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HomeMy WebLinkAbout126 Main St - CofO (4)a; w s T— coda©i � JLJ, a APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH r DEPARTMENT OF COMMUNITY DEVELOPMENTAst>�. I MUNTECTON BEAM DATE (PRINT OR TYPE ONLY) t Address \�6 rn4t%J ST. 1l �+..�c . S3c�.. c}} �i Z6 y 10r(. District— Business Name Ci'k-�j C�wrcSL TeI+71y� 3�7'i-1R�iC; i Business Type Occ. Group ! BUILDING OWNER BUSINESSMANAGER V f�111� Name zc�aA...r 7 fi r,;\!�y Name VeeVHome I� Address-A \1 mXXh, S�� Address A3 ot3 {� City rWw1�`. �� Cg. c1-,t"o�g Tel. C` \yi City Fi �n� . Z3cs.. C4- 9:ie4$ Home Tef. iro0•$la� THIS USE WOULD BE DESCRIBED AS: LEI NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT ❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr, S Div. t SQUARE FT. OF BUILDING TO BE OCCUPIED 1 ;aLt � p 1 y NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been inspected and a certificate of occupancy is issued 2. No electrical service will be released for any existing building until the service has beer, inspected and a certified safe. All applicants for occupancy in an existing building are required to schedule an electrical 'fuse up' inspection in the Department of Community Development at the time this application is filed. 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or premises in order to determine if a change maybe made in the character of occupancy or use of the building or premises which would place the building in a different division of the same group of occupancy or in a ' different group of occupancy, a change of occupancy inspection fee of$ shall be paid to the city. 4. Huntington Beach Fire Code Section 10,208 requires that building numbers must be a'rmrnmum'of four,(4) inches in height With 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. 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). c n f 2E,NQ /+(6, C(ee. hw= If Sjovd�1 -✓ { Se `E .4 c a � 1 L TRAFFIC IMPACT FEE DATE PAID AMOUNT RECEIVED 1 NAME (FOR OFFICE USE ONLY)7�'a�""�'"" ZONING a�� T ! 1 3 OCCUPANCY GROUP PLAN CHECK NO. NO PARKING SPACES 130, 2�' HEALTH DEPT APPROVAL OCCUPANT LOAD -�— PERMIT NO. I !'L"''AW RELEASED NO. OF STORIES ADMIN. ACTION UTILITIES CERTIFICATE OF OCCUPANCY FEE g APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE g TOTAL g� 75-03sRev. va7 COMMUNITY DEVELOPMENT h J i i SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESSG cc►a:<.� ��. c�ua�T \02 �� '-� ce .a6w? 1 a- 2. I Person to contact in case of emergency, Vas 1zV Telephone N number: (7iyl quo-��37 3. Does the building in question have electricity? • ❑Yes. (a) If No, are you requesting that the electricity be 1,40 Yes ., turned on? L] No 4. The building is sprinklered? 0 Yes 5. Operations will produce dust/wood shavings or similar ❑ No l material? ❑ Yes ' 6. Operations will involve th•i repair or replacement of 9 No ❑ Yes l tt ;automobile parts? h No F _ If Yes: (a) Describe the components repaired or, replaced. I ❑ Yes (b) Does the operation involve the use of an open flame? 7. The business is drinking, dining or assembly use that will No result in an occupant !oad of more than 50 persons. ❑ Yes 8. The following best describes my operation; No Of Retail ocales. Warehouse Manufacturing / Distribution (describe process and end prod'LIct) 777'4 I Restaurant / Take Out Food , I ' Medical / Dental I. Other (describe) $ t I, - SUPPLEMENTAL INFORMATION SUPPLEMENTAL INF010",A4TION (Continued) a Dries the operation involve any of the following ` materials? ❑ Yes ❑ No If Yes, indicate quantities; Material Quantity 1. Flammable liquids Class I -A i Class I-B Class I-C ^'o 2. Combustible liquids Class 11 .. rVo Class Ill -A 3. Combination flammable iquids- NO ' 4.. Flammable gases 5. Liquefied flammable gases No' 6. Flammable fibers - loose ^'6 7. Flammable 'fibers - baled 8. Flammable solids N� N� 9. Unstable