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HomeMy WebLinkAbout101 Main St - CofO (30)i i CERTIFICATE OF OCCUPANCY � i 2/06,q5 CITY OF HUNTINGTON BEACH + Date Address 101 MAIN #3C District • ciRb .wTel. LDINGS 263-1710 Business Name n . OFFICE Occ. Group B-` t Business Type BUILDING OWNERBUSINESS OWNER/MANAGER ABDELUMUTZ CORE HOLDINGS f Name Name Home 19395 WOODLANDS Address Address Horne 536-9994 City Tel.City H P' Tel. R 8 Construction No. of Stories _ occupant Load _. Sprinklers - ` CONDITIONS OF APPROVAL 1 i Comments: TEMPORARY ONLY (RED -DO DOOR) 21 DAYS a d DEPARTMENT OF COMMUNITY DEVELOPMENT ( i This Certificate of Occupancy SHALL BE posted in a conspicuous place on the r } premises and shall not be removed except by the by_,, — Building Official. I CC 'AMUN'ITY DEVELOPMENT �. I _9 i a 1 1 F '01 APPLICATION FOR CERTIFICATE OF OCCUPANCY )' CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT .2 WNT"GTON K*4m (PRINT OR TYPE ONLY) DATE 7 r Address 1O/ lM Pr'.J -5T District ' Business Name 0 raz Tel.Q fx I 1 Business Type Occ.Group'� s BUILDING OWNER BUSINESS OWNERIMANAGER 9 I Name Aa* t-- Name t/5�. YI /t r i,iCarr, 4, Home I Address (01y 5T Address log!qj�: City.— Tel.City ;-- rl>fo�' Home Tel. THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTP"r'TED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT i ❑ EXISTING BUILL ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any _Occupancy Gr. Div, SQUARE FT. OF BUILDING TO BE OCCUPIED__.x©O--- s� 1 r (FOR OFFICE USE ONLY) ZONING SUPPLEMENTAL INFORMATION OCCUPANCY GROUP _ Z PLAN CHECK NO. NO PARKING SPACES OCCUPANT LOAD PERMIT NO. HEALTH DEPT APPROVAL NO OF STORIES �` — ADMIN. ACTIOT! =W " r a L— UTILITIES RELEAS } p / `S r CERTIFICATE OF OCCUPANCY FEE $ �'• �AP ` ED$Y DATE CHANGE OF USE OR OCCUPANCY FEE $ l{ TOTAL g (( i j, 75.039 Rev 11/90 COMMUNITY DEVELOPMENT 1 C i I SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 2. Person to contact in case of emergency - Telephone number: 3. Does the building in question have electricity? Yes i 3i (a) If No, are you requesting that the electricity be .--E Yes t turned on? No s ' 4. The building is sprinklered? Z-.Yes No 5. Operations will produce dust/wood shavings or similar 0 Yes material? 4ff-No F ! 6. Operations will involve the repair or replacement of ❑Yes -NO automobile parts? If Yes: (a) Describe the components repaired or replaced.° i i� i I (b) Does the operation involve the use of an open flame? ❑Yes ❑ No i 7. The business is drinking, dining or assembly use that will Yes 4 I result in an occupant load of more than 50 persons. AT -No l 8. best describes my operation; The=.Only „ Retail Sales I Warehouse far` jrin / Distribution (describe process and end product) .:Mane g i Restaurant/Take Out Food` ` 1 Medical / Dental Other (describe) SUPPLIMENTAL INFORMATION r , I I SUPPLEMENTAL INFORMATION, (Continued) Does the operation involve any of the following materials? ❑ Yes No If Yes, indicate quantities: ; Material Quanft ►y 1. Flammable liquids Class I -A Class I-B Class I-C 2. Combustible Liquids Class 11 Class 111-A 3. Combination flammable liquids 4. Flammable gases S. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled 8, Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13_ Oxidizing material - solids 14.- Organic peroxides 15. Nitromethane (unstable materials) . 16. Ammonium nitrate 17. Ammonium nitrate compound ` mixtures containing more than 60% nitrate by weight 18. Highly toxic material and poisonous gas 19.. Smokeless powder 20. Black sporting ponder i< U f I F a f E Government Code Section 65850.2(b) requires that the City of Huntington Beach not issue the final t of occupancy sinless the applicant has met or is meeting the requirements of the South certificate Coals , it Quality Managemen"c District (AQMD). The Department of Community Development must 3` obtain a written release Lom AQMD to show the applicant has complied with this law. The check I list on the reverse side is designed to help the applicant and the building division to meet these ; i ` requirements. {{ I ` 1 e applicantpermits from the 4 Department oftCommunty Development) musts complete the check list p t . which can be obtained either from the Department of Community I Development or at AQMD. j ; 2. If all boxes in the list are checked "no", the Building Division can accept the �. ! check list as the release. 3. If there are any "yes'' answers in the list, the applicant must contact an AQMD engineer by calling (714) 396-2000 to find out whether air permits are + +' f required for the proposed construction project. � I 4. If air permits are not required, the applicant will obtain a written release from A AQMD. 5. if air permits are required, the applicant rust submit the necessary Permit t" applications before the release can be issued. Because of the time it may take for AQMC to go through the above p iced(mes, the applicant is for '! i advised to contact AQMD immediately after applying building permits. l i R I } 1 F ADD111OIALSUPPLIMENTALINFORMATION _ l 1 I l ,i ;I SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT" (Nonresidential Buildings Only) Location of Subject Property:_ /a/�1.9��d?-- Property Owner Name of the person preparing this form in print and signature: Phone #:_.o�� 3 - t 2V a x Name: cJ �T*' -r�,Signature I � _. :-)for — The person preparing this farm must be thrs same person a l inbuildin ermits, Please answer the following questions regarding your proposed ocup ncy of the COLJMbect building. IF YOU DO NOT KNOWP P P 9 P PPYbuilding THE ANSNER TO A QUESTION, MARK IN THE AQMD PERMITTING CHECKLIST ,x I YES NO s I 1 'goes your facility use any internal combustion engines greater than 50HP? 2. Does your facility involve mixing, blending, or processing any solvents, G'L adhesives, paints or coatings? — 3. Does your facility create ari dusts or smoke? - 'L 1 4. L1,oes your facility refine any liquids or solids or reclaim any metals? 5. Does your facility plate, or coat anything? '�-- 6. Does your facility have any combustion equipment (i.e. boiler, furnaces,_ p broiler, baking ovens, etc.) rating greater,than 2,000,000 BTU/HR? �n f, I 7. Does your facflity handle or store solvents or motor fuel? — - F 8. Do you use or store any acids? L 9. Do you use any chemical process? —� ) R 10. Do you use any solvents for clean-up? - - �--- ` 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline f` station, printer, or part coater? 12. Is the subject building located within one thousand (1,000) feet of any ` school? PROPERTY LINETO PROPERTY LINE. GRADES K-12. 1 If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked i any questions in the "YES" column yoi i must contact the South Coast Air Quality Management District located at j 21865 E. Copley Drive b Diamond Bar, CA 91765-4182 h Please call: Plan Check (909) 396-2000 i off' ' �. :_ - _ . _. � ..r<_ s__,. .r - - - _ _ , .. � i �..ty. �i �. - -- ✓