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Home My WebLink About15102 Bolsa Chica St - CofO (9)CERTIFICATE OF OCCUPANCY 8! 2 g ! 9 6 i CITY OF HUNTINGTON BEACH Date Address 15102 B 0 L 3 A C II T C A C= _ District Business Name '.:U!rJSON IfifTt.RNATJ0NAL Tel. 714-89t,� tL Business Type _ OFFICE; & VIAREHOUST_EJG Occ. Group $!S"1 BUILDiUG OWNER BUSINESS OWNER/MANAGER BRIAN 111LSOs' Name Y.UtdI HiiSHIIAAiIARi Name Home Address 8121 KATELLA Address City STAPITON Tel, 714-.547--9460 City Ho 714--846-4410 Construction ' No. of Stories Occupant Load r Sprinklers CONDITIONS OF APPROVAL DEPARTMENT OF COMMUNITY DEVELOPMENT r i i This Certificate of Occupancy + z SHALL BE posted in a conspicuous place on the �} premises and shall not be removed except by the by !/(/ I Building Official it X I COMMUNITijjE LOPMENT I APPLICATION FOR CERTIFICATE OF OCCUPANCY! V CITY OF HUNTINGTO14 (BEACH / p/ DEPARTMENT OF COMMUNITY DEVELOPMENT Hu ON REAM i (PRINT OR TYPE ONLY) DATE ,i //Address �� Q� )� �o IsA -ki(' _% District 1/ Business Name 1Ct-1 f41 S C)rj XA)7_ !Q / (Xr,o,aA Tel ��,`% �A-5 ` .3 �5� /Business Type ft/ 5 �' =�C�L4 W Occ. Group K j ^� BUILDING OWNER � BUSINESS OWNERIMANAGER ti%tvarne� 1, Y Name A406dS�1, d At9VG1,#)FSS Ll�n/iF�F Home Address 81441 kINTiz'//A _ / Address 1.00 eOX { City c57'i4N7-0/1 CA C1,96To Tei. -gY6 Ctty �r/��/V Of �db90 Home Tel�,a�tf'I_�Y6� l THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRI,I::TED BLDG. ❑ EXISTING BUILDING ❑ CHANGE OF OWNER l-1 CHANGE OF OCCUPANT ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, it any _ Occupancy Gr.--Div �&,CARE FT. OF BUILDING TO BE OCCUPIEEr_ 1 r (�00 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 prem in order to determine if a change maybe made in the character of occupancy or u2e of the building Is ich would place the building in a different division of the same group of occupancy or to a ie group of occupancy, a change of occupancy inspection fee of $ _ shall �2��Huntington e paid to the city. 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). l TRAFFIC IMPACT FEE_/(/ DATE PAID AMOUNT RECEIVED NAME -�c%-- (FOR OFFICE USE ONLY)`L SUPPLEMENTAL INFORMAT!O ZONING OCCUPANCY GROUP_ "` PLAID CHECK NO. NO. PARKING SPACES OCCUPANT LOAD - PERMIT NO. HEALTH DEPT APPROVAL NO, OF STORIES ADMIN. ACTION UTILITIES RELEASED 1 ?4�CERTIFICATE OF OCCUPANCY FEE $ PROV Y DATE CHANGE OF USE OR OCCUPANCY FEE $ 1 TOTAL $_ 75.039 Rev. 11190 COMMUNITY DEVELOPMENT i t � i APPLICATION FOR OEERTIFIC�lTE OF OCCURKANCi' CITY OF HUNTINGTON BEACH rruHrnacrorver DEPARTMENT OF COMMUNITY DEVELOPMENT (PRINT OR TYPE ONLY) / d DATE i.. y` Address ! I Ci c �5A h 1 CA �'c A C G t District — f v Business Name )Lf N I S GP.) N if () I/A %�G iyiI Tel%/(/ f Business Type G r 7^ �"_ ,-; �/� 6/I/ i i r`{� ��r ;(,i)h ,:� JG _ — J1 O.:c Group. l BUILDINCIOVJNER ` BUSINESS OWNtRIMANF :,ER ,/Name 2p, Ark t.._f: i 5�r i /Name�Fr Home veAddress / j, PA-7":= //A Address city S%rl.�r r0Al rUr��o el. Q� 1�— (� tr Tel y� 9`/6 City �1,V7-o A,' (A' �0�;3o Home Tel. q/ -�,140 THIS USE USE WOULD BE DESCRIBED AS: a4 NEWLY CONSTRUCTED-BLDG. ❑ CHANGE OF OWNER t_I CHANGE OF OCCUPANT, _. �,.. ❑ EXISTBUILDING ❑ CHANGE OF USE ❑ ADDITIO;JAL OCCUPANT �� Indicate form U. OF BUILDING TO BE OCCUPIE_' doo former use, it any Occupancy Gr. Div.' ARE FT / NOTICE: i l 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been inspected and a c-rtificate 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 schbdule 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 p7m`,�s i sen or er to determine if a change may be ;Wade in the character of