HomeMy WebLinkAbout101 Main St - CofO (26)CERTIFICATE OF Qf♦CUPANCY
CITY OF HUNTINGTON BEACH
Address _
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Date
Business Name L:l
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District
Tel,
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Business Type L`LI ELCr'LESIAUTi,1,'�1-�
Occ. Group
BUILDING OWNER
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BUSINESS OWNER/MANAGER
Name
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Name I RY
ELLEFEEC H
Address
Home
Address
to 7 r 1P A 1' -- f� I
City
Tel.
City i'%.�f1'i
F't'I` Home
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Construction
No. of Stories Occupant Load- t'
�: Sprinklers
CONDITIONS OF APPROVAL
This Certificate of Occupancy
SiHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the
Building Official.
DEPARTMENT OF COMMUNITY DEVELOPMENT
by
tog
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
MUNMGTON BEAQ{
(PRINT OR TYPE ONLY) UATE
L AAddress 161 MGi f �1 �J �ir.� �... -` 1 L� District
ABBuusiness Name Tel.
/Business Type 'Po Occ. Group_
/ BUILDING OWNER BUSINESS OWNERlMANAGER
,,Name A6 dJ Y'Y'1AZL 1 �C r is G — !{Name JGLY 6<6 C' akn
t
C/Address qd d6mgess1-1
deity Tel. City_s Home TeilZ
HIS 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
* 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.
l 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
(�7'�2 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
1d- 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.
cif 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphl t 10 (see reverse side).
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION ZONING—Y'
OCCUPANCY GROUP— ' �`- PLAN CHECK 40. 5? 3 NO. PARKING SPACES _
OCCUPANT LOAD �S�" PERMIT NO. � HEALTH DEPT APPROVAL
N0. OF ST RIES ADMIN. ACTION �• UTiLITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE
APP VED j? DATE CHANGE OF USE OR ,"--,UPANCY FEE $ rCJ
TOTAL $ r0 s--
SUPPLEMENTAL INFORMATION
I
1.
BUSINESS ADDRESS f Q / M ir, S'+, StL a :41
Jr
2.
Person to contact in case of emergency+
Telephone number:
r
3.
Does the building in question have electricity',"
`ves
No
(a)- If No, are you requesting that the electricity be
Yes
turned on?
0 No
4.
The building is sprinklered?
I, Yes
C1 N c,
5.
Operations will produce dust/ wood shavings or similar
material?
❑ Yes
Jff No
0.
Operations will involve the repair or replacement of
0 Yes
automobile parts?
No
If Yes:
(a) Describe the components repaired or replaced.
flame? 0 Yes
(b) Does the operation involve the usz of an open
No
?.
The business is drinking, dining or assembly use that
will
result in an occupant load of more than 50 persons.
Yes
O No
S.
The following best describes my operation;
Office Only
Retail
Warehouse
Manufacturing / Distribution (describe process and end product)
estaurant / Ta
Medical Dental
'Other (describe)
SUPPLIMEN T AL INFORMATION
SUPPLEMENTAL INFORMATION (Continued)
Does the operation _invbtvo'- any of `° the ' f.011,0wing . ateriais? L7 Yes
Cl No
If Yes, sdioatequaritittes:` Y -
Mat e► 'al Quantity
1. Flammable liquids _
r Class I -A
Class I-(
Class I-C _
2. Combustible liquids
Class i1
Class III -A
3. Combination flammable liquids
4. Flammable gases
5. I-iquefied flammable gases
6. Flammable _fibers - Io'ose
7. Flammable fibers b._lIed
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.
k Nitromethane °�funstable ;materials)
16. Ammonium nitrate '
17. Ammonium nitrate compound, _ nd mixtures
...:.,. .. _
p x
containing more than 60% nitrate
by weight
18. Highly toxic material and
poisonous gas
1.9,_ Smokeless_ :,po,wder
r
Government Code Section 66850.2(b) requires that the City of Huntington Beach not issue the final
certificate of occupancy unless the applicant has met or is meeting the requirements of the South
Coast Air Quality Management District (AQMD). The Department of Communhy Development must`
obtain a written release from AQMD to show the applicant has complied with this law. The check
list on the reverse side is ucaigned to help the applicant and the building division to meet these
requirements.
1 The applicant (the same person who applies for permits from the
Department of Community Development) must complete the check list
which can be obtained either from the Department of Community
Development or at AQMD.
2. If all boxes in the list are checked "no", the Building Division can accept the
checklist as the release.
3. If there are any "yes" answers in the list, the applicant must contact an
AQMD engineer by calling (714) 396-2000 ,to find out whether air permits are
required for the proposed construction project:
4. If air permits are not required, the appAcant will obtain a written release from
AQMD.
5. if air permits are required, the applicant must submit the necessar
y permit
applications before the release can be issued.
Because of the time it may take for AQMD to go through the above procedures, the applicant is
advised to contact AQMD immediately after applying for building permits.
