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HomeMy WebLinkAbout101 Main St - CofO (88)APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON ti FACH Le - DEPARTMENT OF BUILDING &SAFETY Address ® MAt_ z ST'. BusinessName _&" S- Business Type,' BUiLDIN OWNER D TE _ District. Occ. Croup. BUSINESS GWNERIMANAGER Name Arc Home Address— City, 4 c. ' �° G+: Tel yP H m+3 Tdi 'L THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTPUCTED BLDG. CHANGE OF OWNER L_1` CHANGE OF OCCUPANT EXiSTiNG BUILDING CHANGE or USE ❑ ADDITIONAL OCCUPANT IN Indicate former use, it any __ _„_ . WOccu(�ancy Gr. Div _ SQUARE FT. OF BI.IIL[)ihic} TO BE OCCUPIED I NOVCE; 1, Occupancyof any building is prohibited and a business license Will not beissued 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 i '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 chanyc may be made in the character of occupancy or use of the building or premises which would place the budding 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 Code Section 10.208 requires that building numbers must be a minimum of four (d) inches in height with one ha:f (!42) inch stroke, and of a contrasting color from the background. These numbers must be postedon your building in a vocation that is visible from the street. 5. Huntington Beach lire Ccde Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). (FOR OFFICE USE ONLY) � �' ZONING_ _ T 27 OCCUPANCY GROUP---,.' PLAN CHECK NO NO PARKING SPACES O CUPA14T LOAD � r RtvilT NO 8 � � + � ��._— HEALTH DEPT APPROVAL NOOF STORIES AD AiN ACTION _ UTtLiTIES RELEASED CERTIFICATE OF OCCUPANCY FEE APPROVED BY � DATE CHANGE OF USE GP OCCUPANCY FEE g - TOTAL g rC9RM :$Z39 HF1 4M' RE-`DRDCR SAND DOLLAR 714-84Z-114S t Ji ► APPLiCATION FOR CERTIFiCATE OF OCCUPANCY CITY OF HUNTINGTON REACH DEPARTMENT OF BUILDING SAFETY � HUNTN400N MAGI WRIN'r OR ,YK ONLY,, Address _t < 7 a.. Yjp`G' District — Business "�:r .Tr4Y i;ti r,.w ,P M fn�fo„ t Business Name_ 1 f l'i. tt Business Type —� f _ Occ Group BUiLi}ING OWNER BUSINESS OWNERIMANAGER I�tame --- ---k J a i Name Home Address , P � 011t. a 'Sl Address r d n Ci! fl Tei. �,;t...,�.._._. ` +ly .�.�-..—Homd, Tel THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG. L J CHANGE OF OWNER L J CHANGE OF OCCUPANT `'" EXISTING BUILDING Q CHANGE OF USE ADDITIONAL OCCUPANT Indicate former use. It any ___—Occupancy Gr ;�Iv SQUARE FT OF BUILDING TO BE OCCUPIED � r? °_= � — , t , , v • � s R tt =" c. [NOTICE: 1. Occupancyof any building is prohibited and a business license will notbe issued until the building has been inspected and a cartificate of occupancy ;is issued. 2. No electrical service will be reteased 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 'fus.e 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 character of occupancy oruse of the building or premise.; which would place IN.; building in a diffet ent 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 $each Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) inches In height with one half (Uz) 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. b. Huntington Beach Eire Code Section 10,301 requires fire extinguisher selection and distribution per the National Eire Protection Association pamphlet 10 (see reverse side). (FOR OFFICE USE ONLY) ZONING Ot,GUPAI,ti'Y GROUP:..Wr -. PLAN CHECK NO _ iv'O PARKING SPACES OCCUPANT LOAD ��'�} PERMIT IVO � HEALTH DEPT APPROVAL NO. OF STOPIES = Ems_ _ ADMIN ACTION UTILITIES RELEASED CERTIFICATE OF OCCUPANCY FEE $ rz APPROVED BY DATE � 1:HANGE OF USE OR OCCUPANCY FEE $ OTAL $ FQkU- rW3J -FtFV Z*2 "-ORDER- SIND DOLLAR 714-842.-1146 APPLI++'Aii l SUPPLEMENTAL INFORMATION C. 1. BUSINESS ADDRESS j 0l 6Y►�t,� � � � �_ �^� �,, �� 2. Person to contact in case of emergency - Telephone number; t 3, Does the building in question have electricity? CYe;s Cl No (a,) if No, are you requesting that the electricity be 1J Yes turned one 4. The building is sprinkiered? F C-4s No S. Operations will produie dust/wood shavings or similar material? C1 Yes 6. Operations will involve the repair or replacement of Yes automobile parts? i-i�3o f t If Yes (a) Describe the components repaired or replaced, (b) Does the operation involve the use of an open- flame? ❑ �" `� [fo 7. The business is drinking, dining or assembly use that wll" result in an occupant load of more than 50 persons. © Yes 8. The following best describes my operation, Office 2n! ` Sa`�fe"s"` 4� �ouse Manufacturing ! Distribution (describe process and end product) Restaurant/Take Out Food Medical / Dental J Other (describe) _ South Coast AIR QUALITY MANAGEMENT DlsmiCT 21865 E. Copley Drive, Diamond Bar, CA 91765.4182 (909) 396•2000 AM (QUALITY PERMT CEMC.KLIS 1 for nonresidential buildin s only Company Name. J 1�-t 7 —1 A-<� Location of Property:,6�( City; Zip Code: cc G y Contact Person: ft&tit t r i a Title: G W/N C--n . Telephone Number: C'17141 4 sz Fax Number: Type of Industry/Business: ) 'r'p I L To apply for a nonresit on -dal building permit, you must complete this checklist.. If you have any questions about completing this checklist, please cell (900) 388-2121. YES NO 1. Will the facility have a ,narbroiler? 2. Will any internal crxnbustion engine lnrith greater than 50 horsepower operate at the favility (excluding motor vehicles)? 3.- 'Will operatirrs at the facility involve mixing, blending, or processing of solvents, a> {hesives, paints or coatings? 4. Will dust or smoke be generated at the facility? [ ] 5. Will refining of any liquid3 or solids be done at the facility? 6. Will any plating or coating ofmaterials be done at the faciity? [ ] C 7. gill any combustion equipment rated greater than 2,000,000 BTC1(br be operated at the facility? 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'? IL Will any CC (Freon) recycling machines operate at the f�acil�ittyy`? [ J [ �]-�- Applicant: � a�l� �'i� ►��� Signature: (Print name clearly) i If you have marked "NO" in all the boxes, an air quality permit is tit needed at this time, and this checklist is your vi,ritten release, l If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality Management District (AQ ). Please read the requirements on the back of the checklist. (800) 388-2121 -1