materials 10. Co rosive liquids .a 11. Oxidizing material - gases 12. Oxidizing material = liqu*fas _ 13. Oxidizing . material - solids WO 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nf,rate �a 17. Ammonium nitrate compound mixtures D containing morn than 60% nitrate ` by weight 18. Highly toxic material and ; poisonous gas 19. _ Smokeless. powder _ 20. Black sporting powder i _.1 hereby certify that the above information, is true and correct, to the best of my knowledge. Signature Date f 1 .. i i dd w I f South Coast ' s a s Air Quality Management District 21865 E. Copley Diive, Diamond Bar, CA 91765-4182 r ® (909) 396-3529 • http://Nvww.agmd.gov Air Quality Permit Checklist � California State Law Code 65850.2 prohibits cities from issuing an occupancy permit without a eric .This checklist will determine if you need to obtain clearance from the local air quality g y clearance from the South Coast Air C1uality Management District (AQMD)- j Company Name: C•:� �NcQ �� f Property Address: \� ��N� ��ti Zip Code: S� aE (49 City: ' U Title: M Ar NcpL Contact Person: G:S`t Telephone: Type of Business: k3�<+� CaNd (print name) Signature: Applicant (p b Will the facility have any of the following equipment? YES[ ] NO Charbroiler Dry Cleaning Machine Spray Booth I Printing Press (screen/lithographic/flexographic) I' Internal Combustion Engine (greater than 50 B P (excluding motor vehicles} Boiler/Combustion Equipment (greater than 2MM BTU/hr. maximum input) Abrasive Blasting Cabinets/Rooms Baghouse/Cartridge-Type Dust Filter/Scrubber Motor Fuel Storage & Dispensing Equipment Will any of the following operations be performed? YES[ NO Application of Paints and Adhesives Etching, Plating, Casting or Melting of Metals Plastic Molding, Extruding of Curing j Mixing and Blending of Liquids and/or Powders Storage 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 a ou must contact the AQMD to determine if air quality answered YES to either qu..stion, y permits are required. If permits are needed, AQMD 'will ou have any qassist you tnuestonsubmlstlplease all application(s) and then provide you with a clearance letter. If y AQMD's Sm.II Business Assistance office at (£tOl?)-CUT-SMOG, and press 4i. MECHANICAL PLAN CHECK WAIVER R PROJECTS ELIGIBLE FOR A WAIVER RESIDENTIAL COPrIMERCiAL o Allprojects except as noted below • All tenant Improvements (T.I)except as noted below Note: Small proje.ss and Remodels may not need a waiver, counter personnel will determine I understand that the project described below should have a Plan Revievr. (It may be in your best interest to have your project reviewed, since it is less expensive to change (I plans than to rework or remove an installation already constructed). In lieu of submitting plans, I request that the Permit be issuad subject to the following conditions: d Any and all code violations identified by the inspector shall be correcUd The installation(s) shall comply with the adopted Code(s) and the City of Huntington Beach amendments thereto. This agreement shall be part of the permit and all subsequent permit which may be required. Applicant Date%G- r j Sob location: Description of work: 1��� tG 'r'VG7" 7b Items listed below are not eli i)le fora Plan Check Waiver! RESIUEi`FTIAL COMiViERCIAL Models of tracts with three or more homes Gas Piping Systems Unclassified Gas fired &pliancesffiguiv. Boilers over 400.000 Btu. Models of multi -units of three or more L ^,ompressors at 7.5 IiP and u Single multi -units of three or more t' •oduct Conveying Exhaust Systems(Dust, Paint and parking garage) Fire and Smoke Dani ers Commercial IGtchea hoods Refrigerating Equipment, Chillers,Couling Towers THIS FORM IS TO HE ATTACHED! TO INSPECTORS PERMIT COPY "`"""GON. , MECHANICAL PLAN REQUIREMENTS (FOR PROJECTS NOT ELIGIBLE FORA WAIVER) RESIDENTIAL See the reverse side of this form•for COMMERCL4L