HomeMy WebLinkAbout101 Main St - CofO (87)CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
5/ 1 3/ 9 8
Date
0•
Address 101 MAIN
;/ 1 1 3
District
t,
Business Name PACIFIC ESPRL;SO
CORPORATION _ Tel.
714--536-2254
Business Type ESPRESSO BAR
Occ. Group B
BUILDING OWNER
BUSINESS OWNER/MANAGER
AHMAD ABDELMIUTI
RUDOLPF C. KOCH
Name
Name
I;
Address 101 MAIN
Home Address1310 65
Address
City H.B. Tel. 714»6^65t 7 City Ed•,ERVILLr Home
714^536-225?
Construction No. of Stories '
Occupant Load Sprinklers
CONDITIONS OF APPROVAL
Comments: SUBJECT TO ALL PRIOR
CC'IIDT 'S OP APPROVAL
P
d
P
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
/C
by
Building Official.
COMMUNITY DEVELOPMENT
,3
HIAYT1F4GTON
PP_ICATION FOR CERTIFICATE OF OCCUPANCY
CITY G., HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT L'I ' 2_!9' `%g
(PRINT OR TYPE ONLY) DATE
E" • J
Addre.:s ) Ol MtS -Izf T �'� it3 j'..� ��" District
Business Name F�16e- F_SFV-05O Tel. -114 Sac. 22.5`f
Business Type Fs? ktE55o V 4A� Occ, Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name PM 36 T\A% 9� A�11�1tV��1 NameHome
Address ,L`N 00in �` ' Address (3 to
City ftLaYIF1f1Gt�7� $I'1 Ck't.Pt4STelT16 City -'t„� 1CJ`�t� C� Home Tel 7t`{ 53Lo'ZZ$`�
THIS USE WOULD BE DESCRIBED AS:
® NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Ind;cate former use, if any %6fplf ' nkE== Occupancy Gr Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED �a
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 character of occupancy or use of the building
or premises which would place the building in a different division r i 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 (Yx) 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 Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side),
TRAFFIC IMPACT FEE Al
DATE PAID AIL
AMOUNTRECE ����'�� I�'�lr0✓ „
NAME- (FOR OFFICE USE ONLY) �'*
l SUPPt'.YIENTAL INFORMATION
ZONING ✓
OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES
OCCUPANT LOAD PERMIT NO HEALTH DEPT APPROVAL
NO. OF STORIES — ADMIN. ACTION UTILITIES RELEASED j
}
CERTIFICATE OF OCCUPANCY FEE $ ,
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $
TOTAL $
75-039 Rev.1/97 COMMUNITY DEVELOPMFNT
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS 101 �wA,-aV,r STET 5utgf- 113 41Mwr*rkxrn5
l c.q
2.
Person to contact in case of emergency- P-c*'( ►-,acN-
Telephone
number: SFCWh`( 8o`(o
3.
Does the building in question have electricity?
� Yes
(a) If No, are you requesting that the electricity be
turnEd on?
No
Yes
Cl N o
4.
The building is sprinklered?
Z Yes
5.
Operations will produce dust/wood shavings or similar
0 No
material?
❑ Yes
6.
Operations °4,ill involve th(� repair or replacement of
automobile
No
❑
parts?
Yes
No
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? ❑ Yes
7. The business is drinking, dining or assembly use that will No
result in an occupant load of more than 50 persons. ❑ Yes
8. Tne following best describes my operation; No
Office Only
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end product)
Restau /Take Out Food
Medical / Dental
Other (describe)
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? ❑ Yes
RNo I'
If Yes, indicate quantities:
Material 4uantit,/
1. flammable liquids
Class I -A
Class I-B
Class I-C
z.
Combustible liquids --
Class 11
Class Ill -A
3.
Combination flammable liquids
4.
Flammable gases
5.
III
Liquefied flammable gases
6.
Flammable fibers - loose
7.
Flammable fibers - baled j
8.
Flammable solids
9.
Unstable materials
10.
Corrosive liquids
11.
Oxidizing material - gases
12.
Oxidizing material -- liquids
i 13.
Oxidizing material - solids {
14.
Organic peroxides
15.
Uitromethane (unstable materials)
1
r 16.
Ammonium nitrate
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
18.
Highly toxic material and
poisonous gas
19.
Smokeless powder
20.
Black sporting powder
I hereby certify t at the above information is true and correct to a
the best of my novel e. k
Signature
Date
F
j
South Coast
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000
AIR QUALITY PERMIT CHECKLIST
for nonresidential buildings only
Company Name: VA-tt�ic- 15-5e 50 cD?-PD IL'
Location of Property: 2Wf-t
City: 2e"-S-14 Zip Code: 2-4 4
Contact Person: V--Ocii Title: M �
Telephone Number: -71 Lk - SZ, - Z—VLI Fax Number:
Type of Industry/Business: 1r2?fz4F'550- Bares
To a,7ply 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? X]
2. Will any internal combustion engine with greater than 50 horsepower
operate at the facilit; (excluding motor vehicles)?
3. Wili operations at the facility involve mixing, blending, or processing of
solvents, adhesives, paints or coatings?
4. Wi! I dust or smoke be generated at the facility?
5. Will refining of any liquids or solids be done at the facility?
an1(7 tin of materials be done at e facility? L I M
Q. Willy p
Management District (AQM.D). Please read the regruremeats on UIC baC-K o e C
(800) 388-2121