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CERTIFICATE OF OCCUPANCY •r
A122/Q4
CITY OF HUNTINGMN BEACH
Date
Address 101 ,MAIN
District
Business Name OCEANVIEW PROMENADE'
Tel. 7 —53 — 5 1 6
OFFICE USE
Business Type
Occ. Group $—i
s
BUILDING OWNER
BUSINESS OWNEWMANAGER
AHMAD ABDELMUTI
SAVE AS
BUILDING OWNER
Name
Name
Address 18900 DAKOTA
Home
Address
FOUNTAIN VLX 714-963-3900
City Tel. _ City
Home
Tel..
1 1
Construction No. of Stories
Occupant Load Sprinklers
CONDITIONS OF APPROVAL
Comments: OFFICE USE ONLY
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DEPARTMENT OF COMMUNITY DEVELOPMENT
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This 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
.by .•��
Building Official
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COMMUNITY DEVELOPMENT
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APPLICATION FOR CERTIFICATE OF OCCUPANCY 'S
CITY OF HUNTINGTON BEACH
HUNMGToN efnoi DEPARTMENT OF COMMUNITY DEVELOPMENT
(PRINT OR TYPE ONLY) DATE
Address--e/V
Business Name_. District
Business Type
a
BUILDING OWNER Occ. Group...
Name-- 0!*4 BUSINESS OWNERIMANAGER
Name
Address '::;b -Jed Home
City:��t�/1/%�FT/'. �✓ �_ ( Address
Tel.
City
f43 •3,77U Home Tel..
THIS USE WOULD BE DESCRIBED AS:
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NEWLY CONSTRUCTED BLDG. ❑CHANGE OF OWNER
El CHANGE OF OCCUPANT
EXISTING "BUILDING
CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any
Occupancy Gr,
Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED_ 0
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NOTICE:
1. Occupancy of any building is prohibited and a business license will not be issued until the building has b
inspected and a certificate Of Occ 9 been
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,� upa �, • 's issued.
2. No electrical service will be released any existing building until the service has been inspected a
certified'safe. All applicants for occupancy in ar existing building are required to schedule an electric
'fuse up' inspection in the Department of Community DevelOpme.,t 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 premises in order to determine if a change may be made in the characterof occupancy or use of the buildinor premises which would place the building in a different division of the same group Of occupancy or in' different group of occupancy, a change of occupancy inspection fer of $ be paid to the city. shall
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
0 inches in height with one half (1/2) inch stroke, and of a contrasting color from the back ro'
L numbers must be posted on your building in a location that is visible from the street. `, g und. These
5. Huntington Beach Fire Code Section 10.301 requires fire extin wisher National Fire Protection Association pamphlet 10 (see reverse side).selection and distribution per the
SUPPLEMENTAL INFORMATION (FOR OFFICE USE ONLY)
ZONING ,3
OCCUPANCY GROUP
OCCUPANT LOAD PLAN CHECK NO. NO, PARKING SPACES
NO, OF STORI S — PERMIT NO HEALTH DEPT, APPROVAL
ADMIN. ACTION UTILITIES RELEASED
d 1�ii�Y�
�4CERTIFICATE OF OCCUPANCY FEE
APPROVEDB D E CHANGE OF USE OR OCC UPANCY FEE
e TOTAL $ pvh
4
7&039 Rev, 11/g0
COMMUNITY DEVELOPMENT
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�._-_--�____-.-_,_..___, �
CERTIFICATE OF OCCUPANCY 6/22/94g
CITY OF HUNTINGTON BEACH -
±
Date
t
Address 101 iIAIN
1!2f'r District
OCEANVIEW PIiOti7ENADE Tel. 714— 36-4516
.Business Name
B-2
OFFICE USE
Occ. Group
Business Type
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BUILDING OWNER
BUSINESS OWNERLMAi<AGER
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AHMAD A&DELMUTI
SAM AS EUILDING OWNER
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Name
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Name
Home
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Address 18900 DAKOTA
Address
Home
FOUNTAIN VLY Tel. 714-963-3900 City TeI.
City
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Construction No. of Stories
Occupant Load Sprinklers
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CONDITIONS OF APPROVAL
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Cort}melnts: OFFICE USE ONLY
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DEPARTMENT OF COMMUNITY DEVELOPMENT
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This Certificate of Occupancy
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SHALL BE posted in a conspicucus place on the
4i
promises and shall not be removed except by the
by J/
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Building Official.
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COMMUNITY UeJELOPMENT j
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
f CITY OF HUNTING T ON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT Go'
HUN7VK._TON BEACH (PRINT OR TYPE ONLY) DATE
P
Address `Atti ~ �f� District
Business Name 62c_ Ve / f/Lfi 'f!4"�� Tel.
Business Type Q,f R L61-y� Occ. Group
BUILDING OWNER BUSINESS OWNER/MANAGER
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Name_ Name —
Home
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Address Address f
CitY/�aWR'GZ✓ eL !� L 7_ City Home TeL
3 ' � (1
� qT/p
THIS USE WOULD BE DESCRIBED AS
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NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
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❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr.—Div,
I SQUARE FT, OF BUILDING TO BE OCCUPIED --it &00
I d
s
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
ZONING
OCCUPANCY GROUP
PLAN CHECK NO. _
NO PARKING SPACES
OCCUPANT LOAD
PERMIT NO.