Seethe. reverse side of this form for waiver information. RESIDENTIAL & MULTI- waiver information. RESIDENTIAL Q Plans submitted must include the i COMMERCL4L 0 Plans submitted must include the following: A completed Permit following: A completed Permit Application Fonn for each address Application Form for each address showing all ae items marked. Two sets showin` all line items marked. Two sets of plans (matching) for each address or of plans (matching) for eac'1 address. model design. Q Mechanical plans shall include: A scaled Q Mechanical plans shall include.. A scaled detailed duct lay -out with adherence to State Energy detailed duct lay -out with CFM values requirements, Condensate and service success with service outlet sh.owin r iired air changes with must be shown. A correction check list adherence o State Energy requirements. Plans shall include all rated wall } is available. and/or floor and .:eiling penetrations, with fire ' damper specified showing access :Auto` shut-off must,be shown. Condensate and service acres With seYyicc gullet 1 ; t' must be shown. All refrigeration "+ -machinery and machinoms,miust be shoyvn with refrigerant type used anti, linesetliistances: A roof detail is required, equipment placement must be verified with structural approval. All hood plans must have calculations. Boiler plans must show complete boiler room. A correction check list is --- __ available. Any questions on plans may be discussed at the Building counter located at City Hail 2000 Main St. Third floor or by Telephoning the Building and Safety Division at (714) 536- 5241. Normal working hours are Monday thm Friday 8:00 A.M. to 5:00 P.M. PLUMBING PLAN CHECK WAIVER REQUEST PROJECTS ELIGIBLE FOR A WAIVER RESIDENTIAL COMMERCIAL •.,til ro ects except as notedbelow p .1 p All tenant improvements (7:L) except as noted below Note: Smallprojects and Remodels may not need a waiver, counter personnel 'will determine ` I understand that the project described below should have a Plan Review. (It maybe_in your best interest to have your project reviewed, since it is Iess expensive to change plans than it is to rework or remove an installation already constructed). in lieu of submitting plans, I request that the Pernvt be issued subject to the following conditions: I ♦ Any and all code violations identified by the inspector shall be corrected. The installation(s) shall comply with the adopted Codes, :and the City of Huntington Beach amendments thereto. • This agreement shall be part of the permit and all subsequent permits which maybe required. Applicant/r J Date ' IVN4-"Z4��L�o Job location: Description of work: - �'�✓/Y- si/E� e.� %2'�Gj-� j�,�q�JD stN P Items listed below are not eligible for a Plan Check Waiver' RESIDENTIAL . Models of tracts with three or more homes COMMERCIAL Gas Piping Systems Models of multi -units ofthree or more Grease Traps, Intercep^_ors,Oil Clarifiers Sin le multi -units of three or more Pum_Systems (wat-.,.Wwaste) Septic S stems Chemical Waste, Backflow assembl, `s THT' FORM TO BE ATTACHED TO INSPECTORS PERMIT COP' r ' Lelia HUHr.+crorr,uoi FLUMBING PLAN REOMEMENTS (FOR PROJECTS NOT ELIGIBLE FOR A WAIVER,) RESIDENTIAL See the reverse side of this form for COMMERCIAL See the reverse side of this form for waiver information. waiver information. RESIDENTIAL & MULTI- COMMERCIAL, RESIDENTIAL Q Plans submitted must include the Q Plans submitted must include the following: A completed Permit following: A completed Permit Application Form for each address Application Form for each address showing all line items marked. Two sets showing all line items marked. Two sets of plans (matching) for each address. of plans (matching) for each address or model design. 