HomeMy WebLinkAbout101 Main St - CofO (18)i
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CE►ITIFICATE OF OCCUPANCY '
CITY OF HUNTINGNN BEACH
&/ 22/ 94
Date
Address 1 D 1 MAIN
# 2II
District
Business Name _ OCEANVIEW PROMENADE
Tel. 71 I1-53 -451 E
Business Type UFFICE USE
Occ. Group g_2
BUILDING OWNER
BUSINESS
OWNER/MANAGER
APHIIA" AlBDE.LMUTI
SANE AS
BUILDING CWN2R
Name
Name
Address 18900 DAKO:TA
Home
_ Address
City FOUNTAIN VLF Tel. � 1'4-963-39pp
�:
Home
ity
_ TeL
Construction No. of Stories -
Occupant Load Sprinklers
CONDITIONS OF APPROVAL
Comments OFFICE 114E ONLY
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DEPARTMENT OF COMMUNITY DEVFLOFMENT
This Certificate of Occupancy
SHALL BE pasted in a conspicuous place on the
premises and shall not be rcnio;+ed except by the
by
Building Official.
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COMMUNITY DEVELOPMENT
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH '
HUM*OGFON amm DEPARTMENT OF COMMUNITY DEVELOPMENT .
(PRINT OR TYPE ONLY) DATE
t Address / `� %��� /T District
Business Name � A)V l /Tel..
Business Type (_ cJ slier Occ, Group
�.y� BUILDING OWNER BUSINESS OWNERIMANAGER
Name ,!/�"(/`..����-%� Name
Address C)0 QJ Home
Address
YCity '.1l Tel. 7City Home Tel.-
7 un-2 ~3�ca
THIS USE WOULD BE DESCRIBED AS:
U✓ NEWLY CONSTRUCTED BI.GG. ❑ CHANGE OF OWNER ❑ CHANGE OF rCCUPANT
I ❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr. Div:
SQUARE FT. OF BUILDING TO BE OCCUPIED
a
SUPPLEMENTAL INFORMATION
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1.
BUSINESS ADDRESS
2.
Person to contact in case of emergency•'!x'r/Tl
Telephone number:
v.
Does the building in question have .electricity?
� Yes
No
(a) If No, are you requesting that the electricity be
0 Yes
turned on?
O No
4.
The building is sprinklered?
N$s
11 0
5.
Operations will produce dust/wood shavings or similar
❑Yes
material?
A No
6.
Operations will involve the repair or replacement of
❑ Yes
No
automobile parts?
,
If Yes
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame?
Yes
RNo
7.
The business is drinking, dining or assembly use that will
0
result in an occupant load o f more than 50 persons.
Yes
O No
8.
The f st describes my operation;
Office Only
Warehouse
Manufacturing C Distribution (describe process and end product)
Restaurant / Take Out Food
Medical / Dental
Other, (describe.)
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SUPPLIMENTAL INFQRMATION
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Goverrunent'C&de Sect on` -,5450 2(b�t'equires that the City.,okHu,ntington Beach npt4ssue Jhe.,final
certificate of ode' unless •the'`Applicant has -met or is meeting ttie requirements bf the South
Coast Air Qus:�ity Management District (AQMD). The Department of Community Development must
,{
obtai ;a wriit -n release Prow :AQMD. to show the applicant has complied ;Kith this law. The check
list on the reverse side is deigned to help the applicant and the building ,division to meet these
requirements.
1 The applicant (the same person who applies for, permits from the
Department of CommunityDevelopment) must cotaplete the check list
which can be obtained either from the Department of Community `
Development or at AQMD.
2. If all boxes in the list are checked ``no" the Building Division can acLept 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.
-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
+
_ applications before the release can be issued.
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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ADDMONAL SUPPUMENTAL INMRMAWN
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CERTIFICATE OF OCCUPANCY
6/ 2 2/ 9 4
CITY OF HUNTINGTON BEACH
Date
Address 101 MAINS
#2H District
CG%AN�.VIEW PRC;IiENADE
Tel. 714-53£-4516
Business Name
ICE USE:
Occ. Group B-2
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Business Type _OF
BUILDING OWNER
BUSINESS OWNER/MANAGER
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AHMAD A B D E L MUTI
SAID E AS BUILDING OWNER
Name
Name
Address 18900 DAKOTA
Home
Address
] OUNITAINv VLY 714-963-3900 Home
Tel. City Tel.
City
C
'
Construction No. of Stories
Occupant Load Sprinklers
CONDITIONS OF APPROVAL
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Comments. CHIGE USE: ONLY
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DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy
i
SHALL BE posted in a conspicuous place on the
yi
premises and shall not be removed except by the
by_
Building Official.
I
COMMUNITY DEVELOPMENT �-
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y
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APPLICATION FOR CERTIFICATFOF OCCUPANCY ! 1'
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HuMr ON BEACH j
(PRINT OR TYPE ONLY) DATE_
If
t Address �4-1� /T
District
Business Name 69 A)Vl(:7i/ / /QC)i2l�X/ A�)� —,/
1 Tel„� .�lo �7
Business Type Q12
r Occ. Group
BUILDING OWNER BUSINESS OWNER/MANAGER
Name I%j7 /4.t4,r7c'��/ _ Name_
� `�
Address Home �0 Address
City . A-1 -- Tel. 71 City Home Tel,
THIS USE WOULD BE DESCRIBED AS:
CYNEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
1 ❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
rIndicate ,ormer use, if any Occupancy Gr. Div. F
SQUARE FT. OF BUILDING TO BE OCCUPIED 4lx�
1
"b
s
g�g
M1
SUPPLEMENTAL INFORMATION
(FOR OFFICE USE ONLY)
Ly� QQ ,r
✓
_
ZONING. ( -
OCCUPANCY GROUP
PLAN CHECK NO.
