HomeMy WebLinkAbout7561 Center Dr - CofO (22)CERTIFICATE OF OCCUPANCY
1 / 27 / v- 4 I ,_
CITY OF Hl1NTINGTON BEACH
Date
District
r`
Address
F;; C;t;T_i ELt.Ai.G tEiL ':. r:Y 1C L Czi:t'i'F
Tel.
Business Name
Occ. Group
OWNER/MANAGER
Business Tvpe
—
BUSINESS
BUILDING OWNERaU�,
Name
Name
Home , -'
Address <<•t' �2
�aE:
Address =;GC;1
[iAr^AEL
F:8`.
Home
GttC: J�TeI.
k;l i.'t`:."
]?�ht. Tel. 714 �t°>` — ` f' City 1-11iii
City
1 E..' Sprinklers
occupant Load —
Constructica ____r
No. of Stories
—
CONDITIONS OF
APPROVAL
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the
Building Official.
DEPARTMENT OF COMMUNITY DEVELOPMENT
by
COMMUNITY DEVELOPMENT
.r
A, ma& APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTME".IT OF COMMUNITY DEVELOPMENT
HUNTINWON BEACH (PRINT OR TYPE ONLY)
DATE
14, dress .7 S CP I LDistrict
JBusiness Name �s5 Q ��ON� X�G'f��?L•�- �L�-'� Tel
�usiness TypePOcc. Group
BUILDI G OWNER BUSINESS OWNERWANAGER
Blame /J ! !7i r '-.CT/l �� i iYL- �. �IFL�� / me l' �7 ti /�
o
resdrere s'� 7 z �!� nS
Ad �s � � icy � �����`� s /�
. City �r Telv�� , itY `2`-� —Home Tel(I/
THIS USE WOULD BE DESCRIBED AS•
❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT t
1
Indicate former use, if any _ Occupancy Gr Div
SQUARE FT. OF BUILDING TO BE OCCUPIED
NOTICE: 1. Occupancyof any building is prohibited and a business license will not be issued until the building hasbeen
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 regv!.sd fn 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 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
r� 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 (,/z) 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 reveres side),
0-�, I L�
(FOR OFFICE USE ONLY)
N 19�
SUPPLEMENTAL INFORMATION
^ �`
ZONING
OCCUPANCY GROUP
PLAN CHECK NO
NO PARKING SPACES
OCCUPANTLOAD ^�
PERMIT NO
HEALTH DEPT APPROVAL
NO OF STIES
ADMIN ACTION
UTILITIES RELEASED
g _?CERTIF!CATE OF OCCUPANCY FEE
'AFrPWOVEVAY
DATE CHANGE OF USE OR OCCUPANCY FCE
TOTAL
75.039 Rev. I1190
COMMUNITY DEVELOPNIEN
SUPPLEMENTAL INFORMATION
1.
BUSINESS
ADDRESS
C
2.
Person to
;ontact in case of emergency•_
Telephone
number: a O d
3.
Does the
building in question have electricity?
Yes
t] N o
(a) If No,
are you requesting that the electricity be
❑ Yes
turned on?
❑ No
4.
The building is sprinklered?
Yes
❑ No
5.
Operations
will produce dust/wood shavings or similar
material?
❑ Yes
No
6.
Operations
will involve the repair or replacement of
❑ Yes
automobile
parts?
p-No
If Yes:
(a) Describe the components repaired or replaced.
(5) Does the operation involve the use of an open flame? 11 Yes
0
7. The bLISineSS is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. ❑ Yes
gNo
8. The following best describes my operation;
2—ice�—a—OnTy—_Re
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant / Take Out Focd
Medical / Dental
Other (describe) -
I , SUPPLIMENTAL INFORMATI-A
'emu.•
.
.. ,. �* - �►.....�..... �_:, . !.� � _ ��IVs1. I.,- - - �..... _ .►.. f"� .-�... _
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any` of the `ollowing materials? Yes
tKI"No
T Yes, indicate quantities.
Material Quantity
1. Flammable�' liquids .._
Class I -A
Class I-B
Glass I-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 material -scuds
14. Organic peroxides
15. Nitromethane (unstable materials)
16. Animoniu n nitrate —�
17, Ammoniuri nitrate compouno mixtures
containing more than 60% nitrate
by weight
18. Highly toxic material and
poisonous gas
19. Smokeless powder
20. Black sporting powder -�-
I re certify that the above information is true and correct to
th bes. of knowle pe.
2�.
i. u e Dat
i
1
Government Code Section 65850.2(b) requires that the City of Huntington Beach not issues the final
r
ce,-0icate of occupancy unless the applicant has met or is meeting the requirements of the South
Coast Ir Quality Management District (AQMP1. The Departrient 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.
01
1. The applicant (the same person who applies for permits from the
Department of Community Development) must complete the check list
E
which can be obtained either from the Department of Community
t
Development or at AQMD.
2. If all boxes in the list are checked "no", the Building Division can accept the
echeck
list as the release.
3. If there are any "yes" answers in the list, the applicant must contact an
E
AQMD engineer by calling (714) 396-2000 to find out whether air permits are
,f
requhad for the proposed construction project..
4. If air permits are not required, the applicant will obtain a written release from
AQMD.
r
5. If air permits are required, the applicant must submit the necessary permit
t
applications before the release can be issued.
l
�y
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.
(
F
P
(1360D)
ADDITIONAL SUPPLIMENTAL INFORMATION
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