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Home My WebLink About101 Main St - CofO (81)%3 APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT NTWNI .TON IlFACH (PRINT OR TYPE ONLY) UMTE Address� --_ District Business Name /e!%&EJ� Tel�w-'� Business Type _ 4,15a r Occ. Group BUILDING OWNER BUSINESS OWNER/MANAGER Name-147yO T( Name.f! Address Home Address City 7 ,l x Tel.7 City Home Tel, THIS USE WOULD BE DESCPIBFD AS: �-1T NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER El CHANGE OF OCCUPANT W EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Inalcate former use, if ary __Occupancy Gr. Div._ SOUARE FT. OF BUILDING TO BE OCCUPIED (FOR OFFICE USE ONLY) •� C SUPPLEMENTAL INFORMATION � ZONING�� OCCUPANCY GROUP " PLAN CHECK NO. NO. PARKING SPACES OCCUPANT LOAD __ PERMIT NO. HEALTH DEFT. APPROVAL NO. OF STORIES ADMIN. ACTION0.2; i UTILITIE RELEASED AvCERTIFICATE OF OCCUPANCY FEE $ A 'ED DAYE CHANGE OF USE OR OCCUPANCY FEE TOTAL $, $ ! 3jr 6Z.- ��.� - 75.039 Rev. 11/90 COMMUNITY DEVELOPMENT r I, I 1 3UPPLEMENTAL INFORMATION 4917 3 1. BUSINESS ADDRESS -- t l 0% �'�� 7- 2 Person 'to contact in case of emergency Telephone, number: ' 3. Does the building in question have electricity? Yes ❑ No_ (a) If No, are you requesting that the electricity be ❑ Yes ❑ No turned on? 4. The building is sprinklered? .� ` Yes No 5. Operations will produce dust/wood shavings or similar Yes material? C No 6. Operations will involve the repair or replacement of ❑ Yes R Flo automobile parts? - If Yes: (a)_ _Describe the components repaired or replaced. (b) Does the operation involve the use of an ripen flame? ❑ Yes R Flo 7. The business is drinking, dining or assembly use that will ❑Yes result in an occupant ` loadof more than 50 persons. R No 8. Th� describes my operation; Office Only Re Warehouse Manufacturing:/ Distribution (describe process and end product) Restaurant / Take Out -Food Medical / Dental Other (describe) �4 ------------ SUPPLIMENTAL INFORMATION SUPIPLl MtAl' AL ANFGR{i11A'TFON (Continued) Does tile.. opera-fibn involve any . oU 'the following- mat6dals? O' Yes ., . .No if'es; ` i.hdicate quan#idea,. Matarial v ; . Quana ity d 1. Flammable liquids .Class I -A - ,Class I--B Class +_C 2. Combustible liquids Class II Class III -A 3. Combination faMmable ,.lig4ids 4. Flammable gases — 5, Liquefied flammable uses 6, ° ' Flammable fibers - loose 7 Flammable fibers ; mated - 8. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids � -- 13., *Cxidizi€ g material.- solids -� 14. Organic peroxides 15. Nitrom iethane (unstable materials) 16. Ammonium nitrate 17. Ammonium r nitrate e Gompourm� xtures, - ., 5 containing more than 60,00� nitrate by weight 18. Highly toxic material and poisonous gas 1`9. Smokeless powder 20. Mack sporting powder l hereby certify that the ab information, is true and, correct to the best o' my knowl d r Sig : ure ®ate �t 1 SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Lo�atibn of Subject Property, --%�3'[ �e1 314 1 Property Owner Name:'G��-i''`�-cJ7-�/_ Phone #:��`,� , 1 Name of the• person preparing this form in print and signature: Nam"Signature: The perso% preparing this faun Knust be the same person applying for b�tiiainr�.,.srrnits Pleasertswer,the following questions regardr"ng`your pertposed o&U_11-pancy of'the subject building.' IP YOC1�Dp NQT KNOW , THE ANSWER TO-A:QUESTION; MARKJN--,THIS, 4Y!"S"'COLUMN' AQMD PERMITTING CHECKLIST :. YES' NO i 1. ;. Does your facility use any.interlial"c.,ombustion engines greater than 50HP?.. 1� 2r` . Does your facility involve mixing, blending, or processing any solvents, j adhesives,, paints or coatings? y ,z 3. Does your facility create ar;y dusts or smoke? 