.:.w.n:�„s�.'„..�-,�:..:' � is ...��; ;ra r�.:X..�+•+a. . SUPPLEMENTAL INFORMATION Y h 1. BUSINESS ADDRESS I-ItJ. 2.- ` Person to contact in case of emergency- lzz, rV l- A- �0,'77s Telephone number: 3. Does f building in question have electricity? C'Yes r E No (a-) If No, are you requesting, that the aiectricity be ~0 Yes turnea ors? G No 4. The building is sprinklered7 ❑ Yes - [' No 5. Operations will produce dust wood, shavings or similar material? ❑ Yes ff No 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? [�No It Yes: (a) Describe the components repaired or replaced.. C7 yes (b) Does the operation involve the use of an open flame! l� No 7. The business is drinking, dining or assembly use that will result in an occupant load of more than , 50 persons. ❑ Yey. allo 8. The following best describes my operation;-' Office Only i Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) ,_Si 4V, lV�WzAlY-- A-S&6WP_ Restaur-:.ant / Take Out Food Medical / Dental Other (describe) s SUPPLIMENTAL INFORMATION SUPPLEMENTAL INFORMATION, (Continued) Does the operation involve any of the. 'following materials' D Yes D'No -if -Yes, indicate quantities: - Material Quantity 1 Flammable liquids Class (-A Class l-B - -� -Class i - C 2. Combustible liquids Class 11 Class 111-A 3. Combination 'flammable liquids 4. Flammable gases 6. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baied Flammable solids 9. Unstable materials 10. Corroslve liquids 11. Oxidizing material - gases 12. Oxidizing rnaterial - liquids 13, ,. :-Oxidizing, material - solids 14..__ � Organic peroxides 15. Nitrome'thane (unstable materials) 16. -Ammonium nitrate 17, Ammonium nitrate compound r mixtures containing more than 60% nitrate by weight 18. Highly toxic material and poisonous gas 19. Smokeless powder _ 20. Black sporting powder 1 hereby certify that the above information is true. and,' correct to the best of my knowledge. Sig ature Date 1i< k t J ' City of Huntington Beach 2000 MAIN STREET CALIFORNIA 92648 DEPARTMENT OF COMMUNITY DEVELOPMENT k Building. 536-5241 Planning 536-5271 Housing 536-5271 , ? Government Code Section 65$50.2(b) requires the City of Huntington Beach Building Division not to issue the final certificate if 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 wr ten 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 requi.redents. 1. The applicant (the same-r)erson who apolies' for vermits from the Buildina D vis�..on) midst complete the cheek 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 acceptthe check list as the release.' 3. If there are any "yes" answers in the list, the applicant must contact an AQMDD engineer by calling 173.4) 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 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 'applicant is advised to contact AQMD immediately after applying for Building permits. a (1360D) SOUTH COAST AIR QUALITYMANAGEMENT DISTRICT (Nonresidential Buildings only) Location -of Subject Property: jS-)-0(_ (tom roil tg/ Property Owner Name: Phone # 7(q^S2-J77 Name of the Person Preparing this form in print and signature Name • Sianature • .., 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" COLUPZN: 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 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 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. Bo you use any chemical'; process? 10. Do you use any y solvents for clean-up? E 11. Are you a dry clearer, restaurant with a charbroiler, body shop, gasoline station, printer, or part coater? J 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, yr .; cos ;-,aed an Air Quality permit at this time. If you har >; ,4• questions in the "YES" Column you must contact the S Quality Management District located at: 21865 E. Copley Drive Diamond Bar, CA 91765-4182 Please calls Plan Check (714) 396-2000 (1360D-2)