HomeMy WebLinkAbout116 Main St - CofO (4)_I
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Date
Address 1 It 6 iV. e' T F1
District
Business Name O l :I�
Tel.
%aril
Business Type
Occ. Group E �"—`
BUILDING OWNER,
BUSINESS OWNERWANAGER
Name
Name _
Address i'r c ,`i Ir v 1
Home
Address 200, r CE
CityIli: 4 CA Tel. 7 i -» 3ti O : ' i City I•lT�, CA Home
Tel.
1 1 �i._tl4 1--2564
Construction No. of Stories
Occupant Load 7 Sprinklers
CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY
DEVELOPMENT
,r.
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
P, ° ses and shall not be removed except by the
by
i
Beading Official.
COM,—,9UNITY DEVELOPMENT'
0
7
APPLICATION FO€,;' CERTIFICATE OF OCCUPANCYal CITY OF HUNTINGTON BEACH109
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNTIN ON KAP0. (PRINT OR TYPE ONLY) DATE -
?4dress S� /�C j i Zfs District
3usiness Name rr/? Tel-
Ausiness Type moo 5i� �'c�/C Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
'Cc1 �/✓ �it� fo n/ rl7
Name me
Address— Home
Address �' _AddressZ '� �� i'_�%2 l
7 --
City —Y % /4'' Tel --�City A62& Home Tel.
THIS USE WOULD BE DESCRIBED AS`.
❑ -NEWLY CONSTRUCTED BLDG, *N,�,�OF OWNER j CHANGE OF OCCUPANT
lJ EXISTING BUILDING ❑ CHANGE OF USE LJ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr. Div.
SQUARE FT. OF BUILDING T BE OCCUPIED-y
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 releasod 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 inspec".ion of a building or
1 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
{ V be paid to the city.
J4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of foul (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 strepy
5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection distribudi? er the
National Fire Protection Association pamphlet 10 (see reverse side). "-)®
p
(FOR OFFICE USE ONLY)
f SUPPLEMENTAL INFORMATIO -� ZONING _
OCCUPANCY GROUP ~� PLAN CHECK NO NO. PARKING' SPACES`
OCCUPANT LOADPERMIT NO. HEALTH DEPT. APPROVAL
NO. OF STORIES — ADMIN. ACTION UTILITIES RELEASED
Alz c� lI CERTIFICATE OF OCCUPANCY FEE
APPROV f3Y DA7E CHANGE OF USE OR OCCUPANCY FEE —C)
TOTAL g
I
75•039 Ree 6/88 COMMUNITY DES ELP,
� i
µ
SUPPJEMENTAL INFORMATION
1. BUSINESS ADDRESS _ A MAld St- ,yyNN"`�9�.cfi AZd
2. person to contact in rase of emergency: jp44-#Le,
Telephone member; sa ,l' -76
Z-) g Yet 771/ 1 9 4/9
3. Does the building in question have electricity? 0 Yes
6 ONo
a. If No. are you requesting that the electricity be des
turned one C3No
4. The 'building is sprinklered? eyes
ONO
5, operations will produce dust/wood shavings or similar
material? OYes
[moo
6. Operations will involve the repair or replacement of Oyes
automobile parts? emo
If yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of ate n flea"? Mes
D NO
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than -50, persons. Dyes
ONO
S. The following hest describes my operation:
Office Only
Retail Sales
warehouse
Manufacturing./Distribution (describe procesi and end
L
product)
eat —an a ®o a
Medical/Dents
Other (describe)
a
i
i
SUPPLEMENTAL, INFORMATION (Continued)
Does the operation involve any of the follo4ing materials? ❑y
�o
es, In ica a quant ties:
Material quantity
1. Flammable liquids
Class I- A
Clans I-B
Class -I-C
2. Combustible liquids
Class Ir
Class III -A
3. Combination flammable liquids
4. Flammable gases
5 Liguefied flammable gases
6. Flammable fibers loose
7. Flammable fibers - bared B. Flammable solids
9. Unstable materials
10. Corrosive liquids -
11.. oxidizing material gases
12. Oxidizing material liauicLs
13. Oxidizinc material -,_solids
- i
14. Organic j2eroxides -
15. Nitromethane (unstable materials)
i
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
® containing more than 60% nitrate
by weight
18. Highly toxic material and
I
_^poisonous-
19. smoltele ss powder
20. Black s2orting powder
I
I hereby certify that the above information is true and correct to the
test of my knowledge.
rTa t u r, 6a e
(0562D) -
i
r
0
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT +i
(Nonresidential Buildings Only)
Lobation of -Subject Property: /J SVi1.�ff% r rJ �x-1
w5e
Property Owner naive: Phone # SAY 7d-zW
Name of the person PrENaring this form in print and signature
Name A14210nl6 , __i,6onJ6 Signature --
The person preparing this form must be the same pens n applying or
building permits. Please answer the following questions regarding your
proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER
TO A QUESTION MAPX IN THE "YES" COLUMN:
SCAQMD PERMITTING CHECKLIST
YES NO
1. Does your facility use any internal combustion
engines greater than 50-HP?
2. Does your facility involve mixing, blending, or r-
processing any solvents, adhesives, paints I
or coatings?
3. Does your facility create any dusts or smoke?
4-. Does your facility refine any liquids or solids? II,
Reclaim any metals? El
5e Does your facility plate or coat anything?'
6 Does your facility have any combustion equipment
i.e. boiler, furnaces, broiler, baking ovens, etc.}
rated greater than 2,000,000 BTU/HR?
7. Does your facility handle or store solvents or motor
fuel?
8. 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 charbroiler, L
body shop, ,gasoline station, printer, or part coater?
12. Is the subject building located within: one thousand
' (1,000) feet of any school?
i
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 ti.,ie. If you have marked any questions in the "YES" Column
you must contact the South Coast Air Quality Manaqement District located
at:
9150 FLAIR DRIVE, EL-MONTE, CA 91731
Please call 'these offices: Plan Check (818) 572-6406
(818) 572-6111, (818) 572-6261
D:AL00603