occupancy or use of the building o gr'emipes which would place the building in a different division of the same group of occupancy or in a differ group of occupancy, a change of occupancy inspection fee of $ _ shall e 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 NaVonal Fire, Protec tign Association am n.let 10 see revers side). W14 16.9-- (FOR OFFICE USE ONLY) �. SUPPLEMENTAL INFORMATIO ZONING OCCUPANCY GROUPPLAN CHECK NO NO PARKING SPACES OCCUPANT LOAD PERMIT NO. HEALTH DEPT A PRO% NO, OF STORIES h ADMIN. ACTION � N �� r-'y UT11'T ES R'E6EAS D.,_ . • CERTIFICATE OF OCCUPANCY FEE A PROVELPBY DATE CHANGE OF USE OR OCCUPANCY FEE $ / TOTAL $ 7"39 Rev. 11/9G FIRE i j. SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRLSS J6 '9 & CLOA 6AQ/ C" 2. Person to contact in case of emergency, } !1W ,`' A - �I/MA V1!l�Ri Telephone number: T y $ q (.` 4-410 3. Does the building in question have electricity? IT'Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? MYes ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes WN o 6. Operations wil! involve the repair or replacement of ❑ Yes automobile parts? UR No H Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Ye's I-}-'N o 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes WNo 8. The following best describes my operation; IF Office Only Retail Salec. Warehouse Manufacturing / Distribution (describe process and end product) Restaurant / Tale Out Food Medical / Dental Other (describe) SUPPLEMENTAL INFORMATION SUPPLEMENTAL INFORMATION (Continued), Does the operation involve any of the following materials? ❑ Yes PIN If Yes, indicate quantities: { Material Quantity i 1. Flammable liquids Class I -A Class I-B — Class I-C Combustible liquids 2. Corr s Class 11 L Class Ill -A 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers loose 7. Flammable fibers - baled 8. Flammable solids - 9. instable materials 10. Corrosive liquids — 11. Oxidizing material - gases j 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. • Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 30% nitrate by weight 18. Highly toxic material and i poisonous gas 19. Smokeless powder 20. Black sporting powder -- I hereby certify that the above information is true and correct to the be§j of my knowledge. 14AZf t Signature ate k l L SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) !r Location of Subject Property:_! 5l t5 2 �l o �SA�^,t_c oisd C7' /! rA �o'�4 Property Owner Phone: Name of the person preparing this form in print and signature: Name:��_ �f�^F//�J1��_ Signature:!____ 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: AOMD PERMH TING CHECKLIST YES NO 1. Does your facility use any internal combustion engines greater than 50HP? 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 or reclaim any metals? y' S. Does your facility plate or coact anything? 6. Does your facility have any combustion equipment (i.e. boiler, furnaces, broiler, baking ovens, etc.) rating greater than 2,000,000 6TU; HR? 7. Does your facnity handle or store solvents, or motor 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, br part coater? 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 masked "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 Disfrict located at: 21865 E. Copley Drive Diamond Bar, CA 91765-4182 Please call: Pan Check (909) 396-2000 CASH RECEIPT COMMUNITY DEVELOPMENT CITY OF buNTINGTON UCACn Address All Correspondence To: s P.O. BOX 190 HUNTINGTON BEACH, CALIFORNIA 92648 HUNTINOTONCH OR CALL (714). 536-5241 DATE w RECEIVED FROM ADDRESS 2171/102 19JUn96 001/12 S125,00 DEVELJPMENTSVC No.CD 303220 CUSTOMER COPY