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HomeMy WebLinkAbout17473 Beach Blvd - CofO (5)v 1 ,j PPLICbTION FOR CERTIFICATE 7F ABC :.UPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT ON KAar DATE (PRINT OR TYPE ONLY) Ad ess -- ! 4 Gj_e e c I,— eA vt t t rnt � v� � tic � gr t � � % Lf � District Business Name ' Tel, Business Type-�%: = — Occ. Group �� BUILDING OWNER BUSINESS OWNER/MANAGER Name �ti �f to r Ri i Name- J� �Q Home —u- Address {� L( JL�26"—S —L v_. A 4 Address City ftt�itn L G to — 1 3�fr� TeL�1G� �3ft( City—�"��.12d��-YVAve Homc,Tel.A S_ THIS USE WOULD BE DESCRIBED AS: ❑ NEINLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT EXISTING BUILDING CHANGE OF USE / ❑ ADDITIONAL OCCUPANT Indicate former use, it any p�,o �y � �n _y Occupancy Gr. Div. SQUARE FT. OF BUILDING TO BE OCCUPIED I 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 'fuse up' inspection in the Department of Community Development at the time this application is filed. j 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 character of occupancy or use ofthe building or premises which would place the building in a different division of the ,ame group of occupancy or in a different group of 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 four(4) 1 inches in height with one halt (1/2) 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. 1 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association}�p.,aamphlet 10 (see reverse side). T�ti�'%�f d„ � yC�ra� (u�®� � (.lr •%j Pi7ti:l:.i��s �"°- l tab o ,t2-i �g �S• M;tc�at�- — .y a 11 I9 TRAFFIC 1 T FEE DATE PAID AMOUNT RECEIVED NAME` (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION 7.ONING- OCCUPANCY GROUP PLAN CHECK �u NO. PARKING SPACES OCCUPANT LOAD ~ PERMIT NO. HEALTH DEPT, APPROVAL NO. OF 4Bv OR[ ADMIN. ACTION UTILITIES RELEASED CERTIFICATE OF OCCUPANCY FEE $ AP RR ATE CHANGEOF USE OR OCCUPANCY FEE $ TOTAL g 75-039 Rev.1/97 COMMUNITY DEVELOPMENT P ;t Poor m0�U i1 tip APPLICATION FOR CERTIFICATE OF OCCUPANCY 0 CITY OF HUNTINGTON BEACH Y DEPARTMENT OF COMMUNITY DEVELOPMENT 1 J V �ia (PRINT OR ni-E ONLY) DATE Address / 7! /l AE4:t^ R-1-11A �011AJ O Cr-%A tfl' ! � District Business Name j�L,L {f L i N L! PP Tel Business Tyue Occ. Group BUILDING BUSINESS OWNEWMANAGER Name !r lf`iS` c.9.�r' 23/'r/ Name � G� Address C' ._._� Address J� .�.-.�.� city 11.r�j-✓u"4' Tel ryHome Tel THIS USE WOULD BE DESCRIBED AS: EJ NEWLY CONSTRUCTED BLDG lIJ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT 9 EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any Wt2 y ZZYq _Occupancy Gr civ SQUARE FT. OF BUILDING TO BE OCCUPIED—/j ev 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 `fuse lip' 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 character of occupancy or use of the building or premises which would place the building in a different division of the same group of occupancy or in different group of 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 minimmo of four (4) inches in height with one half (112) 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). l4n OCCUPANCY GROUP. _ OCCUPANT LOAD NO OF STORIES 71311.1 DATE (FOR OFFICE USIE ONLY) Zt1NlNrvi- C PLAN CHECK No NO PARK'rNC SPACES --- PERMIT NO H ALTH DE.PT APPROVAL_.__. ADMIN AC1IQN..._w._- _.._ ___ _. _ - I.tTlt_ITiES RELEASED C CERTIFICATE OF 0CGt1E'ANCtY FEE $ AS /_ -- CHANGE: OF USE OR OC:r UPAW'FEE g TOTAL 75-030 Rev. 1/91 SUPPLEMENTAL INFORMATIO14 1. BUSINESS ADDRESS �'��`r�i% r!3.�.�r�' �Cc•!� i.��'�����,� 2. Fer,�on to contact in case of emergency-, Telephone number. _ 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? 0 Yes No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes 13 No 5. -Operations will involve the repair or replacement of ❑Yus automobile parts?, No If Yes; (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? 0 Yes No i 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. 00 Yes No } 8. The following best describes my operation; jl Office Only 7 Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) s l Restaurant/Take Out Food X� edica ental Other (describe) Sup PLEMENTAL l rfT h3M41 ita SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? 