HomeMy WebLinkAbout15292 Bolsa Chica St - CofO (5)Address
Business Name
Business Type
BUILDING OWNER
Name
Address _
City Tel. _.
Construction No. of Stories
I CONDITIONS OF APPROVAL
This Certificate of Occupancy
SHALL BE posted in a conspict:.:us place on the
premises and shall not be removed except by the
Building Official.
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Occupant Load
r
Date
District
Tel.
Occ. Group
BUSINESS OWNER/MANAGER
Name
Home
Address
Home
City Tel.
Sprinklers —
DEPARTMENT OF COMMUNITY DEVELOPMENT
by _
COMMUNITY DEVELOPMENT
J' APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNTINGTON BFHOI
(PRINT OR TYPE QNLY�
Business Namel_e!u'/� �>�`tL✓i�t -- -----
pp--
BusinessTvPc�
�uILn+Nr� �v✓war,
Name _ ---
Address_ -----
THIS USE WOULD BE DESCRIBED AS:
❑ NFWLY CGNSTRUCTED BLDci
XTXISTING FUILDING
Indicate former ,se, li any _
__ /-7/7 / I
_--T- UATE
District
Tel .. � `� I--7
OCc Group_
BusiNESs 0wNERWANA6ER
— — Name I<.�1a c- L
HOrr,r
- --------- - Addres'�rtCc L7i
--
`..I --,..Home Tel
�J CHANf f uF 0*NER <HAGE OF OCCUPANT
E� C HAN!_,;F (j USE t❑ ADDIT+UNrAL OCCUPANT
SQUARE FT CF BUILDING TO BE ;+CL'UPIFD 6
Dry
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 baon 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 m<.y 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 paid to the c"y.
4. Huntington Beach Fire Code Section 10.203 requires that building numbers must bt, a minimum of four (4)
inches in height with one half (bz) 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 (each Fire Code Section 10 301 requires fire extinguisher selection and distribution per the
National Fire protection Association pamphlet 10 (see reverse side)
(FOR OFFICE USE ONLY)
�l�
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP____L t AN I E+ k N� ,
r- — ---- -- — tug? rAf,kir� Pa�f, -
OCCUPANT LOAD -- - - -.� f r Rr,,I T N` t1i .Al Ir, ! : t PPRr � a
- -- — NO OFSTORIES ._ ..� _ _ � HGb1iN A, T r iN !Tl. ' ItS+:E r A ; �
.TF
--- �_ APPROVED L TE ,,HAN:-
TC}TAl_ .-
I /
I
L-- - — - _ - - - -
SUPPLEMENTAL INFOEK TION
1.
B'USINESS ADPRESS l
0
a.
Person to contact in case of emergency:
`? tt: /C
Telephone number:
3.
Does the building in question
have electricity?
0 Nos
a. If No, are you requesting
°
that the electricity be
OYeOYes
ONO
turned on?
- mYesO
4.
The building is sprinklered?
No
5.
operations will produce dust/wood shavings or Similar
O Yes
material?
No
6. Operations will involve the repair or replacement of �Oyos
automobile parts?
If yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an o"n flame? des
7. The business is drinking, dining or assembly use that will
result in an occupant lead of more than 50 persons. OYes
M
The following best describes my operation:
Office Only
Retail Sales
warehouse
Manufacturing/Distribution (describe process and end
product)
s 3tauran a e u r .)o
Medical/Dental /
other (describe) x--r-C�: �C'.t C,'t; �! 7 /1,11�.--
(0562D) (12/8/86)
SUPPLF_;ENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? Q�os
Tr es, n ica e quan ties:
_ Material Quantity
1. Flammable liquids
Class I -A
Cass I-S ._
Class I-C -------^
2. Combustible liquids
Class II
Class III -A
3 Combination flammable liquids
4. Flammable t-C'�f'�.1/�C ."x'"� ✓k"c�/=�`
5. Liquefied flammable gases A,) s(''
6. Flammable fibers -.loose -
7. Flammable fibers - baled _ - B. Flammable solids _ -- -- -�
9. Unstable materials
10. Corrosive liquids -- -
11. OxidizincLmaterial -gases
12. Oxidizinq material - liquids ---
13. Oxidising material - solids
14. Org.aric peroxides
15. Nitro.methane (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight _-
18. Highly toxic material and
poisonous !as
19. Smokeless powder--
20. alack sporting powder _
I hereby certify that the above information is true and correct to the
best of my knowledge.
j
t ignatureD.tta
(0562D)
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: ,a ,1`,{
Property Owner name: VI)i LL -P, D i e-L-t= M AA' Tk, �_ �i7,�,ti" SPhone #
Name of the Person Preparing this form in print and
�i ature
Name i 1c �cth7c' �Y) :-'ci i' �? Signature r ' ���-
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 TFE ANSWER
TO A QUESTION MARK IN THE "YES" COLUMN:
SCAQMD PERMITTING CLECKLIST
YES NO
1 :es your facility use anti internal combustion
,rgines greater Than 50--riP? �- J
2. U,as your facility involve mixing, blending, or O
processing any solvents; adhesives, paints
or coatings?
3. Does your facility crEate any dusts or smoke?
4. Does your facility refine any liquids o solids?
Reclaim any metals.'
G Does your facility plate or coat anything?
6. Does your facility have any combustion equipment
i.e. boiler, furnaces, broiler, baking ovens, etc.)
rated grF:ater than 2,000,000 BTU/HR? �,r ,
7. Does your facility handle or store solvents or motor'
fuel? L� J
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, or part coater?
12. Is the subject building located within one thousand
(1,000) feet of any school?
PROPERTY LINE TO PROPERTY LIP:E. GRADES K-12>
If yDu have marked "NO" in all columns, you do not need an Air Qual.,j
permit at this time. If you nave marked any questions in the "YES" Cplu.,In
you must contact the South Coast Air Quality Management District locat,�&
at:
9150 FLAIR DRIVE, EL MONTE, CA 91731
Please call these offices: Plan Check (818) 572-6406
D:AL00603 (81.8) 572-6111, (818) 572-6261