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Home My WebLink About15182 Bolsa Chica St - CofO (8)C.iERTIFICAT7,- OF OCCUPANCY Ok CITY OF JUNTINGTON BEACH Date District ---- Address Tel. Occ, Grotlp-21� Business NarW I BUSINESS OWNERIMANAGER Business TYPVI'l _nz� BUILDING OWNER an ie � 1,Lc,A, Home Name Hum!. _Tel. A(I �IFT Ity CA Sprinklers Occupant Load' Construction No. of ies CONDITIONS OF APPROVAL This Certificate of occupancy SHALL BEP- posted in a conspicuous place on the premises anJ shall not by removed except by the Building Official, DEPARTMENT OF COMMUNITY DEVELOPMENT by COMMUNITY DEVELOFPAENT a� APPLICATION FOR CERTIFICATE OF OCCUPANCY tom, CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT `7ATE HUNTINMON 10.0i (PRINT Oft TYPE ONLY) Ad ess ��aO' Gla__-1—_�2J�P� _ __ District_ Bu ess Jame— kel'(-Sl 15�Tel UM - I — Business Type ( % _ _ Occ Group Q�� BUILDING OWNER ( \ �� BUSINESS OWN ER;MAIVA6ER <ji�1ems.�15 a IVl U �1 x.�►_ _l1Ut¢ (�e,`r 1 Name11Y1►�jCl AI d sip i�t^ or, nda ess _ 1 C�s.__S�._ S I C' ty UYtjn a _C�. c12fo49 4e1_� ry V,�1nC4� �i 17�1i� Hom a e`�i� -Ja T�r—iiHIIS USE WOULD BE DESCRIBED :'.S: u NEWLY CONSTRUCTED BLDG ® CHr�NGc OF OWNER Ej : ! ANGE OF OCCUPANT EXISTING BUILDING CHANGE OF USE U ADDITIONAL, OCCUPANT indicate furmar use. If any Oc: upancy (itDiv S ARE FT. OF BUILDING TO BE OCCUPIED 5( 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 auildirg 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 may be made in the characterof occupancy or use of the building or premises which would place t':e 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. HuntinC'an 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. Hu.itingEan Beach Fire Code Section 10.301 requires file extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). SUPI• LEMENTAL INFORMATION FOR OFFICE USE ONLY) Zt'NIN`1 'r?• — — -- OCCUPANCY GROUP.— PLAN CHECK NO _. __.__ - _._ NO PARKIN(; SPACES OCCUPANT LOAD _ PERMIT NO _ _, HFAI_TH :7FFT APPROVAI NO OF STORIES r _ ADMIN ACTIr,)N __ _ LIT!( ITIES RELEASED LL ' L CERTIFICATE OF OCCUPANCYEEf $u_ APPROVM BY DATE CHANGE OF USE OR OCCUPANCY FEE- $ TOTAL. �1, 75•039 Rev. 11190 COMMUNITY DEVELO MENT SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS d1iC0 Sui'ie 8 kll' y1$ADY) I&Q& 9241 2. Person to contact in case of emergency* Telephone number: 3. Does the building in question have electricity? 1K Yes ❑+� (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? ❑ Yes N No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes 19 No 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? IN No If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open, flame? ❑ Yes F 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 Manufacturing / Distribution (describe process and end product) Restaurant/Take Out Food Medical / Dental ( Other (describe) �`��' i�Glt�'1QJJ1C�Vl Ck SUPPLIMENTAL INFORMATION e SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any or the following materials? G Yes No If Yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A � Class i-B Class !-C 2. Combustible liquids ~- Class 11 Class III -A 3. Combination flammable liquids 4. Flammable gases__-- 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled — 8. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing.. material -gases 12. Oxidizing material - liquids 13. Oxidizing �ijaterial - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures ,a containing more than 60% nitrate by weight _ 18. Highly toxic material and - poisonous gas 19. Smokeless powder — 20. Black sporting powder �J i hereby certify a the above information is true. and correct to the bes' wledge. 14 griature � r Date Government Code Section 65650.2(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 Cemmunity 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 2-000 to find out whether air permits are required for the proposed construction project. 4. If -=�r 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. (13600) ADDITIONAL SUPPLIMENTAL INFORMATION A ;%r. -2 14* Vi The pei4-.,)n prepay Ust Lie tha s e person applying tuildi% p,�:rrnits F flease alas�VI'lr ti,/e your proposed occunancy of ,he subiect �,uik!'iing. IF YOU DO NOT K',4 -� fo'�!ovjhng que-F ions ic—arding yo T 1 A QUE HE ANSWE4 TO STEON, MARK IN THE "YES" COLUPM': Does yriur faClip-! use arty internal combustion engines creator than 50HP? 2.. Does 70W fticilltY inveive mixirg, Wi nding, or p any solvento, adhesives, pints or c;.,mfings? r. Doa3 your facility create any dusts or smoke? 4 Does your facility refine any liquids or solids or reclaim ariv metals? 5� D-ces your facility plate or coat anything? 6. Does your facility have any co-mbustion equipment (i.eboiler, furnaces, b-loiler, baking ovens, eft.) rating greater than 2.000,CC'1' BTL11H3' I? 7. Does your facility handle or store colvents; ormotar fu_T? 8 Do you use or store any ciclds.71 VV ?. De yGu use any chemical process? 10. Do you use. any �.,.olvents for c!ean-up? 11, iv-e You an dnj gleaner, m-staurant with a charbToiler, body shop, 92GOhn stat!on, printer, cr part dater? 12. Is the subect buiiding located within one thousand feet of a -,iv vzchoof? PROPERTY LIME TO, P-'OPERTY KI 2 Ifyou have nr-lztked-W)" in alicolunins, you do no, if - jj 11;�ve art:;aj arly�uc`;tions in the "YES" oc!umn you must contact the Cot ,0a�trfasMl o P 18 6 5 E. Clo p I c. v Diamond Gja}. f,.*;A k 3----/,IC12 ?'lease call: Plan Check ;-409;, 396-2000