1_ 4. Does your facility'reflne any liqu ds or sgfids or. reclaim.any.metals?. y 5. Does your facility plate or66af anything?' i 6. ` Does your facility have any combustion equipment (i.e. boiler, furnaces, broiler, bakipg ovens, etc,) rating thm 2,0p0 00Eil V1HR? "greater ----4-, 1 7, Does your facility handle or store solvents or motor fuel? i 8. Do you use or store arty acids,? t ` 9 Cho you use any chemical process? 10, Da: you,Ou p any ,solvents br clean ,up?`' _ . ✓_ i 11. Are you a dry cleaner, restaurant with a charb44 roifer, body shop, gz,oline station, printer, or 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. C./ If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked "YES" an'y questions in the column you must contact the South Coast Air Quality Management District located ,at: 21865 E. Copley Drive Diamond Bar, CA917654182 Please call: Plan Cheak, (909) 396-2000 i f� 1 a I CERTIFICATE OF OCCUPANCY 6/22/94 CITY OF HUNTINGTON BEACH (�( Date l Address 101 NAIPa ! 3h District Business Name GCEANiVIE4h PROMENADE Tel. 714-536-4516 r Business Type OFFICE USE Occ. Group L-2 BUILDING OWNER BUSINESS OWNERIMANAGER AH AD AKELMUTI SAME AS BUILDING CkNER 1 Name Name Address 18900 rAKOTA Home Address FCUNTUN VLY 1#-963— 9OU City .Tel. 7 City Home TeL.. f 9 Construction _ No. of Stories Occupant Load Sprinklers CONDITIONS OF APPROVAL I t ;omrnerts : OFFICE USE ONLY - i DEPARTMENT OF COtAMUNITY DEVELOPMENT f This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the by ! Building Official. i 6 fi3 IA APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGT ON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT 0 ATE 1 NUNnNGTON BEA 31 (PRINT OR TYPE ONLY) I l Address zo/ District C, i f BcSiness Name_ �•%a7✓ LPL✓ 'i"Tel Occ. Group I Bus nestTyn ~ a � ��- v t BUILDING OWNER BUSINESS OWNERIMANAGER Name z 77 Named f� Home ' Address /4`.//e� Address f City/ _Tel. YCity Home Tel. - THIS USE WOUt.D BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG. ElCHANGE OF OWNER ❑ CHANGE OF OCCUPANT ❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT t Indicate former use, if any Occupancy Gr.-Div. SQUARE FT, OF BUILDING TO BE OCCUPIED U E NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building hasbeen i 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 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 this application is filed. 3. Change of occupancy or use inspection fee. Whenever it is necessary to maku inspection of a building or r premises in order to determine if a change may be made in the character of occupancy or use ofthe building or premises which would place the building in a different division of the same group of occupancy or in a l different group of occupancy, a change of occupancy inspection fee of $ shall b be paid to the city. 4, Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four(4) �'� �i inches in height with one half (t/z) inch stroke, and of a contrasting color from the background. These I 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 V' National Fire Protection Association pamphlet 10 (see reverse side). �� .2�� Q-��----c � �� Oe.• to � I co • Q (FOR OFFICE USE. ONLY) SUPPLEMENTAL INFORMATION ZONING OCCUPANCY GROUP PLAN CHECK NO. NO PARKING SPACES` OCCUPANT LOAD PERMIT NO HEALTH DEPT. APPROVAL N0. OF STORIES ADMIN. ACTT( UTILITIES RELEASED f ��V CERTIFICATE OF OCCUPANCY FEE g /; A ED DA CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ bi 75•039 Rev. t /so GOtAMUNIIY DEVELOPMENT I, r i SUPPLEMENTAL INFORMATION 3H 1. BUSINESS ADDRESS % �� '�� 2. Person to contact in case of emergency*1� Telephone number: 3. Does the building in question have electricity? Yes 1 13 No (a) If No, are you requesting that the electricity be 0 Yes turned on? 0 No 4. The building is sprinklered? .� Yes I El No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes C No ! 