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Home My WebLink About101 Main St - CofO (90)u 1 , APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH H,,,,,TNUO,, KAM DEPARTMENT OF COMMUNITY DEVELOPMENT ry I (PRINT 0RTYPE .ONLY) C' � l ,,, i1 ;Address - i D l /Ui Q (1 �f z� rl dr►I,64 off) Stet! Yl 9?.�d�8 1I District_ � j Business Name —rrlj[P�'p1�( il,9 Tel • )$33 /t ' Business Type !'i!?!JS(-FL2 ��Q(�PM �-}- (j — Occ. Group { i BUILDING OWNER BUSINESS OWNER/MANAGER 1, Name�ClDfiiL�MLTI co Name �uck- �flY1 � f1 %Ll1L�?O� Address—1ALa r n 7► . Home Address # Z6 � '`�� ' .�!'� City �—:Tel. Jr , ity Home Tely� THIS USE WOULD BE DESCRIBED AS: i ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT i I EXISTING BUILDING ❑ CHANGE OF USE ADDITIONAL OCCUPRNT Indicate former use, if an Y a Occupancy Gr. Div: p SQUARE FT. OF BUILDING TO BE OCCUPIEO NOTICE: 1. Occupancyof any building is prohibited and a business license wily not be issued.until the building has been inspected and a certificate of Occupancy is issued. 2. No electrical service will be released for any existing building until the service has been inspected and cerI fled 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 this 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 maybe made in the character of occupancy or use ofthe building or premises which would place th '3uilding in, a different division of the same group of occupancy Orin a different group of occupancy, a cciange of occupancy inspection fee of $ shall be paid to the city. 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 a 3 of contrasting color from the background. These numbers must be posted on your building in a location that is visible from the street. i 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 i ' (see reverse ;ide). S .. G IWr s Fw, `. ,��.�, �d�vlop,P -IC TRA IMPACT FEE •� BATE P AMOUNT R- IVEI7 - NAME (FOR OFFICE USE ONLY) zONING Sp [V OCCUPANCYGROUP PLAN CHECK NO, NO. PARKING SPACES _ OCCUPANT LOAD PERMIT N0. . HEALTH DEPT. APPROVAL NO. OF SIOF31ES ADMIN, ACTION UTILITIES RELEASED r�CERTIFICATE OF OCCUPANCY FEE g ~_ - AP ROVED DATE CHANGE OF USE OR OCCUPANCY FEE TOTAL a $ �- 75-039 Rsv.1/97 COMMUNE I Y DEVELOPMENT ; i .t y South Coast AIR QUA�.►TY MANAGEMENT DISTRICT � 21865 E. Copley Drive, Diamond Bar, CA 9 765-4182(909) 396-2000 AIR QUALITY PERIVIIT CHECKLIST for nonresidential buildings only t Company Name; w Location of Property:lD1_ City;C—Zip Code: C12049 Title: p Contact Person: .�,>' f `{��Jn Telephone Number: ) C7(C6 -• I S33 Fax Number: _71 I Q Z Type of IndustryBusiness:. PrQ�f�z1-_=J`�jGl naa n�o To arply for nonresidential building permit, you must complete this checklist. If you have any questions about completing this checklist, please call (800) 388 2121. L Will the facility have a charbroiler? YES NO ( ) 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 l refining of any liquids or solids be done at the facility"?- 1 " 6. Will any plating or coating of materials be done at the facility? 7. Will an combustion equipment rated2,000,000 Y .greater than BTU/hr be operated at the facility? [ l 8. Will any acids, solvents, or motor fuel be used or stored at the facility? 9• Will any organic liquids or gases be reacted or produced? 10. Will any ovens be used to dry or cure products at the facility? O 11. Will any CFC' (Freon) recycling machines operate at the facility? �) 1�j Applicant: '�(LIfL Signature: (Print name clearly) = If you have marked "NO" in all the boxes, an air q�iality permit is t>Lot needed at this time, and this checklist is your written release. 1 If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality Management Distiiet (AQMD). Please read the requirements on the back of the checklist+ (800) 388-2121 t i a -- • - --�� AD IT[ Nl1L SUPPLEMENTAL !NFOA^ Oyu _!IATI i a III P i NOTICE OF REQUIREMENTS 1 T GOVERNMENT CODE SECTION 65850.2 (A83205) California State La v (Gbybrnr'nent Code 65850 2} prohibits the 'Building Departments from issuing a final certificate of, occupancy'Unless'ati requirerents of the loc3i air quality;a�ency are K met., All applicants are required to complete the air quality, perrmt .checklist. The checklist is o aid the applicant for a• nonresidential,btiildi`ng tIf #He -'answer Cdesigned` ` permit only:- to`'aiiy of k questions ,is.'(YES,"* ile Building Department mast Qbtain a wntten-release tom the Iocal air _.' quality agency'veii�ying t sat 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 checklist t as the written release r 3. ° If any questions are answered "YES," the applicant must contact the AQMD by calling (900) 388-2121 to determine whether air qualityperinits,are _regt ired for:ariv equiument which maybe operated.at:the site.: If th AQMD deterutines that -air quality permits are not required or that all requirements haverbeen met, a written release.will be issued. ` If air quality permits are required and applications have not ��een subnutted, the applicant i ` b t mussubmit fine necessary ermit a lication(s ar3' P PP ) and a ppropriate fees. -before a written - release will be issued. { AQMD is committed toW,eypediting all clearance, letter requests..However, it.xnay taste several ' weeks to verify compliance with all requirements_ Therefore, you are advised to contact AQQVID * imtnediately after applying for building permits.. (800) 38&2121 P { i� f revised 8195 .,.. , .. V