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Home My WebLink About101 Main St - CofO (70)CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEAC4 Date ss 1 C 1 hiAI t: i G 1 District _ ass Name JACK I S `iU$I L�-F.F.L Tel. 714-5�6_4516 ass Type RLTAIL Occ. Group B—z BUILDING OWNER BUSINESS OWNER/MANAGER A14%AL AbDKUV;UT1 Name SkJ-,E AS RUILI Ii' C: Ctr NEE Home :ss 18900 LANOTA Address FOUNTAIN 'LY Tel. 7 14 —119 c"Home 4 City Tel. ?1- truction' No. of Stories Occupant Load _ ' Sprinklers — DITIONS OF APPROVAL This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the Building Official 11i DEPARTMENT OF COMMUNITY DEVELOPMENT I by�r� T � COMMUNITY DEVELOPMENT . - x ------- -------- _-.,. -- -- -- — _—-------------------- < _ --- ---- APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT HUNnNGTON KACH (PRINT OR TYPE ONLY) D. T / r i Address `,�O l District �r Business Name ViL��s�,T--- Tel�/ T -- Business Type Occ. Group BUILDING OWNER -�--f BUSINESS OWNERWANAGER Name Home Address ,0 AV7* Address PA4�"-ka, City��--Tel City Home Tel. H(; THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT ❑ EXISTING BUILDING ❑ CHANGE OF USE El ADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr Div_ SQUARE FT. OF BUILDING TO BE OCCUPIED P — NOTICE: 1. Occupancyof 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. 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 make inspection of a building or premises in order to determine if acha,.ge may be made in the character of occupancy or use of the building 1 or 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 be paid to the city. 4. Huntington Beach Fire Cade Section 10.208 requires that building numbers must be a minimum of four (4) inches in height with one half (l/z) 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. C 4 Huntington Beach Fire Code Section 10.301 requ' as fire extinguisher selection and distribution per the T } / National Fire Protection Association pamphlet 10 (see reverse side). i. (FOR OFFICE USE ONLY)_ SUPPLEMENTAL INFORMATION % ZONING OCCUPANCY GROUP PLAID CHECK NO. NO. PARKING SPACES OCCUPY-,NT LOAD O PERMIT NO. HEALTH DEPT APPROVAL NO, OF STORIES ADMIN. ACTIO� UTILITIES RELEASED 0, Z " CERTIFICATE OF OCCUPANCY FEE g �v t' pp j DATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL 75 03s Rev. t tlso6 COMMUNITY DEVELOPMENT SUPPLEMENTAL INFORMATION `—�'� `3 � la j 1. BUSINESS ADDRESS _ G -- 2. Perron 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 s YeYe CI ❑ turned on? MYes 4. The building is sprinklered? ❑ No 5. Operations " produce dust/wood shavings or similar ❑Yes material? .� No S. Operations will involve the repair or replacement of Yes 4 No automobile parts? If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? 0 Ye 7. The business is drinking, dining or assembly use that will ❑Yes result in an occupant load of more than So persons. No 8 The following best describes my operation; Office Only etail ales arehouse Manufacturing / Distribution (describe process and end product) Restaurant/Take Out Food Medical / Dental Other (describe) SUPPLIMENTAL INFORMATION i l 9- SUPPLEMENTAL- INFORMATION (Continued) � Ooaa the operation involve any of the following materials? []Yea ,��mo ' If Yaa. indicate quantities: K8ut�ha| � � . 1. Flammable liquids / Class |-A [%000 I-8 Class I-C 2. Combustible liquids � Ckxao U Class 111-A --'-tion-- ^'~^^^~~'` ^r^= 5. Liquefied flammable gases 6. -,Flammable fibers loose 7. Flammable fibers baled 8. Flamm, able solids 9. Unstable materials 12. Oxidizing material - liquids l* urgen|o peroxides | � [ - N-.-.-....~ `.,~".~e "=="."`=/ � � iG ^-Amnmoniunn nitrate .^. .",""""". "."�^e corn vuw'/d ,v^tv/es containing than 60% nitrate by weight 18. r Highly toxic material -- poisonous gas 19. Smokeless powder / 2~ Black sporting powder ' ` ^ |ere y certify that the abFe information is true and correct to 6 -, � | | | ` r` ` | ' ' ` ` N-, * SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property:_ Property Owner Name: /¢ �(�_�Dsnr_ __ Phone Name of the person preparing this form in print and signature: Signature: /. The person preparing this form must be the same person applying for building ermits. 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: fAC3M0 PERMITTING CHECKLIST YES NO 1. Does your facility use any internal combustion engines greater than 50HP? 2. Does your facility involve mixing, blending, or processing any solvents, c/ adhesives, paints or coatings? 3. Does your facility create ah} dusts or smoke? 4. Does your facility refine any liquids or solids or reclaim any metals? 5. Does your facility plate or coat anything? 6. Does your facility have any combustion equipment (i.e, boiler, furnaces, r/ broiler, baking ovens, etc.) rating greater than 2,000,000 BTU/HR? 7. Does your facility handle or store solvents or motor fuel? 8. Do you use or store any acids? f 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant with a cnarbroiler, body shop, gasoline station, printer, or part coater? 12. Is the subject buiiding 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 th;s 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: plan Check (909) 396-2000 Government Code Section• 65850.2(b),requires that the City of Huntington -Beach not issue final certificate of occupancy unless the applicant has met or is meeting the requirements of the South Coast Air Qua!ity 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 designed to help the applicant and the building division to meet these requirements. 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. 3. If there are any "yes" answers in the list, the applicant must contact an AQMD engineer by calling (714) 396-2000 to find out whether air permits are require+ for the proposed construction project. 4. It air permits are not required, the applicant will obtain a written release from AQMD. 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 SUPPUMENTAL INFORMATION r F++