11 Yes 7 No If `des, indicate quantities: Material Ouanfity T. i-lammabie liquids Class l -A Class l-r3 .Giese l_C 2. Combustible liquids Class it Class l l l -A 33. �oix bination flarnmablr: liquids �. I~"larninabte gees.. ._.,_.... .�a4...,- _......-.,..�,_...... 5, i.,igi..iafied fiamrsaable gases _.. .� n .. 6. l''larrlrn,abie fibers - loose 7. Flammable fibers - baied ........... ..r- 8. Flammable solids �, l3�stable riia�aoria:ls 1t3. Cr�i°rt�sir.�e 6ltiu¢�is 11. ( xddizin material •- gases i „ Oxidizing material - liquids 13. Oxidizing material - solids y4. organic -peroxides 16. Nitromethane, (unstable rrlaterials), 16L Ammonium nitrate � �'. A�ry�a�ni>_arn raitrati�; oompo�ard rnitc�r��na containing more thorn 011;b nittate by weight Via» Highly toxic rnateirial and Poisonous gas 19. Smokeless powder 0...�r,�.�llaei<� sporting powder �..m..�. _.. _... ...._...,.�..�,.,�...,,,...�,,.�w-...�.._. l hereby certify that the above is true and wrrect to the best of my Knowledge. South Coast AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copfey Drive, Diamond Bar, CA 9 1765-4182 (909) 396-2000 AM QUAJMr PE PJMT CHECKLIST for nonresidential buildings only Company Name: Location of Property-, Za/zz- City: 47'19 Zip Code: Contact Person: 13 Ugq —i le Al Zr^- Title: 4L Telephone Number: lt2. c 311z Fax Number: Type of Industry/Business: P 9-A-e- 7-/Z- e7l'--E�Z g:�zE rl-,- — , - I Ir To apply for a nonresidential building permit, you must complete this checklist. If you have any questions about completing this checklist, please call (800) 3 8 8-212 1. YES NO 1. Will the facility have a charbroiler? 2. Will any internal combustion engine with greater than 50 horsepower operate at the facility (excluding motor vehicles)? 3- Will operations at the facility involve mixing, blending, or processing of solvents, adhesives, paints or coatings? 4. Will dust or smoke be generated at the facifity? 5. Will refining of any liquids or sclids be done at the facility? 6. Will any plating or coating of materials be done at the facility? 7. Will any combustion equipment zated greater than 2,000,000 BTU/hr be operated at tjie facility? 8. Will any acids, solvents, or motor fuel be used or stored at the facility? r 9. Will any organic liquids or gases be reacted or produced? 10. Will any ovens be used to dry or cure products at the facility? IL Will any CPC (Freon) recycling, machines operate at the facil 9 Applicant: Rtlel *7—aWO— Signature* 4 (Print name clearly) If you have marked "NO" in all, the boxes, an air quality permit is not needed at this tame, and this checklist is your written release. If you rmxked "YES" in any of thebox.es, you must contact the South Coast Afir Quality Alanagernent District (AQNTD). Please read the requLrements ou the back of the checklist, (800) 398-21JL21 - tog APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTING T ON BEACH DEPARTMENT OF BUILDING & SAFETY NUNW.TTON SFACH (PRINT OR TYPE ONLY) ` ( �� DAT Address _ / y� lj +! t� CwC.�t L:Iyr�, 1iv h{,.�q o� 1 C/)) qe6`{?District Business Name�lvew l-c,v.� C�(� , pww``c�� c_. �- Tel 0 i z(,0 Business Type C.cr or�cic �o� r,c1 �c� Occ. Group BUILDING OWNER BUSINESS O)WNERiMANAGER Name i/15t I��oc��i�r �Z�r� Name Address i 7`-/'ZS 6---, \, e),AA Home tt Address�� City .h�7 f-�,-. ecwc� Tel.7/ fS= City Home Tel.` 09—.?7/� 797cj 64,70 THIS USE WOULD BE DESCRIBED AS: r/ NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER 9-6HANGE OF OCCUPANT 1 EXISTING BUILDING !—I CHANGF OF USE Q ADDITIONAL OCCUPANT Indicate former use, if any iPS ►'fit-+t" Occupancy Gr. Div. SQUARE FT. OF BUILDING TO BE OCCUPIED ) i� 6 0 _ NOTICE: 1 Occupancyof 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.Ali applicants 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 use of the building 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 $ shall be pale' to the city. 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 (1/2) incl, 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 Se>ctign 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). . J / -�t� A rF'r0 ES7WA�. d PEE.F ,,,,,�'"'•--!