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Home My WebLink About15000 Bolsa Chica Rd - CofO (3)3 �d CERTIFICATE OF OCCUPANCY Oct. g� t:., l .+4,fsasfn, a CITY OF HUNTING TON BEACH Date i DEPARTMENT OF COMMUNITY DEVELOPMENT f HurrtwGTON BEACH Address I�JDi Dolsa Chi ca Ste. C District_ IComstock Con-anuaidations, IiIC'. Tel 373-0339 Busmess Name } Business Type Install « Maintain Phones Occ. Group BUILDING OWNER BUSINESS OWNERIMANAGER Name {ams—Head Co Name Tom 6leterson r t R N. �ai:F'1 1 h'; . Horie 254 1% Laurel Ave. t Address Address Lies Plaines IL Des P't ai nes IL Home Tel. City -Tel. City Construction No. of Stones Occupant Load 2 G Spinklered _ f This Certificate of Occupancy DEPARTMENT Of" COMMUNITY DEVELOPMENT SHALL BE posted in a conspicuous place on the oremises and shall not be removed ex- t_" ' cepf by the Building Official. by t 167A k') "Ald APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH • DEPARTMENT OF DEVELOPMENT SERVICES r DATE {ERN i OR TYPE 6NL`) HUNnNGT0N OEARr Jt "c C�k,ec w� oc- �JE uYr�r1KG� 1fa District Address ,\h�a�C�>e�-.__ V / T _):3(`C�`�X �f C3=��°�`P__ �`"' =�C Business Name__-- --- Coo. Group,.._--.----"- Business Type BUS;NESS OWNERWANAGER PLILDING OWNER Name Home K) . Address Address M — R s nL�a :l L�- Tet. - C'tY isx7 i Jra•,� L�!~ ,Name Tel. City-----� THIS USE WOULD BE DESCRIBED AS: ❑ CHANGE OF OCCUPANT DIEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER El ADDITIONAL OCCUPANT v' ❑ EKISTING BUILDING CHANGE 01 USE Div.____-_---- pCwvpt,�I�?!_^Occupancy Gr .___----- Indicate f: ,Wier use, it any GOUARF FT OF BUILDING TO BE OCCUPIED. ` 0 v Ill not bE issued until the building has 1V OT ICE• 1. Occupancy of any building is prohibited and a business License W been inspected ana a certificate of occupaincy s p, No electrical servicewillreleased to!Y n anany lexisting sting 'building are requir duntil the 'to zchedule anneefe t cal certified safe.. All applicantslication is filed. `fuse up, ipspection in the Department of Development Services a, the time this app necessary to make ir 3. orChange of premises in order determiney of use , a oh change may be, madeit n fee. Wheneveri m the coatacter of occupancy ornspection s use the or premises esi Y� building or premises which would place the building in a diff�rer, uwtsion of the u�.me group of occupancy or in a different group of occupancy, a change of occupancy i. peclion fee of $ ----------------- shall be paid to the city. ?� 7� 4, Huntington Beach Fire Code Section i 0 2G& requires that building numbers muss be a minimum of our ��. (4) inches In height with one half i z) inch stroke, and of a contrasting color from the background. These numbers must be posted on your buiidmy in a to atlon Thal is visible from the street. 5, Huntington Beach Fire Code Section 10 301 requires fire extinguisher ,;election and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). (FOR OFFICE USE ONLY) ZONINrr _ A41'� SUPPLEMENTAL INFORMAVON — ___�_r_ PLAN CHECK NO-.---------~—� NC7 PARfiINC: SPACES .-----•"- QG(%UPANCY GROUPPLAN NO. HEALTH E?EPT, APPROVAL OCCUPANT LOAD = -- — UTit_tfIFSRELEASED - ADMIN, ACIION--------_ --- NO OF STORIES -- a CERTIFIGATE OF OCCUPANCY FEE �._?.� )ATE.: CHANGE OF USE OR OCCUPANCY FEE g APPROVE TOTAL. $_ I nil' VEI•aOi-'ME NI!P S E NV I ICI ? lb-039 REV SUPPLEMENTAL INFORMATION 1, BUSINESS ADDRESS � `_ Nl.G..l3..... 2. Person to contact in case of emergency: I (i10Ck Telephone number: 3. Does the building in question have electricity? Oyes a. If No, are you requesting that the electricity be des NO turned on? a es 4, The building is sprinklered? ONO 5. Operations will produce dust/wood shavings or similar Oyes material? 