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Home My WebLink About17473 Beach Blvd - CofO (4)CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH 4/ 151/92 Date Address District Business Type r'fq ("'I ('j: II Y Occ. Group BUILDING OWNER BUSINESS OWNER/MANAGER. U 1, Name Name Home Home Construction No. of Stories Occupant Load Sprinklers UCONDITIONS OF APPROVAL |i DEPARTMENT OF COMMUNITY DEVELOPMENT Thij Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the by Building Official. � COMMUNITY DEVELOPMENT 3 �" APPLICATION FOR CERTIFICATE OF OCCUPANCY F CITY OF HUNTINGTON BEACH 0DEPARTMENT OF COMMUNITY DEVELOPMENT Hu"nl.CroN WkM DATE (PRINT OR TYPE ONLY) dress ` 7f ll �� District %it3us n ss Name ctc> i ct CC��cv" 4 2 c�ISl'{o��1-_ 3 3/ Tel _ �� 3 usinessType �0� �� _ Occ Group r/ BUILDING OWNER l BUSINESS UWNERIMANAGER ''Name `�-- _ U/�f�._ [ cr Name j &'& Od ess /'% �! t tYN� � � !> j --- ddress /2 �� %1% �tu zi T/.t TeIG4! crty anow� Home Tel. THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, it ant �ll �' �r/1 _ Occupancy (,r Div SQUARE FT. OF BU LDING TO BE OCCUP'ED NO: E: 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 occupant y 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 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 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) 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). (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATIOt V ZONING OCCUPANCY GROUP ✓ — PLAN CHECK NO OCCUPANT LOAD J- PERMIT NO _ NO OF Z S ADMIN ACTION _ CERTIFICATE OF OCCUPANCY FEE AP ROVE BY DATE CHANGE OF USE OR OCCUPANCY E TOTAL 75.039 Rev, 11/90 COMMUNITY DEVELOPII4ENT NO PARKING; SPACES HEALTH D APPRQVAL — UTILI RELEASED s D Dr E g S s SUPPLEMENTAL INFORMATION 1. BUS INES-q ADDRESS 2. Person to contact in case of emergency �� KAk7('(�` Telephone number: ` \Q�i �I ot",-cl.8-(jS 101-0 e6S-Z`I q? 3. Does the building in question have elegy::: ^,ity? X 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? es Ko o. Operations will involve the repair or replacement of ❑ Yes automobile parts? No If Yes: !a) Describe the components repaired ot, replaced. (b) Does the operation involve the use of an open flame? ❑ Yes X No 7. The br-:In,ess is drinking, dining or assembly use that will Fesult in an occupant load of more than 50 persons. C7 Yes No 8. The following beat describes my operation; Office Only rRetail Sales D�arefrous—e Manufacturing / Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other (describe) SUPPUMENTAL INFORMATION / SUPPLEMENTAL INFORMATION (Continued) ~^ C]oao the operation involve any of the following materials? El Yes X 10It ' , indicatequantities:Material -^ Quantity' . 1. Flammable liquids Class |-A . Class |-B Class }-C 2. Combustible liquids Class U � Class 111-A ~. Combination.flammable=liquids 4. Flammable gases 5. Liquefied flammable gases , O. Flammable fibers - loose � 7. Flammable fibers - baled 9. Unstable matoho|o 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 18' Oxidizing material - aQ!ido 14, C'gan|o peroxides ' 15. Niironlethone (unstable materials) 16. Ammonium nitrate ... Ammonium. ..^ .^- .~..,~.`.. mixtures. ` containing than 8096 nitrate by weight 18' Highly toxic material and poisonous gas | - 18 Smokeless powder � '--- — 20Black sporting owde I hereby certify that tl�p above information is true and correct to the est my now /"ow L Z. Signature Date ^ RETURN TO THE PLANNING DIVISION, CITY OF HUNTING`.CON BEACH, P.O. BOX 190, 2000 Main Street, Huntington Beach, CA 92648 SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property: Property Owner name: ��// _ Phone # 0 -7 3 3713 Name of. th the Person Preparing is form in print and signature �l Name `e G� Sie*�ature � The person preparing this form must be the same person applying for building permits, Please answer the following questions regarding your proposed occupant..r of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MAZ IN THE "YES" COLUMN: SCAQMD 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 Cam/ processing any solvents, adhesives, paints —1 or coatings? 3. Does your facility create any dusts or smoke? 4. Does your facility refine any liquids or solids? Reclaim any metals? 5. Does your facility plate or coat anything? � C� 6. Does your facility have any combustion equipment i.e. boiler, furnaces, broiler, baking evens, 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? v 10. Do you use any solvents for clean-up? 4- 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 thousand C� (1,000) feet of any school? PROPERTY LINE TO PROPERTY LINE. GRAnES K-12. 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: 9150 FLAIR DRIVE, EL MONTE, CA 91731 Please call these offices: Plan Check (813) 572-6406 (818) 572-6111, (818) 572-6261 1):AL00603 c i South Coast AIR QUALITY WNAGEMENT DISTRICT 9150 FLAIR DRIVE, EL MONTE, CA 91731 (818) 572-6200 Assembly Bill 3205 requires the Building Departments not to issue the final certificate of occupancy unless the applicant has met or is meeting the requirements of the District. The Building Department must obtain a written release from the District to show the applicant ha- complied with this law. The attached check list is desigr,- to help the applicant and the build ng'departments to meet these zquirements. 1. The applicant ( the same person applies permits from the Building Department) must fill the check list which can be obtained either at the Building Department or at the District. 2. If all boxes in the list are checked "no", the Building Department can accept the check list as the release. 3. If there are any "yes" answers in the list, the applicant must contact a District engineer by calling (818-572 6406, 818-572 6111, 818-572 6261 ) to -find out whether air permits are required for the proposed construction project. 4. If air permits are not required, the a-:.icant will obtain a written release from the District engineer. 5. If air permits are required, the applicant must submit the necessary permit applications before the release can be issued. A sample copy of the release is attached. Because of the time it may take for the District engineer to go through above procedures, the applicant is advised to contact the District I.amediately after applying for Building. permits. myl/al AB3205ID