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Home My WebLink About126 Main St - CofO (31)�qI fl�r� APP�LICA�TION F R CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH HUN71hiGnxv WAOi DEPARTMENT OF COMMIJNITY DEVELOPMENT j (PRINT OR TYPE ONLY) — DATE p r .: Address /J�811PA, I03 't Business Name LI%/�//)/s'— Districts 7 Business Type E 1A 1 L- � _ � Tel. -- Occ. Group, BUILDING G owr�Ea Cp.0 C'. eSS`,�,.-�` CS � - �. Name` lya#}6//Ui/JA �} 13USINESSOWAIER1MANAGER /1 h i= ✓ Name � Iy h hvl) Address � 6 ZVAIi✓ i5 �2G—�T :#lo3 Home Address city- 2�,",g pa e —Tel. city- Run? 'Wtsjonl cty (f Hame )el p� THIS USE WOULD BE DESCRIBED AS: �� ' ga64 � F � NEWLY CONSTRUCTED BLDG. �—( J CHANGE OF OWNER ❑ CHANGE OF OCCUPANT S ' ❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any l Occupancy Gr Div,_ f SQUARE FT. OF BUILDING TO BE OCCUPIED y' b t NOTICE: 1 • Qccupancy of any building is prohibited and a business license will not be issued until the buildijele en inspected and a certificate of Occupancy is issued. 2. No electrical service will be released for any existing buildinguntil the service has been nd certified safe. All applicants for Occupancy in an existing building are required to schedule and ,al) 'fuse up' inspection in the Department Of Community Development at the time this applicatio 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of aorpremises in order to determine if a change may be made in the character of occupancycruse of tgor premises which would place the building in a different division of the same group of Or,cupaadifferent group of occupancy, a change Of Occupancy inspection fee of $be paid to the city, ll Y 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a. minimum of four (a) inches in height with p half (1/2) inch stroke, and of a contrasting color from the background. These numbers must be post ' jn your building in a location that is visible from the street. 5• Huntington Beach Fire 'ode Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). r i TRAFFIC IMPACT FEE DATE PAID AMOUNT RECEIVED NAME T (FOR OFFICE WaEONLY) OCCUPANCY GROUP PLAN CHECK N — ZONING' OCCUPANT LOAD NO PARKING SPACES NO OF STORIES PERMIT NO_ ?? HEALTH DEPT, APPROVAL._ _ ADMIN. ACTIONC� 1�_� UTILITIES RELEASED . c t�P� i1a5-ac} , APPROVED FaY CERTIFICATE OF OCCUPANCY FEE $ DATE CHANGE OF USE OR OCCUPANCY FEE $ Y--- -- 70TAL $_1 75-039 Rev.1/97. - _ . _..- ;COMMUNITY DEVELOPMENT = s SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS21� f lya'= �� f 2, Person to contact in case of emergency* Telephone number; 7/4 3. noes the building in question have electricity? Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes - turned on? ❑ No 4. The building is sprin',dered? ® Yes ❑ No 5. Operations will produce dust/wood shavings or ezimilar material? ❑ Yes f� No 6. 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? - ❑ Yes � No i i ?. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. G Yes f No 8.. The following best describes my operation; Office -Only .R .ecall SaIA Warehouse s. Manufacturing / Distribution (describe process and end product) RED - (P1L_ S(4L S 'Restaurant/ Take Out Food Medical / Dental Other (describe) - - -- i i f k + i , I SUPPLEMENTAL INFORMATION I r SUPPLEMENTAL INFORMATION (Continued) I Does the operation involve any of the following r`riaterials? C1 Yes No i 1 If Yes, indicate quantities: i Material Quantity - 1. Flammable liquids Class I -A -. f Class i-B Class I-C 2. Combustible liquids Class II Class III -A 3. Combination flammable liquids 4.. Flammable gases 5. Liquefied flammable gases 6. � d Flammable fibers - loose F 7. Flammable fibers - baled y 8. Flammable solids 9. Unstable materials d 10. Corrosive liquids i 11. Oxidizing material - gases 12. Oxidizing material - liquids _. I i3. __Oxidizi ig material' solids 14. Organic peroxides — I 15. Nitromethane (unstable