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15301 Graham St - CofO (3)
"'Al w I i CERTIFICATE OF OCCUPANCY c/ 2 5/ 9 5 P CITY OF HUNTINGTON BEACH Date i 1;'�301 GRANA14 Address District }4 OCEAN, s GN PROMOTIONS I � Business Name Tel. Ol FICA 1WAREE30z;.�E E2 $� Business Type Gcc. Group BUILDING OWNER BUSINESS OWNER/MANAGER GREG WASHER �A Name Name i Home i i Address Address } Home l r City Tel. City Tal, onstruction No, of Stories Occupant Load ii )rinklers CONDITIONSef,,NAPP�I Qln ommentss G4F(J EY:PTREa IN 30 ;JARS It i DEPARTMENT OF COMMUNITY DEVELOPMENT I r This Certificate of Occupancy ` SHALL BE posted in a conspicuous place on the 4 premises and shall not be removed except by the by�� I 3 Building Official. COMMUNITY DEVELOPMENT i APPLICATION FOR CERTIFICATE OF OCCU �iAl CITY OF HUNTINGTON BEACH _2 _ • DEVELOP 7 3' %S COMMUNITY DE DEPARTMENT OF COMMUNI DATE HUNTIOCION KAQI (PRINT OR TYPE ONLY) /s 3v Address l l r a District / TeL Business Name / Occ. Group f Business. Type ` c BUILDING /OWNER BUSINESS OWNERIMANAGER r� cr �0� P/ Name Name Home Address- // � / Address City iY Gr _L.. Y2nP G!� Tel City Home TeL I THIS USE WOULD BE DESCRIBED AS: ❑WLY CONSTRUCTED BLDG. ❑CHANGE OF OWNER © CHANGE OF OCCUPANT .,, EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Occupancy Gr.Div, Indicate former use, if any SQUARE FT. OF BUILDING TO BE OCCUPIED l� «Y j 1 NOTICE: 1. Occupancy of any building is prohibitedand a business license will not be issued until the building has been spected and a certificate of occupancy is issued. No electrical service will be released for any existing building until the service has been inspected and f- certified safe. All applicants for occupancy in an existing building are required to schedule an electrical 1 'fuse up' inspection in the Department of Community Development at the time this application is filed. i t Change of occupancy or use inspection fee. Whenever It is a ecessary 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 1 different group of occupancy, a change of occupancy inspection fee of g shall t 1 be paid to the city. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) I` finches in height with one half (1/2) inch stroke, and of a contrasting color from the background. These numbers must be posted on tour building in a location that is visible from the street. S. Huntington Beach Fire Code 'Section 10.301 requires fire extinguisher selection and distribution per the Na onal Fire Protection Association pamphlet 10 ,(see reverse side). Q ` Q % (f+ T L I TRAFFIC IMPACT FEE --- — V DATE PAID AMOUNT RECEIVED NAME (FOR OFFICE USE ONLY) ZONING SUPPLEMENTAL INFORMATION OCCUPANCY GROUP PLAN CHECK NO, NO. PARKING SPACES OCCUPANT LOAD y: PERMIT NO. HEALTH DEPT APPROVAL NO. OF S ORIES ADMIN. ACTION UTILITIES RELEASED iJ CERTIFICATE OF OCCUPANCY FEE y APP, ED BY DATE CHANGE OF USE OR OCCUPANCY FEE $ -- — TOTAL $ I t 75.039 Rev.11/90 COMMUNITY DEVELOPMENT 1 { l t SUPPLEMENTAL INFORMATION 1. BUSI".iESS ADDRESS IC- D / �� r 2. f_ f Person to contact in case of emergency' Telephone number:?-�"yy`i 3. Does the building in question have electricity? ❑ Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes ` turned on? ❑ No i ` 4. The building is sprinkiered? Yes E7 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? No If Yes: (a) Describe the components repaired or replaced. ❑ Yes (b) Does the operation involve the use of an open flame? 2-No k' 7. The business is drinking, dining or assembly use that will } result in an occupant load of more than 50 persons. ❑ Yes gl No 8. The following best describes my operation; Office Only Retail Sales dust _ f anus facturing / Distribution (describe process and end product) Restaurant/ Take Out food Medical / Dental Other (describe) 4 SUPPLEMENTAL INFORMAMON v SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? Yes a'No { If Yes, indicate quantities: Material Quantity 1. Flammable liquids i Class I -A Crass I-B Class I-C 2. Combustible liquids Class 11 Class III -A 3. Combination flammable liquids 4. Flammable gases G 5. Liquefied flammable gases I 6. Flammable fibers -loose 7. Flammable fibers - baled 8. Flammable solids 9. Unstable materials t 10. Corrosive liquids 11 Oxidizing material - gases h 12. Oxidizing material - liquids k° 13. Oxidizing material -- solids 14. i Organ c peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate- g 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 I hereby certify that the above information is true and correct to 4 the best of my knowledge. F - 1 Signature date ^j Y I Government Code Section 65350.2(b) requires that the City of Huntington Beach not issue the final i 3 certificate of occupancy unless the applicant has met or is meeting the requirements of the South S Coast Air Quality Management District (AQMD). The Department 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. 1. The applicant (the same person who applies for permits from the Department of Community Development) must complete the check list which can be obtained either from the Department of Community Development or at AQMD. Y I - 2. If all boxes in the list are checked "no", the Building Division can accept the check list as the release. ! i 3. If there are any "yes" answers in the list, the applicant must contact an I 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 AQMD immediately after applying for building permits. � 1 i 1 I } ADDITIONAL SUPPLEMENTAL INFORMATION s Y x r I f SOUTH COAST AIR QUALITY MIANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property:__ Property Owner Name:.2a_t�l__Phone #: Name of the person preparing this form in print and signature: Name:_�2_G�6i>, Signature;__ i The person preparing this form must be the same person applying for building permits. Please answer th:; 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 b YES NO 1. Does your facility use any internal combustion engines greater than 50HP? 2. Does your facility involve mixing, blending, or processing any solvents, F adhesives, paints or coatings? 3. Does your facility create an} dusts or smoke? 4. Does your facility refine any liquids or solids or reclaim any metals?'� 5. Does your facility plateor colt anything? _ 6. Does your facility have any combustion equipment (i.e. boiler, furnaces, i broiler, baking ovens, etc.) rating greater than 2,000,000 BTU/HR?_ ( 7. Does your facRity handle or stare solvents or motor fuel? I 8. Do you use or store any acids? _ 9. Do you use any chemical process? _ t 10. Do you use any solvents for clean-up? 11, Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline l' station, printer, br part coater? _ 12. Is the subject building located within one thousand (1,000) feet of any t, " school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. i 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 f Diamond Bar, CA 91765.4182 ; Please call: Plan Check (909) 396-2000 I e , r i f CITY OF HUNTINGTON BEACH l Phone 536.5241 DEPARTMENT OF DEVELOPMENT SERVICES ❑ INSPECTION REPORT ❑ CORRECTION NOTICE i O Building ❑ Electrical ❑ Plumbing PERMIT NO. ( JOB ADDRESS T ♦ c i it, c� k f i i s. - t If there are questions on theabove please cal me at j r a between and JS- Signed Date Time i '9