^_ r. AT PAID..__.. , AfOIIC UNIT 1;0Vt:3,__ N , OCCUPANCY GROUP OCCUPANT LOAD NO, OF STORIES _ ��. _— APPROVED BY 6 IDATE FORM 75.039 REV 2102 REORDER, SAND DOLLAR 714.842.1148 �3Id�G�o Ik,61v3, / � - - (FOR OFFICE USE ONLY) ZONING PLAN CHECK NO NO DARKiNG SPACES --- PERMIT NO HEALTH DEPT APPROVAL ADMIN, ACTION UTILITIES RELEASED CERTIFICATE CF OCCUPANCY FEE S 0 L4 I. -- CHANGE OF USE OR OCCUPANCY FEE $ TOTAL SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS `7 11 &, CJ" r—A �12�y 2. Person to contact in case of emergency I Telephone number: Cz«rA� 3-71- 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? 0Yss Cl No 5.. Operations will produce dust/wood shavings or similar material? ❑ Yes No 6. Operations .gill involve the repair or replacement of ❑ Yes automobile parts? No III If l es: i (a) Describe the components repaired or replaced. flame? ❑ Yes (b) Does the operation involve the use of an open No 7. The business is drinking, dining or assembly use that will result in are occupant load of more than 50 persons. ❑ Yes No 8. The following best describes my operation; Office Only Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) Restau / Take Out Food Medical / Dental J Other (describe) .SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? El Yes Jq No If _ 'des, indicate quantites. - Material Quantify 1. Flammable liquids Class 1-A Class I-B Class I-C - 2. Combustible liquids Class ll Class ili-A 3. Combination flammable liquids �4. Flammable gases 5. Liquefied flammable gases - 6. Flammable tibcrs - loose 7. Flammable flbers�- baled �.�,.� .........._..�._. t3. Flammable solids 9.� instable rnateriais .�,._..._.�.�._ 10. corrosive liquids 11. 0.1dizing material - gases 12. Oxidizing material liquids �- µ 13. Oxidizing material - solids - 14. Organic peroxides 15, Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate comp-ound, mixtures contalrying more than 60% nitrate by weight 18. Highly toxic, material poisonous gas 19. Smokeless powder 20. Black sporting powder.^.`.w.�_._.-....�.�.,�. ! hereby certify that the above information is true and correct to the best my knowledge. Signature mate South Cast AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AM QUALITY PERAUT CHECKLIST nonresidential buildings only --ALfor V Company Name: 4� .� ��v�o.`� s C_�•�-�_ Location of Property; l 7q 1 i 6n-J, OvJ, City: _. Zip Code: 1126g-- Contact Person: :rcavis tJs-L--A,.c-, Title: LAJV` -- Telephone Number: it Y — S 22 Fax Number: Type of lndustay/Business: To apply for a nonresidential building permit, you must complete this checklist. If you have any questions about completing this checklist, please call (800) 388-2121. YES NO . will the facility have a charbroiler? [ ] [ 2. Will any internal combustion engine with greater than 50 horsepower operate at the facility (excluding motor vehicles)? 3. Will operations at the facility involve mixing, blending, or processing of solvents, adhesives, paints or coatings? [ ] [ 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? 7. Will any combustion equipment rated greater than 2,000,000 BT7J/hr be operated at the facility? 8. 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 kr or cure product- at the facility? 11. Will any CFC (Freon) recycling machines operate at the facility? Applicant: ✓is 1�s, Signature - ��i�`------ (Print name clearly) If you have marked "NO" in all the boxes, an air quality permit is not needed at this time, and this checklist is your written release. If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality Management District (AQMD), Please read the requirements on the back of the checklist. (800) 388-2122 -I NOTICE OF REQUIREMENTS GOVERN ANT CODE SECTION 65850.2 (AB3205) California State Lax (Government Code 6385 ) prohibits the Building Departments from issuing a final certificate of occupancy unless all requirements of the local air quality agency are met. All applicants are required to complete the air quality permit checklist. The checklist is designed to aid th,e applicant for a nonresidential building permit only. If the answer to any of the questions is "YES," the Building Department trust obtain a written release from the local air quality agency verifying that the applicant is in compliance. I 1. All nonresidential building permit applicants must complete this checklist. 