HomeMy WebLinkAbout15201 Triton Ln - CofO (5)CERTIFICATE OF OCCUPANCY F/n 7 104
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CITY OF HUNTINGTON BEACH Date
District
Address 4 rs r
092
Business Name A`e' rT TCUT;.r rr T�;r
Tel.
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Business Type �zcirTr>± rr_�eTar�cc ncestncr t Urxr�i"u«
BUSINESS OWNER/MANAGER
BUILDING OWNER f
ARGOSY PRTNRS,C.VCCE GF:; Name JG✓EPti �, i'OJIC!
Name Home
Address ?:' .::.":. ' ;N Zm
Address r _ Horne
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Construction No. ofStories Occup ant Load 0 Sprinklers }
CONDITIONS OF APPROVAL
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DE^ARTMENT OF COMMUNITY DEVELOPMENT
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4 This Certificate of Occupancy
SHALL BE posted in z cdnspicuous place on the
premises and shall not be removed except by the by
Building Official
COMMUNITY DEVELOPMENT
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L0APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH MS y4�
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE
HURA.TON BEACH 1PRINT OR TYPE ONLY) &
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1-0-Of 72/7` A) LW, / uy7T'✓6 °tl BcH, U} District -
'/Address
8siness Type
moSteq i91W-QJAI( eo /�c- Tel
siness Name
Bu
SE.evlc� Busl,JfiS' f}gs�F� Occ Group
1 BUSINESS OWNERiMANAGEP
BUILDING OWNER
�J-0_(Zeftl /41 /f2dQ7C
ame_ Gf}KL 1/ E-kd 141()16e me
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HIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER
CHANGE OF OCCUPANT i
❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
❑ EXISTING BUILDING j
Indicate former use, if any _Occupancy Gr Div }
SQUARE FT. OF BUILDING TO BE OCCUPIED
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N TICE: 1. Occupancy of any building is prohibited and a bu^iness license will not be issued until the building has been
inspected and a certificate of occupancy is issued. I, d
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
r fuse up' inspection in the Department of Community Development at the time this application is filed.
f 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or tt
<` premises in order to determine if a change may be made in the character of occupancy or use of the building t
a 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 S shall
be paid to the city. l
I 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 (�/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).
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(FOR OFFICE USE ONLY) ZONING��
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP` PLAN CHECK NO. NO PARKING SPACES I
�1 PERMIT NO HEALTH DEPT APPROVAL
OCCUPANT LOAD _ UTILITIES RELEASED
NO. OZSTII
ADMIN ACTION
CERTIFICATE OF OCCUPANCY FEE $
- 5 � —
f A OVED DATE CHANGE OF USE OR OCCUPANCY FEE
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TOTAL a
75.039 Rev. 11/90 COMMUNI EVC)PMENT i
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SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS
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Person to contact in case of emergency* N. "20-7729
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Telephone number:
k 3.
Does the building in question have electricity?
❑'Yes
❑ No
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(a) If No, are you requesting that the electricity be
❑ Yes
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turned on?
❑ z
No ,
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The building is sprinklered?
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❑Yes ;.
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a N°
5.
Operations will produce dust/wood shavings or similar
material?
❑ Yes
Er No ,
6.
Operations wi:i involve the repair or replacement of
❑ Yes
ET'No
automobile parts?
If Yes:
(a) Describe the components repaired or replaced.
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(b) Does the operation involve the use of an open flame?
❑ Yes 1;
R No
7.
The business is drinking, dining or assembly use that will
❑ Yes �
result in an occupant load of more than 50 persons.
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8.
The following best describes my operation;
Office Only
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Retail Sales
Warehouse
Manufacturing/ Distribution (describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
SUPPLIMENTAL INFORMATION
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SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following ; aateriul;? Q
W'No
If
Yes, indicate quantities: -
C
Material - Quantity
1.
Flammable liquids
Class I -A
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Class I-C
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Combustible liquids
Class II
Class III -A
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Combination flammable liquidskp
4.
Flammable gases
5.
Liquefied flammable gases`-- �-
6.
Flammable fibers - loose
7-
Flammable fibers baled -
8.
flammable solids
9.
Unstable materials
10.
Corrosve liquids --- ---
11.
Oxidizing material - gases
12•
Oxidizing material — liquids
13.-
Oxidizing material solids
f 14.'Organic
peroxides
15.
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Nitromethane (unstable materials)
16.
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Ammonium nitrate
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate -->
by weight
18.
Highly toxic material and
poisonous gas
19.
Stnokeless powder
20.
Black sporting powder -
I Hereby certify that the above information is true and correct to
the best of my knowledge.
Sig ature
Date
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City of Huntington Beach
f 2000 MAIN STREET CALIFORNIA 92648
DEPARTMENT OF COMMUNITY DEVELOPMENT
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Building 536-5241
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K Planning 536-5271
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f Housing 536-5271
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Government Code Section 65850.2(b) requires the City of Huntington
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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 Manar, rr`` District
(AQMD). The Building Division must obtain a writ,,. '�3se from
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` i,QMD to show the applicant has complied with this la. ie check
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flist on the reverse side is designed to help the appli�_ d thF
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building division to meet these requirements.
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1. The applicant (the same person who applies for permits frotl
the Building Division) must complete the check list which
I can be obtained either at the Building Division or at A�)MD.
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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 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.
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Because of the time it may take for AQMD to go through the above
procedures, the applicant is advised to contact AQMD i,amediately
after applying for Building permits.
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: ISLO( C/2tToJ LN
Property Owner Name: -JZ�56P6 /'7. /7(e3/64 Phone
Name of the Person Preparing this form in print and signature
Name: �2���j�r�3s£�i Signature:
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The person preparing this form must be the same person applying
for.
building permits. Please answer the following questions regarding t
your proposed occupancy of the subject building. IF YOU DO NOT
KNOW
THE ANSWER TO A QUESTION MARK IN THE "YES" COLUMN:
4 AQMD PERMITTING CHECKLIST
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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
i or coatings?
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f 3. Does your facility create any dusts or smoke?
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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
Imotor fuel?
8. Do you use or store any acids?
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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, or part coater?
12. Is the subject building located within one
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t thousand (1,000) feet of any school? __
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?' PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
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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
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Management District located at:
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21865 E. -opley Drive
Diamond Bar, CA 91765-4182
Please call: Plan Check (714) 396-2000
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(13 6 CD— 2
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