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Home My WebLink About101 Main St - CofO (68)CERTIFICATE OF OCCUPANCY 6f2/' CITY OF HUNTINGTON BEACH Date Address 101 hAII! t4 hLF District Business Name. JAC9 1 SUFFFCAkDS Tel. 71h—.r 1C-4 6 Business Type OFFICE LSE Occ. Group c —e BUILDING OWNER BUSINESS OWNER/MANAGER AI-NAD ALEELNUTI SANE AS BUILDING 0khER Name Name Address 18900 LAKC;TA Home Address City FOUNTAIN, VLY Tel. _ 714-96-,"'j900 City Time � Construction No. of Stories F Occupant Load Sprinklers CONDITIONS OF APPROVAL CoinvErts: OFFICE USE ONLY y DEPARTMENT OF COMMUNITY DEVELOPMENT qq This Certificate of Occupancy f SHALL BE posted in a conspicuous place on the r premises and shall not be removed except by the by Building Official i COMMUNITY DEVELOPMENT --7 411.31* APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT Humor+ erwat ATE (PRINT Off TYPE ONLY) Address` 0�r/� District ` Business Name V sZ/I�%/�a/� S� Te7f 7 �� + r Business Type d2�G� C%s� Occ. Group Qom, �,�,�BUILDIINNG OWNER / BUSINESS OWNER/MANAGER Name ,,�L'L��3.�—rT��J! Name �<LL G Home Address ]yd �� 1 7 0— Address CitW4 Tel City Home Tel. THIS USE WOULD BE DESCRIBED AS: 9 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 01tl 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. 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 be paid to the city. �J 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) 1 (� inches in height with one half (%z) 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 Sec..on 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). r /y fa • I b . 94 (FOR OFFICE USE ONLY) SUPPLEMENTAL "" i�MA710N OCCUPANCY GROUP PLAN CHECK NO ZONING NO PARKING SPACES OCCUPANT LOAD PERMIT NO. HEALTH DEPT APPROVAL p NO. OF STORIES ADMIN ACTION t�% `'3 1— UTILITIES RELEASED ZX e/ERTIFICATE OF OCCUPANCY FEE $ APPROVED DATC/CHANGE OF USE OR OCCUPANCY FEE $ dG TOTAL $ 75-039 Rev, t 1/so COMMUNITY DEVELOPMENT Jul ,` " Ao SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 2. Person to contact in case of emergency- 4�/.�E'?�-t/T7 Telephone number: 3. Does the building in question have electricity? Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? -igLYes ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes XNo 5. Operations will involve the repair or replacement of ❑ Yes automobile parts? J�K No i If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes A No I 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes j i ", No 8. The #ollowidescribes my operation; best I Office—onnly, Retail Sales 1. Warehouse Manufacturing / Distribution (describe process and end produc') Restaurant/Take Out Food , Medical / Dental Other (describe) SUPPLEMENTAL Does the operation involve any of the ' INFORMATION (Continued) following materials? f3 Yes No If Yes, indicate gUantiiies; Material- Quantity 1. t Flammable liquids Class I -A Class 1-6 Class I-C � 2. Combustible liquids Glass If i 3. Class 111-A Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled 8. Flammable solids 9. Unstable materials- 10. Corrosive liquids 11. Oxidizing material - gases 4 12. Oxidizing matF. ri4 --liquids G 13. Oxidizing material - solids 14. Organic peroxides — 15. Nitromethane (unstable materials) 16. ',Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 600,b nitrate by weight 18. Highly toxic material and poisonous gas 19. Smokeless powder 20. Black sporting powder t hereby certify that th P. above information is true and correct to dge. the best of r�W4 AW ignat a at SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property: - Property Owner Name/�} 4C7i___ —_ _ Phone #:yv7�^ YS� Name of the person preparing this form in print and signature: Signature. -- -- The person preparing this form must be the same persc a applying for buildf permits. lease 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: AQMD PERIVI.TTING CHECKLIST YES NO 1. Does your facility use any internal combustion engines greater than 50HP? 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? 5. Does your facility plate or coat anything? 6. Does your facility have any combustion equipment (i.e. boiler, furnaces, broiler, baking 3vens, etc.) rating greater than 2,000,000 BTU/HR? 7. Does your facility handle or store solvents or motor fuel? S. Do you use or store any acids? 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? 11, Are you a dry cleaner, restaurant with a charbroiier, body shop, gasoline station, printer, or 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 have marked any questions in the "YES" column you must contact the South Coast Air Quality Management District located at: 21865 E. Copley Drive Diamond Bar, CA 91765-4132 Please call: Plan Check (909) 396-2000 I I `4 N Government Code Section 65850.2(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 Community Development must obtain a written release from AQMD to show the applicant has complied with this i.w. The check i list on the reverse side is designed to help the applicant and the building division to meet t,iese requirements. 1. The applicant (the some 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 BuildingDivision can accept the P check list 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 applicant will obtain a written release from r AQMD. 5. If air permits are required, the applicant must submit the necessary 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 ADDITIONAL SUPPLIMENTAL INFORMATION i k