5. Operations will involve the repair or replacement of ❑ Yes automobile parts? � No If Yes: 1 i ' (a) Describe the components repaired or replaced. I (b)' Does the operation involve the use of an open flame? ❑ Yes RNo I 7. The business is drinking, dining or assembly use that will I ` result in an occupant load of more than 50 persons. 0 Yes No F 8. eration; Th describes my operation; Office Only t' Re }, ! i Warehouse Manufacturing / DistribUtion (describe process and end product) i Restaurant/Take Out Food k Medical / Dental Other (describe) - n I SUPPLIMENTAL INFORMATION .L 1 r i I 1 ; SUPPLEMENTAL INFORMATION (Continued) E Does the operation involve any of the following materials? ❑ Yes jKNo If Yes, indicate quantities: i Material Quantity _ _ 1, Flammable liquids ,,Class I -A Class I-1 Class I-C 2. Combustible liquids Class 11 Class I11-A e 3. - Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. r-•iammable fibers - loose 7. Flammable fibers - baled 8. Flammable solids 9. Unstable aterials 1 10. Corrosive liquids ' 11. Oxidizing material - gases �_ I 12. Oxidizing material - liquids l 13. Oxidizing—ateriat solids m 14. Organic peroxides 15. Nitrornethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures t containing more than 60% nitrate by _weight 18. Highly toxic material and poisonous gas 19. Smokeless powder 20. I Black sporting powder C I hereby certify that thie ab information t is true and correct to the best o my knows d Sig❑ ure ®ate M 'a i (t SOUTH COAST .AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property:_-_13/4 ---- - --- Property Owner Name: -�fY -- c _-Z"-%.�__-__ Phone #: 3� -V�� Name of the person preparing this form in print and signature: Name �Z—.i`� j-�--- .Signature:. The person preparing this form must be the same person applying for building. ermits. Please answer the following que^,tions 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 s; YES NO 1. Does your facility use any internal combustion engines greater than 50HP? _ __ L/ 3. Does your facility involve mixing, blending, or processing any solvents, r/ adhesives, or P g sdusts t facility aoetan or smoke? 3. Does our f y e V y T � 4. Does your facility refine any liquids or solids or reclaim any metals? 5. Does your facility plate or coat anything? a r 6. Does your facility have any combustion equipment (i.e. boiler, furnaces, 1 1` broiler, baking ovens, etc.) rating greater than 2,000,o00 BTU/HR? 7. Does your facrl'sty handle or store solvents or motor fuel? 8. Do you use or store any acids _. 9. Do you use any chemical process? �- 10. Do you use any solvents for clean-up? l 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline J °� station, printer, or part coater? --- -- l 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 must contact the South Coast Air Quality Management District located at: 21865 E. Copley Drive Diamond Bar, CA 91765.4182 Please call: Pian Check 1909) 396-2000 ; f 1. a li I 1 i l Jul f _ ,a-� _ _ _ _ - .. _ ... _ . 1. ., r_ _ ✓� Government Code Section 658k2(b)-requires that the City of Huntington Beach not,issuethe final i certificate of occupancy'unless the applicant has met or is meeting the requirements of the South Coast Air Quality Management District (AQMD). The Department of Community Development must obtain a written release from AQMD to show the applicant has complied with this law. The check list on the reverse side is Ydesigned to help the applicant and the building division to meet these requirements. 10 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. If all boxes in the list are checked "no", the Building Division can accept the check list as the release. If there are any "yes" answers in the list, the applicant must contact an AQMD engineer by calling (714) 395-2000 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. P 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 applicant is ` advised to contact AQMD immediately after applying for building permits. ADDITIONAL SUPPLIMENTAL INFORMATION