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HomeMy WebLinkAbout101 Main St - CofO (26)CERTIFICATE OF Qf♦CUPANCY CITY OF HUNTINGTON BEACH Address _ i 7 s' F" I, z i i Date Business Name L:l iGz R ii 7_I-'c.- District Tel, rat' f1 t — Business Type L`LI ELCr'LESIAUTi,1,'�1-� Occ. Group BUILDING OWNER � L lai_ l l D V Go. BUSINESS OWNER/MANAGER Name « _--- � � 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 ft diFr,.,. t. 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