HomeMy WebLinkAbout101 Main St - CofO (49)`
CERTIFICATE OF OCCUPANCY 1 1 / 0 4 / 9 ti
CITY OF HUNTINGTON BEACH
Date-
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Address 101 MAIN
# 3 A
District
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CLEARVIEW CAPITAL
CORPORATION 714--374-�1263
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Business Name
Tel.
OFFICE
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Business Type
Occ. Group
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BUILDING OWNER
BUSINESS OWNER/MANAGER
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AHMAD ABDELMU11
RiCHARD nuLbul,Aw
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Name
Name
1o900 DAKOTA
Home 18970 DAKOTA ST
Address
Address
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FOUNTAIN VLY
963--3990 FOUNTAIN VuY Home 714-•968--559
City Tel.
City TeL
57
4
Construction No. of Stories
Occupant Load Sprinklers
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CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY DEVELOF?,'ENT
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This Certifit 4 3f Occupancy
SHALL BE posted in a co,lspicuous place on the
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premises and shall not be removod 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
j DEPARTMENT OF COMMUNITY DEVELOPMENT 11/1/94 _
HUNHNGTON KAOI DATE
(PRINT OR TYPE ONLY)
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101 Main Street a 3A Address District
I Business Name Clearview CapitalCorporai-; on Tel (714) 374-1263 '
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Business Type Office Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name Ahmad Abdelmuti Name RICHARD HOLSCLAW'
18900 Dakota Home 18970 DAKOTA STREET
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Address Address
City Fountain. Valley, CA Tel963-3990 City FOUNTAIN VALLEY, CA.9270Z {ome Tel. 968-5597
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THIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF C:,NNER ❑ CHANGE OF OCCUPANT €
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
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Indicate former use, if any Occupancy Gr.—Div-
SQUARE FT. OF BUILDING TO BE OCCUPIED 6, 765 #
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(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
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ZONING
OCCUPANCY GROUP
PLAN CHECK NO.
NO. PARKING SPACES
OCCUPANT LOAD
_ PERMIT NO.
HEALTH DEPT. APPROVAL
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NO. OF STORIES
ADMIN. ACTION
UTILITIES RELEASED
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CE-TIFICATE OF OCCUPANCY FEE
$ �(fAPPROVED
CHANGE OF USE OR OCCUPANCY FEE
$ _
TOTAL
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75-039 Rev.11/90
COMMUNITY DEVELOPMENT
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SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS 101 Main Street, Huntington Beach, CA. 92648
2.
Person to contact in case Of emergency'Ahmad Abdelmutz
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Telephone number: (714) 936-6967
3.
Does the building in question have electricity?
Yes
No
(a) If No, are you requesting that the electricity be
❑ Yes
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turned on?
❑ No
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4.
The building is sprinklered?
❑ Yes
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No
5.
Operations will produce dust/wood shavings or similar
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material?
❑ Yes
a
L� No
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6.
Operations will involve the repair or replacement of
❑ Yes
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automobile parts?
No
If Yes:
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(a) Describe the components repaired or replaced.
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b Does the operation involve the use of an open flame?
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❑Yes
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12 D10
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The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
Yes
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Q No
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The following best describes my operation;
*6ffice Only **
Retail Sales
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Warehouse
Manufacturing / Distribution (describe process and end product)
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Restaurant/Take Out Food
Medical / Dental
Other (describe) —_
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SUPPLIMENTAL INFORMATION
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SUPPLEMENTAL INFORMATION (Continued)
Does
the .operation involve any of the following materials? ❑ Yes'
C� No
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Yes, indicate quantities:
Material _ Quantity
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1 1.
Flammable liquids
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Class I -A
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Class 1--6
Class i-C
10 2.
Combustible liquids
Class II
Class III -A - -
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3.
Combination flammable liquids
P4.
Flammable: gases
5.
- Liquefied flammable gases
6.
Flammable fibers -loose
' 7.
Flammable fibers - baled
a.
Flammable solids
1 g
Unstable materials
a
10.
Corrosive liquids
11.
Oxidizing material - gases j
12
Oxidizing material - liquids
13.
Oxidizing _material - solids
14.
Orr4anic peroxides 4
15.
Nitromethane (unstable materials) i •;
16.
Ammonium nitrate
17.
Ammonium nitrate compound mixtures
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containing more than 60% nitrate
by weight
18.
Highly toxic material and
poisonous gas
10
Smokeless powder
20,
Black sporting powder
hereby certify that the above -information is true and correct to
the best of my k fie.
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11/1/9a
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natur Date [
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Government Code Section 65850.2(b) requires that the City of Huntington Beach not issue the final
ceificate of occupancy unless the applicant has met or is meeting the requirements of the South
j Coast Air Quality Management District (AQMD). The Department of Community Development must
i obtain a written release from AQMD to show the applicant has ccmplied with this lave. The check
list on the reverse side is designed to help the applicant and the building division to meet these
l requirements.
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1. The applicant (the same person who cpplies for permits from the
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► Department of Community Development) must complete the check list
which can be obtained either from the Department of Community
Development or at AQMD.
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2. If all boxes in the list are checked "no", the Building Division can accept the
check list as the release.
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3. If there are any "yes" answers in the list, the applicant must contact an
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AQMD engineer by calling (714) 396-2000 to find out whether air permits are
' required for the proposed construction project.
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4. If air permits are not required, the applicant will obtain a written release from
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AQMD.
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5. If air permits are required, the applicant must submit 'the necessary permit'
1 applications before the, release can be issued.
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Because of the time it may take for AQMD to go through the above procedures, the applicant is
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advised to contact AQMD immediately after applying for buiidiaq permits.
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ADDI`fIQNAL _.UPPL MEWAL INFoRMATION
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property:_
Property Owner Name: —
Phone #:
P Name of the person preparing this form in print and signature:
' Name: -..,signature.-. )i
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i The person preparing this form must be the same person applying for build'i g permits. Please answer the
following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW
THE ANSWEP TO A QUESTION, MARK IN THE "YES" COLUMN:
AQMD PERMITTING CHECKLIST i
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YES NO
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1. Does your facility use any internal combustion engines greater than 50HP?
2. Does your facility involve mixing, blending, or processing any solvents,
adhesives, paints or coatings? --- --- — l
8. Does your facility create arW dusts or Smoke? _
4. Does your facility refine any liquids or solids or reclaim any metals? ---
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5. Does your facility plate or coat anything?
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6. Does your facility have any combustion equipment (i.e. boiler, furnaces,
broiler, baking ovens, etc.) rating greater than 2,000,000 BTU/HR? .—.
7. Does yourfacifiity handle or store solvents or motor fuel?
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` 8. Do you use or store anyacids?
[ 9. Do you use any chemical process?
�f. 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? -.- --
12. Is the subject building located withi-i one thousand (1,000) feet of any
i school? PROPERTY LINE 7'O PROPERTY LINE. GRADES K-12.
If you have marked "NO" in all column 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
f Diamond Bar, CA 91765-4182
Please call: Plan Check (909) 396-2000
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