NO. PARKING SPACES
` OCCUPANT LOAD 17
PERMIT NO .
HEALTH DEPT APPROVAL
NO. OF STO I
-
ADMIN. ACTIONCA ' 1�
UTILITIES RELEASED y
b1J�'2 GG CERTIFICATE OF OCCUPANCY FEE
w
)I`
OVED
-APMr
DATE CHANGE OF USE OR OCCUPANCY FEE
$ i)
1
F
TOTAL
$
75.039 Rev. t t /90
COMMUNITY DEVELOPMENT
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SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS
2.
Person to contact in case of emergency,�'�Tr
Gj
Telephone number:
3.
Does the building in question have electricity?
Yes
❑ No
(a) If No, are you requesting that the electricity be
❑ Yes
l
turned on?
❑ No
4.
The building is sprinklered?
0-Yes
IJ No
^ 5.
Operations will produce dust/wood shavings or similar
material?
❑ Yes
49,No
�
b.
Operations will involve the repair or replacement of
❑ Yes
�!
automobile parts?
'21'NO
If Yes:
(a) Describe the components repaired or replaced.
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E
Does the operation involve the use of an open flame?
❑Yes
II I
^
_(b) _
RNo
! 7.
The businessis drinking, dining or assembly use that will
❑ Yes
result in an , occupant load of more than 50 persons.
0 No
P
8.
The f mg St describes my operation;
Office Only
i"
Warehouse
I
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
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SUPPLIMENTAL INFORMATION
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Lill - L. �R,"' , _
_ s _ Ji►4 _ .. _ � �_J r n _
_ `) / ��Ny _d -.. _ _ _ _ r._ii�iY
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SUPPLEMENTAL
INFORMATION (Continued)
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Does
the operation involve any of the
following materials? ❑ Yes
rg' No
If
Yes, indicate`quantities:
foaterial
Quantity
1.
Flammable liquids
.Glass l-•A
t
Class I-B
p
Class (-C
2.
Combustible liquids
I
Class If
i
Class ^ 111-A
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3.
Combination flammable liquids
4.
Flammable gases
5.
Liquefied flammable gases
6.
flammable fibers - loose
�
7.
Flammable fibers - baled
8.
Flammable solids
9.
Unstable materials
10.
Corrosive liquids
1.
Oxidizing material - gases
-12.
OKidizing material - liquids
idrzing material - solids'
14.
Organic peroxides
4
15.
Nitromethane (unstable materials)
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16.
-Ammonium nitrate
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17,
Ammonium nitrate compound mixtures
containing more than 60% nitrate
-_
I
by weight
18.
Highly toxic material and
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poisonous gas
Y
19.
SmokelesE powder
20.
Black sporting powder
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I . hereby . certify t the ove information
is true and correct to I
the best of owled
J'gn re
Date k
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SOUTH COAST- AIR QUALITY MANAGEMENT DISTRICT
h (Nonresidential Buildings Only)
Location of Subject Property:_._,Ad
Property Owner Name:Lr�/ .,��—��_,_ Phone #:5-36z_�
i
I Name
of the person preparing this form in print and signature:
Named/7___���/� Signature:_ _
` - --
The person preparing this form must be the sameperson applying for buildin permits. Please answer the
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following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW
"YES"
THE ANSWER TO A QUESTION, MARK IN THE COI.UMN:
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AQIVID PERMITTING CHECKLIST
YES NO
1. Does your facility use any internal combustion engines greatar than 50HP?
;A
2. Does your facility involve mixing, blending, or processing any solvents, v
adhesives, paints or coatings?
l
3. Does your facility create ahj dusts or smoke?
.
C
4. Does your facility refine any liquids or solids or reclaim any metals?
t
5. Does your' facility plate or coat anything?
6. Does your facility have any combustion equipment (i.e. boiler, furnaces,
3
broiler, baking ovens, etc.) rating greater than 2,000,000 BTUIHR? _
7. Does your facRity handle or store solvents or motor fuel?
8. Do you use or store any acids? ✓
r �--,
i 9. Do you use any chemical process? __ ✓
'� '�
10. Do you use any -solvents for clean-up? _
11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline
station, printer, or part coater?
I
12. Is the subject building located within one thousand (1,000) feet of any
�.
school? PROPERTY LINE TO PROPERTY LINE, GRADES K-12.
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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:
r
21865 E. Copley Drive
Diamond Bar, CA 91765-4182
Please call: Plan. Check (909) 396-2000
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Government Code Section 65850.2(0) requires that the City of -Huntington Beach not issue the final
certificate of occupancy Unless the applicant has met or is meeting the requirements of the South
I 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
list on the reverse side is designed to help the applicant and the building division to meet these
requirements.
1. The applicant (the same person who applies for permits from the
Department of Community Development) must complete the check list
which can be obtained either from the Department of Community
Development or at AQMD.
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.
4. If <Ar permits are not required, the applicant will obtain a written release from
r AQMD.
5. If air permi°s are required, the applicant must submit the necessary permit
applications before the release can be issued.
Because of the time it may take for AQMD to go through the above procedures, the applicant is t'
advised to contact AQMD immediately after applyir 3 for building permits.
_ E
t'
A
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ADDITIONAL SUPPLIMCNTAL INFORMATION l