HomeMy WebLinkAbout15062 Bolsa Chica St - CofO (6)y
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Date
Address e;i 2 C L =A District
1,,Uh7S(A lbTERLATIOI, �'i Tel.
Business Name
Business Type — !vJXLES'ALE-i-% C,r HITTrFT HF!"S Occ. Group
BUILDING OWNER BUSINESS OWNER/MANAGER
I L k It -1 hl, L L L 1; Name
Name
Home VDADEURY Lh
Address Address! Home
City -- Tel. city 1; 1 (,A
Te 1.
Construction No. of Stories — occupant Load Sprinklers
CONDITIONS OF APPROVAL
DEPARTMENT OF COMMUNITY DEVELOPMENT
by
NUNnNGTON WtH
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
tPRtNT OR TYPE ONM
DATE
Address (.sDistrict �> p
Business Name IJ11 .1 �'� '_ Tel (7�) e2, J-�CI
��I�� Business Type _ 5' V1�t1�1 '�— S Occ. Group
jj , BUILDING OWNER BUSINESS OWNERWANAGER
_INESS
Name! '. �_ �� Name -Kum,//, / I I i�1A/ (SZ {� 1�
Home
Address — Address
E-1
City Tel
— Crty�L-ti�1_L " _ _Home TeL�
THIS USE WOULD BE DESCRIBED AS:
III❑l NEWLY CONSTRUCTED BLDG, t, : G R HANGE OF OCCUPANT
u EXISTING BUILDING ❑ C'!/ NGE OF USE ❑ ADDITIONAL OCCUPANT
Indicato former use, if any Cccatpaney Gt Div.
SOUARE FT. OF BUILDING TO BE OCCUPIED _ s_ /900
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. Ail applicants for occupancy in an existing building are required to schedule an electrical
'fuse up' inspection in the Department of Community Development at the timq this application is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
T 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
VII\ be paid to the city.
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
National Fire Protection Association pamphlet 10 (see reverse side). / 1
.__ t t 4A1_/�
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION ZONINS__
OCCUPANCY GROUP ) — PLAN CHECK NO. NO PARKING SPACES — —
OCCUPANT LOAD t-9— PERMIT NO _ HEALTH DEPT APPROVAL
NO OF STORIES ADMIN. ACTION UTILITIES RELEASED --
CERTIFICATE OF OCCUPANCY FEE $
t R VE BY 17A1 E CHANGE OF USE OR OCCUPANCY FEE ,
P $
TOTAL
75-039 Rev, 11190 COMMUNITY DEVEWPMEN;
SUPPLEMENTAL INFORMATION (Continued)
fDoes the operation involve any of the following materials?
If Yes, indicate quantities:
Material
f 1. Flammable liquids
Class I -A
Class I-l3
Class I-C
2. Combustible liquids
Class II
Class Ill -A
3.
Combination flammables liquids
4.
Flammable gases
5.
Liquefied flammab a gases
6.
Flammable fibers - loose
7.
Flammable fibers - baled
8.
�lanmable solids
9.
Instable nnaterials-
10.
Corrosive liquids —
11.
Oxidizing material - gases
a.
12.
—
Oxidizing material - liquids
13.
Oxidizing material - solids
Quanti
i
�E❑^Yes
/�No
p 14. Organic peroxides
15. Nitromethane (unstable materials)
16, Ammonium nitrate
17. Ammonium nitrate compound mixtures
R containing more than 60% nitrate
by weight '
16. Highly toxic material and
poisonous ryas
?9. Smokeless powder _
20. Black sporting powder
hereby certify that the above information is true and correct t
the !pest of my kno ledge.
S nature
ate
i
SOudh Coast
f AIR QUALITY MANAGEMENT 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 has complied
with this law. The attached check list is designed to help
the applicant and the vuildliig departments to meet these
I. requirements.
1. The applicant ( the same person applias permits from the
Building Department) must fill the check list which can
be obtained either at the Building Department or at the
District.
a
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 applicant will `
obtain a written release from the. District engineer.
S. If air permits are required, the applicant must submit
the necessary permit applications before the release can k
be issued. A sample copy of the release is attached.
t
4
Because of the time it may take for the District engineer to
go through above procedures, the applicant is advised to
contact the District immediately after applying for Building
permits.
b
myl/al AB3205ID
RETURN TO THE PLANNING DIVISION, CITY OF HUNTINGTON BEACH, P.O. Box 190,
2000 Main Street, Huntington Beach, CA 92648
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildrings Only)
Location of Subject Property:hClS� f H
Property Owner name: ni ", T 1 ! j J —! l
Phone
Name of the Person Preparing this form in print and signature
Name, i _j2_"1&1,� Signatures ! /j
The person preparing this form must be the same person applying for
building permits. Please answer the following questions regarding your
proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER
TO A QUESTION MARK 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
Processing any solvents, adhesives, paints
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?
6. Does your facility have any combustion equipment
i.e. boiler, furnaces, broiler, baking ovens,, etc.)
rated greater than 2,000,000 BTU/HR?
7. Does your facility handle or store solvents or motor B
fuel?
8. Do you use or store any acids?
9. Do you use any chemical process?
10. Do you use any solvents for clean-up?
11. Are you a dry cleaner, restaurant with a charbroiler,
body shop, gasoline station, printer, or part crater? 1.
12. Is the subject building located within one thousand
(1,000) feet of any school? ��-
PROPERTY LINE TO PROPERTY LINE. GRADES 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:
91SO FLAIR DRIVE, EL MONTE, CA 91731
Please call these offices: Plan Check
(818) 572-6460
1):AL00603 (839) 572-6111, (818) 572-6261