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Home My WebLink About101 Main St - CofO (99)y�;----------r.mn.+r...nr�.�w...l�w'w..y��......w Address 101 MAIN # 1 G 1 District Business Name JACK'S SURFBC�RD Tel. 714-536-451 b Business Type RETAIL Occ. Group L-2 _ BUILDING OWNER BUSINESS OWNER/MANAGER Name AI-NAD ABDELMUTI Name SAME AS BUILDING OWNER � Home Address 18900 DAKOTA _ Address City FOUNTAIN VL3� Tei. _ ' 714-1Ig6-3399 _ City � Home Construction' No. of Stories Occupant Load 21 3 Sprinklers CONDITIONS OF APPROVAL This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the Building Official. DEPARTMENT OF COMMUNITY DEVELOPMENT x J1 4 bA. r. 1 by �— APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH �+urvnr�c roN eAa DEPARTMENT OF COMMUNITY DEVELOPMENT OR (PRINT TYPE ONLY) D T Address Al O I Business Name- District Tel 7/ 7 Sato :��/� Business Type Occ. Group G�yy Name /�;7 e/' BUILDING OWNER c BUSINESS OWNER/MANAGER ' c� �!/""(7--,��(/%% Name c�.'�'1' Address Home - City Address Tel. %/ City Home 41; -33 4-7 TeL THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER ❑ CHANGE OF OCCUPANT El EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr, Div. SQUARE FT. OF BUILDING TO BE OCCUF'SD NOTICE: 1. 2. 3. 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. No electrical service will be released for any existing building until the service has been inspected and certified safe. All applicants for OCL 'icy in an existing building are required to schedule an electrical 'fuse rap` inspection in the Departrrici,, of Community Development at the time this application is filed. Change of Occupancy or use inspection fee. Wherever it is necessary to make inspection of a building or premises in cider 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 fee of $ — shall be paid to the city. Huntington Beach Fire Code Section 10.208 requires that building numhers must be a minimum 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 frcm the street. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). i_ . f' _ i — _ . n 1 . U SUPPLEMENTAL INFORM(FOR OFFICE USE ONLY) I ? ZONING ��Ta- OCCUPANCY GROUP PLAN CHECK NO. _ NO. PARKING SPACES OCCUPANT LOAD PERMIT NO. c NO. 01: STORIES — HEALTH DEPT. APPROVAL _ ADMIN. ACTION ( — UTILITIES RELEASED CERTIFICATE OF OCCUPANCY FEE $ D E CHANGE OF USE OR OCCUPANCY FEE TOTAL $_—— — 75a3s Rey. I/so d,6 COMM[)NITY DEVELOPMENT SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 2., Person to contact in case of emergency-- Telephone number: 3. Does the building in question have electricity? Yes ' (a) If No, are you requesting that the electricity be ❑ YQ es turned on? ❑ No 4. The building is sprinklered? ,Yes 5. Operations will produce dust/wood shavings or similar ❑ No material? ❑Yes -� No 0. Operations will involve the repair or replacement of ❑ Yes automobile parts? _ No If Yes: (a) Describe the components repaired or replaced (b) Does- the operation involve the use of an open flame? El Yes 7. The business is drinking," dining or assembly use that will /9,No result in an occupait load of more than 50 persons. ❑ Yes �No 8. The following best describes mar operation; Office Only ail ales %arehouse Manufacturing/ Distribution describe ( process and end product) Restaurant/Take Out Food Medical / Dental Other- (describe) ` 4 �4 SUPKLIMENTAL WORMATION a SUPPUAAEKITAL INFORMATION (Continued) „Does the o 6ration 4i' otve an " .� ;. , g � F P y - of " t;Ze - foflo�+v.n ° m«ter�als . � ; .17-1 Y'us '�1No It Yes, indicate quantities°. . `� r _Mate�faf �.. Quantity Q 1. Flammable liquids ..,;.Mass I -A Class I-B Class VIC 2. Combustible liquids Mass 11 Class Ill -A 3. Combination fiammable liquids 4. Flar:lrnable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled $. 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 l7. Ammonium nitrate vompuund mixtures — containing more than 60% nitrate _ by weight 1t . Highly toxic material and poisonous gas 19, Smokeless powder 20. Black sporting powder I hereby certify that the above information is true and correctto the best of y o rl ./', r- t Govern inent Code S,ectiOnr,6535.0 2(b)arequires that the City of Hunt r o t ,yt @ ggaqh not �issue the final certificate of 6ccupancy 'r)I ess:,the appl cant has met or is meeting the requirements of§the'South Coast Air Quality Management District (AQMD). The Department of Cr.nmunity 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" 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 Pecatise 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. AI3OITIONAL SUPPLIMENiAL FOR SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Euildings Only) Location of Subject Property 72: /® Property Owner Name:�A_ ______zW`QA�_�__f__— 'hone #f:� � Name of the person preparing this form in print and signature: Name: ' --= % Signature: _ - -> The cersori preparing this form must be the same person applying,ior building. ermits. Please ap5wer 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: AGIVID PERMITTING CHECKLIST `DES NO 1. Does your facility use any internal combustion engines greater than 50HP? 2. Does your facility involve mixing, blending, or processing any solvents, adhesilas, paints or coatings? 3. Does your facility create ahi dusts or smoke? 4. Does your facility refine any liquids or or reclaim any.metals? 5. Does your facility plate or coat anything? 6. Does your facility have any combustion equipment (i.e. boiler, furnaces, broiler, baking havens, .etc.) rating greater than 2,000 000 .BTU1HR? 7. Does your faci'li y handle or store solvents or motor fuel? 6. Do you use or store any acids? 9. Do you use .any chemical process? . rl 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 pert coater? 12. Is the subject building located within one thousand (1,000) feet of any scho,,,(? PROPERTY LINE TO P970PERTY LINE. GRADES K.-12. If you have marked "NO" in ail 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