HEALTH DEPT APPROVAL
ja
NO. OF STORI S r
ADMIN. ACTION
UTILITIES RELEASED
T CERTIFICATE OF OCCUPANCY FEE
$ _ I14S
APPROVED BY D E
CHANGE OF USE OR OCCUPANCY FEE
g �,
4
TOTAL
$
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I 75-039 Rev. 11190
COMMUNITY DEVELOPMENT
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SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS
2.
Person to contact in case of emergency.4'
Telephone number:6
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3.
Does the building in question have electricity? Yes
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❑ No
(a) If No, are you requesting that the electricity be ❑ Yes
turned on? ❑ No
4;
4.
The building is sprinklered? Yes
Nof
5.
Operations will produce dust/wood shavings or similar
material? ❑ Yes
No
6.
Operations will involve the repair or replacement of ❑ Yes
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automobile ^arts? No
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If Yes:
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(a) Describe the components repaired or replaced.
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(b) Doan the operation involve the use of an open flame? CI Yes
�Q_No
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The business is drinking, dining or assembly use that will
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result in an occupant_ load of more than 50 persons. ❑ Yes
EXNo
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8.
The t describes my operation;
Office Only
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Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Out Food
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Medical / Dental
Other (describe)
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SUPPLIMENTAL INFORMATION
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SUPPLEMENTAL
INFORMATION (Continued)
Does_ the opera -lion ` involve any -)f the
following materials? E Yes
Ohio
If .Ye5,"indicatb ..quantities:
Material
Quantity
1.
Flammable liquids
Class I -A
Class I-B
Class i-C
2.
Combustible liquids
Class II
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Class 111-A
3.
Combination flammable liquids
i
4.
Flammable gases
_
5.
Liquefied flammable gases
;
,i
e 6.
Flammable fibers - loose
7.
Flammable fibers - baled
8.
Flammable solids
9.
Unstable materials
1. 1
Corrosive liquids
_
° 11.
Gxidizing r.,aterial - 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
;y
by weight
18.
Highly toxic material and
poisonous gas
19.
Smokeless powder
20.
Black sporting powder
I hereby certify tha t above
the best f Y edge
information is true and correct to
is na e
Datd
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
I Location of Subject Property: ---
Property Owner :Name: —_Phone #:_ _Z:5-3eg�`i✓
v Name of the person preparing this form in print and signature: i
I
r Name _ /Je2,02- )77 __. Signature:
k The person preparing this form mast be the same person applying for building permits. PI 7senswer the;
following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW
THE ANSWER TO A QUESTION, MARK IN THE "YES" COLUMN:
AQMD PERMITTING CHECKLIST ;
YES NG
1. Does your facility use any internal combustion engines greater than 50HP?
2. Does your facility involve mixing, blending, or processing any solvents, f
adhesives, paints or coatings? — ---<
3. Does your facility create ah)> dusts or smoke?
4. Does your facility refine ,;quids or solids or reclaim any metals?
' 5. Does your facility plate or coat anything?
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6. Does your facility have any combustion equipment (i.e, boiler, furnaces, ,/ I
( broiler, baking ovens, etc.) rating greater than 2,000,000 BTU/HR?
1 7. Does your facillity handle or store solvents or ;rotor fuel? Z
8. Do you use or store any acids? ' is
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9. Do you use any chemical process? ✓ :' _ ,„
1, 10. Do you use any solvents for clean-uo? = t°
11,. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline
station, printer, or part coater? ✓,
12. is the subject building located within one thousand (1,000) feet of any
school,? PROPERTY LINE TO PROPERTY LINE. GRADES K-12..
If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked
any questions in the "YES" column you must contact the South Coast Air Quality Management District located at:
21865 E. Copley Drive
Diamond Bar, CA 91765.4182 I:
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Please call: Plan Check (909) 396-2000
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Government Code Section 65850.2(b):requires that the City of Huntington Beach not issue.the final
I' certificate of occupancy`unless.the applicant has met or is meeting the requirements of the South
' Coast Air Quality Management District (AQMD). The Department of Community Development must
obtain a written release from AQMD to show the applicant has complied with this law. The check
10 list on the reverse side is designed to help the applicant and the building division to meet these
requirements.
1. The applicant (the sane person who applies for permits from the 1
Department of Community Development) must complete the check list
which can be obtained either from the Department of Community
Development or at AQMD. 1
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
required for the proposed construction project.
y
4. If air permits are not required, the applicant will obtain a written release from
AQMD.
5. If air permits are required, the applicant must submit the necessary permit
i, applications before the release can be issued. <i
Because of the time it may take for AQMD to go through the above procedures, the applicant is
advised to contact AQMD immediately after applying for building permits.
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AM1T OVAL SUPPUMENTAL INFORMATION l
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