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Home My WebLink About15182 Bolsa Chica St - CofO (27)CERTIFICATE OF OCCUPANCY 1 Q/11/9'E CITY OF HUNTING'rON BEACH Date Address District PIE C f L,' Z' 1 C L 'V -71 7- i-- Business Name 7 P:.C Tel. Business Type O= Group BUILDING OWNER BUSINESS OWNER/MANAGER Name Name Address Home JACK-SCP ST Address fil' CA j. a J= J� jj y C J,,, Home City Tel. City Tel. Construction - No. of Stories Occupant Load Spinklers CONDITIONS OF APPROVAL DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy SHALL BE posted in a conspicuous p�-Ace on the premises and shall not be removed except by the by Building Official. COMMUNITY DEVELOPMENT R. — 17 - i°� /y3 • x APPLICATION FOR CERTIFICATE OF OCCUPANCY e CITY OF HUNTINGTON BEACH -7 DEPARTMENT OF COMMUNITY DEVELOPMENT HUNTRCTON BE4CH (PRINT OR TYPE ONLYI DATE Address n [� District r � Business Nam,_{ ��5 � V l �1��' Tel �73 ^ &6 7c) Business Type'l-S \`Occ. Group BUILDING OWNER.F BUSINESS OWNNE-Ria ANAGER Named Name ,S Hcme��, Address ` Z G� �- � Address,`` � City - t ITel �"C�_�— ity�\ �\ i —Home TeI `Qb ra THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER CEk-CaHANGE OF OCCUPANT XISTING BUILDING ❑ CHANGE OF USE L_) ADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr Div SQUARE FT. OF BUILDING TO BE OCCUPIED-`f NOT E: 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. n3. 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 diff-rent division of the same croup of occupancy or in a / different group of occupancy, a change of occupy oy inspection fee of $ shall lJ be paid to the city. 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) in :hes 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). tile: o�_ \ _ _10'I Fes_ (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION ZONING OCCUPANCY GROUP PLAN CHECK NO NO PARKING SPACES OCCUPANT LOAD I _ PERMIT NO HEALTH DEPT APPROVAL — NO 0F STORIES ADMIN ACTION—_ __ UTILITIES RELEASED CERTIFICATE OF OCCUPANCY FEE $�✓ - APrROVED01Y D E CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ 75.039 Rev. 11/90 COMMUNITY DEVELOPMENT SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 1�^ -k'�\� 2. Person to contact in case of emergency �� Telephone number: 1�Yes 3. Does the building in question have electricity? ❑ No ❑ Yes (a) If No, are you requesting that the electricity be ❑ No turned on? ❑ Yes 4. The building is sprinklered? I,o 5. Operations will produce dust / wood shavings or similar ❑ Yes material?No ❑ Yes g. Operations will involve the repair or replacement of automobile parts? if Yes: (a) Describe the components repaired or replaced. the operation involve the use of an open flame? ❑ Yes O Does ❑ No dining 7. The business is drinking, 9 or assembly use that will ❑ Yes result in an occupant load of mere than 50 persons. 'ErNo 8. The following best describes my operation; Office Only Retail Sales Warehouse product) Manufacturing / Distribution (describe process and end p Restaurant / Take Out Food Medical / Dental (,��`�\Ck -3 Other (describe) ��--------- SUPPLIMENTAL INFORMATION i i a 4 SUPPLEMENTAL INFORMATION (Continued) .Does the operation involve any of the following materials? ❑ Yes o t If Yes, indicate quantities - -�"—` ----- — — ___ Material _ 4uantity I. Flammable liquids Class I -A Class I-B _— Class 1-0 �- 2. Combustible liquids Class 11 Class III -A 3. Combination flammable liquids 4. Flammable gases- 5. Liquetied flammable gases 6. Flammable fibers - loose E 7. Flammable fibers - baled 8. Flammable solids 9. Unstable materials ^� 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 134r Oxidizing material solids- 14. Organic peroxides 4 15. Nitrorrethane (unstable materials) o" Ammonium nitrate 17. Ammonium nitrate compound mixtures cc ntaining more than 60% nitrate by weight 18. Highly Mxic material and poisonous gas 19. Smokeless powder 20. Black sporting powder I hereby c r ify that ti ve information is true and correct to e besto y knowletf Signature Date a 1 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 P, 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 list which can be obtained either from the Department of Community ! Development or at AQMD. L 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 for the proposed construction project. f r 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. k"- Because of the time it may take for AQMD to go through the above procedures, the applicant is r advised to contact AQMD irmmec�iately after ap:;�°ying for building permits. (1300D) Ab:,iTIONAL SUPPJMENTAL INFORMATION t MW I J ie - fi, nc person prepad rg u t"he sarne pe , jit "-tyi,i$,Wlg for 'O-u;idimq � ;r�/Ys{.�Pll�rase ansyder the f4�iP 4�u;e F �- `"ir316 �.'w i pifg 4S t.rgg �,,: rc..��pj�cc..'.E3¢�n'.'�}i9go'�' up--jCei(cy f r `i W441u+:.6 i .iflQ.til '�. d`«' rst. U DO t11f� l Ij.Sia�V4' VE ro V-10 1. DLes your facllity use any internal combustion engines greater than 50HP? 2. Dogs your lacil t y :nvo?ve mix -in,, blending, or sofa` ntz-1, i 3. Goes your facility create any dusts or smoke? 4goes your facility refine any Pqr ids or solids or reclaim ally metals" l� C� 5. moss your faculty plate or coat anything? 6. Does your facility rave ar;y Combustion equipment (i.e. boiler, furn ices, C/ broiler, baking evens, eta .; vating greater than ?.6Qn,tiE ir3 L ? I it-df ? ,{ i` o-t, '� your fa curl°y h ndf d or sty rs-� solvents or nintor ft +'? n � c yk9i.r "w C'i� �'� it 4 '•1f 9['C. uf4 any t F . s a ora k�s a " _ ,_ �a , ^ .,a :grant with a charbroftr, gz:cf ia? jnL4 ti`JOU :ir r fi 0 LINE r �f' 1 o7ij do nut ritic d .u'l Cr)4'4tacz k.i .,.>r. .� r�. i. . .. .! k1•,W�a, Q.. DFf34nond PcSi 's�i 1