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Home My WebLink About15000 Bolsa Chica St - CofO (4)CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH / ` / % Date � Address _ 1 5 0 0 U B O L S C H 1 tk, t G District Business Name _ A?ACA I;FU. t"011.RA TOg Tei. 714 "'r 67c;r4 i Business Type SALE (WHOLEF.ALEI Occ. Group _ N/P. ' BUILDING OWNS P BUSINESS OWNER/MANAGER THE WILKL, i Name Name I'�RTLXi� �-UF. Kt7 Address —2$h # ni . t, tT w. f Home Address 1 f, -r; f c R r f K t o AT F' j. City D1 pLAT�]F;i;, TT, Tel. Home City °9,f Cis Tei. 1 °i'� �i4.�.!�5'„ Construction _ No. of Stories e Occupatt Load �' Sprinklers Y CONDITIONS OF APPROVAL This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and ahail not be removed except by the Building Official DEPARTMENT OF COMMUNITY DEVE)OPMENT IIt+ f/ r by� r t COMMUNITY DEVELOPMENT MUST 6E_- Fli�-t:D ► t\L PE�soNR - A� APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT c� - 6a HL'NTINOTON WACH�9 --j- • (PRINT OR TYPE ONLY) DATE Address �V District--- istrict _ _ Busine �s Name A�A� � .f?�'_ ��J�vr�/Q-[?Tp J� Tel. %✓�'� %i? -� 7,�� Busin ass Type S1111- 6-5 Oti ti � Occ. Group 02 BUILDING OWNER BUSINESS OWNERIMANAGER Name L. r UJT _ amelVI910110W c�U e- I(-iVI X Home Address /ST /3fINiC' 011= (Address_&t� _Tel. Ity �-/0/J;" Home Tel. THIS USE WOULD BE DESCRIBED AS: L-I NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER ,�F.Cl-IANGE OF OCCUPANT ❑ EXISTING BUILDING %CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr.--Div UARE FT. OF BUILDING TO BE OCCUPIED LL 00 NOTICE: 1. Occupancyof any building is prohibitedand 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 en 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 maybe 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 (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 Natio al-F,re Protection Association pamphlet 10 (see reverse side). cafe P�rci �--•;,�,,,� Name (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION ZONING._- L— OCCUPANCY GROUP PLAN CHECK NO. NO PARKING SPACES OCCUPANT LOAD PERMIT NO. HEALTH DEPT APPROVAL NO OF STORIES — — ADMIN ACTION _ UTILITIES RELEASED f CERTIFICATE OF OCCUPANCY FFEE $ "' '71 � �. ROVED B DATE CHANGE OF UP': OR OCCUPANCY FEE $ TOTAL $_ i 71.039 Rev. 11/90 COMMUNIW DEVELOPMENT ' 1-� a SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 15-006-&9.6h� � ^. Person to contact in case of emergency-(?y/�ii?��S Telephone number: %lY- 329-6799 3. Does the building in question have electricity? 0-Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? a ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? - If Yes: (a) Describe the components repaired or replaced. k (b) Does the operation involve the use of an open flame? ❑ Yes 19-ftb-- 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes 8. The following best describes my operation, Office 3�n[yl,� Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant/Take Out Food Medical / Dental Other (describe) SUPPLIMENTAL INFORMATION SUPPLEMENTAL INFORMATION (Continued) Does the oporation involve any of the following 'materials? ❑ Yes If Yes, indicate quantities Material Quantity 1. Flammable liquids Class I -A Class I-B Class I-C 2. Combustible liquids Class If Class III -A 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flarmable gases r 6. Flammable fibers - loose - ^� 7. Flammable fibers - baled 8. Flammable solids 9. Unstable materials - r 10. Corrosive liquids t 7 'Ti. Oxidizing material - gases 12. Oxidizing material liquids �� r 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 18. Highly toxic material and r polsonous gas 19. Smokeless powder 20. Black sporting powder i+ I hereby certify that the above information is true and correct to the best of my knowledge. ignature �Date South Coaut AIR gUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765.4182 (909) 396-2000 AIR QUALITY PERMIT CHECKLIST for nonresidential buildings only Company Name: r°f Location of Property: /S`O li D _Bpi,519 City:14, 1-!/ Zip Code:;& 5;7 --_— Contact Person: C—YA171-e$ 4A-20 X Title: rl Telephone Number: 3 9 9 — 111 2,2 Fax Number: _3 7,47 7 'y Type oflndustn•/Business: To apFly for a nonresidential building permit, you must complete this checklist. If you have any questions about completing this checklist, please call (800) 388-2121. 1. Will the facility have a charbroiler? YES S NO N) 2. Will any intemal combustion engine with greater than 50 horsepower operate at the facility (excluding motor vehicles)? [ 3. Will operations at the facility invulve 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 13'1 U/hr be operated at the facility? [ I -A 8. Will any acids, solvents, or motor fuel be used or stared at the facility? [ ] [7c) y. Will any organic liquids or gases be r^acted or produced? 10. Will any ovens be used to dry or cure products at the facility? [ [ 11. Will any CFC (Freon) recycling machines operate at the facility? [ j Applicant:. L ,tom 5 U /� �S�ignatur:: �_-__ (Print ' name clearly) If you have marked "NO" in all the boxes, an air quality permit :s not needed ac: 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 (AQAxD). Please read the requirements on the back of the checklist. (boo) 388-2121