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Home My WebLink About101 Main St - CofO (67)CERTIFICATE OF OCCUPANCY r CITY OF HUNTINGTON BEACH Date Address i t S District Business Name ut I- t `:1 I t. t I I;:i Te; ; Iz_r. < Business Type f% i lt.I ( Occ. Group BUILDING OY:NER BUSINESS OWNER/MANAGER h"N' L. ALLEU-L:71,t I Name Name — Home Address 1 �' 0 L ikGTr Address — City _ C:[iI IilIv L'ALLI !Tel. j t "` Home [ = City Tel. Construction No. of Stories Occupant Load Sprinklers _ CONDITIONS OF APPROVAL DEPARTMENT OF COMMUNITY DEVELOPMENTThis Certificate of .Occupancy SHALL RE posted in a conspicuous place on the premises and shall not be removed except by the by Building Official. L! r�. te�jflj APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT HUNnNGTON BE40i (PRINT TTpOR TYPE ONLY) DATE -��/f _ Address —.�! � "C �"�'"'� — Distract Business Name Tel.i%i�0 6-d-& `f'576 Business Type Occ. Group i BUILDING OWNER BUSINESS OWNER/MANAGER Name /7%7mQ cG i%6t%r /i„�i� Name .jai» CJ Home Address �P 9 D d a e�`e {T�--� Address City /-VU In -/a Tel J7 96 City Home Tel. THIS USE WOULD BE DESCRIBED AS: E NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT ❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use. if any Occupancy Gr Div i SQUARE FT. OF BUILDING TO BE OCCUPIED-3; pad 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 'he 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. 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 fro the street. ✓�/��j 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 4 (FOR OFFICE USE ONLY) ZONING SUPPLEMENTAL INFORMATION OCCUPANCY GROUP PLAN CHECK NO NO PARKING SPACES OCCUPANT LOAD PERMIT NO _ HEALTH DEPT APPROVAL t NO OF TORIES ADMIN ACTION UTILITIES RELEASED - ��'' CERTIFICATE OF OCCUPANCY FEE WM-OV BY DATE CHANGE OF USE OR OCCUPANCY FEE S TOTAL g 75.039 Rev. 11/90 COMMUNITY DEVELOPMENT SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS �� I 2. Person to contact in case of emergency - Telephone number: , 3. Does the building in question have electricity? No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? E-Y—es ❑ No 5. Operations will produce dL ,t / wood shavings or similar ❑ Yes material?_ 6. Operations will involve the repair or replacement of ❑ Yes automobile parts?— i If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? El Yes The business is drinking, dining or assembly use that will ❑ Yes result in an occupant load of more than 50 persons. RL-Al10- 8. The followin best describes my operation; Mice OnI Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant/Take Out Focd Nfiedical / Dental Jther (describe) F. SUPPLIMENTAL INFORMATION t r I SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? G Y.5 ❑ No If Yes, indicate quantities: I Material Quantity 1. Flammable liquids Class I -A C Class I-B Class I-C _ 2. Combustible liquids ` Class 1": - Class Ill -A - f 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases — 6. Flammable fibers - loose 7. Fiammable fibers - baled g. Flammable solids g. v lJratable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizinq material - solids 14. Organic peroxides - F 15. Nitromethane (unstable materials) _ 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weight 18. Highly toxic material and poisonous gas 19. Smokeless powder 20. Black sporting powder ---- I hereby certify that the above information is true and correct to I the best of my knowledge. Signature ---- Date t M r l ' N;_,;pit: ° f he prz. t, , -. dtii ihi:' fora" to pilrit atn, Ke ELM_ The p,N7al preparing t c:6 iS3r'3i a-c`i.9.it be The aan1F.' (3e,;�Jvv:(31,"{ti�f.�. 't. follorili g .�f. csftns t.,,g �i .'irwS your proposed occupancy to t c. z.sbjj ''t !3 3il(IcSC � N- YOU Du �<'� 6 i:'C i� 4C THE Al'l,`'aOIER TO A i ESTION, MARK IN THE "YES" DOt- ,"Nift W AMID PERMXc PMCn CE,4iECKUST AYES lU `r GIr 1. Does:, your facility use any internal combustion engines c r ntor than 50l-IP? _-_ _--�_-___- 2. Does your facility invo,ve mixing, blending, or process,tTiq any solvents, adlhe ;ivos, paints or coatings? 3. Dc s your facility create any dusts or smoke? 4. Does your facility refine any liquids or solids or ;eclairs any mefals? f 5. Does your facility plate or coat anything? 6. Does your facility have any combustion equipment (i.e. boiler, furnaces, broiler, U-sking ovens, etc.) rating greater than 2,033.000 BTUIIAR? 7. Does your facility handle or store solvents or motor fuel? &. Do you use or store any acids? g. € o you use &ny chemical process?��- 1=3. Do you use any solvents for clean-up? 11 Are you a dry cleaner, restaurant with a charbroiler, body shop. gasc(ine station, printer, c part coater? 42. Is the sub pect buiUd .gi located within one thou�-,;� lad (i,000) feel of any school? PROPERf Y LINE TO PROPERTY LINE. GRADES K-12. If you have mar 'ed "NZ' in all columns, you do oci r 2, dam Al r ual!b4 _...,{. at tl..0, u ma. ked any quasite. ,s In the "YES" cv'- m.4't y cu nius. contact.he e wSiS}ult-, � rust e iS at: _.'W i`s.i�r . sa"i,� �C3^e at �. o i i; tad 21865 E. Cop1e; Diamond Bar, CA, 91735-4 1 S2 Please hall: Plan Ch-4r_,i; 39C f- 0ag r 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 obtaiin a written release from AQMD to show the applicant has complied with this law. The check. list on the reverse side s designed 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 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 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. ADDITIONAL SUPPLIMENTAL INFORMATION M