materials) r 16. Ammonium nitrate i i 17. Ammonium nitrate compound mixtures -` containing more than 60% nitrate 1 by weight 18. Highly toxic material and poisonous gas 19. Smokeless powder _ 20. Black sporting p 9 _.Powder � hereby certify that the above ir}formation- is true and correct to the best of my knowled / s Signature Date s H i f O South Gast AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AIR QUALITY P ERNHT CHECKLIST a for nonresidential buildings only /nl jy[ /(/J Q/�y�/� Company Name: /�%A//YS /12G—� �r Location ,ofProperty: City:- &a Zip Code: Contact Person: Title: LL10 %lArt�aU/; Telephone Number: _ ,7/�— S� h G e�' Fax Number:, 71�f S36 -d°�f 4�d7 i Type of IndustryBusiness:Tl�I To apply for a nonresidential building permit, you must complete this checklist. If you have any questions about completing this checklist, please call (800) 388-2121. YES NO 1. Will the facility have a charbroiler? [ ] 2. Will any internal combustion engine with greater than 50 horsepower operate at the facility (excluding motor vehicles)? [ ] 3. Will operations at the facility involve mixing, blending; or processing of solvents, adhesives, paints or coatings? [ 4. Will dust or smoke be generated at the facility? [ ] 5. Will refining of any liquids or solids be done at the facility? [ ] (] 6, Will any plating or coating of materials be done at the facility? j ] 7. Will any combustion equipment rated greater than 2,000,000 BTUlhr be operated at the facility? 8. Will any acids, solvents, or motor fuel be used or stored at the facility? [ ] [X] 9. Will any organic liquids or gases be reacted or produced? [ ] E74 10. Will any ovens be used to dry or cure products at the facilit i? 11. Will any CFC (Freon) recyclingmachines operate at the facility? [ ] $ o/� /ti�'� Signature: Applicant: (Print name clearly /Llo1'44W.6 041MD If you have marked "NO" in -all the boxes, an air quality permit is not needed at this time; I, 7 and this checklist is your written release. If you masked "YES" in any of the boxes, you must contact the Soutb roast Air Quality If Management District (AQMD). Please read the requirements on the back of the checklist. is (800) 388-2121 - t ADDIT1ONAL.SUPPLEMENTAL INFORMATION- i j NOTICE OF REQUIREMENTS GQVER.I'NMINT CODE SECTION 658.50.2 (AB3205) " b i California State i,aw (Government Code 65850.2) prohibits the Building Departments from issuing a final cLrtificate of occupancy unless all requirements of the local air quality agency are met. All applicants are required to complete the air quality permit checklist. The checklist is j designed to aid the applicant for a nonresidential building permit -only. If the answer to any of the question, is "YES," the Building Department must obtain a written release from the Ia4aI air ` quality agency verifying that the applicant is in compliance. 1. All nonresidential building permit applicants must complete this checklist. 2. If the answers to all questions are "NO," the Building Department can accept the cheoklist as the written release. i; If any questions are answered "YES," the applicant must contact the AQMD by calling � (800) '388-2121 to determine ;ibether air quality permits are required for any equipment which may be operated at the site. If the AQMD determines that air quality 'permits are not required c.r that all requirements have been met, a written release will be issued. 4. If air quality permits are required and applications have not be= submitted; the applicant I must submit the necessary F nit application(s) and appropriate'fees before a written release will be issued: AQ__MD is committed to expediting all clearance letter requests. - However, it vaay take several � weeks to verify compliance with all requirements. Therefore, you 'ate advised to contact AQ VID r immediately after applying for building permits. 1 (800) 388-,2121 , i q ttviud 8J9S r, i t Li