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HomeMy WebLinkAbout101 Main St - CofO (71)CERTIFICATE OF OCCUPANCY 1 1/ 2 7/ 9 5 s CITY Of- HUNTINGTON BEACH Date 101 MAIN #h 12 District Address 5 3 6 -161 0 JACK'S SURFBOARDS DBA JACKi S GARAGE Tel. Business Name . B 2 RETAIL Occ. Group Business Type BUILDING OWNER BUSINESS OWNER/MANAGER ABDELMUTI DEVEL rFiui MIKE ABD Lrs 1 Name Name Home 101 MAiN Address Address Home HB 53&-656 i TeL City TeL City 56 Construction No. of Stories Occupant Load Sprinklers CONDITIONS OF APPROVAL �f t This Certificate of occupancy SHALL BE posted in a conspicuous place or premises and shall not be removed except b) Building Official. ■ DEPARTMENT OF COMMUNITY DEVELOPMENT X by COMMUNITY DEVELOPMENT HUNTCK.rON BEACH ,APPLICATION FOR C RTIFICATE OF OCCUPA CY \\'v CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT t (PRINT OR TYPE ONLY) DATE Address l a l _I in a. Yta n�1��` � • District a�jt _zl �Jur4 C%�ls dlo� c�LS YQ�C% Tel_bJ F0(D j.DI Q ,/ Business Name s^ Business Type Occ. Group BUILDING OWNER BUSINESS OWNERIMANAGER ,,p Name f�t`n t C�?�i>ZU.k CC3 • , Name Home .,-Address 1C�—/"Address — t}Ltr�h fyCVN CA 9a Dl�% Tel 4 City _Home Tel. City 11�-ta5(n� THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr.—Div. SQUARE FT. OF BUILDING TO BE OCCUPIED 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 r�� certified safe. All applicants for occupancy in an existing building are required to schedule an electrical 1,1 11 'fuse up' inspection In the Department of Community Development at the time this application is filed. 1 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 of the same group of occupancy or in a different group of occupancy, a change of occupancy inspection fee of $ shall I 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 ('/,) 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 --- DATE PAID _ AMOUNT RECEIVED — NAME (FOR OFFICE USE ONLY) _p ZONING ul - SUPPLEMENTAL INFORMATION OCCUPANCY GROUP _ 2.. PLAN CHECK NO. — NO PARKING SPACES OCCUPANT LOAD .3�— PERMIT NO HEALTH DEPT. APPROVAL NO, OF STORIES ADMIN. ACTION OJ �' UTILITIES RELEASED RTIFICATE OF OCCUPANCY DATE CHANGE OF USE OR OCCUPANCY FEE TOTAL culy') $ $ 75.039 Rev, 11/90 COMMUNITY DEVELOPMENT SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS—rnatn S``Int�' �r 2. Person to contact in case of emergency' Telephone number: ; 3. Does the building in question have electricity? Yes `4 ❑ No (a) if No, are you requesting that the electricity be ❑Yes turned on? ❑ No 1.'. 4. The building is sprinklered? ,® Yes ❑ No 1 5. Operations will produce dust/ wood shavings or similar ;i material? ❑ Yes NO 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? '® NO x s i i, 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 ;1 result in an occupant load of more than 50 persons. ❑ Yes ,® No I B. The following best describes my operation; tifi-ee 'etail .' Sales 'Jvfare Manufacturing / Distribution (describe process and end product) Restaurant/Take Out Food Medical / Denta; Other (describe) — SUPP_EMENTAL INFORMATION SJPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? © Yes /l 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 ill -A 3. Combination flammable Liquids i 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled 8. Flammable solids 9. Unstable materials 10. Corros ve liquids 11. Ox diz.ng r: material - gases 12. Oxidi;,ing material •- liquids 13. Oxiuizing material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtuies p containing more than 60% nitrate c. by weight , 18. Highly toxic material and poisonous gas 19. Smukeless powder 20. Black sporting powder I hereby certify that above informat;on is true and correct to the best of my k f ge. Ale ' g na ur to SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only,l Location of Subject Property Owner Name:�'YIU_A�� L!_ — ------ Phone #. 1 CO) f Name of the person preparing this form in print and signature: j�j/�� Name: _----Signature:_ The person preparing this form must be the same person applying for building permits. Please answer the following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION, MARK IN THE "YES" COLUMN: J 4 AQMD PERMITTING CHECKLIST YES NO )( 1. Does your facility use any internal combustion engines greater than 50HP9 : 2. Does your facility involve mixing, blending, or processing any solvents, adhesives, paints or coatings? ----- 3. Does your facility create ah} dusts or smoke? - 4. Does your facility refine any liquids or solids or reclaim any metals? X,--- j k 5. Does your facility plate or coat anything? 6. Does your facility have any combustion equipment (i.e. boiler, furnaces, broiler, baking ovens, etc.) rating greater than 2,000,000 B T UIHR? 7. Does your facility handle or store solvents or motor fuel? _ t 8. Do you use or store any acids? X r' 9. Do you use any chemical process? x 10. Do you use any solvents for clean-up? — X 11. Are you a dry cleaner, restaurant with a charbr0,_gr, body shop, gasoline is station, printer, br part coater? — 12. Is the subject building located within one thousand (1,000) feet of any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. —�-- If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you hale marked any questions in the "YES" column you must contact the South Coast Air Quallty Management District located at: 21865 E. Copley Drive Diamond Bar, CA 91765.4182 Please call: Plan Check (019) 396-2/OW