HomeMy WebLinkAbout101 Main St - CofO (62)APPLICA � FOR CERTIFICATF'V OCCUPANCY
` CITY OF HL tiTL''GTO�+ BEACH • DEPARTZMENT OF BUILDING & SAFETY
(3"d Floor - Must Apptts rh-Pamon)
Business Lice!5§e
Business Naar e EL s-ri L CA,
B::siness Tlype MA IL
D_., 2 o.S
Prover'- OE•vner int,3n •i Iit??? Business t +vVz' e7
Na.*ne $ Name U) An3 NEl,.59 1
Address �Z (a S G 0-TN A eR Horns Ad: xe.s 31A 3 -MmPC flR .
Cit•Y h, g • Tel. City . P,. cA Tel.
IN aC-13t'l
THIS USE WOULD BE DESCRIBED AS:
C ]Newly Constructed Building . or *Existing Building,
CHECK ALL THAT APPLY:
Q Clinge of Owner U.Chgtige of Occupant CI C.!iange oMse ❑;additional Occupant
Indicate former use, if any
Does the building have electricity? Yes Nox
If No, are you requesting that the electricity be tamed on? Yes No ❑
The building is spiinl:lered? Yes, Cl NoU
Operations will product °dust, wood shavings or similar material? Yes No
Operations «till involve the repair or replacement of automobile: parts Yes IT
If yes: Describe the components repaired or replaced.
Does the operation involve the use of welding or open fle? Yes CJ No
The business is drinking, dining or assembly U90 that will result in an occupant
of n-tore than 5o persons. Yes Q No 'k
ltscianufacturilig/Distribution
foil otiving best describes my operation;
ffice Only QRetail "Sales ❑VledicalMental • ❑ Res taurant/T'a4e Out Food El Warehouse
(describe process and end product)
Ofner (describe)
1 is
(terse E,:Fe 0111 :
? ^+ G Jt -r 3 .. C-�t
Sq Ft O•� cu-pi
l 230 Sr.
Occ G:;:,"...:
occ1 Z.
.. Stories: __
Parking spates:
N
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7��n,s;,�iv:
r fste :':L'
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?jar. Ch.61e: I::iats•k
C. O
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South. Coast
.:fir Quality- District
;86: E. Cc.,iey Dry. 7a
Diamond Bar, CA Q176--4182
(909) 396-3-529 h-,pp:ili',N,,.v v.a:3m ..`0'
Air Quality Permit Checklist
California Government Code 65850.2 prohibits cities from. issuing a Certificate of Gccuparev to a business
without clearance from the local air quality agency. This checklist will determine if you: to obtain
clearance from the South Coast Air Quality Management District (AQN[D).
('cam 7E"4 G,,►AL
Company Name:S? � C- �/ '
Property Address: T 'Ir2
City: Zip Code: 92
Contact Person; Title,
Type of Business: Telephone: (17, I M) ?V1 — 3 ?v O
Applicant: (print name) ��� -w 6 Signaturr::
o Will the facility have any of the following equipment? Y No
Charbroiler
Dry cleaning machine
Spray Bootle
Printing Press (screen/lithographic/flexograpliic)
Internal combustion engine (greater than 50HP) (excluding motor vehicles)
Boiler/combustion equipment Greater than 2 million BTU/hr. hnaximunh input)
Abrasive blasting cabinet/room
Baghouse/cartridge type dust filter/scrubber "
Motor fuel storage and dispensing equipment
• Will any of the following operations be perforrned? Yes ❑ No
Application of paints or adhesives
Etching, plating, casting, or melting of metals
Molditng.and blending of liquids and/or powders
Storage of acids, solvetits, organic liquids or fuels
Produc-doti of acids, solvents, organic liquids, or fuels
Prod-uc on of fume s, du ns, smoke or strong odo rs
+ U ' answered "No" ' coth Suestuozs,dus chentl.f ice. ;U So=. it.a...ran-ze : crn AQ.':�.
M 3 :�i! a a> r dir+pfr Y� tarty F r}r `a •y ri ATs. .+. er u .a.»ir *•14: �^ wT'.T` ^a y
i 3 OU. ans. e .: . _s :o en-h-. r qu o t yoi. ust coma= Q.%,IsD. s:..i ..-.sa:. _. .» ,.��... i, r pe mats wt
.. a 4r rC �C� r yet., `+ zmi -�{, ., �„i� a: p r s` an-* -then prov, It VO
riai,� ttd. If pw.nrni:$ a. ne d, AQI�iB+'.1'il ac -S:Sz ii. L. S:: i. ti~:. ut' i i �.i. ^�:1C:. ' j ..
