HomeMy WebLinkAbout15201 Triton Ln - CofO (4)---------- ------ ------------------------ ------------------------------------------------
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Date
Address 521, Tr _ District
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Business Name c k r+ r T I J; a n-. n �r T ra a,� .r rr - , - — �—r---
- l Business Type
H ar PTUP QHnP Occ. Group
BUILDING OWNER BUSINESS OWNER/MANAGER
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Name KEI•: STUMP {
Name CARL VGCE _ �
Home ,
Address ��,.,�, r. r. m Dn Address iG4E
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_ Nome ;
Cit Tel. —�r: cnt, nnt,G City rn,r-rrr Tel.
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Construction No. of Stories Occupant Load K2 Sprinklers f
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CONDITIONS OF APPROVAL
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DEPArITMENT OF COP
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the by
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Building Official
COMMUNITY DEVELOPMENT
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Laa���t
Hu ON erna•i T DATE
(PRINT OR TYPE ONLY)
Address 5 t7, -I y-I+0n LAne- {t`,B. CG District
Busir,ess Name J tj in �1Y17> MC(6t( (1,_ JOC, Teb/Lh
�siness Type MCA bl't r E rJ 'y POcc Group_
` BUILDING OWNER BB.U�,SI`%ESS OWNERIMANAGER
�me C-clr� VcL.e� Name ken 5t I'1F? f
Ii-7 C6'�st R� , ome II ! -Q,1�
Address l���-�� �
ty Q (s, igdwPaj v5 V ex4 e- . Ce, Tel �Acldiess
ity CO T hek a Home' `rei 33�
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HIS USE WOULD BE DESCRIBED AS: ~
❑ NEWLY CONSTRUCTED BLDG ❑ CHFfNGE OF OWNER N CHANGE OF OCCUPANT
ILII EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
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ndicate former use, if any h0 h ¢, Occupancy Gr _ Div
OUARE FT. OF BUILDING TO BE OCCUPIED 01000
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NOTICE: 1. Occupancy of any building is prohibited 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 i
'fuse up' inspection in the Department of Community Development at the time this application is filed.
r �9y 3. Change of occupancy or use inspection fee. Whenever it is neu:ssary to make inspection of a building or
premises in order to determine if a change may be made in the character of occupanry or use of the building
or premises which would place the building in a different division of the same grOL:,) of occupancy or in a
z different group of occupancy, a change of occupancy inspection fee of $ shall
/6 qJ be paid to the city.
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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 (1/z) 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.
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).
j (FOR OFFICE USE ONLY) M
Si,PPLEMENTAL INFORMATION -2— ZONING13
I OCCUPANCY GROUP PLAN CHECK NO NO PARKING SPACES
OCCUPANT LOAD PERMIT NO — HEALTH DEPT APPROVAL
NO. OFST ADMIN ACTION — UTILITIES/RELEASED
C! CERTIFICATE OF OCCUPANCY FEE S(s7 t
AwgbVED DA E CHANGE OF USE OR OCCUPANCY FEE $
TOTAL $_
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475.039 Rev. 11/90 COMMU DEVELOPMENT
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TA,I_ IPIoORMATION
SE PFLEMEN
Losh 4.
1,
BUSINESS ADDRESS
Ken �m LD
2.
Person to contact in case of emergency,�1�� 3'' a-aQ
Telephone number:
3.
Does the building in question have electricity?
l Yes
p No
(a) If No, are you requesting that the electricity be
❑ Yes
❑ No
turned on?
❑ Yes
4,
The building is sprinklered?
No
5.
Operations will produce dust / wood shavings or similar
❑Yes
material?
No
g,
Operations will involve the repair or replacement of
❑ Yes
tS No
10
automobile parts?
If Yes: repaired or replaced'.
(a) Describe the components p
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b Does the operation involve the u!RG of an open flame?
O
❑Yes
� No
►.
7.
The business is drinking, dining or assembly use that will
than 50 persons.
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❑Yes
result in an occupant load of more
No
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The following best describes my operation;
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Office Only
Retail Sales
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Warehouse product)
Manufacturing / Distribution (describe process and end p )
rh C�Y1M-siaG u z� (� (Yl�"G�m rk C cLr `J
�•.
Restaurant/Take Out Food
Medical / Dental
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Other (describe)
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SUPPLIMENTAL INFORMATION
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SUPPLEMENTAL INFORMATION (Continued)
Does the' operation involve any of the n3a;er iJ"?
No
If Yes, indicate quantities:
Material Quantity
1. Flammable liq,ui::s
.,,Class I -A ;
r Class !-B
Ciass I-C
2. CGrnbustible liquids
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Class 11
eClass W-A
C,'rrrb,ntii`sn flammable liquids
4. flammable gases
5. L1quefied flammable gases
6. Flammable fibers - loose
'! 7. Flammable fibers - baled
V, 1'iam �i cB LtlP J?..alid� '
9. Unstable materials
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10. Corrosive liquids
i 11 Oxidizing material - gases
12, W dizing Material - liquids
1:3 Oxidizing material solids
r 15. Nitromethane (unstable materials)
16. Ammonium nitrate �
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight _
' 16.~ Highly tonic material and i
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poisonous gas i
19. Smokeless rov der
20. Black sporting powder
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_ I hereby certify that the above information is true and correct to
r the best of nay knowledge. JI
sign/a re % Date
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City of Huntington Beach E
2000 MAIN STREET CALIFORNIA 92648 ?q
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DEPARTMENT OF COMMUNITY DEVELOPMENT
Building 536-5241
Planning 636-5271
Housing 536-5271
Government Code Section 65850.2(b) requires the City of Hunti
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 Distri
(AQMD).
The Building Division must obtain a written release
AQMD to
show the applicant has complied with this law. The
list on
the reverse side is designed to help the applicant a
building
division to meet these requirements.
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check
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2000 to
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: t50-0 k Ti-i, For) Un C � �• R . CC,. 90 1,0L�1�
Property Owner Name: 0—ar I Va C C Phone # 3I-6i 5_44 -044-a
Name of the Person Preparing this form in print and signature
Name:
ignature:
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
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?
!
N 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.
Do you use any chemical process?
10.
Do you use any solvents for clean-up?
11.
Are you a dry cleaner, restaura,it with a
charbroiler, body shop, gasoline station,
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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..
YES NO
0
VY
x
K
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:
x