HomeMy WebLinkAbout17473 Beach Blvd - CofO (2)CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH 4/ 0 8/ 9 8
Date
Address 1 7 4 1 1 BEACH _ Disirict
Business Name ULTIMATE H014E FURNISHINr11' Tel. 714-841-7711
Business Type FURNITURE RETAIL/SPACE FOR ADD'T STORAGE Occ.Group Si
BUILDING OWNER BUSINESS OWNER/MANAGER
VISTA BEACH/SLATER Name TP4A PRAM
Name _
Home
Addressl7.A13 13FACH —Address 5014 W. A10RNTWGSTDF
€I.D. Tel. 714-926-2111 SANTA ANA Home ;_14�-5'0—_ 965
City ._ City Tel.
Construction No. Stories — 1 Occupant Load 4 Sprinklers
! ONDITIONS OF APPROVAL
DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupnncy
SHALL BE posted in a conspicuous place on the ,
premises and shall not be removed except by the
Building Official.
COMMUNITY DEVELOPMENT
i
2
AAPPLIC
® D
HUHTVCTON KACH
Address F 7q I I 'kA�
Business Name U LT) M RT.G
�7
ATION FOR CERTIFICATE OF OCCUP
CITY OF HUNTINCTON BEACH
EPARTMENT OF COMA4tiWW DEVELOPMENZ
�33. !I, _
ATE
District
Business Type -tiAfGAI 11 (. t'_r,- K-C 1 A7 L / mc—, �'��`� kfwt ur J v��? Occ. Group/
BUILDING OWNER / BUSINE_'� pWNERWANAGER
Name C1�/g(-�"C�Q Name I-ri►i-Al
t Home
Address 17 ##7 3 -BOAC,44 B UD Address 5� i 4
City Tel.'742^2!%% City-- Saj-rA C�+�`14 Home Tel.
THIS USE WOULD BE DESCRIBED AS:
❑ NEW CONSTRUCTED BLDG. D CHANGE OF OWNER M CI- fi.GE OF OCCUPANT s
ELMS XISTING BUILDING ❑ CHANGE OF USE I.Y "ADDITIONAL OCCUPANT
lodicate former usi, it any v L' vn Occupancy Gr. _Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED
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.
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 i
or premises which would place the building in a differ(•r, division of the same group of occupancy or in a
different group Of occupancy, a change of occupancy I, s-)ection fee of $ shall
be paid to the city.
4. Huntitv;gton 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) 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 is
National Fire Protection Association pamphlet 10 (see reverse side).
t;.
o ti3 3° Z3 99
TRAFFIC IMPACT FEE I
DATE PAID
AMOUNT RECEIVED
NAME i
(FOR OFFICE USE ONLY) (� (( T?Zi
SUPPLEMENTAL INFORMATION ZONING CL
OCCUPANCY GROUPS PLAN CHECK NO. NO PARKING SPACES
OCCUPANT LOAD PERMIT NO. _ HEALTH DEPT APPROVAL— '
NO. OF STORIES �� — y ADMIN. ACTION UTILITIES RELEPSED
CERTIFICATE JF OCCUR'N. Y FEE $ �z
APPROVED BY DATE CHANGE 0, USE OR OCCUPANCY FEE $ Q
TOTAL $_
75-039 Rev.1/e7 COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS i 1-44 1
ZGA ,N Mv
2.
Person to contact in case of
emergenc i 0A TA -Ad
Telephone number:
��IUi Y41 '7111(-71
p) -�
J Sib - 3`l6S_
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
0 No
6.
Operations will involve the repair
or replacement of
❑ 'Yes
automobile parts?
No
If Yes:
(a) Describe the components
repaired or replaced.
(b) Does the operation involve the use of an open flame? ❑ Yes
7 No
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. ❑ Yes
PfNo
8. The following best describes my operation;
Office---ARJ
' re Ouse
Manufacturing / Distribution (describe process and end product)
lV T-Of!E2&(-
Restaurant / Take Out Food
Medical / Dental
Other (describe) _
SUPPLEMENTAL INFORMAMON
SUPPLER EPiTAL INFORMATION (Continued)
Does the operation involve any of the following materials? ❑ Yes
No
If Yes, indicate quantities:
Material Quantity
1. Flammable liquids
Class I -A tf
��, i
Class I-B
Class 1-0 df /--
2. Combustible liquids l
Class 11 O
Class 111-A
3. Combination flammable liquids
4. Flammable gases
5. Liquefied flammable gases
6. Flammable fibers - loose
7. Flammable fibers - baled
B. Flammable solids
9. Unstable materials
10. Corrosive Liquids r
11. Oxidizing material - gases
c. v^I If-111y 1110 ul ai - nyuiva
13. Oxidizing material - solids
14. Organic peroxides
15. Nitromethane (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
a. igh y toxic mate, ial and
F poisonous gas
19. Smokeless powder I
20. Black sporting powder
j; I her by certify that the above information is true and correct to
the est of my knowled e.'
n t ate
a
i
V
N
Iouth Coast
AIR QUALITY MANAGEMEta DISTRICT
21865 E. Copley Drive, niamorid Bar, CA 91765-4182 (909) 396-2000
AIR QUALITY PERMIT CHECKLIST
for nonresidential buildings only
Company Name: --Jd LTA M il, T E [ N VA �Ft/,P-o S ji-i
Location of Property: 17 *l I 136-A-Ct r V-7)
City:_4b Zip Code: V �P 7 7_
Contact Person: = Nit _��� �a� Title:
Telephone Number: -77 / ( Fax Number: A-71q)
Type of Industry/Business: VLAP-0) go r l �.
To apply for a nonresidential building permit, you must complete this checklist. If v,:su have any
questions about completing this checklist, please call (800) 388-2121.
YES
NO
1. Will the facility have a charbroiler? [ ]
IN
2. Will any internal combustion engine with greater than 50 horsepower
operate at the facility (excluding motor vehicles)? [ ]1
3. Will operations at tht facility involve mixing, blet,ding, 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 b. -one at the facility? [ ]
7. Will any combustion equipment rated greater than 2,000,000 BTU/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? [ ]
kT
10. Will any ovens be used to dry or cure products at the facility? [ " ,
11. Will any CFC (Freon�)recycling machines operate at the faci sty? ]
-N
]
Applicant: �1 t-JA 1 n Nl Signafiu�e:
(Print name clearly)
If you have marked "NO" in all the boxes, an air quality permit is nQt 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 rec,,tirements on the back of the checklist.
(800) 388-2121
ADDITIONAL SUPP- 5MENTAL INFOSMAPO N m