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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