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14801 Able Ln - CofO (3)
i J6 .APPLICATION FOR CERTIFIC TE OF OCCUPANCY �r/ov CITY OF HUNTINGTON BEACH 1 DEP€ RTMENT OF COMMUNITY DEVELOPMENT ��t(>411q 9 HUNiVdGTON W,40i (PRINT OR TYPE ONLY) DATE Address r V ' D District Business Name � aka f vrG Tel.--,IA-1-4 77'677 7 Business Type_ �;S✓� o c�F ��y� _ Occ. Groupx��L�i�=� SUILC:ING OWNER BUSINESS OWNER/MANAGER , Name_A2kt•_�J, © ;f .LJt� Name ice! GO-T rey e c t ,` Tr✓ 4 t- Nome''--5='� v Address :Q j L f* , • t r a Address City (!• (i 'r �—«Tel 477— City Z�.44i--__ Home Tel. 7,q THIS USE WOULD BE DESCRIBED AS: ❑ i NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER L! �-y CHANGE 0 '.uk.UPANT f, ❑ EXISTING BUILDING ❑ CH, . uE OF USE ❑ ADDITIONf.c iIPA�J7 {; Indicate former use, it any 9cdot-G ©r a < Occupancy Gr SQUARE FT. OF BUILDING TO BE OCCUPIED.? !1-2'7� �' zy-j �T g 5F rI= I I yG S f ii z NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has!,een inspected and a certificate of occupancy is issued. 2, No electrical service will b- released for any existing building until the service has been inspected and certified safe. ,all app'i,:ants for occupancy in an existing building are required to schedule an electrical 'fuse up' inspection in the Department of Community Development at the time this application is filed. 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or premises in order to determine if a change may be made in the characterof occupancy or of the building or premises which v. ould place the building in a different division of the same group of occupancy or in a different group r' occupancy, a change of occupancy inspection fee of $ _ shall be paid to the city. 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of tour (4) inches in helpht with one half (Yz) inch stroke, and of a contrasting color from tie background. These numbers must be poFted on your building in a location that is visible from the street. 5. Huntington Beach Fite Coda Section 10.301 requires fire exiingui�her selection and distribution per the National Fire Protection Association pamp I t 10 (see reverse side). � TRAFFIC IMPACT FEE _,� DATA AMOUNT REID w r NAME. ��a (FOR OFFICE USE ONLY)_ {� (�/� ''') ZONINr OC ANCY GROUP_—iL—.— PLAN CHECK NO ! v' �z��,��1! NO PARKING SPACES OCCUPANT LOAPERMIT NO ��d �f � _ HEALTH DEPT APPROVAL NO. OF STORIES -4, ADMIN ACTION UTR IT(ES RELEASE!)._ Yi 6" "`,D71 It i% �/__ f CERTIFICATE OF OCCUPANCY ':=EE $ APPP'DVED BY —t DATE CHANGE OF USE OR OCCUPANCY FEE g TOTAL ?s-oasRev 1/97 COMMUNITY D, VELOPIAENT t SUPPLEMEINTA . INFORMATION 1. BUSINESS ADDRESS APSI -E '��.�� %/%J Cl 2. Person to contact in case of emergency-. Telephone number: 714. 3. Does the building in question have electricity? Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? Yes ❑ No 5. Operations will produce dust/wood shavings or similar material? Yes L7 No 6. Operations will involve the repair or replacement of ❑ Yes automo,''Iie parts? No If Yes: } (a) Describe the components r,)paired or replaced. ?% F 1yy F i C1 (b) Does the operation involve the use of an open- flame? ❑ yt s kr No The business es drinking, dining or assembly use that will result in an occupant load of more than 50 persons. Ll Yes N Na The following best describes my operation; Office Only Retail Sales F Warehouse ' Manufacturing / Distribution (describe process and end product) - fr Restaurant/Take Out Food Medical / Dental Other (describe) SUPPLEMENTAL INFORMATION Soudl east AIR QOALITY MANAGEMENT DISTRICT ,Z) 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AIR QUALITY PERMIT CHECIU-BST 1' for nonresidential buildings only Company Name: Location of Property: l%8ce/. City: .irv—�� ,S� E 2sG/7" _ Zip Code: 'L(, 4'7 Contact Person: --t2 l -62 Title: fi z�2 Qoz�/7-'n'/zv.— ' Telephone Number: Fax Number: _ 7/<:/. l7%.y1�GY� Type of IndustryBusiness: !i"l�-7. •JL S Gv�J/7� /cx �s/�✓G /�� �-'� bL � y��x To apply for a nonresidential building permit, you must complete this checklist. Ifyou have any question., about completing this checklist, please call (800) 388-2121. YES NO 1. Will the facility have a charbroiler? [ ] [ 5 h Z. Will any internal combustion engine with greater than 0 orsepower operate at the facility (excluding motor vehicles)? [ ] [ 1 3. Will operations at the facility involve mixing, blending, or processing of solvents, adhesives, paints or coatings? [ ] V1 4. Will dust or smoke be generated at the facility? 5. Will refining of any liquids or solids be done at the facility? 6. Will any plating or coating of materials be done at the facility? [ ] [a'`J 7. Will any combustion equipment rated greater than 2,000,000 BTU/hr be operated at the facility? [ ] [ S. Will any acids, solvents, or motor fuel be used or stored at the facility? 9. Will any organic liquids or gases be reacted or produced? 10. Will any ovens be used to dsy or cure products at the facility? 11. Will any CFC (Freon) recycling machines operate at the facility? Applicant: Signature: (Print name clearly) If you have marked "NO" in all the boxes, an air quality permit is mt needed al: this time, and this checklist is your written release.. If you marked "YE:S" in any of the boxes, you must contact the South Coast Air Quality Management District (A.QMD). Please read the req• ..ements on the back of the checklist. (800) 388-2121 ADDITIONAL SUPPLEMENTAL INFORMATION