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Home My WebLink About101 Main St - CofO (54)CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH Data e } e. Address 101 MAIE ;#4 FLE District Business Name JACK'S SURFBOARDS Tel. f 14-536-4516 Business Type OFFICE USE Orc. Group'" e BUILDING OWNER BUSINESS OWNERAAANAGER AHMAD ABDELMUTI SAME AS BUILDING CU"fiER Name Name -, 1s900 DAKOTA Home Address Address. _ _ FOUNTAIN VLY 714--963--3900 Home City Tel. City Tel. Construction No. of Stories _ Occupant Load _ 35 Sprinklers _ CONDITIONS OF APPROVAL Comments: OFFICE USE ONLY DEPARTMENT OF COMMUNITN' DEVELOPMENT 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. 0 APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH � r DEPARTMENT OF COMMUNITY DEVELOPMENT HUNTPCTON RF'� (PRINT OR TYPE ONLY) ATEE I Address C a, �� _ District Business Name Tell Business Type Occ. Group BUILDING OWNER / BUSINESS OWNERIMANAGER Name 46ZZL4 ! — Name�2L a Home Address, b ��-.� .�-�— Address Cit_11A.1 IAWt�& / Tel.City Home Tel. 116 _ 3ffiQ THIS. USE WOULD DE DESCRIBED AS: NEWLY CONSTRUCTED BLDG. ElCHANGE OF OWNER ❑ CHANGE OF OCCUPANT ❑ EXISTING BUILDING ❑ CHANGE OF ' ISE ❑ ADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr Div._ SQUARE FT. OF BUILDING TO BE OCCUPIED �® NOTICE: 1. Occupancy of any building is prohibited and a bu4 , •s license will not be issued until the building has been inspected and a certificate of occupancy is issueu. 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 tiis 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 i, ie 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 $ — shah be paid to the city. l (��4. Huntington Beach Fire Code Section 10.208 requires that building numbers 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 from the street. 5. 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 tz: 'k_V: )4, F7 19L- �0 - 16 - 94 4+_ (FOR OFFICE USE ONLY) ZONING SUPPLEMENTAL INFORMATION OCCUPANCY GROUP 13 -?1 PLAN CHECK NO. NO. PARKING SPACES OCCUPANT LOAD PERMIT NO. HEALTH DEPT. APPROVAL ��`' � NO. OF STORIES ADMIN. ACTIONUTILITIES RELEASED 0, pZ.+� ERTIFICATE OF OCCUPANCY FEE g PROVED ' DAT CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ 75-039 Rev. 11/90 COMMUNITY DEVELOPMENT i 2• Person to contact in case of emergency.;c��,�}-�.4��_ Telephone number: 3. Does the building in question have electricity? Yes (a) If No, are yore requesting that thetheelectricity be turned on? � No ❑ Yes No 4. The building is sprinklered? -E9. Yes b. Operations will produce dust/wood shavings or similar � No material? Cl Yes 8. Operations will involve the repair or replacement of automobile RNo parts? Yes No If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? C] Yes i 7. The business is drinking, dining or assembly use that will result in No an occupant load of more than 50 persons. El Yes 8. The followin best describes my operation; ANo Of_ nl Retail Sales Warehouse Manufacturing/ Distribution (describe r p ocess and c;ryd product) UPPLEM04TAI. U4# �AT@ON (Continued) Does the opera'don inva'ive", any of ` "the" "Joldovrin§ materda❑ Yes f JR�No if Yes" `ln'dioe quanti ei`:' ' " Nl,aterial +,1 Quantity a 1. Flammable liquids %< Mess I -A Class I-B Class I-C 2. combustible liquids Class II ^Class Ill -A 3. Combina tion flammable _ !! aids __Q 4. Flammable gases 5. L'Iquefled flammable gases 6. Flammable Fbors -• loose 7. Flammable fibers - baled 3. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. C?xidiing material eases 12. Oxidizing material liquids 13. Oxidizing material - solids 14. Organic peroxides 16. Nitromethane (unstable materieirs) 16. -.Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate y weight b t � Il g 13. Highly toxic material and - poisonous gas 19.. Smokeless powder 110. Black sporting powder l hereby certify that t above information is true and correct to the best of ict ge. Signat e Date," a SOUTH COAST AIR C, ►J1gi:.PTY MANAGEMENT DISTRICT (i ionresidential Buildings Only) 1 Location of Subject Property: Property Owner Name/- Phone - ,Y Name of the person preparing this form in print and signature: �ir�: t�� %I, 5igmiabure:' Nar_e The person preparing'this lorm must a the same -person applyii g,for {byildin permits. lEasEa.ans�rer the . following questions regarding'your proposed occupancy of the subject building !l= YOU DO Nt7T KNOW THE ANSWER,TO A QDESTK?Ny MARK -IN -THE "YES"�CCIL"tJ't4AN: AQfdD PERMITTING CHECKLIST ri YES NO 1. Does your facility use any internal,coinbustionengines greater than 50HP? 2,: Does your facility involve mixing, blending, or processing any solvents, adhesives, paints or coatings? . 3. Does your facility create a69 dusts or smoke? --=- 4. Does your facility refine ar j liquids or solids or reclaimtt any metals? a. Does your facility' plate or coat'anythin? - - 6. Does your facility have any combustion equipment (i.e. boiler, furnaces, broiler, baiting ovens, etc.) rating greater than 2,q,00,000 BTU/Hid? 7, Does your facility handle or store solvents or motor fuel? — = 8. Do you use or store any aciW, ' 9. do you use any chemical process? 0. Do. yolu 43Se any solvents fog clean=up? 11. Are you a dry cleaner, resicam hart with a charbroiler, body shop, :gasoline (� station, printer, or pay I Coatei'? in iocated within one: thousand 1,000) feet of any 12. Is the subject build � 9 school? POPER''V Y LINE TO PROPERTY LINE. GRADES K-12. If you have marked 11NO" in all coluinns, 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 Qual 4r Management District located at: 21865 E. Copley Drive Diamond Bair, CA 91765•4182 Please call: Plan Check (909) 398.2000 z a 1 Govern ment-Gode Section 65650 2(b)*rpquires that the City ot'Fluntington .Be ch not issue the final t certificate of occupancjr`unlFssahe�applicant has met o• is meeting the re-quir ments'of the South Coast Air QualityVanagement District (AQMD). The Department of Community Development must obtain a written releasefrom 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. 1f all boxes in the list are checked "no", the Building Division can accept the check list as the release. - 3. If there are an °� c; y 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 app licant. licant. is advised contact AQMD after applying for building permits. iI. ADDITIONAL SUPPLIMENTAL INFORMATIN j a