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CERTIFICATE OF OCCUPANCY
10 / 1 6 / 9 7
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CITY OF HUNTINGTON BEACH
Gate
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Address 7561 ,CENTER
5 0 - A
District
RLSSGC-IMPORTS
71 4--901 --9773
Business Name
_ Tel.
114PORTERS«RETAIL
SALE OF RELIGIOUS ITEMS
Business Type
-_ Occ. Group
BUILDING OWNER
BUSINESS OWNER/MANAGER
•
JC?SEPii ETSCHUF—i
THEOFI S t SS
'Name
!Jame
P
7561 CENTER
Home 11232 LINDA
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Address
Address
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HUNTINGTON EEAC 714-895-6020
GARDE. GROVEHome
714-•638--0128
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City Tel.
City Tei.
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Construction No. of Stories ,.
Occupant Load Sprinklers
—
CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY
DEVELO?MENT
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This Certificate of Occupancy
SHALl. BE posted in a conspicuous place on the
the
premises and shall not be removed except by
by
Building Official.`
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COMMUNITY DEVELOPMENT
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(LAP LICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT Q
ii irrtvp l poi (PRINT OR TYPE ONLY) DATE
Address 7S� / C,,ff rr,�� AW- //u.u;7,y67D u Oewey District
Business Name_ o 5.50.S/14 PC%2Z"j Tel.// - 5'Oe - Q77�
Business Type /it/PofP = R S - (&r4 (t_ S'-VZC 0A= /PRrG,dv s �T��t S i Occ. Group M
BUILDIN3 OWNER BUSINESS OWNERIMANAGER
Name ✓osc PW/sc� Name i"r�o%% l rJsHome
t� Sc
IF AddressAddresses-C 41,,VLW Z.4A)Lf-
City �ll77iJP 7y.C3 ,L �� C+Lr� _Tel. & �S �' cr I AF A L :s.) is CO W_ 9<Z��if
��ity ``home Tel. ,4
THIS USE WOULD BE DESCRIBED AS:
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❑ NEWLY �nNSTRUCTED BLDG. ❑ CHANGE OF OWNER Ik CHANGE OF OCCUPANT
fA EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDmONAL OCCUPANT
Indicate former use, if any.(' —Occupancy Gr. Div.
SQUARE FT. OF BUILDING TO BE OCCUPIEDRPM--
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been
inspected and a certific; 'e 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,
3. Change cnf occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or i 1,
premises in order to determine if a change may be made in the character of occupancy or use the building '
or premises which would place the building in a different division of the same group of occupancy or in a 4
different group of occupancy, a change of occupancy inspection fee of $ shall
5e paid to the city. 9 i
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four(4) i
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. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Associ on pamphlet 10 (see reverse side).
6
TRAFFIC IMPACT FEE
DATE PAID
AMOUNT RECEIVED
NAME
(FOR OFFICE USE ONLY)
SUPPLEMENTAL NFORMATION ZONING
OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES
OCCUPANT I C)AW P RINIT NO. HEALTH DEPT. APPROVAL
NO, OF TO ADMIN. ACTION UTII.iTIES RELEASED
'— -!? CERTIFICATE OF OCCUPANCY FEE $
P ED.EIY DATE CHANGE OF USE OR OCCUPANCY FEE $
TOTAL $ a
r6-vc9 Rev.1/97 COMMUNITY DEVELOPMENT f
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SUPPLEMENTAL
INFORMATION (Cont; u)
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Does the operation involve any of the
following materials? ❑ Yes
\j
No
If
Yes, indicate quantities:
Material
Quantitv
1.
Flammable liquids
Class I -A
'Class I-S
Class I-C
2.
Combustible liquids
Class li
c F
Class III -A
3.
Combination flammable liquids
`
4..
Flammable gases
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5.
Liquefied flammable gases
6.
Flammable fibers - loose
7.
Flammable fibers - baled
B.
Flammable solids
3.
Unstable materials
10.
Corrosive liquids
—
1 11.
i
Oxidizing material - gases
12.
Oxidizing material - liquids
13.
Oxidizing material - solids
14.
Cganic peroxides
15.
Nitromethane (unstable materials)
i 16. Ammonium nitrate
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
18.
Highly toxic material and
=
poisonous gas
19.
Smokeless powder
20.
Black sporting powder
hereby certify that the above information is true and correct to
the best of my knowledge,
'
Signature
Date
I
41
7
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south Coast
a
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000
-
A R QUALITY PERMIT CHECKLIST
;
for nonresidential buildings only
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U 55 s �d,eTS Company Name: 1121
Location of Property: 7
City: Zip Code: _ '_
Contact Person: 4 C .+0 `Ki X 100-S Title:
rTelephone
Number: 71(,,r,' ?S-41 Fax Number:
Type of IndustryBusiness:
ra "
To apply for a nonresidential building permit, you must complete this checklist. If you have any
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questions about completing this checklist, please call (800) 388-2121.
;
YES
NO
y
1. Will the facility have a charbroiler? L ]
V31
2. Will any internal combustion engine with greater than 50 horsepower
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operate at the facility (excluding motor vehicles)? ( I
[X1
;. Will operations at the facility involve mixing, blending, or processing of
solvents, adhesives, paints or coatings? (]
( ]
[
4. Will dust or smoke be generated at the facility?
5. Will refining of any liquids or solids be done at the facility?
b. Will any plating or coating of materials be done at the facility?
7. Will any combustion equipment rated greater than 2,000,000 BTU/hr be
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operated at the facility?
8. Will any acids, solvents, or motor fuel be used or stored at the facility?
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9.. Will any organic liquids or gases be reacted or produced? [ ]
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10. Will any ovens be used to dry or cure products at the facility?
11. Will any CFC (Freon) recycling machines operate at the facility? [ ]
[?<]
Applicant: Signature: �� a
4
(Print name clearly)
If you have marked "NO" in all the boxes, an air quality permit is not needed at this time,
and this checklist is your written release.
If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality
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Management District (AQMD). Please read the requirements on the back of the checklist.
(800) 388-2121
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ADDMONAL SUPPLEMENTAL INFORMA'PION
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