6<0 6. Operations will involve the repair or replacement of OYeess automobile parts? If yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an opmn flare? OYees 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. Oos S, The following best describes my operation: Ofmfice. Only Retail Saie's warehouse Manufacturing/Distribution (describe process and end product) a# Restaurant Ta a Out F'ood Medical/Dental other (describe) (0562D) (12/8/861 SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? OYes 0 I Yes, indicate quantitieT s: T Material Quantity 1. Flammable liquids Class I -A Class I-B Class I-C 2. Combustible liquids Class II Class III -A 3, Combination flammable liquids 4. Flammable gases �5. Liquefied flammable cases 6. Flammable fibers loose 7. Flammable fibers - baled S. Flammable solids 9. Unstable materials 1100. Corrosive liquids 11., Oxidizinq material - gases 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. Organic peroxides 15. Nitromathane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrai:.e compound mixtures containing more khan 60% nitrate by weight 18. Highly toxic material and poisonous c as 19. Smokeless powder. 20.Black sporting 20wder I hereby certify that the above information is true and correct to the begat of my knowledge. Signtf-ure (0562D) ,Date (12/8/86) MANDATORY REPLY REQUIRED PRIOR TO ISSUANCE OF BUSINEM LICENSE Complete and return this form to the Business Licensing Division HUNTINGTON BEACH FIRE DEPARTMENT HAZARDOUS MATERIALS DISCLOSURE INFORMATION SHEET PLEASE I-AINT Business Address: �z_4�.:i�1 �'.t +�=- ;��t(:,; �`� Htg. Bch. Number Street Unit Zip Code Business Name Phone ( ) K Owner/Manager: Title: d.>'}?jl.rir''rY`z Description of business operation: A Hazardous Materials Disclosure Form must be completed and returned to the Fire Department if any of the following are used, har-led or stored in your business: 1. Any amount of chemical ca.-cinogen. 2. Any amount of radioactive material. 3. Hazardous :materials or hazardous waste in amounts equal to or greater than 55 GALLONS (if liquid) or 500 POUNDS (if solid) PER YEAR or 200 CUBIC FEET of gas ON SITE AT ANY ONE TIME. Hazardous materials are defined in Mutticipal Code Chapter 17.58 and include materials for which the manufacturer or producer is required to prepare a Material Safety Data Sheet (MSDS). Hazardous waste is defined by Sections 25115 and 25117 of the California Health and Safety Code. Disclosure is not required for the following: 1. Hazardous substances contained in food, drug, cosmetic or tobacco products. 2. Upon approval of the Fire Chief, hazardous materials contained solely in consumer products packaged for use by and distributed to the genei.•al public. However, pesticides, herbicides and ammonium nitrate fertilizers c,�Ier the required disclosure amounts are not exempt from disclosure. 3. The transportation of hazardous materials accompanied by shipping papers prepared in accordance with the provisions of 49 Code of Federal Regulations. 4. .Infectious waste generated by health care facilities that are regulated under Title 22 of the California Administrative Code. CHECK ONE OF THE FOLLOWING: No chemicals are used, handled or stored at this business. Chemicals are used, handled or stored at this business, but do not meet the requirements for disclosure. Chemicaas are used, handled or stored at this business. (Disclosure required; forms will be sent to you.) Amounts will be verified during annual inspections. It is unlawful for any person to knowingly violate any provision of this ordinance. I certify, under the penalty of perjury, that the above information: is true and correct to the best of my knowledge. Signature' i r e r Home Phone: Date Quertions regarding the Hazardous Materials Program, please call 714-536-154f1. 070i F/13 (8188)