2. If the answers to all questions are "NO," the Building Department can accept the checklist I, as the written release. i 3. If any questions are answered "YES," the applicant must contact the AQMD by calling (800) 388-2121 to determine whether air quality permits are required for any equipment which may be operated at the site. If the AQMD determines that air quality permits are not required or that all requirements have been met, a written, release will be issued. 4. if air quality permits are required and applications have not been submitted, the applicant must submit the necessary permit application(s) and appropriate fees before a written release will be issued. AQMD is committed to expediting all clearance letter requests. However, it may take several weeks to verify compliance with all requirements. Therefore, you are advised to contact AQr1MD immediately after applying for building permits. (800) 388-2121 revised 8195 - APPLICATION FOR CERTIFICATE Off+' OCCVP +CITY OF HUNTINGTON BBACH - DEPARTMMI NT OF BUILDING & SAF'PT Y cr< (3"rFloor -tllustApply Tn-Person) Business License Date Address 1,79 2 r B-COC), B lu Business Name _-I-)a �.,.,� s,— Lk. r /�j�;i tau �,— Telephou(77-�^•.S`L4� Business Tv-oe Property Owner Information Business 0,,vner Name Name. Address Home Address City �- = 'cat TeL _. City �14. �. z_ r .o O-T Tel.CZ�s 0Y, ' THIS USE WOULD BE DESCRIBED AS: ,/ ❑Newly Constructed Building or Exrstuig Buildinb CHECK ALL THAT APPLY: ❑Change of Owner Change of Occupant ❑Change of Use Wdditional Occupant Indicate former use, if anyti� Does the building have electricity? Yes No ❑ If No, are you requesting that the electric' e turned on? Yes ❑ No The building is sprinklered? IYes No❑ Operations will product dust/wood shaNings or similar material) Yes ❑ N Operations will involve the repair or replacement of automobile parts Yes ® NTo �d If yes: Describe the components repaired or replaced. Does the operation involve the rise of welding or open flame? Yes ❑ No � The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. Yes ❑ No The following best describes my o=MedicaMental ❑OfficeOnly ❑RetailSales ❑Restaurant/Take Out Food ❑ Warehouse ❑Manufacturing/Distribution (describe process and end product) ❑ Other (describe) • � Office Use Only. j! Zoning: Sq F't Occupied:h� Oce Group:_ _ Occ Load:_ r h. Stories: 1 Parking Spaces: TIF Review: Y/ N Arnt Paid$: PwdBEFORE Fnallnspecciwi If Blinding Permit 4 Entitlement #: t Comnnents, �E 1` Planner Initial: a.5.-0Bldg/Plan ,, CofO 9 : 4j�� O South Coast Air Quality Manacrement District 21865 E. Copley Drive Diamond Bar, CA 91765-4182 (909) 396-3529 htpp://www.agmd.gov Air Quality Permit Checklist California Government Code 65850.2 prohibits cities from issuing a Certificate of Occupancy to a business without cl-arance from the local air quality agency. This checklist will determine if you need to obtain clearance from the South Coast Air Quality Management District (AQMD). Company Name: k-z[Aka,5 Property Address: 1 � Rom' R� �1�c Q City. ��f Zip Code: i[ �� L{ Contact Person: ` ! A X,w h S �jj:s .� Title: ? V4 &V_ Type of Business; r A: ,ropy G F c_ Telephone () Applicant: (print name),' e" Signature: * Will the facility have any of the following equipment? Ys ❑ NQ'J Charbroiler Dry cleaning machine Spray Booth Printing Press (screen/lithographic/flexographic) Internal combustion eng -ie (greater than 50HP) (excluding motor vehicles) Boiler/combustion equipment (greater than 2 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge type dust ,filter/scrubber Motor fuel storage and dispensing equipment • Will any of the following operations be performed? Yes ❑ NO ltJ Application of paints or adhesives Etching, plating,. casting, or melting of metals Molding and blending of liquids and/or powders Storage of acids, solvents, organic liquids or fuels < Production of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke or strong odors 0 If you answered "No" to both questions, this checklist is your clearance from AQMD. • If you answered "Yes" to either question, you must contact AQM1) to determine if air quality permits are required. If permits are needed, AQMD will assist you iu submitting permit application(s) and then provide you i with a clearance letter. You can call AQ2MD at their Small Business Assistance Office at (800) 388-2121. APPLICATION FOR CERTIFICATE OF OCCUPANCY ta-t "' 0`4 CTY OF HUNTINGTON BEACH - DEPARTMENT OF BUILDING & SAFETY (3rd Floor-.YlusiApply In. -Pelson) Business License # Address il")i bwL, btU A NeA.an__, mot} Business Name cl� Business Type C.Ck i s-r, ,, Date 9-30-2AQ44 e.ul Telephone 71 q- 33©-07DJ Property Owner Information Business Owner Name �j�:fi.� t?e ci, f strkV - i's�-4vc Name C' h�hiia eb m-ac. Srh�r"ity-�'o v+a U,C. Address 1t714 -73 Qc"a , BJ vj . Home Address i ?oz Dew,,o" 4 i-u Ape- e - City i �—�_ Tel. 7)q-q1,-Z zJ t City Tel, Z-p'717 THIS USE WO LD BE DESCRIBED AS: ❑Newly Constructed Building or W\isting Building CHECK ALL THAT APPLY: ❑Change of O,�lmer 6-216hange of Occupant ❑Change of Use ❑Additional Occupant Indicate former use, if any CN �R onrz� cTi Does the building have electricity? Yes 0- No❑ If No, are you requesting that the electricity be turned. on? Yes ❑ 1\'o ❑ The building is sprinklered? Yes 0' No❑ Operations will product dust/wood shavings or similar material? Yes ❑ No Operations will involve the repair or replacement of automobile parts Yes ❑ No If yes: Describe the components repaired or replaced. Does the operation involve the use of welding or open flame'? Yes ❑ No Tlie business is drinking, :lining or assembly use that will result in an occupant load of more than SO persons. Yes ❑ No The following best describes my operation: ❑Office Only ❑Retail Sales Medical/Dental QRes taurantTake Out Food ❑Warehouse ❑ Mantiflet,.zringlDistribution (describe process and end product) El Other (describe) Of lee Use Otrlj-: Zaning, � ,� Scl Ft Occupied: �6Occ Group:'� Occ Load:___�_'Zi�_ _ 9 Stories: t Parking Spaces: TIF Review: Y N Amt PadS: � - Pa,d M OFE Final i'YSpc ;tari Building Permit 4 Comments: Pl�u�er Ttiztials:,.-�'�a Datz: Apt.,"�1'Iai;,�hecke 9: 0" Certificate of Occupancy — Information Sheet 3 i 1. Occupancy of any building is prohibiter: tntil 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. 3. Huntington Beach Fire Code requires that building numbers must be a minimum of four (4) inches in height with one half (1 /2) 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. 4. Huntington Beach Fire Code requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10: a. Apartment Buildings (5 or more units): One (1) 2A rated extinguisher, to be located on each floor level so as not to exceed 100 feet of travel. Two or less apartment units on an upper level may be serviced by the extinguisher on the next lower level. b, Industrial and Commercial Buildings: • Light Hazard — (May include offices, schoolrooms, churches, assembly halls. telephone exchanges, etc) — One (1) 2A rated extinguisher is required for each 6,000 square feet of floor area, or a portion thereof. • Ordinary Haza;d — (May include mercantile storage and display, auto showrooms, parking garages, light manufacturing, warehouses not classified as extra hazard, school shop areas, etc.) — One 2A rates? Pxtinguisher is required for each 3,000 square feet of floor area or a portion thereof. • Extra Hazard — (May include woodworking, auto repair, aircraft servicing, warehouses with high piled (over 15 feet in solid piles, over 12 feet in piles that contain horizontal channels) combustibles, and processes such as flammable liquid handling, painting, dipping, etc.) — One (1) 3A rated extinguisher is required for each 3,000 square feet of floor area, or a portion thereof. Certain extra hazardous uses and/or processes may require additional fire protection systems. An on site inspection will be required to make the determination. c. Service Stations: Are required to maintain one (1) 