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Home My WebLink About126 Main St - CofO (21)"uNnNaTon KAOI APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH % DEPARTMENT OF COMMUNITY DEVELOPMENT IPRINT OR TIPS ONLY) ' DATE Address - (—6 �_ �// V ��, �- District Business Name ..G.�' Tel. Business Type i%�1 /�%3_-1 / /1� / Occ. Group BWILDIN OWNER BUSINESS OWNER/MANAGER Name Name Address < Home Address City- —Tel City Home Tel. t THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG. CHANGE OF OW`N�R CHANGE OF OCCUPANT ❑ EXISTING BUILDING CH GE F U- % Q "' u ADDITIONAL OCCUPANT indicate former use, it an ? j Occupancy Gr, Div. SQUARE FT. OF B DIN TO E UPI fi NOTICE: 1 Cu ncy of any bull 'Izg its prohibited and a business li I•e se will not be iss ed until the building has been inspected and a certificate- o cece upancy is issued. 2. No electrical service wilt be released for any existing building unt I th s r I e as een inspected and � certified safe. All applicants for occupancy in an existing building r required to c dule an electrical 'fuse up' inspection in the Department of Community Development at the time t 's ap lication is filed. 3. Change of occupancy or use inspection fee. Whenever it is necessary to make specti n of a building or premises in order to determine if achange maybe made in the character of occ ancy or se of the building or premises which would place the building in a different division of the sar group of cupancy or in a different group of occupancy, a change of occupancy inspection fe-3 of $ shall be paid to the city. 4. Huntington ngton Beach Fire Cody. Section 0 2 1 08 requires that building numbers a �inirnmur(4) i inches in height with one ha'f (I/2) inch stroke, and of a contrasting color from the background. These. numbers must be posied on 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 reverse side). er It. d5C1413 TRAFFIC IMPACT FEE DATE PAID AMOUNT RECEIVED NAME (FOR OFFICE USE ONLY) 5F �Dr-3 SUPPLEMENTAL INFORMATION ZONING- P^- � OCCUPANCY GROUP —_PLAN CHECK NO. NO PARKING SPACES OCCUPANT LOAD PERMIT NO. HEALTH DEPT APPROVAL NO. OF STORIES _ ADMIN. ACTION UTILITIES RELEASED CERTIFICATE OF OCCUPANCY FEE g .APPROVED BY DATE CHAN GE OF USE OR OCCUPANCY FEE TOTAL $ s 75-039Ray.1/97 9MUNITY DEVELOPMENT 9 APPLICATION FOR TI CERTIFICATE OF OCCUPANCY CITYDEPARTMENT OF COMMUNITY DEVELOPMENT (PRINT OR TYPE ONLY) DATE I District I i Address r-- Tel — Business Name, OCC. Group Business Type BUSINESS OWNERIMANAGER 13UILDIN OWNER —~ Name Home < Address — Address Home Tel. Tel City � Ii City-rr h THIS USE WOULD BE DESCRIBED AS: IN, CHANGE OF OCCUPANT f f'1� CHANGE OF OWNER NEWLY CONSTRUCTED BLDG f t� ❑ ADDITIONAL OCCUPANT i CH GF�gF UE ��jjj { ❑ EXISTING BUILDNJG (,j 01 Div . Occupancy Gr. __— ----- indicate former use, if a y SQUARE FT. OF B ' LDIN TO BI�OUPIED 1 , 4 building is rohibited and a business lie se will not be isS ed until the building has been NOTICE: 1 cc ncyof any bu g p Inspected and a certificate of occupancy is issued. th r I/ as een inspecter: and for 1 2. No electrical service licanbs forleased oc upancy in an existibglbulidingding in lar reged to c edule an electrical cd. ertified safe. A pp Community 'fuse up' inspection in the Department ffee. Whenever it is elcessary toemake tnspecpti iln of a buildcation is ing or 1 3. Change of occupancy or use inspection or premises in order to determine if a change may be made in the character of amgroup occupancy of ccupancse of the by or in a t or premises which would place the building in a different division of the sam g P sh211 } different group of occupancy, a change of occupancy inspection fee of $�MiIiMlmlttl be paid to the city. ode Section 10.208 requires that building numberss.�background.Theour se { 4. Huntington Beach Fire C inches in height with one half ('/z) inch stroke, and of a contrasting color from numbers must be posted on your building in a location that is visible from the street. t f 5. Huntington Beach Fire Code Section 10.301 requires ire extinguisher selection and distribution perthe National Fire Protection Association pamphletl0 (see rev side). rf 1 05 (FOR OFFICE USE ONLY) ZONING' SUPPLEMENTAL INFORMATION �� 0 NO. PARKING SPACES PLAN CHECK NO L HEALTH DEPT.APPROVAL ----- PERMIT OCCUPANCY GROUP PERMIT NO. �-- OCCUPAIT, LOAD ADMIN ACTIONCsy UT,ILIT�S'RELERSED NO. OF STOR(61"` L CERTIFICATE OF OCCUPANCYFEE$ DATE CHAT07AL�` ��1bRiGiIA\txY E_ APPROVED BY t 75-0:19 Rev.1/97 FIRE _. SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 12 ft� 2. Person to contact in case of emergency - Telephone number: — 9 3. Does the building in question have electricity? MeLd- ❑ Yes G£y�C�f '• ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No I 4. The building is sprinklered? NG(/li XYes 13 No i 5. Operations will produce dust/wood shavings or similar material? ❑ Yes �N i o 6. Operations will involve the repair or replacement of ❑ Yes i automobile parts? No � c If Yes: (a) Describe the components repaired or replaced. I ❑ Yes 1 t;I (b) Does the operation involve the use of an open flame? ❑ No 7. The business is drinking, dining or assembly use that will ` result in an occupant load of more than 50 persons. XYes ❑ No 8. The following best describes my operation; t Office Only i --- Retail Sales ., Warehouse Manufacturing / Distribution (describe process and end product) �-- Restaurant/Take Out Food Medical / Dental Other (describe) r SUPPLEMENTAL INFORMATION s `I a y SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? P,Yes k It Yes, indicate quantities: t I Material ____ Quantity 1. Flammable liquids e Class I -A Class I--B — r i Class I-C ' 2. Combustible liquids Class II c r Class III -A I Combination flammable Iiquids 4, flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled 8. Flammable solids _ -- g. Unstable materials 10. Corrosive liquid,-, 3 I - 11. Oxidizing material -gases 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. Organic perox,*des 15. _Nitromethane (unstable materials) 16, Ammor.lum nitrate 17.� Ammonium nitrate compound mixtures 4 containing more than 60% nitrate by weight 18. Highly toxic material and poisonous gas i 19. _Smokelesb powder 20. Black sporting powder f I hereby certify that the above information is the best my knowledge. true and correct to 1, mature ate