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Home My WebLink About101 Main St - CofO (86)CERTIFICATE OF OCCUPANCtf r � r ✓ 1 �; / � CITY OF HUNTINGTON'BEACH Date Address i P+H 1l.; i District Business Narre I�.hme� „,t:hF'I.CATLL; _ Tel, Business Type � GF°F'ICE U.::I Occ. Group BUILDING OWNECI BUSINESS OWNER/MANAGER. Al- Nl ALL ELI,' UTI _ ANrE Name Name Address 11 r900 DAKOTA Home Address City Fi;UPTA N VALLEXTel. 14--c; Home _ C,t [ City Tel. _ Construction t No. of Stories Occupant Load _ Sprinklers CONDITIONS OF APPROVAL Comm, nts: TELPChAFY C CF c: - 1 AXIMUI� IE:Ir, (K) LAYS DEPARTMENT OF COMMUNIT )EVELOPMFNT This Certificate o' Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed excep by the by Building Official. I , A a j APPLICATION FOR CERTIFICATE OF OCCUPANCY / 01 CITY OF 'HUNTINGTON BEACH riur+nuGTo►+sae DEPARTMENT OF COMMUNITY DEVELOPMENT (PRINT OR TYPE ONLY) DATE i /- Address _ �� `La—� T .� District Business Name Business Type Occ. Group BUILDING OWNER BUSINESS OWNERIMANAGER Name Name— . Csx ire CJ Address 9 D o %�-a_.eQ Home Address City /` o � i n rc �/ Tel. ��`1U City Home Tel. - THIS USE WOULD BE DESCRIBED AS: [� NEWLY CONSTRUCTED BLDG, ❑ CHANGE OF OWNER CHANGE OF OCCUPANT ❑ EXISTING BUIi_DING L.I CHANGE OF USE ADDITIONAL OCCUPANT Indicate former use, if any Occupancy Gr. Div SQUARE FT. OF BUILDING TO BE OCCUPIED4.1 OG'b 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 b, gilding until the service has been inspected and certified safe. All applicants for occupancy in an existing building are required to schedule an electrical r 'fuse up' inspection in the Department of Community Development at the time this application is filed, 3. Chareye 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 be paid to the city. '\7 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be minimum of four (4) E l inches in height with one half ('/2) inch stroke, and of a contrasting color from the i 9 background. These numbers must be posted on your building in a location that is visible fro the street. �1 (� 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher ction and distribution per the National Fire Protection Association pamphlet 10 (see reverse side w i 1( 7 (FOR OFFICE USE ONLY) d_ SUPPLEMENTAL INFORMATION ZONING OCCUPANCY GROUP PLAN CHECK NO. NO PARKING SFACES OCCUPANTLOAD PERMIT NO. HEALTH DEPT, APPRO,'AL NO. OF DRIES ADMIN. ACTION --UTILITIES RELEASED �- CERTIFICATE OF OCCUPANCY FEE $ f� PROV BY DATE CHANGE OF USE OR OCCUPANCY FEE g- TOTAL 75o3s Rev. tt/so COMMUNITY DEVELOPMENT 1 SUPPLEMENTAL INFORMATION t r 1. BUSINESS ADDRESS _ 2. Person to contact in case of emergency gd Telephone ` number: 3. Does the building in ques`+on have electricity? ❑ No (a) if No, are you requesting that the electricity be ❑ Yes Q No turned on? R-Y—es 4. The building is sprinklered? No 5. Operations will produce dust/wood shavings or similar - ❑' Yes material?. 6. Operations will involve the repair or replacement of - ❑ Yes automobile parts? 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 ❑ Yes result in an occupant load of more than 50 persons. 