3 Plumbing plans shall include: A scaled Q Plumbing, plans, shall include: A scaled detailed piping lay -out of the Drain, detailed piping lay -out of the Drain, Waste and vent system, water Waste and vent system, rain water distribution, gas distribution, .loading system, water distribution, gas and/or demands with fixture schedules. distribution, loading and/or demands Specify meter siz-,s on water. Provide a with fixture schedules. Specify meter Building plan showing the appliance and sizes on water. Provide a Building plan fixture locations, venting and cobusti�atr: A correction check list showing the appliance and fixture locations, ver t:ng and'c�ainbustion'•air. is available. A correction deck list ins available. Ariy questions on plans may be discussed at the Building counter located at City Hall 2000 Main St. Third floor or by Telephoning the Building and Safety Division at (714) 536- 5241. Normal working hours are Monday thru Friday 8:00 A.M. to 5:00 P.M. J j A ELECTRICAL PLAN CHECK WAIVER REOUEST PROJECTS ELIGIILE FOR A WAIVER RESIDENTIAL CQN—MMRCIAL •Allprojecis except as noted below • All tenant improvements (T except as noted below Mote. Smamprojeds and Remodels may not need a waiver, counter personnel will determine I understand that the project described below should have a Plan Review. ( It may be in your hest interest to have your project reviewed, since it is less expensive to change plans than it is to rework or remove an installation already constructed) In lieu of submitting plans, I request that the Permit be issued subject to the following conditions: ♦ Any and all code Aolations identified by the inspector shall be corrected. ♦ The instalIation(s) shall comply with the adopted Code(s) and ;he City of Huntington Beach amendments thereto. ♦ This agreement shall be part of the permit and all subsequent permits which may be required. APPlicurt 4` %/ Date Job location:, %lam g 'f0•T Description of work: _ / •�Z`�l S- .3Is1/%r1b'3� •o Sf>� 1 I ,�s Items listed below are not eligible for a Plan Cheek Waiver: ` RESIDENTIAL COMMERCIAL I Services over 225 Amperes Services Models of tracts with three or more homes Sub vanels Models of multi -units of three or more Power transformers over 15 KVA e � i 1 Single multi -units of three or more Installations over 5 branch circuits, 15-20 ampere rated THIS FORM IS TO BE ATTACHE1) TO INSPECTORS PERMIT COPY I I � l NUNTINGTON {EACH � F, ELECTRICAL PLAN REQUIREMENT (FOR PROJECTS NOT ELIGIBLE FOR A WEAVER) RESIDEM"IAL COMMERCIAL See the reverse side of this form For waiver �^ See the reverse side of this forth for waiver information information RESIDENTIAL & MULTI- RESIDENTIAL COMMERCIAL ❑✓ Plans submitted must include the Q Plans submitted must include the following: A completed Permit Application Forth for following: A completed Permit each address showing all line items Application Form for each address marked. Two sets of plans (matching) for showing all line items marked. Two sets each address or model design. of plans (matching) for each address. Electrical plans shall include: Electrical plans shall include: IZ Title 24• , . r ^ • Services size and Pan lschedules 10 Title 24 Z One line diagram of serviCt�, :groundirig,'�hL • One line diagram of service, and if installed .. . feedeks, transformers and sub panels.. ",hedule_Ad lid":oelculaaons. a sub panel conduit with wire sizes or cable 1 Panel 0 Circuiting, including home runs, conduit size and grounding. J7 ,Aj.Q.,fo ,servi e�.pver 225,4mperes (42,00amperes assumed if not noted on` sizes"and wire sizes. � � ��; �A:I.C. ;nd�let thiugh cutzeE'2,000 plai is). assumed up to 600 ampere services, 69,0000 to 112,000 for 800 to 1200 ampere services if information is not provided. } 7 t 1 ' Any questions on plans may be discussed at the Building counter located at City Hall 2000 a Main St. Third floor or by Telephoning the Building and Safety Division at (714) 536- 1 5241. Normal working hours are Monday through Friday 8:00 A.M. to 5:00 P.M. 6 t 'a. +1