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CERTIFICATE OF OCCUPANCY 2! i !96
CITY OF HUNTINGTON BEACH
Date
Address 1 D 1 MAIN K D 2 District
Business Name NAPJSJ & RAi(A6JfAfJ Tel.
Business Type LAWYER Occ. Group _. $ j
BUILDING OWNER BUSINESS OWNERIMANAGER-
i� MIKE ABDELPIUTI RAdKO & MAKAS•JIAN
Name _ Name
Home
Address 1 U 1 MAIN Address :
City HB Tel. City H 't 4ome
Construction No. of Stories Occupant Load _ Sprinklers
CONDITIONS OF APPROVAL
Cotument,s: TEMPORARY C>JFO EXPIRE liJ : C, DAYS- /2,1/9f
f
DEPARTMENT +'F COMMUNITY DEVELOPMENT
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the , I;
premises and shall not be removed except by the by
i
Building Official.
I
COMMUNITY DEVELOPMENT
--- --- -------------_Y�_r_____--.—------ ---------------_.---------- -----------------------------------
P
I
�a dAPPLICATION FOR CE IFICATE OF OCCUPANCY � • " s
CITY OF HUNTINGTON BEACH`��/
DEPARTMENT OF COMMUNITY DEVELOPMENT Lf'
HUN754GTON. DrACH (PRINT OR TYPE ONLY) DATE
Ad ress W K [ �'?�•o�'� District ;
.13 siness Name Tel. c
g siness Type -�Occ. Group
BUILDING OWNER ROS)INESS�O/W�NER/MANAGER
f t �(a2 v� ! Name �Yl(� /'G<C�G[� I'Gif^t
(Address
e - i—NIJ
hn Home
z ! rAddress�� Tel. City Home Tel. —
THIS USE WOULD BE DESCRIBED AS:
)
NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER R CHANGE OF OCCUPANT r
CJ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate fcrrrrer use, if any Occupancy Gr. Div.
SQUARE FT. OF BUILDING TO BE OCCUPIE
i
NOTICE: 1 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.
a 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
C OG 6 'fuse up' inspection in the Department of Community Development at the time this application is filed.
3. Range of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
mises in order to determine if a change may be made in the character of occupancy or use of the building
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 k
x
be paid to the city.
4. Huntington Beach Fire Cede Section 10.208 requires that building numbers must be a minimum offour (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. Wuntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
e � 37�- 4�
TRAFFIC IMPACT FEE .N.— — ��' ' fLr
a-4,f
DATE PAID - ot�
AMOUNT RECEIVED
NAME (FOR OFFICE USE ONLY)
ZONING
SUPPLEMENTAL INFORMATION TSI Dish'
OCCUPANCY GROUP PLAN CHECK NO. — NO. PARKING SPACES
OCCUPANT LOAD y PERMIT NO. HEALTH DEPT APPROVAL
NO. OF STORIES I ADMIN ACTION UTILITIES RELEASED —
51. Z• CERTIFICATE OF OCCUPANCY FEE $_ _
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $
TOTAL
75.039 Rev. 11/90 COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
"�Gtf+�
1.
BUSINESS ADDRESS ����
i3
2.
Person to contact in case of emergency.
Telephone number: 'jlt�•� mac'
eyes
3.
Does the building in question have electricity?
;$
❑ No
(a) If No, are you requesting that the electricity be
❑ Yes
turned on?
❑ No
ESrYes
4.
The building is sprinklered?
No
5.
Operations will produce dust/wood shavings or similar
material?
OYs
-®"No
6.
Operations will involve the repair or replacement of
❑ Yes
O
y
automobile parts?
1i
If Yes:
(a) Describe the components repaired or replaced.
y
q
(b) Does the operation involve the use of an open
flame? ❑ Yes
Flo
7.
, he business is drinking, dining or assembly use that
will
result in an occupant Load of more than 50 persons.
❑ es
No
8.
The folio Est describes my operation;
_Office Oniy/J
f
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
SUPPLEMENTAL 1NRORMAMOH
SUPPLEMENTAL
INFORMATION (Continued)
Does
the operation involve any of the
following materials? ❑" Yes
:+1 o
If
Yes, indicate quantities;
Material
�-Quantity
1.
Flammable liquids
Class I -A
Class I-3
Class 1-C
2.
Combustible liquids
Class 11
Class III -A
3.
Combination flammable liquids
4.
Flammable gases
5.
Liquefied flammable gases
6.
Flammable fibers - loose
7.
Flammable fibers - baled
8.
Flammable solids
i
9.
Unstable materials
10.
Corrosive liquids
11.
Oxidizing material - gases
12.
Oxidizing material - liquids
i
13.
Oxidizing material - solids
14.
Organic peroxides
15.
Nitromethane (unstable materials)
16
Ammonium nitrate
;t
17.
Ammonium nitrate compound mixtures 9
containing more than 60% nitrate
by weight
18.
K jhiy toxic material and
F
poisonous gas
19.
Smokeless powder
20.
Black sporting powder
hereby certify that the above information is true and correct to
th b t of my knowledge.
7,�
C230
ignature
Date
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property:_ __fO-/
Property Owner Nam . _e:_ w�.- - - _ ______—_ T Phone #:7�' J
Name of the person preparing this form in print and signature: �
,/f
Name: (Signature:e-�'t. i- r
The person preparing this form must be the same person applying for building permits. Please answer 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:
AQMD PERMITTING CHECKLIST p
t
YES
NO
1.
Does your facility use any internal combustion engines greater than 50HP?
l=
2.
Does your facility involve mixing, blending, or processing any solvents,
adhesives, paints or coatings?
i
3.
Does your facility create an} dusts or smoke?—
4.
Does your fac1lity refine any liquids or solids or reclaim any metals?
5.
Does your facility plate or coat anything?
X
6.
Does your facility have any combustion equipment (i.e. boiler, furnaces,
broiler, baking ovens, etc.) rating greater than 2,000,OOC BTU/HR?
7.
Does your facitityhandle or store solvents or motor fuel?
8.
Do you use or store any acids?
,!
9.
Do you use any chemical process?
i
10.
D-) you use any solvents for clean-up?
11.
Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline
station, printer, br part coater? _.
12.
Is the subject building located within one thousand (1,000) feet of any
school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
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 mast contact the South Coast Air Quality Management District located at:
21865 E. Copley Drive
Diamond Bar, CA 91765-4182
Please call: Plan Check (909) 396-2000