HomeMy WebLinkAbout7561 Center Dr - CofO (21)CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Date
Address
District
Business Name
(U T-(4,1A CLULCH
Tel.
'r 1 b S"C 7077
Business Type
CIrT R CL C+F S Ci:
_ Occ. Group E--2
BUILDING OWNER
BUSINESS
OWNER/MANAGER
Name I A SIiI
Name EEV JUPISEN
LLI :' ,
Address iGiE1
tk.iJlk:Ti" htiE.
Address '12f l I�T'P4TTT
t:R7T:
iF;
City itL , (,A
Tel.
City 1A CA
Home
Tel.
dl P
71 F ,f._r;t7EE
Construction
No. of Stories
Occupant Load Sprinklers
CONDITIONS OF
APPROVAL
DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premise^ and shall not be removed oxcept by the by
Building Official
COMMUNITY DEVELOPMENT
4
�� to APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH 2
DEPARTMENT OF COMMUNITY DEVELOPMENT �l /T
HUNilNGiON KALH IPRINT OR TYPE ONLY) DATE
Address _ 7J—&'! `--,ZW7—x��- AV 'Z: �'� District Q
Business Name � -yY�R� �yyTel JLP ` ��77
Business Type L — Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name Name c/U2�/1/
�! Home �/
Address 71S C /�1��T�R %�L` Address
/v�v_ I _/1EAIZI1��RT/�/ Jett/ c
City " r �C7 _.,Tel __ _ City Az ___..Home
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNFR �I CHANGE OF OCCUPANT
EXISTING BUILDING r� ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use. if any f%f/` 1�L� Or�:I.pancy Cyr Div
SOUARE FT. OF BUILDING TO BE OCCUPIED 3Sa
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 building are required to schedule an electrical
'fuse up' inspection in the Department of Community Development at the time this application is filed.
{�1 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
�1 n premises in order to determine if a change may be made in the character of occupancy or use of the building
�l 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 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 (1/2) inch stroke, and of a contrasting color from the background. These
numbers must be postad orI 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 r.verse side).
--------4?-- -6��
C ,
(FOR OFFICE USE ONLY) 70NINC.
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP � -� PLAN CHECK NO —
__ r,r7 PARKING SPACES
OCCUPANT LOAD PFRMIT IV0_ HEALTH C1FPT APPROVAL
NO. OF S1 DIES ADMIN ACTION_____-- UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY f EE g K
WBWMED7B� DATL CHANGE OF USE OR OCCUPANCY FEE S
TOTAL $ _
75.039 Rev. 11/90
COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
i.
BUSINESS ADDRESS
z.
Person to contact in case of
emergency,3 _ %D 77
Telephone number:
Yes
3.
Does the building in question
have electricity?
No
(a) If No, are you requesting
that the electricity be
Nees
turned on?
❑ Yes
4.
T ha building is sprinklered?
5.
Operations will produce dust / wood shavings or similar
❑ At ,s
material?
Nu
6.
Operations will involve the repair or replacement of
❑Yes
NU
automobile parts?
If Yes:
(a) Describe the components
repaired or replaced.
(b) Does the operation involve the use of an open flame? El Yes
No
7. The business is drinking, dining or assembly use that will ❑ Yes
result in an occupant load of more than 50 persons. gr No
8. The foljowing best dE;cribes my
operation;
Onl�
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe) -----
SUPPLIMCNTAL INFORMATION
■
ae
SUPPLEMENTAL TAL INFORMATION (Continued)
Does the operation involve ,any of the
No
-___.. ____•__.... ... _ ...._...__._...�._..—._...... __-._.�-�.....__..a
Yes, di --ate quanti#ies:
Material Quantity
t Flammable liquids
Class I -A
Class i-t^
2. Combustiirre lira�aids
Class 11
Class IJJ-A
-- -- --- _. ----
flammable liquids
4. Flammable gases
5. Liquefied flarnn,ablo gases
6. r laminable fibers - loose
7. Fiarnmabl fiboE baied
8. J=Jar-nma-b ids
�. t7nstai�le materials
t0. Corrosive liquids
11. Cixidizing material -gases
12. Oxidizing material - ligr!ids
13. Oxidising material -solids
1�. C7rganic peroxides
15. Nitromethane (unstable materials)
16. Ammon —;urn nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
15. Highly toxic material and
poisonouC gas
19. Smokeless powder_��
20. Black sporting powder
I heresy certify that the above information is true and correct to
the best o my kno lee .
r
Suture ate
1
JJ` City of Huntington Beach
' 2000 MAIN STREET CALIFORNIA 92648
DEPARTMENT OF COMMUNITY DEVELOPMENT
Building 536-5241
Planning 536-5271
Housing 536-5271
Government Code Section 65850.2(b) requires the City of Huntington
Beach Building Division not to 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 Building Division must obtain a written release from
AQNID 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 Building Division) must complete the check list which
can be obtained either at the Building Division 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) 396-2000 to
find out whether air permits are required for the proposed
construction project.
4. If air 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 AQ14D immediately
after applying for Building permits.
(1360D)
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: 7, 6_4A- /`/.
0
Property Owner Name: Phone Phone #
Name of the Person Preparing this form in print a ignae
Name: cTmR E/4/ z z=7ss Signature:
Tle person preparing this form must be the same pers pplying for
building permits. Please answer the following questions regarding
your proposed occupancy of the subject building. IF YOU DO NOT KNOW
THE ANSWER TO A QUESTION MARK IN THE "YES" COLUMN:
AQMD PERMITTING CHECKLIST
s
YES
NO
1.
Does your facility use any internal combustion
�
engines greater than 50-HP?
2.
Does your facility involve mixing, blending, or
processing any solvents, adhesives, paints
or coatings?
3.
Does your facility crecte any dusts or smoke?
4.
Does your facility refine any liquids or solids
or reclaim any metals?
fi
5.
Does your facility plate or coat anything?
6.
Does your facility have any combustion equipment
i.e. boiler, furnaces, broiler, baking ovens,
etc.) rated greater than 2,000,000 BTU/HR?
7.
Does your facility handle or store solvents or
motor fuel?
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
I th b' 4-b ild'n located within one
e su � ec u i g
thousand (1,000) feet of any school?
PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
If you have marked "NO" in all columns, you do not need an Air
Quality permit at this time. If you have marked any questions in
the "YES" Column you must contact the South Coast Air Quality
Management District located at:
21865 E. Copley Drive
Diamond Bar, CA 91765-4182
Please call: Plan Check (714) 396-2000
(136OD-2)