I
i
(1360D)
ADDITIONAL SUPPLIMENTAL INFORMATION
v'
SOUTH COAST AIR OUALI T Y MANAGEMENT DE T RICE'
(Nonresidential Buildings Only
Location of Subject Property: -17 - �iCt I 514A s.r—10
Property Owner Marne:_ � _ Phone #(L �3�--1����
Marne of the person preparing this form in print and signature
The parson pry paring this form must bq the same person applying for bui!ding permits. Please answer the
fo=lt Oft questions regarlding your propoded occupancy, € U of the subject building. IF YDO NOT KNOW,
TIDE ANSWER TO A QUESTION, MARK IN THE "YES" GOl..11MN:
AWD PERRII T TIMG CHECKLIST
_ YES
NO
1.
Dues your facility use any internal combustion engines greater than 50HP? __ T
2.
Does your facility involve mining, blending, or processing any solvents,
adhesives, paints cr coatings?_-
3.
toes your facility create any dusts or smoke.
4.
Goes your facility .refine any liquids or solids or reclaim any metals?
5.
Does your facility+ date or coat anything?
6.
Does your facility have any combustion equipment (Lei boiler, furnaces,
broiler, baking ovens, e$C„) rating neater than 2,000,000 STuI%iR. _
�
Does ydur facility nandle or store `solvents or rfiotor fuel -
8.
I
any
Go you use or store acids?
y �
9.
Do you use any chemical pro^ess?
10.
Do you use any solvents for clean-up?
11.
Are you a diy cleaner, reau►�1� ver, body shopf g salines�►a ae3
station, 9nter, or Kart C3ateC?S
_
i 2.
I_
c � within
l.� the sub'e�'� • building nova. Qd : hi n �t ►�( n $ �C n one thousand fe n
� OOt� et of a
I � 9 ) J
school? PROPERTY LWE TO PROPERTY LINE. GIADES K-12.
If you have marled "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked
any questions in! °tre "YES" column you must contaci the South Coast Are' Qua,,ty Management District located at:
21865 = f a y y(e _� i e
w� r
Diamond liar, ,A 6l ,r6`i. 4�182
Please call: Plan {1(,. r�;k a,109) 3'36-2000
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
21865 East Copley D' ive, Diamond Bar, CA 91765 Permit No. ,
D78385
PERMIT TO CONSTRUCT/OPERATE A/'� 2 3
=�...�.�+.. — Page 1
P
aet.•
Equipment Location: 101 MAIN ST, STE #410, HUNTINGTON BEACH, CA 92648
F.quiipment Description:
CHARBROILER, NIECO, MODEL NO. 962, 2'-113/8" W. X 3'- 2 3/8" L. X 6-5 3/4" H., 96,000 BTU PER HOUR,
WITH SIX NATURAL GAS BURNERS.
Conditions:
1'. OPERATION OF THIS EQUIPMENT SHALL BE CONDUCTED IN ACCORDANCE WITH ALL DATA.
AND SPECIFICATIONS SUBMITTED WITH THE APPLICATION UNDER WHICH THIS PERMIT IS
ISSUED UNLESS OTHERWISE NOTED BELOW.
2. THIS EQUIPMENT SHALL BE PROPERLY MAINTAINED AND KEPT IN GOOD OPERATING
CONDITION AT ALL TIMES.
3. THIS EQUIPMENT SHALL. BE FIRED ON NATURAL GAS ONLY.
4. THE TOTAL AMOUNT OF MEAT PRODUCTS PROCESSED IN THIS EQUIPMENT SHALL NOT,
EXCEED A MAXIMUM OF 125 POUNDS IN ANY DA'f.
5. AN OPERATING RECORD OF THIS EQUIPMENT SHALL BE MAINTAINED IN A WRITTEN FORM.
THE RECORDS SHALL INCLUDE, AT A MINIMUM. THE HOURS AND DAYS OF OPERATION,
THE AMOUNT OF MEAT PROCESSED THAT DAY OR A CASHIER'S RECEIPT WHICH SHOWS
THE QUANTITY OF CHARBROILED PRODUCT SOLD THAT DAY, AND THE DAILY AVERAGE
AT THE END OF EACH CALENDAR MONTH. THE OPERATING RECORD SHALL BE KEPT FOR
A MINTMT TM f1Fi 'i'Wn V-V n n e
t,
Permit No.
D78385
A/N 236633
Page 2
NOTICE
IN ACCORDANCE WITH RULE 2()6, THIS PERMIT TO OPERATE OR COPY SHALL BE POSTED ON OR
WITHIN 8 METERS OF THE EQUIPMENT.
1 THIS PERMIT DOES NOT AUTHORIZE THE EMISSION OF A.
ACONTAMINANTS IN EXCESS OF THOSE
THE
EY DIVISION 26 OF THE. HEALTH AND SAFETY CODE OF THE STATE OF CALIFORNIA ORTHE RULES OF THE AIR QUALITY MANAGEMENT DISTRICT. THIS PERMIT CANNOT BE
CONSIDERED AS PERMISSION TO VIOLATE EXISTING TAWS, ORDINANCES R $ EGULATIONS OR
i STATUTES OF OTHER GOVERNMENT AGENCIES. '
4
EXECUTIVE OFFICER
r
By Dorris M. Bailey/hd
11/15/1993