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Home My WebLink About15182 Bolsa Chica St - CofO (2)CEFIT. IFICATE OF OCCUPANCI CITY OF HUNTINGTON BEACH Date 15162 KLEA ChICA *A Address District Business Name PRCF[�.'S5IGD;kL VTLEG SEFVJCEI" Tel. 7 4 4-77 --C 6U, - VIDEO DUPLICATION" Business Type Occ. Group BUILDING OWNER BUSINESS OWNER/MANAGER GLENN MUELLER THAI Aff-77-1—h= ESC j Name Name Address 16862 BLANTON Home 111622 JACKISON ST Address HE I CA City Tel. 3,10-434-41E'6 klrl,,�AY, Home Home :-0f, 71 A —M501 City l 40 Construction No. of Stories -- Occupant Load — Sprinklers CONDITIONS OF APPROVAL This Certificate of Occupancy SHALL BE posted in a conspicuous place on the ,oremises and shall not be removed except by the Building Official. DEPARTMENT OF COMMUNITY DEVELCIPMENT by ice. IsPPi..(E;Ai1ON FOR CERTIFICATE 06= OCCUPANCY CITY OF HUNTINGTON BEACH r 0 7 DEPARTMENT OF COMMUNITY DEVELOPMENT "U"NGTON RFAai (PRINT OR TYPE ONLY) DATE n A r Address . �` •�District Business NameP S "lia.�i� � ��-% Tel._= - f61S) RD _ Business Type��3'��C•�C_ Occ. Croup BUILDING OWNER . BUSINESS OW.NE�RIIVJAN,AIGERR , Name c-_& 'hJ'hw `� +tea._ NameHorne Address `� c c, c ON— � Ads dres ^,iry`Tej ,. ?-�ij� ity `�.7 w'�\ �✓� Home Telgo� e THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER �HANGE OF OCCUPANT XISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any _,Occupancy Gr. Div. SQUARE FT. OF BUILDING TO BE OCCUPIED — NOT' 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 ur;til 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 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 (Y2) 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 parnphiet 10 (see reverse side). (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION ZONING OCCUPANCY GROUP PLAN CHECK NO _ NO. PARKING SPACES OCCUPANTLOADPERMIT NO. HEALTH DEPT APPROVAL NO. OSTORIES ADMIN. ACTION UTILITIES RELEASED �� lG CERTIFICATE OF OCCUPANCY FEE g -� APPROVED Y D ----` E CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ SUPPLEMENTAL INFORMATION i. v. BUSINESS ADDRESS v5�� 2. Person to in case Contact of emergency Telephone number: 3. Does the building in Question have electricity? Aa-lxes � C7 No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinkiered? ❑ Yes 5. Operations will produce dust / wood shavings or similar material? ❑ Yes Ag:zko 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? No If Yes: (a) Describe the components repaireu or replaced. (b) Does the operation involve the use of an opan 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 WN o 8. The following best describes my operation, O fice Only Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other describeG CV' _ SUPPUMENTAL INFORMATION i !I SLIPR.t,EMENTAL INFORMATION (Continued) Does_ 'the. operation involve any of the following. materials? C1 Yes if Yes indicate odd h hies: _ Matebial Quantity 1.� Flammable liquids >gClass I -A .Class 1-B _ — Class I-C 4_ 2. Combustible liquids Class 11 Class 111-A 3. Combination flammable liquids T. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers iodse 7. Flammable fibers -- baled 8. Flammable solids 9, Unstable materials 10. Corrosive liquids 11. Oxidizing material gases 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 60% nitrate by weight _ 18. Highly toxic material and i poisonous gas 19. Smokeless _ powder 20. Black sporting powder hereb ify ,' .that' fh Opve, information is, true and correct to s bid knowlet a. I 9.,.:: 07 - R o 7 - Signature Date lMt__ ',ar.+_r.:.nn....:.w.+....n�+•aw=..r.n.a.a..xr.vw rraKMiCi,e Mli»�.,.: r .. '. SOUTH COAST AIR QALiTY t1W NAGEMEN ` P.STRI T (Nonresidential Buildings Only) t.oca:iiun -',Subject Property:_ Property Owner Name �� _� _� Phone . 3ta NF6me of the person preparing this form in print and signat.ire: larne:� ature: The per;;on preparing this fcs:rrn must Oe xkia,same person applying for building permits, Please answer be. following questions regarding your`proposed occ:.:nancy of the subioct bbilding.'IF YOU DC NOT KNOW THE ANSWEP. TC) A QUESTIO&,VARk Ill 711E F'YE& COLUMN. ` AQMD PERMITTING CHECKL11ST YES t1C 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. hoes your facility refine any liquids or solids or reclaim any metals?., 6. Does your facility plate or coat anything? 6. Does your facility have any combustion equipment (i.e. boiler, furnaces, C. ----� broiler, baking ovens, etc.) rating greater than 2,000,000 B UI'AR? 7. Does your facility handle or store solveris or motor 8. Do you use or store any acids?�'_"`--� 9. Dig you use any chemical process? 10. Do you use any solvents for clean-up? 11. Are you a. dry cleaner,t restaurant with a charb!oiler, body shop, gasoline station, printer, or part coater? 12, Is the subject building located within one t ousand (1,000) feet of any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. I If you have marked "ISO" 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 Manaqerrient District located at: 21865 E. Copley Drive Diamond Bar, CA 91765-4182 Please call: Flan Check (909) ;196-2000 (MOW) . I r 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 Communit,Developrnent 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. Tha applicant (the same person who applies for permits from the Department of Community Development) 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-e000 to find out whether air permits are required for the proposed coWruction 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 can be 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. tj (S360D) ADDITIONAL SUPPLIMENTAL INFORMATION (. r• ,> ... f, _ .:.... .-s ...w.,:.wH+,......,r,,w,N_..,...n,.W+4...:.:��..w.w...�...Mt_ _ ........,,±...,,,.�>,......w....».r�.u`.r.„ .:.i; ...