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15132 Bolsa Chica St - CofO (4)
CERTIFR'CA,TE OF OCCUPANCY CITY OF HUNTINGTON BEACH 4/12/95 Dale Address 151132 B O L S A C H I C A _ District _ Business Name SOUTH COAST ATHLETIC CLUB, INC. Tel. 893--9631 -- Business Type HEALTH/ATHLETIC CLUB B2 Occ. Group BUILDING OWNER BUSINESS OWNER/MANAGER SOUTH COAST ATHLETIC ROVER COWAN Name Name Address Home 16883 SOUTH P4CIFIC Address SUNSET BEACH Tome 310-.592•-S167 City Tel. City C 2 31 Construction No. of Stories Occupant Load Sprinklers CONDITIONS OF APPROVAL t This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall nct be removed except by the Building Official. DEPARTMENT OF COMMUNITY DEVELOPMENT i by s D COMMUNITY DEVELOPMENT --------------------------1------------.•-- - AL ---AD. A.11 - - - — n - - - ,- A- -- O.A.we 1110111111110114" (0 o,4 CUPPNC "� - -A > APPLICATION FOR CERTIFICATE OF OC CITY OF HUNTI14GTON BEACHLola 4 — DEPARTMENT OF COMMUNITY DEVELOPMENT s ' �ppTE -. HUNnVGTON FfaC H (PRINT OR TYPE ONLY) V/Address t ``-(�`�" CHANGE C� %C-A ` `fl�� District c� Business Name `'�v�� ti o�•ST %.T Tel -1 114 - q f�1� Business Type 1'�Lr� 4�E �� — ��U Occ. Group �' 7 L BUILDING OWNER Spt)T% l t iu� BUSINESS OWNER(MANAGER game iiocrr�-- �.rarJ ,Name l.t WAS; Jrr'riri�rrt T�oi.Su CY.,.b. �r31 � "'L -Home V A"dress Address �it ��c�r�-r�u�,Ra ��ne.k�Qa Tel_ /ity�wr�Str inc". lA HameTei3,a HIS USE WOULD BE DESCRIBED AS: ?P. Or OCCUPANT ❑ NEWLY CONSTRUCTED BLDG CHANGE OF OWNER ® EXISTING BUILDING �� � ��t �f CHANGE OF USE ❑ ADDITIONAL OCCUPANT o+hV\ Cx�C s / r Indicate former use, if any S%4 e ' �h'-�� �� �J'�� Occupancy Gr— �J Div._ QUAKE FT. OF BUILDING TO BE OCCUPIE NOTICE: 1. Occupancy of any buildina 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. VC; 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 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 pa',d 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 ('/) inch stroke, and of a contrasting color from the background. These numbers must he 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). 15/' (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION ZON1.'JG OCCUPANCY GROUP 12 PLAN CHECK NO NO PARKING SPACES OCCUPANT LOAD �-3Z PERMIT NO q HEALTH DEPT APPROVAL NO. OF STORIES 2'' ADMIN. ACTION �UTILITIES RELEASED �� LArN A' 1 L Qy CERTIFICATE OF OCCUPANCY FEE $. —APPROVE Y DATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ 75-039 Rev. 11190 COMMUNITY DEVELOPMENT SUPPLEMENTAL INFORMATION i. JSiNESS ADDRESS `�i32 1�c7�Sa� C��� -iRo- ?. ,-';arson to contact in case of emergency �o�a-� 3to-S`�iZ 3tic�1 -.; ephone number: Does the building in question have electricity? ® Yes ❑ No (a) if No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? ❑ Yes C! No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes ® No 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? No If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ "Yes No 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ® Yes ❑ No 8. The following best describes my operation; Office Only Retail Sales Warehouse Mjaannufacturing / Distribution (describe process and end product) i�tPcL�1�r ! Ni�T�L u(3 ti15T�r.�t� iw1 Tl4ti CtiN �1 P-7-- 1 (4GA111 Restaurant/Take Out Food Medical / Dental `Other (describe) SUPPLIMENTAL INFORMATION e�'A"4 I SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? If Yes, indicate quantities - Material Quantity 1. Flammable liquids Cless '-A Class I-B Class I-C 2. Combustiblc liquids III A NiFt . aMIMaU10 HqUids 4, Flare -enable gasos T--L—Iquefied 6. Flammable- tibe,-s - loose 1-1 � Yes 0 No Flarnmiabip fibers Flammable solids Un—stable— .10, Corrosive Hquiis 11, 0x7 ,jng ma"evial 12 Oxidizing material liquids i,'T— Jxidizrxtg material solids- �4. 75r�gan-ic peroxides ' ,6-- Witromethane, fun t :F6.-- Ai-orrioniun, nitrate 17. Arrnoniurr, nitrate cornpound mixtures containing more than PAIlia nitratte by weight 18. Highly toxic :nate Jal and poisonous gas 19. Smokeless powder 20. Black sporting powder I hereby certify that Me above information is we and correct to the besI my 14 Piowledge. Signature Date Government Code Section 65850.2(b) requires that the City of Huntington 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 Deve .)pmeni) must complete the check list which can be obtained either from the Department of Community Development or at AQMD. 2. If all boxes in the list are checked "no", the Building Division can accept the check list as the release. 3. If there 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 far 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 :.ecessary permit applications before the release can be issued. Because of the time R may take for AQMD to go through the above procedures, the applicant is advised to contact AQMD immediately after applying for building permits. ADDITIONAL SUPPLIMENTAL INFORMATION �L I ..b. Y- SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property:__�z't=-- Property Owner Name:ao� ���?"« ;-- Phone #: - Name of the person preparing this form in print and signature: / Name�4�#'—_�..�,-i __. Signatur 3 31 The person preparing this form must be the same person applying for uilding permit§. Please answer the following questions retarding your proposed occupancy of the subj t building. fP YO'J DO NOT KNOW THE ANSWER TO A'QUESTION, MARK IN THE "YES" COLUMN: AQMD PERMITTING 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 ah} dusts or smoke? - •- 4. Does your facility reline any liquids or solids or 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.) rating greater than 2,000,000 BTU/HR?- 7. Doss your facR!ty handle or store solvents or motor fuel? a. Do you use or store any acids? ✓ 9. Do you use any chemical process? — 10. Do you use any solvents for clean-up? -- — — Z Are you a dry cleaner, restaurant with a charbrofler, body shop, gasoline station, printer, or part coater? - --- 12. is the subject building located within one thousand (1,000) feet cf 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 y=, ne. If you have arked any questions in the "YES" column you must contact the South Coast Air Quality Ma7agemen�Distric`I ,aateed aa, 21865 E. Copley Drive' / Diamond Bar, CA 91765.4182 e ail: Plan Check: 909 396-2©00 Pleas c ( ) f 11 S HUPITINGTON BEACH City of Huntington Beach Department of Community Development Building & Safety Division (714) 536-5241 Fax (714) 374-1540 Date: Job Address: /J a``&��_� Plan Check #:� Job Description:, f% Dear Property Owner/Applicant: Just a friendly reminder to let you know our records indicate that the plan check application on the above mentioned project is about to expire. Please contact our Office personnel within the next 30 days to arrange for a plan check extension, or to obtain the necessary permit(s). Extensions may be honored for up to 2 years from the original submittal date in 6 month increments. If we do not hear from you within the next 30 days, we will assume the project has been cancelled, or abandoned and the plan check application will be expired, The plans and/or file records may be picked up upon request, or will be discarded in order to preserve space. Thank you for your cooperation and assistance regarding this matter.