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Home My WebLink About116 Main St - CofO (13)APPLICATION FOR CERTIFICATE OF. OCCUPANCY CITY OF HUNTINGTON BEACH - DEPARTMENT OF BUILDING & SAFETY (3rd. Floor — Must Apply do Person) Business License # ii -,Af"a,o Date'�� Address 11(y S`f M2fl:'7 Business Name b r-11jC5�; Telephon L::�10)'0z+1q00 Business Type tz«( Proper Owner Information Business Owner Name `�1�� 1C'F; -1C7 S Name Sbn,9L� Address 14o i W . 29-014 Si. 4 4 Home Address City � b cL Cis 0 05'ol Tel.9/o ZZ 4 1 °ito City Tel THIS USE WOULD BE DESCRIBED AS: ®Newly Constructed Buildin or *Existing Building CHECK ALL THAT APPLY: ❑Change of Owner Change of Occupant ❑Change of Use ❑Additional Occupant Indicate former use, if any Does the building have electricity? YesU No❑ If No, are you requesting that the electricity be turned on? Yes ❑ No ❑ The building is sprinklered? Yes ❑ NoW Operations will produce dust/wood shavings or similar material? Yes ❑ No Operations will involve the repair or replacement of automobile parts Yes ❑ No If yes: Describe the components repaired or replaced. Does the operation involve the use of welding or open flame? Yes ❑ No 2, The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. Yes W No ❑ The following best describes my operation: ❑Office Only (lRetail Sales ❑MedicaUDental ❑Restaurant/Take Out Food ❑Warehouse ❑Manufacturing/Distribution (describe process and end product) ❑ Other (describe) Office Use Only: Zoning: # Stories: Building Permit #_ Comments: Planner Initials: Sq Ft Occupied: q 15" � Occ Group: k1t Occ Load: Parking Spaces: TIF Review: Y/ N Amt Paid$: Paid BEFORE Final Inspection Entitlement #: Plan Checker Initials17' Date: CofO # 01/63/a (e HAZARDOUS MATERIALS DISCLOSURE INFORMATION Huntington Beach Fire Department California Health and Safety Code requires the Fire Department 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 or waste 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 amount of Class A explosive • Any amount of chemicals known to cause cancer ® Any amount of commercial pesticides • Reportable quantity of any chemical on EPA Extremely Hazardous Materials Substance List Disclosure is not required for the following: 1. 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 amounts 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: 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. Amounts will be verified by the Fire Department during annual inspections. It is unlawful for any person to knowingly violate any provision of this ordinance. I certify, under the penalty of perjury, that the above information is true and correct to the best of my knowledge. Signature Date Home Phone GICf9 6-Sb 9 a-7 Please call 714 536-5676 with questions regarding the Hazardous Materials Program. 9 South Coast Air Quality Management District 21865 E. Copley Drive Diamond Bar, CA 91765-4182 (909) 396-3529 htpp://www.agmd.gov Air Quality Permit Checklist California Government Code 65850.2 prohibits cities from issuing a Certificate of Occupancy to a business 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: Contact Person: Type of Business: t;�/)t�tqc 10 gm;LLg �-I-Ttl �c1%N li cQA Zip Code: VJ1>4(-5 tilsacl S° Title: Telephone: O Applicant: (print name) Signature: Will the facility have any of the following equipment? Yes ❑ No Charbroiler Dry cleaning machine Spray Booth Printing Press (screen/lithographic/flexographic) Internal combustion engine (greater than 50BP) (excluding motor vehicles) Boiler/combustion equipment (greater than 2 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge type dust filter/scrubber Motor fuel storage and dispensing equipment • Will any of the following operations be performed? Yes ❑ No 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 both questions, this checklist is your clearance from AQMD. • If you answered "Yes" to either question, you must contact AQMD to determine if air quality permits are required. If permits are needed, AQMD will assist you in submitting permit application(s) and then provide you with a clearance letter. You can call AQMD at their Small Business Assistance Office at (800) 388-2121. r e J-J R-4�- Helpful Information For Business Owners prom the Huntington Peach Planning Department Signage. Sign permits are required for all new signs or change in sign panel/face, unless expressly exempted under the City's sign code. A permit for a new sign or change in sign panel/face shall be obtained from the Planning Department prior to installation. Sign permits require two sets of plans and approval from the property owner. The Planning Department is located on the third floor of City Hall at 2000 Main Street. Temporary Signs. Temporary signs such as banners and pennants may be permitted for grand openings, special sales, change of ownership, and similar events for a maximum of 90 days per calendar year. The cost of a temporary sign permit is $113.00 and may be obtained from the Planning Department. These permits are not renewable during the calendar year. Please contact the Planning Department at (714) 536-5271 for size restrictions and placement criteria. Prohibited Signs. The City's sign code prohibits the display of portable signs, mobile signs, A -frame signs, roof signs and human signs. The City's sign code also prohibits signs that flash, move or pulsate, and off premise signs, as well as signs located on public property or utility poles. Balloons (including large inflatables) and vehicle signs are also prohibited within the City. Commercial advertising leaflets shall not be placed on vehicles. For . additional information regarding signs, please contact the Planning Department at (714) 536-5271. Temporary Activity Permit. If you are planning a temporary outdoor activity such as a parking lot sale or similar event, you will need to obtain a Temporary Activity Permit (TAP) from the Planning Department. A Temporary Outdoor Activity may occur for 48 consecutive hours once every three months during the calendar year. The cost of a TAP is $385.00. You will need to provide the Planning staff with a basic plot plan depicting the intended activity area and a letter of authorization from the property owner or manager. The Fire Department will, also review your plot plan for compliance. Please contact the Planning Department at (714) 536- 5271 for additional details. Outdoor Display of Merchandise. If you plan to display merchandise or similar items outdoors, please be aware that the City has specific requirements for this activity. Prior to the display of any item, a Conditional Use Permit must first be obtained from the City's Zoning Administrator. The processing fee for a Conditional Use Permit is $3,502.00 and requires a public hearing. For further information on this subject, please contact the Planning Department. Huntington Beach Planning Department, 2000 Main Street, Huntington Beach, CA 92648 (714) 536-5271; HB Infoline/Fax on Demand (714) 374-4800; www.hbsurfcitv.com/clerk; Sign Code: Chapter 233, HBZSO. G:Forms\P1anning\He1pfu1 Information (8/15/2001)