HomeMy WebLinkAbout101 Main St - CofO (48)CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH 1 (I / 2 1 / 1 9 4 f,
Date
Address t. AT N
z 1 1 i
District
Business Name UURF CITY C/ttll)Y
Tel •I14-.'7i1-I.,Ag6
Business Type RLTAIL CANDY
T'1
Occ. Group
BUILDING OWNER
BUSINESS OWNER/MANAGER
BIKE ABDEW-1UTI
kEHNETH 17 V'ASILTIK
Name
Name
Address 101 MAIN
Address 2? 2 , HUNTINGTON 16,04
City IiU7dT ECI{ Tel.
City HUfd`i BCH THome
el. 714^960 1 i7
1
Construction No. of Stories
tf
Occupant Load 7i Sprinklers
CONDITIONS OF APPROVAL
COmmentse FIRE PE11.,i1TT F-11VID
For IIL- 'iL }
Z. 1 J Ii A (.�i
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DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the
Building Official.
by I
t
S
COMMUNITY DEVELOPMENT
,i& Ord 06cy-/p 6-nr\ i n
�� APPLICATION FOR CERTIFICATE F OCCUPANCY
tom, CITY OF HUNTINGTON BEACH
�l� DEPARTMENT OF COMMUNITY DEVELOPMENT -311HUNnNr - —(N:
(PRINT OR TYPE ONLY) DATE
Address �o\ MXINti ST S111 ��� b�., C(� K� g �istricl
Business Name Sa c2v C ty -, ti Tel
Business Type 2,C2tr R,\ CAtiA-, i I Occ. Group A
�. BUILDING OWNER BUSINESS OWNER/MANAGER
Name Name �Cip�n r%_ V RSc\cY,s
Home
Address_ Address
mr�t
Ci Iy
Tel City �� �� �"� cA 'ti4C46-HomeTel.`1�4'�\37
Th1S USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG. XHANGE OF OWNER ❑CHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGA OF USE ❑ ADDITIONAL OCCUPANT
4
Indicate former use, if any Occupancy Gr. Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED � 6 �j00 it E�
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.
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 a change may be made in the characterof occupancy or use of the 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
be paid to the city.
4. Huntington Beach Fire Code Section 10.208 requires that building number^ must be a minimum of four (4)
inches in height with one half ('/z) inch stroke, and of a contrasting color' nm the background. These
numbers must be posted on your building in a location that is visible from ina street.
5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side). f
C, �6 1 - C�/y
TRAFFIC IMPACT FEq-!
DA E PAIDAMOUNT RECEIVED---- (FOR OFFICE USE ONLY)
NAME _ _ _ _ - --- ZONINGP
OCCUPANCY GROUP PLAN CHECK NO NO PARKING SPACES
OCCUPANT LOAD � PERMIT NO HEALTH DFPT APPROVAL
NO. OF STORIES ADMIN ACTION UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE g
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE l
TOTAL $ T
75-039 Rev.1/97
CGi`;if."v;`iITY Liim :'i_i.^. ',!ENT
I
. 1
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS kO\ C'c nk,, 5`t� %3-- cA
Sa��
2.
Person to contact in case of emergency -
Telephone number: 7w `kGa•
3.
Does the building in question have electricity?
19 Yes
❑ No
(a) If No, are you requesting that the electricity be
❑ Yes
turned on?
❑ No
4.
The building is sprinklered?
❑ Yes
❑ No
5.
Operations will produce dust/wood shavings or similar
material?
❑ Yes
No
6.
Operations will involve the repair or replacement of
❑ "es
automobile parts?
No
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame?
❑ Yes
❑ No
7.
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
❑ Yes
1 No
8.
The following best describes my operation;
Office Only
Cjje::tji Sale
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant /Take Out Food
Medical / Dental
Other (describe)
SUPPLEMENTAL INFORMATION
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? Yes
No
If Yes, indicate quantities:
_ Material Quantity
1. Flammable liquids —
Class I -A
Class I-B —
Class I-C '
2. Combustible liquids -"
Class II
Class 111-A
3. Combination flammable liquids
4. Flammable gases
5. Liquefied flammable gases
6. Flammable fibers - loose
7. Flammable fibers - bared
8. Flammable solids -
9. Unstable materials
10. Corrosive Pquids
11. Oxidizing material - gases
12. Oxidizing material - liquids
13. Oxidizing material - solids
14. Organic peroxides
15. Nitromethane (unstable materials)
16. Ammonium nitrate
�• Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight 1
18. Highly toxic material €.nd
poisonous gas
19. Smokeless powder
20. Black sporting powder
I hereby certify that the above information is true and correct to
the best of my knowledge.
Signature Date
i
i
South Coast
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000
AIIt QUAL,EN PERMIT CHECKLIST
for nonresidential buildings only
Company Name: C K-
Location of Property: Sy t\k k- C— 9aS
City:�, dye r s Zip Code: 9 <a t
Contact Person: w Title: Co N-w
Telephone Number: C?«\l Faxivumber: Q)N� 960- 3\6;)
Type of IndustryBusiness: NA��
To apply for a nonresidential building permit, you must complete this checklist. If you have any
questions about completing this checklist, please call (800) 388-2121.
YES
NO
1. Will the facility have a charbroiler? [ ]
[Y11
2. Will any internal combustion engine with greater than 50 horsepower
operate at the facility (excluding motor vehicles)? [ ]
[}CJ
3. Will operations at the facility involve mixing, blending, or processing of
solvents, adhesives, paints or coatings? [ ]
[X]
4. Will dust or smoke be generated at the facility? [ ]
N
5. Will refining of any liquids or solids be done at the facility? [ ]
V1
6. Will any plating or coating of materials be clone at the facility? [ ]
[]
7. Will any combustion equipment rated greater than 2,000,000 BTU/hr be
operated at the facility? [ ]
tX]
8. Will any acids, solvents, or motor fuel be used or stored at the fac_"sty?
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?
11. Will any CFC (Freon) recycling machines operate at the facility? [ ]
[; Q
Applicant: 34,fN Pj cam. e\%Y Signature:
(Print name clearly)
If you have marked "NO" in all the boxes, an air quality permit is not needed at this time,
and this checklist is your written release.
If you marked "YES" in any of the boxes, , ou must contact the South Coast Air Quality
AJanagement District (AQMD). Please read the requirements on the back of the checklist.
(800) 388-2121
APENTIONAI SUPPLEMENTAL INFORMATION