1OBC rated extinguisher within 75 feet of travel of the dispenser cabinets, and one (1) 2A rated extinguisher on the premises. d. Fire extinguishers for commercial and industrial buildings are to be located so as to maintain a maximum distance of travel of 75 feet. 4 e. Occupancies having a potential for fires involving combustible cooking media (vegetable or animal oils and fats) shall provide a Class K fire extinguisher within 30 feet of the hazard. RVIPORTANT: PLEASE READ THE FOLLOWI\'G CARE,FULLY You may purchase this extinguisher at any hardware store and a number of department or discount stores, or you may purchase your extinguisher from an extinguisher service company, which may be found under "Fire Extinguishers" in the yellow pages of your phone book. The extinguisher is required to be serviced when new and annually thereafter. The hardware. department and discount stores usually are not licenses to service extinguishers. Therefore, y nu should expect an additional expense to have your new extinguisher certified by an extinguisher service company if you purchase it from one of these stores. If you have any questions regarding the inspection or fire extinguisher requirements, please zeel free to contact the Huntington Beach Fire Department Fire Prevention Bureau at (714) 536-5411. South Coast Air Quality Management Distract 21865 E. Copley Drive Diamond Bar, CA 91765-4182 (909) 396-3529 htpp://v«v,,v.agmd.gov Air Quality Permit Checklist California Government Code 65850.2 prohibits cities from issuing a Certificate of Occupancy to a business without clearance from the local air quality agency. This checklist will determine if you need to obtain clearance from the South. Coast Air Quality Management District (AQMD). Company Name: Q_V_ Q'j Property Address: _''1__tt�7 y I l geP, d, 3 I �r d. City: _[7htVVP-q writ _SG,,Ak Zip Code: Z yr% Contact Person: � Cn..eS� b- C- _ Title: Dn��- CW"'OV �- r ��� Telephone:() �3 - 0 Type of Business: � � `(���� 3 0 7 O D Applicant: (print name) CYO T141 A QW pLR: , 0, C. Sigiiature: (2� A_ydW • Will the facility have any of the following equipment? Yes ❑ I\zo Charbroiler Dry cleaning machine Spray Booth Printing Press(screet-dlithographic/flexographic) Internal combustion engine (greater than 50HP) (excluding motor vehicles) Boiler/combustion equipment (greater than'-) million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse!cartridQe type dust filter/scrubber Motor fuel storage and dispensing equipment • Will any of the follwNng operations be performed" Yes ❑ No❑ Application of paints or adhesives Etching, plating, casting, or melting of metals 'vlolding and blending of liquids and/or powders Storage of acids, solvents, organic liquids or fuels Production (,f acids, solvents, organic liquids, or fuels Production of Runes, dust, sinoke or strum odors • If you answered "No" to both questions, this checklist is your clearance from AQ1D. • If'you answered "yes" to either question, you must contact AQMD to determine if air quality permits are required. If permits are needed, AQN.tD'vili. assist you in submitting permit application(s) and then provide you with a clearance letter. You can call AQ NID at their Small Business Assistance Office at (800) 388-2121. 0 CERTIFICATE OF OCCUPANCY EVALUATION FORM ! GENERAL BUILDING INFORMATION Owner name: Address and/or suite #. Emergency contact: Phone number i j t }}}{i Occupancy Class - primary use(s) & sq. ft.: i Occupant load: _ = J I Occupancy Crass - second use(s) & sq. ft.: { Type of construcluon: Stories & Height(ft) Sprinkling used? OSlory increase OCity Ordinance OUnlimited area OOnehour construction []Atria OArea increase ❑Cha ter 9 E Area allowed: Basic: Yard: Area separation: Sprinkling: i I i For multi -storied and mixed use attach a. separate work sheet or Include In sketch area Attach work sheets b • ola^^.in^ or E;re If —:vv@iiecW YARD STORAG i r Rrd DINING RM 2 —'— -- YARD 3 0 0 0 Y R'D YARD 1 WAMNG DINING RM I PARKING ENTR 0 0 0 d>> PAR,,Nf I SAMPLE - ASSEMBLY USE STREET NAME t ABUILDINGFORMS\Cert of Occupancy\CofO Evalulation.DOC May 3, 2004 SKETCH AREA: