HomeMy WebLinkAbout101 Main St - CofO (72)e
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CERTIFICATE OF OCCUPANCY
U/15/97
F CITY OF HUNTINGTON BEACH _
i Date
Address 101 MAIN 't � i J District
Business Name BURGER KING ti "! T t4£' Tel.
714-.374-.1306
Business Type
RESTAURANT Occ. Group _A3
BUILDING OWNER BUSINESS OWNER/MANAGER !
MICE ABDELMUTI jun QUANG N HUYNri
Name Name
A Home
Address 101 NAIN Address ta74 Si{13i/
City HUNT UCH 92643 Tel. 714-536--656'; City bISi10P Gd 93 Ho —
city 7ti0»a7k4136 {j
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Construction No. of Stories 1 Occupant Load 1 0 Sprinklers
CONDITIONS OF APPROVAL
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DEPARTMENT 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 by
Building Official. <
COMMUNITY DEVELOPMENT
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,ji >� APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HIIINTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
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DATE
HIRirMGTON (PRINT OR TYPE ONLY) G
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,M . l'N S - Gf l d 7�U/V/7/VGA i�A/ District
Address C41 g o2�C{� l j Q
/Z' k`//lJ� Tel_�77� 6Business Name
Business Type hrr�✓^ f�-�- Occ Group 3
BUILDING OWNER BUSINESS OWNERIMANAGER }
IC me c/U/N1 p �CpAVAf-_ IV .,�IlJ�lf'i1},/
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(Name A°I Ike f10E fddress %/ /GfS'/ 7fE/'q 6r Address 6%v SwOIA2 CP"2 Te $ o HomeT 7bo �6ity - LtnTtnls/36
HIS USE WOULD BE DESCRIBED AS:
CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
❑ NEWLY CONSTRUCTED BLDG. I
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
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' <✓�-/i1 Occupancy Gr.—Div.
Indicate former use:, if any n� _
SQUARE FT. OF BUILDING TO BE OCCUPIED
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NOTICE: 1, Occupancyof any building is prohibited and a business license will not be issued untilthe building has been
4 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
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 (1/2) 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.
M. Code Section 10.301 requires fire extinguisher selection and disU ibution per the
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Huntington Beach �! National Fire Protection Association pamphlet 10 (see reverse side).
TRAFFIC IMPACT FEE_ I
DATE PAID —
AMOUNT RECEIVED
NAME (FOR OFFICE USE ONLY) ZONING
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SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES
ROVAL
OCCUPANT LOAD PERMIT NO. HEALTH DENT. A�
NO.OF ORIES --- ADMIN. ACTION UTILITIES RELEA'O-ED
(� ERTIFICATE OF OCCUPANCY FEE g
APPROVED BY � AIAT-7CHANGE OF USE OR OCCUPANCY FEE $ u U
TOTAL $
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7e-039 Rev.1/97 COMiMUN11"f DEVELOPMENT _ r
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS U1 ACVn Si Al : �qD 4&--1-2%j
2.
Person to contact in case of emergencyt76� �7.9--y16
Telephone number: —"
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3.
Does the building in questicn have electricity?
i9 Yes
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C! No
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(a) If No, are you requesting that the electricity be
Yes
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turned on?
No
4.
The building P is s rinklered?
Yes'
El No
5.
Operations will produce dust/wood shavings or similar
material?
❑ Yes
No
6.
Operations will involve the repai, or replacement of
❑ Yes
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automobile parts?
No
If Yes:
(a) Describe the components repaired or replaced.
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(b) Does the operation involve the use of an open flame?
❑Yes
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❑ NO
7.
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
.Yes
D No
8.
The following best describes my operation;
'
Office Only
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
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SUPPLEMENTAL INFORMAMON
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SUPPLEMENTAL INFORMATION (Continued)
Does the operation invc;!ve any of the following materials? r❑l Yes
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If Yes, indicate quantities:
Material Quantity
1. Flammable liquids
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Class I -A i
Class I-B 1
Class I-C
2. Combustible liquids
Class II
Class III -A
3.
Combination flammable liquids
4.
Flammable gases
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Liquefied flammable gases
` 6.
flammable fibers - loose
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7.
Flammable fibers - baled
8.
Flammable solids
9.
Unstable materials
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Corrosive liquids
11.
Oxidizing material gases
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12.
Oxidizing material - liquids
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13.
Oxidizing material - solids
14.
Organic peroxides
15.
Nitromethane (unstable materials)
16.
Ammonium nitrate
17.
Ammonium nitrate compound mixtures
containing more than 601,10 nitrate
by weight
18.
Highly toxic material -end
poisonous gas
19.
Smokeless powder
M
Black sporting powder V
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I hereby certify that the above information is true and correct to
the best of my knowledge.
Signa urY ems- D e
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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 r�
Company Name: �cC;`� c wes L ot�Z'0h CUv ii� rlL�/'� e L ,:�e �We
Location of Property: % % /LtCc-r'h S i -47-- �qO
City: 4�Uh77hC,r ,`, rScci&Z Cam_ Zip Code: 92.6ke
Contact Person: zA6 62C(M 6, Al 61h4 Title: _ Let
Telephone Number:(7,6t) 9Z -/�G Fax Number: (/6 a% 8 7�2- -moo S�
Type of Industry/Business: pz cr/ irk
To a 1 for a nonresidential building permit you must complete this checklist. If you have any
questions about completing this checklist, please call (800) 388-2121.
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S
y 1. Will Vie facility have a charbroiler? totowX1/0
NO
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2. Will any internal combustion engine with greater than 50 horsepower
operate at the facility (excluding motor vehicles)?
3. Will operations at the facility involve mixing, blending, or processing of
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solvents, adhesives, paints or coatings? [ ]
4. Will dust or smoke be generated at the facility?
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S. Will refining of any liquids or solids be done at the facility? [ ]
[
6. Will any plating or coating of materials be done at the facility? [
7. Will arty combustion equipment rated greater than 2,000,000 BTU/hr be
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operated at the facility?
8. Will any acids, soly-nts, 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? [ �
11. Will any CFC (Freon) recycling machines operate at the facility? [ ]
Applicant: Urn 6- IV - #UYIV14 Signature:
(Print name clearly)
hf you have marked "NO" in alt the boxes, an air quality permit is pot needed at this time,
and this checklist is your written release.
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IfY ou marked "'YES" in any of the boxes,you must contact the South Coast Air Quality
1Vlanagement District (AQM D). Please read the requirements on the back of the checklist.
(800) 388-2121
ADDITIONAL SUPPLEMENTAL INFORMATION
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