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
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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)