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Home My WebLink About116 Main St - CofOA - -I-Z)0U\3 A 107- 06,�) • APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTPqGTON BEACH - DEP.ARTIVIENT OF BUILDING & SAFETY (3r'l Floor -Afust.Apply lit -Person) Business License Date Address Business Narne PLbA eTelephon- Business T;-pe lz'63:2>fL— Proneitv Owner Information Business 0%,V-ner Narne 131go -> Name Address L 2o -a -TO 31 Home Address City, 10 yl- 0,-4 4 C. t,-- TeL CiY t Tel. %. THIS USE WOULD BE DESCRIBED AS: UNewly Constructed Building or *xisting Building CHECK ALL THAT -APPLY: Q Change of Owner AChance of Occupant FlChaageofUse E3 Additional Occupant Indicate former use, if My Fvcc? Does the buildin, . 7have electricity? Yes' NoU If No, are .you requesting that the electricity be turned on? Yes U No FJ The Vuildin- is sprinklered? Yes ❑ No Operations will product dust/wood shavings or similar material? Yes No Operations will involve the repair or replacement of automobile parts Yes 0 No If yes: Describethecomponents repaired or replaced, Does the operation involve the use of welding or open flame? Yes D N-o-N Tint: business is drinking, dining or assembly use that vvill result in an occupant load of moic than 50 persons. Yes 71 No 1� The following best describes my operation: , Doffice Only Metail Sales DMedical/Dental QRestauranttTake Out Food UWarchouse Omanufacturing,Distribution (describe process and end product) Other (describe) Office Erse Only, ! C Zoning: Sq Ft Occupied, Occ Group: Occ Load: N" I NIT Arat PaidS., Irr stonie's: parl6ng Spaces: T11- Review: -/ N I Pai4 SE"FORE FiMi lnspe'60 Building Pennh 'Tr — 1402Endtlernent 4: plwuner faltials l'-Ia—nchecker Initials: Date: ColO X HAZARDOUS INLATERIALS DISCLOSURE INFORAILMOIN HuntinVon Beach Fire Department 1, California Health and Safety Code requires th-- Fire De-pamment to regulate businesses that handle hazardous materials. Motor oil, hydraulic fluids. gasoline, dry cleaning fluid, etc-, are considered hazardous materials and must be disclosed. If you use, handle or store hazardous materials orviaste materials equal to or in excess of the following basic quantities, your are required to disclose: 55 gallons of liquid 500 pounds of solid • 200 cubic feet of compressed gas Any amount of radioactive materials Any arnourit of Class A explosive Any amount of chemicals Imovim to cause cancer Any amount of commercial pesticides Reportable quantity of any chemical an EPA Extremely Hazardous Materials Substailce List Disclosure is not required for the following: I, Hazardous substances contained in food, drug, cosmetic or tobacco products. 2, Upon approval of the Fire Chief, hazardous materials contained solely in consumer products packaged for use by and distributed to the general public. However, pesticides, herbicides, and ammonium nitrate fertilizers over the required disclosure ainowits are not exempt from disclosure. 3. The transportation of hazardous materials accompanied by shipping papers prepared in accordance with the provisions of 49 Code of Federal Regulations. 4. Infectious waste generated by health care facilities that are regulated under Title 22 of the California Administrative Code. Check one of the following: —40 No chemicals are used, handled or stored at this business. Chemicals are used, handled or stored at this business, but do not meet the requirements for disclosure Chemicals are used, handled or stored at this business. Disclosure forms will be sent to you. Aniounts will be verified by the Fire Department during annual inspections. It is unlawful for any person to lanowingly violate any provision of this ordinance. I certify, underI th penalty of pe.-Jury, that the above infortnation is —,�,ue and cc- -.t to the best of my knowledge. Date Home Phone -16 Please call 714-536-56761 dth questions rqaarding the Hazardous 111'aterials Prograin. South Coast Air Quality ?Management District 218 65 E. Copley Drive _A Diamond Bar, CA 91-765 1182 (909) 396-3529 htpp://,,N-ww.aqmd.!ao-,r Air Quality Permit Checklist California Government Code 63850,2 prohibits cities from issuing a Certificate of Occupancy to a business Z) without clearance from the local air quality agency. This checklist will determine if you need to obtain clearance from the South Coast Air Quality Management District (AQMD). Company Name: Property Address: City: Zip Code: 9,Zk 4 � Contact Person: Title: GU Type of Business: Telephone: Applicant: (print natne) Signature: , e Will the facility have any of the following equipment? Yes 0 No,9D Charbroiler Dry cleaning machine Spray Booth .Printing Press (screei-dlidiographic/flexographic) Internal combustion engine (greater than 50HP) (excluding motor vehicles) Boiler/combustion equipment (greater than 2 million BTU/hr. maximurninput) Abrasive blasting cabinet/room Bacrhouse/cartridge type dust filter/scrubber Motor fuel storage and dispensing equipment * Will any of the following operations be performed? Yes ❑ No slaa Application of paints or adhesives Etching, plating, casting, or melting of metals Molding and blending of liquids and/or powders Storage of acids, solvents, organic 'liquids or fuels Production of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke or strong odors If you answered "No" to botch questions, this check -list is your clearance from AQMD, • r al p-erm ,If you answered "Yes" to either' question, you must contact AQ.%-ID to dateezrmne if —;r qu. it,y , its are required. If permits are needed, AQN0 will assist you in submitting perrriit applicnation(s) and then provide you with a clearance letter. You can tall AQNMD at their Small Business Assistance Office at (800) 3,88-2121. N A Certificate of Occupancy --Information Sheet 1, Occupancy of any building is prohibited Lu1ti1 the building has been inspected and a certf cate of occupancy is issued. 2. i o electrical service will be released for any existing building until the service has been inspected and certified safe. 3. Hunting on Beach Fire Code requires that building numbers must be a minimum of four (4) inches in height Nvith 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. 4. Huntington Beach Fire Code requires fire extinguisher selection and distribution per the National Fire" Protection Association pamphlet 10. a, Apartment Buildings (5 or more units): One (1) 2A rated extinguisher, to be located on each floor level so as not to exceed 100 feet of travel. Two or less apartment units on an upper level may be serviced by the extinguisher on the next lower 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 are;, or a portion thereof. • Ordinary Hazard -- (May include mercantile storage and display, auto showrooms, parking ,garages, light manufacturing, warehouses not classified as extra hazard, school shop areas, etc.) -w 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 (oven 15 feet in solid piles, over 12 feet in piles that contain horizontal channels) combustibles, and processes such as flainnxable liquid handling, painting, dipping, etc.) — One (1) 3A rated extinguisher is required for each 3,000 square feet of floor area, or a portion thereof: Certain extra hazardous uses anti/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) l OBC rated extinguisher within 75 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 cooking; media (vegetable or animal oils and fats) shall provide a Class K fire extinguisher within 30 feet of the hazard. DIPORTAIN'T: PLEASE READ THE FOLLOWING CAREFULLY You may purchase this extinguisher at any hardware store and a. number of department or discount stores, or you may purchase your extinguisher from an extinguisher service company, which may be found under "Fire Extinguishers" in the yellow pages of your phone boob, The extinguisher is required to be serviced when new and annually thereaker. The hardware, departmnent and discount stores usually are not licenses to service extinguishers, Therefore, yoga should expect an additional expense to have your new extinguisher certified by an extinguisher service company if ;you purchase it ,from one of These store; If you stave any questions regarding the inspection or fire extinguisher require:rnents, please feel fre-- to contact the Hunting--= Beach Fire Oeparimi ent Fire Prevention Bureau at (71-4) 5 s6-5411.