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CERTIFICATE OF OCCUPANCY 125,'97
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CITY OF HUNTINGTON BEACH
s
.Date
Address 127 14AIN
District
BEACH ISLAND
714--37.4-9428
Business Name
Tel.
RETAIL
Al
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Business Type
Occ. Group —
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BUILDING OWNER
BUSINESS OWNER/MANAGER'
VICKY LANE
SOOI1 OK 0"
Name
Name
637 FRANKFORT
Home 28215 LOMO
Address
Address
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RUNTiNGTON BEAC '114--536--04119
RANCHO PALOS Home 3'10--5411-97P,6
.
City Tel.
City Tel.
1
95
Construction No. of Stories
Occupant Load - Sprinklers
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CONDITIONS OF APFVOVAL
Cowments:. U S4.FT. STORAGE}
DEPARTMENT OF COMMUNITY DEVELOPMENT
[his Certificate of Occupancy
SHALL BE posted in a conspicuous place, on the
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premises and shall not be removed except by the
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Building Official.
COMMUNITY DEVELOPMENT _
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APPLICATION FOR CERTIFICATE OF OCCUPANCY ✓�
CITY OF HUNTINGTON BEACH ✓'� ,,r✓ n
DEPARTMENT OF COMMUNITY DEVELOPMENT
` Nurmr�cTON erg DATE
(PRINT CR. TYPE ONLY)
Address _1— 2 2 1272ala District
Business Name 1"�Pa S Te�1//3*�.� — 9
Business Type 2T t / 4SL,9 L Occ. Group
F BUILDING OWNER .-SOd BUSINESS�OWNERItgNAGER
1
Name, �rL kY 1. c�- Name /
Home y
Address YG1 k _ Address Zj
City HLMt4 Tel. /C ity ' .,�• Home Tel
P" yam'
^cho oYS (/t2/'U CA- 90 fro
THIS USE WOULD BE DESCRIBED AS S�f
ElNEWLY CONSTRUCTED BLDG. D-CHANGE OF OWNER ElCHAIJr.,E OF OCCUPANT 9� BK
r �T' - ❑
� ❑ EXISTING BUILDING tJ CHANGE OF USE ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr.—Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED 3-�a — (70-0 'ft 5-ry 4CaFi '
[NOTICE: 1. Occupancyof any building is prohibited and abusiness license will notbe issued until the building has been R
inspectedanda certificate of occupancy is issued.
2. No electrical service will be released for any existing building until the service has been inspected and
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 may be 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 flee of $ shall
be paid to the city.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum offour(4) I
inches in height with one half (1/2) inch stroke, and of a contrasting color from the background. These f
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
Natio I Fire riotection Association pamphlet 10 (see reverse side).
Bate Piz«
N47ne (FOR OFFICE USE ONLY) s
„._. SUPPL ENTAL INFORMATION ZONING
OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES
OCCUPANT LOAD PERMIT NO. HEALTH DEPT. APPROVAL
NO. CF- STORIES ADMIN. ACTION UTILITIES R
CERTIFICATE OF OCCUPANCY FEE
7
4g,�OVED DATE CHANGE OF USE OR OCCUPANCY FEE
TOTAL
75-039 Rev. 11/90 COMMUNITY DEVELOPMENT
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SUFMLEMENTAL INFORMATION
{
1.
BUSINESS ADDRESS22LaiN
2.
Person to contact in case of emergency SQb� °k
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Telephone number: 3 /
3.
Does the building in question electricity?
a[-Yes
,have
v -40
(a) If No, are you requesting that the electricity be
0 Yes
�
turned ' on?
No
r
4
The building is sprinklered?
El Yes
`2'No
5.
Operations will produce dust wood shavings or similar
material?
11 es
o
,
6.
Operations will involve the repair or replacement of
❑ Yes
No
r
automobile parts?
If Yes:
(a) Describe the components repaired or replaced.
4
'
(b) Does the operation involve the use of an open
flame?
❑ Yes
)i3No
7.
The business is drinking, dining or assembly use that
will
result in an occupant load of more than 50 persons.
❑ Yes
7 No
8.
The following best describes my operation;
a'
Office Qnly
Retail Saies
Warehouse
#
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Manufacturing / Distribution (describe process and end product)
Restaurant / Take Out Food
Medical / Dental
3
Other (describe)
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SUPPLIMENTAL INFORMATION
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C South Coast
AIR QUALITY MANAGEMENT DISTRICT �
218E5 E. Copley Drive, Diamond Bar. CA 91765-4182 (909) 396-2000
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AIR QUALITY PERMIT CHECKLIST
4
for nonresidential buildings only t
k Company Name:
t �
` Location of Property:
'll City _f3G Zip Code; 9a z 't%
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Contact Per, . � �, _A�. 0h Title: /9Wlie-p-
n Telephone1- -,11 •L,�Io Fax Number:
Type of IndustryBusiness:
To apply for a nonresidential building permit, you must complete this checklist. If you have any i
questions about completing this checklist, please call (800) 388-2121.
YES NO
1. Will the facility have a ch- arbroiler? [ ]
2. Will any internal combustion engine vrith greater than 50 horsepower
operate at the facility (excluding motor vehicles)?
3. Will operations, at the facility involve mixing, blending, or processing of
solvents, adhesives, paints or coatings? { ] [
4. Will dust or smoke be generated at the facility? [ ] [
Will refining ofanyliquids or solids be done at the facility?
6. Will any plating or coating of materials be done at the facility? { ] [
7. Will any combustion equipment rated greater than 2,000,000 BTU/hr be
operated at thefacility?
: 8. Will any acids. solvents, or motor fuel be used or stored at the facility? [ ] [✓
` 9. Will any organic liquids or gases be reacted or produced? [ I P
10. Will any ovensbe used to dry or cure products at the facility? [ ] [✓j
11. Will any CFC (Freon) recycling machines operate at the �acility? [ ] [
Applicant: u n U e p y! Signature:
'J(P4int name clearly)
If you have marked "NO" in all the boxes, an air quality pertrutisnot needed at this time, `f
and this checklist is yasrwritten release. 1
If you marked "YES" m any of the boxes, you roust contact the South Coast Air Quality [ ;,
Management District x
g �A.QMD). Please read the requirements on the back. of the checklist.
(800) 388-2121