You can call AQ.N D at their Small Business Assistance Office ar (800).3SS-Z i�l.
to of Occupancy —Information Sheet
S i" ,, �v *;? i r .. r Sig. -I'Md W-1ti' he •�r:,�r - been. sze.:.e,-_4 a.a
a. OCit:.+��.}�C� ofany ta.a�.. rl.. t� � il.sa.t�i: �. i:: �:: ta- t+i.... :! :�.M c•'e....:r: � .... G.
cer d —aze of occugancv is issued.
No electrical senice will be released for ar: `.i•:ra� bu;ldi:lc u 1 th e s.r';iCe ;1a5 utt
er•Ted ?rid'• Ce «jested sa:e
Huntington Beach Fire Code rec :es r a-1,uu inn rmr: er_ .a.=�s: Ve :.::
i\ Nnr.,a. r r s.�.;w1: eL � rf j.�� inch sus � n-trig 6- o .•'rc y=i
(.4 inches irf vix�iL +iti. Oil. Si. l%`.iS'u�a_, 2: Gf � CC'.. _.i%� Cv.Os't.� :�
background. These nun. bens raust be post-ed, or: your budding is a locatlora t1hat :_ v:sil:)'
from the street,
4. Huntington Beach .Fire Code requires fire e:,rtingutsher selection a=' disir:;:t lion per :he
;stational Fire Protection Association pamphlet 10:
a. Apartment Buildings (3 or more units): One (1) 2A rated extinguisher, to be locate al on
each floor level so as not to 4rxceed 100 feet of travel. Two or less apartment units or;
an upper level may be serviced by the extinguisher on the next Iower level.
b, Industrial and Commercial Buildings:
Light Hazard — (May include offices, schoolrooms, churches, assembly halls,
telephone exchanges, etc) — One (1) 2A rated extinguisher is required for each
6,000 square feet of floor area, or a portion thereof.
Ordinary Hazard — (l.Vlay include mercantile storage and displav, auto
showrooms, parking garages, light manufacturing, warehouses not classified as
extra hazard, school shop areas, etc.) — One 2A rated extinguisher is required for
each 3,000 square feet of floor area or a portion thereof
* Extra Hazard -- (May include woodworking, auto repair, aircraft servicing,
warehouses with high -piled (over 15 feet in solid piles, over I feet in piles that
contain horizontal channels) combustibles, and processes such as flammable:
liquid handling, painting, dipping, etc,) — One (1) 3A rated extinguisher is
required for each 3,000 square feet of floor area,, or a portion diereof. Certain
extra hazardous uses and/or processes may require additional fire protection
systems. An on site inspection will be required to make the determination.
c. Service Stations: Are required to maintain one (1)1OBC rated extinguisher within 7.4
feet of travel of the dispenser cabinets, and one (1) 2A rated extinguisher on the
premises.
d. Fire extinguishers for commercial and industrial buildings are to be located so as to
maintain a maximum distance of travel of 75 feet.
e. Occupancies having a potential for fires involving combustible coolcing media
(vegetable or animal oils and fats) shall provide .a Class K fire extinguisher within 30
:feet of the hazard,
5ITORT I T: PLEASE READ THE FOLLOWL G CAREFULLY
You may purchase this wainguiSher. at a:.,.y hardware store and a au.—"0"r Of depa.,` tlMent or discot:nt
stores, or you may pt::chase your ex-tinguiener fiam an extLnguisher ser,4ce cornpatwy, which may be
found grader "Fire Extinguislaers" in the yetrow pages of y our phone bco».. The exti::g=�ishe: is
required t'..e • lbe e«�. ed y +r,�, t he a e« The hardware, dt:1A ;_me= a:ad
:,.,�Li2 v...Q yr s,.a a•ic :when Aety .�.'•1d wi.`tt«'. :y t:.::,.:»ft..a.
f c en .► e e - s � nerefo ` -y s c t 9 a►:+• �., •,,,{42-.
$ti3;L's-Usually sa`•.e. `a3f?t 1iL,.aa.:..5 to s,.:^4"iC .�i�.,31�'1t �: S. 1..,.....s.i , -you u.:�.
., --fir=•' r e+�^4 -1 •• ?r. �a • ...,: sh- a er, ce company 4 ice' y L' pt-11-cl? »«'w
expense to %_ave your new eY'"'.a. guish ce-..,fied- b,; .a ex �.:- i S .
from one of these stor
qq w,-e a an ,,er re• elirdrne�!+': n1ema-s a —al
it '; �?ji hi:i!'w 2i2'J i"t�:t!'.�:.tCiL:�s re.�'".I'.r�i't.:a"�.'L,,7 tie �"7e.:'.'`.f'�.:s t�.t .:..:�. .Lu.,�'ti;.5s.,... �.a.....:.v.::«t � .,.a._..:.....
Ci3.a.a. : K
-act the H ntinston Beach Fire. D--,;at•=n-i Fire Preti a.tion Bureau a: � i 14), _53 j-54 1 l .