HomeMy WebLinkAbout101 Main St - CofO (37)I
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CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Date
C
Address 101 MAIN
V 111
District
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Business Name COFFEE PEOPLE
Tel.
Business Type COPFE"Ll SHOP
_Occ.Group
B
s
BUILDING OWNER
BUSINESS OWNERWANAGER
.'
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LL ABDEL14UTI DEVELOPMENT
COFFEE PEOPLE
Name
Name
Address 101 14A I N
Home
Address 3 2 59 I tt 2 J T H
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H.H. 92648 714-536-6567
me
PflRTLAND nR jeol.
501-223--7714
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'City TeL
City
311
Construction _ o. of Stories
N
occupant Load Sprinklers
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CONDITIONS OF APPROVAL
Comments : LIMITED TO (12) SEFiTS
OR LESS.
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DEPA^T^,,'—N T OF COMMUNITY
DEVELOPMENT
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This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
} premises and shall not be removed except by the
byf'
it
Building Official.
M
COMMUNITY DEVELOPMENT
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MUST 6E FI LEA 11\1 pE2SOP l
®�� d APPLICATION FOR CERTIFICATE OF OCCUPANCY
ID CITY OF HUNTINGTON BEACH [! Zo DEPARTMENT OF COMMUNITY DEVELOPMENT 9
HUKI7NGTON BMACH (PRINT OR TYPE ONLY) DATE
(Business"Name
ddress / l -5� tip 15E� District
�® Tel.
Business Type CAS P' Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name —�I131I CL MUTI Name_ �o � �E;
Home
Address [ai 14AW J-M Address 3259 Alm ZgTty &JE t
(City. Tel. /4 ity100E,7Zd61AQ VHome Tel. 503
$-67 2 Z3-z714
THIS USE WOULD BE DESCRIBED AS: R6n% t
Y
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
DEXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr. Div.
OUARE FT. OF BUILDING TO BE OCCUPIED 144O
T1
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 maybe made in the character of 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
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(4)
inches in height with one half (Yz) 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.
5. Huntington Beach Fire Coda Section 10,301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
T4iAFCtf: tMP�t`T C'FF N i 1IC..
DATE PAIDAll
AMOUNT RECEIVED l
NAME WAS ;FOR OFFICE USE ONLY) ^�� --'JZ)
SUPPLEMENTAL INFORMATION ZONING
OCCUPANCY GROUP PLAN CHECK NO. PARKING SPACES
OCCUPANT LOAD PERMIT NO. 5 HEALTH DEPT. APPROVAL
NO, OF STORIES ADMIN. ACTION UTILITIES RELEASED
c3�-e� dt CERTIFICATE OF OCCUPANCY FEE
g Ir )
APPROVED BY 7DATE CHANGE OF USE OR OCCUPANCY FEE g
TOTAL $ "
75-0 5` Rev, t t /90 i
COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
t a+�
1.
BUSINESS ADDRESS
'
3.
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
❑ Yes7
turned on?
❑ No
!'
4.
The building is sprinklered?
.Yes
f+
❑ No
5.
Operations will produce dust/wood shavings or similar
material?
❑ Yes
P3No
6.
Operations will involve the repair or replacement of
p
❑ Yes
automobile parts?
O'No
I
If Yes:.
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame?
❑ Yes
No
I .
'7.
The business is drinking, dining or assembly use that
will
!..,
result in an occupant load of more than 50 persons,
El Yes
(110 No
*`
8.
The following best describes my operation;
Office Only
e aI a es J
re Buse
Manufacturing / Distribution (describe process and tend
product)
Restaurant I Take Out Food
Medical / Dental
Other (describe) - --.
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SUPPLEMENTAL INFORMAnON
SUPPLEMENTAL INFORMATION (Continued)
Does
i`
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
i
2.
Combustible liquids
C
Class II
Class 111-A
3.
Combination flammable liquids
4.
Flammable gases'
5.
Liquefied flammable gases
6.
Flammable fibers - loose
7.
Flammable fibers - baled
8.
Flammable solids
9.
Unstable materials
10.
Corrosive liquids
11.
Oxidizing material - gases
i
12.
Oxidizing material - liquids
13.
Oxidizing material - solids'
14.
Organic peroxides
15.
Nitromethane (unstable materials)
16.
Ammonium nitrate
17.
-
Ammonium nitrate compound mixtures[
i
containing more than 60% nitrate
by weight
f :.
18.
Highly toxic material and
1.
pcisonous gas
1.
19.
Smokeless powder.
20.
Black sporting powder
;
I hereby fy that the above information is true and correct
to
the be m knowle
c z
i ature Date
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South Coast
AIR QUALITY MANAGEMENT DISTRICT
2t86; E. Copley Drive, Dimond Bar, CA 91765-4182 (909) 396.2000
AIR QUALITI' PERVIIT" CHECKLIST
for nonresidential buildings Only
Company Name:
Location of Propemy:
City: .Zit) Code:
Contact Person: _ Title:
Telephone Number: Fax Number:
Type of LndustryBusuness:
To apply for a nonresidential building Pe-" -It, you mus complete this checklist. If you have any
questions about comolety_ this checidis4 please call (800) 388-2121.
YES
N0
1. 'Will the faciliry'.:ave a charoroiler?
2. Will any iater,,l combustion eng+:ne Mz greater than 60 horsepower
operate at the facility (excludir-g motor vehicles)?
3. Will operations at the facility involve =..-- .iag, blending, or processing of
solvents, adhesives, paints or coatings? [ ]
4. Will dust or smoke be generated at the facility?
S. Will refining of nay liquids or solids be done at the facility?
6. Will any plating or coating of materialsbe done at the facility?
7. WPJ any combustion equipment rated p-eater than 2,000,000 B i u/hr 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 ;axes be reacted or produced?
10. Will any ovens be used to dry or cure products at the facility?
11. Will any CFC (Freon) recycling mac;lin _s eratc at th cility? [ ]
[
Applicant:
_ `fz igna e:
(Print name clearly)
1
If you have marked "NO in Ill the boxes, an air quality permit is = 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 District (AQMD). Please read the requirements on the back of the checklist
i
(800) 38&2121
6 .