8. The followin best describes my operation; ffice Oni Retail Saies Warehouse Manufacturing / Distributioi (describe process and end product) Restaurant / Take Out Food Medical / Dental SUPPLEMENTAL, INFORMATION (Continued) Does the _ operationinvolve" any. �of% ..the . following `.cnaterial.sT, Yes No If Yes,indicate quantities; = A d Material Quantity 1. Flammable liquids -Class I -A W Class I-B 'Class I-C 2. Combustible liquids class 11 `Class 111-A 3. Combination flammable..liquids 4. Flammable gases 5. L!,quefied flammable gases 6: Flammable fibers loose'' 7. Flammable fibers - baled 8. Flammable solids 9. Unstable materials 10. Corrosive liquids 11 Oxidizing material gases _ 12. Oxidizing material -- liquids 13. Oxidizing material solids 14-. Organic peroxides 15. Nitromethane ("unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compoundmixtures containing more than 60% nitrate r by weight 18. Highly toxic material and, poisonous gas 19. Smokeless powder _ 20. Black sporting powder SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property:._ Properly Owner Name:^A_C_.- Prone #: _2�-� Name of the personpreparing this forrr? in print and signature: Name: e Si . i,, I . nature- . �. v The,person preparing this forrrr rrrust be the sarne:per4onj applying for buildin Ig. rits. Please answer the following questions regarding your proposed occupancy of the subject 4,wilding. Ilt YOU DO W KNOW THE ANS"Jti`I;R TO A QUE8"riON, MAPK IN Tl it:� 'IYES" `C:- 01*UMIV: ..? AQM0 PERMITTING CHECKLIST" DES; - 1. Does your facility ud,e any'internai combustion dnginds cgreateriFoaii 5ok\O? 2. Does your facility involve mixing, blending, or processing any so►vents, adhesives, paints or coatings2 8. Does yo6e facit4tj� or6ate d6y4dusts or s '01< 4. Does your facility refine any liquids or solids or reclaim any metals? 5 goes our facitit ! , t r ' ` I. ,l , No y y V a e o coa. anything. ��✓'- 6. Does your facility ha.,e any combustion equipment,() n, boiler, furnaces, broiler, baking ovens, etc.) rating greater than 2.000,000 BTU/HR? 7. Does your facillty° handle or storesolvents or m6tor fuel? 8. Do you use or ;.store any acids? . -- 9. 00 you use any chemical process? .v �-- 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant wiThila charbfoller, body shore, gasoline station, printer, or part coater? Y`- 12. Is the subject building located within one thousand (1,000) feet of any school? PROPERTY LINE TO PROPERTY LINE. GLADES X-12. If you have marked "Nth" in all columns, you do not treed an Air Quality permit at this time. If you have marked any questions in the "YES" column you must contact the South Coast A r Quality Management Distdot'ocated at: 21865 E. Copley Drive Diamond Bar, CA 91765-4182 Please call: Ilan Check (909) 396-2000 Govern ment,Code-Section-65850.j(b) requires that the City certificate of'- unless the applicant has met o y of Hunti'ngton'Beachrnot issue the final Coast Air Quality fdlanagement District (AQMD), The Depa rtment oiy the ireme,; ►ts of the South obtain a written release from AQMD to show the applicant ties complied Community Oveiopment must list on the reverse side is designed to help the applicant and the building P yuith this .law.: The check requirements. g division to meet these t . The applicant (the same person who appNes for permits he Department of Community Development) must complete the cchec which can be obtained either from the Department of Communityheck list Development or at AQMD. 2. If all boxes in the list are checked "no" the Building Division can accept the check list as the release. 3. If there are e n "Yes" » Y Yes answers in the list, the applicant must contact an AQMD engineer by calling (714) 396-2000 to find Out whether air required for the proposed construction project. Permits are 4. If air permits are not required, the applicant obtain a written AQMD. ' itten release from ` 5. If air permits are required, the applicant must submit the nec essary permit applications .before the release can be issued. Because of the time it .may take for AQMD to go through the advised to contact AQMD immediately after applying for building procedures, the applicant is 9 Permits.