HomeMy WebLinkAbout15062 Bolsa Chica St - CofO (5)L
CERTIFICATE OF OCCUPANCY 12 I 1 "i f 9 ii
CITY OF HUNTINGTON BEACH Date
District __-- --
Address 1 (t h R (�9 ; t, a Tel. r 1 k4 ^ c rt) 4 M_
Business Name C P fl Occ. Group
61AREHSEfSH=PPITIs, TOYS8- ;;LIPP%iIS
Business Type BUSINESS OWNERIMANAGER
BUILDING OWNER
CkLV—fN HULL
VIODBIGLER INVESTMENTS Name
Name- Home C 90
Address_ 02 JAFt'ER DR I
Address '702 P3 le `IO , Home F rif-7576
r i 4;r 4 t— — City i_N : U t� A F_ tail E TeL
SAmn ltflA TeL I
City Sprinklers _---- y
Construction
No. of Stories Occupant Load
CONDITIONS OF APPROVAL S
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0
DEPARTMENT OF COMMUNITY DEVELOPMENT
4
This Certiff;site of Occupancy
SHALL BE posted in a con, us place on the by : X�,
premises and shall not be removed except by the
Building Official.
_�_ COMMUNITY DEVELOPMENT
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
' DEPARTMENT OF COMMUNITY DEVELOPMENT
kurgnNGToN sfAcH DA
(PRINT OR TYPE ONLY)
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✓/Address 1506,�- Z20&iO Ci IC11 Q.17. District
V usiness NaaleTel.-1l`%
v Business Type kzft IknU SF or- SrvArty /Yiviny�Ll, F�25 T 7Ufs Occ. Group
�j
BUILDING OWNER BUSINESS OWNER/MANAGER
t/Name vV/ INS (-el EI, N U i15 � / Name C: aL VI A% 1 � uL&
—�Q2L At LLiUWOap ,lHc,me L02. SAV- ! ,
�ddress r ( SRN dress
/City_—JPay I_A_ �� � Tel.. -369 Clr, L-%�(M)o NIL y-&LJ Home Tel.57`7-`75S74
V
IS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
❑ EXISTING BUILDING ElCHANGE OF USE ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr. _ Div. '
QUARE FT. OF BUILDING TO BE OCCUPIED 1, LOD
NOTICE: 1, Occupancy of any building is prohibited and a business license will not be issued until the building haeen
inspected and a certificate of occupancy is issued.
2. No electrical service will be released for any existing building unto 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 e
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 (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 teach Fire Code Section 1.0.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
711170c Impact Fee uDatepald
5 b�
rvar�;
(FOR OFFICE USE ONLY) ZONING iG
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP PLAN CHECK NO. NO PARKING SPACES
OCCUPANT LOAD ' PERMIT NO. HEALTH DEPT APPROVAL
NO. OF STORIES ADMIN. ACTIG14._ UTILITIES RELEASED
l 1ARECHANGEv� °'
CERTIFICATE OF OCCUPANCY FEE $ D r —
AP EY DOF USE OR OCCUPANCY FEE $ di'�l
TOTAL $
75.039 Rev. 1 .;30
COMMUNITY DEVELOPMENT
SUPPLEMENTAL IINFOAMATION
1.
BUSINESS ADDRESS 15-06�-) 1,Qsa G14Ic-a R-D.
2.
Person to c_nntact in case of emergency- 14ot-1--
Telephone number: 71V — 572- 7.�r76
3.
Does the building in question have electricity?
0 Yes
i
❑ No
(a) If No, are you requesting that the electricity be
❑ Yes
turned on?
❑ No
r
4.
The building is sprinklered?
Yes
❑ No
'r
5.
Operations will produce dust/wood shavings or similar
material?
f� Yes
l� No
6.
Operations will involve the repair or replacement of
❑ Yea
E
automobile parts?
No
I'
If Yes:
'
(a) Describe the components repaired or replaced.
i
l
(b) Does the operation involve the use of an open flame?
❑ res
2 Nc
7.
The business is drinking, dining or assembly use that will
E
rebult in an occupant load of more thar, 50 persons.
❑ Yes
No
8.
'The following best describes my operation;
Office Only
Retail Sales
'
areo�
�Jlanuiac wring / Distribution (describe process and end product)
Restaurant /Take Out Food
Medical / Dental
R
Other (describe)
SUPPLIMENTAL INFORMATION V,
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? ❑ Ves
No
If Y^s, indicate quantities:
Material Quantity
�. 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
S. Liquefied flammable gases
6. Flammable fibers - loose r
?. Flarnmaale fibers - baled-
3. Flammable solids
9. Unstable materials _.�...�..._ —
10. Corrosive liquids
11 Oxidizing material- gases -
12. Oxidizing- material- liquids-
13. Oxidizing material --solids,
Organic peroxides .�.._-.._._..,_.. -
16. Nitron'iethane (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate cornoound oiixtures
containing more than 60% nitrate
by weight
18. Highly toxic material and
poisonous gas
19. Smokeless powder _ �-
20. Black sporting powder
—
I he ertif that the above information is true and correct to
the bknoyledge.
0 ig at re ate _
Government Code Section 65850.2(b) requires that the City of Hunt;ngton Beach not issue the final
certificate of occupancy unless the applicant has met or is meeting the requirements of the South
Coast Air Quality Management District (AQMD). The Department of Community Development must
obtain a written release from AQMD to show the applicant has complied with this law. The check
list on the reverse side is designed to help the applicant and the building division to meet these
requirements.
1. The applicant (the same person who applies for permits from the
Department of Community Development) must complete the check tisi
which can be obtained either from the Department of Commun,ty
Development or at AQMD.
2. If all boxes in the list are checked "no", the Building Division can accept the
check mist as the release.
3. If them are any "yes" answers in the list, the applicant must contact an
AQMD engineer by calling (714) 396-2000 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
AQMD.
5. If air permits are required, the applicant must submit the necessary permit
applications before the release car ba issued.
Because of the time it may take for AQMD to go through the above procedures, the applicant is
advised to contact AQMD immediately after applying for building permits.
ADDITIONAL SUPPUMENTAL INFORMATION
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