HomeMy WebLinkAbout116 Main St - CofO (12)y
CERTIFICATE OF OCCUPANCY
CITY OF 4UNTINGMN BEACH
Address
Date
Business Name k.—
— District
,
, :
Businress TYPe _ . , .,
TeL _•
;
Occ. Group
i
BUILDING OWNER
CA t. ' M
BUSINESS OWNER/MANAGER
Name
<<
Name
Address
Home
'
Address
I
City TeL
City t < Home
Construction
No. of Stories
Tel.
Occupant Load
q
;
CONDITIONS OF APPROVAL
Sprinklers
€ ,
{
I
DEPARTMENT OF COMMUNITY DEVELOPMENT
Y
This CertificateOfOccupancy
3
! SHALL BE posted in a conspicuous place
on the
premises and shall not be removed except by the
Building Official
by
COMMUNITY DEVELOPMENT
a
r
h
i �
3
i
i
I
7
TAPPLICATION� � FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH 2
DEPARTMENT OF COMMUNITY DEVELOPMENT DATE I
(PRINT OR TYPE ONLY) }
HUNnNGTON BEACH
Y
District
"A ress Tel '7i T {l �?
Business Name ' Occ, Group—
Business Type i BUSINEy SS nWP1E_' d`ANAGEIi } b
BUILDING j3
�meress
1me Add
a- w hE C Home TeL
ddr o City x
>J_15, � __-Tel.
s
THIS USE WOULD BE DESCRIBED AS:
❑ ❑
CHANGE. OF OWNER CHANGE OF OCCUPANT.
EWLY CONSTRUCTED BLDG ❑ ADDITIONAL OCCUPANT
❑ CHANGE OF USE
L ?EXISTING BUILDING
rev`fL Sal! OccupancyGi _-- Div,
indicate Indicate. former use, it any � IJrOO
SQUARE FT. OF BUILDING TO BE OCCUPIED'
It is prohibited and a business license wfii not be issued until the building has been
NOTICE: 1 • Occupancy Of any building p is issued.
inspected and a certificate of occupancy building until the service has been inspected and i
2. No electrical service will be released for any existing application is filed.
certified safe. All applicants for occupancy in an existing building are required to schedule an ielectrical
ile
fuse up' inspection in the Department of Community Development at the time this app f
be made in the character -of occupancy or use of the building g
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 changer y vision r group of occupancy or in a
or premises whichwould
occupancy, athe bull iof occupancy in peel on Ialelofs$me g p
in shall
different group of p
be paid to the city
tc� r inch stroke, and of a contrasting olor from the background. These t
4, Huntington Beach Fire Code Section 10.208 requires that building r umbers must be a minimum of four (4)
�2 1 inches to height with one hall ( )
f numbers must be posted on your building in a location that is visible from the street. I`
5, Huntington Beach Fire Code Section 10.301 requires (seefir verse 9 de) er selection and distribution per the r
National Fire Protection Association pamphlet
(FOR OFFICE USE ONLY) ZONING
SUPPLEMENTAL INFORMATIONNO PARKING SPACES +
_PLAN CHECK NO HEALTH DEPT APPROVAL
OCCUPANCY GROUP PERMIT NO UTILITIES RELF�SED'
OCCUPANT LOAD U
ADMIN. AC(ION
O. OF STORIES )�
v'
l
DATE CHANGE OF USE OR -)CCUPANCY
CERTIFICATE OF OCCUPANCY FEE $
FEE $
APP OVED Vr TOTAL
COMMUNITY DEVELCPMENT
I � �
P'
i
f
l
a
r
.s SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS It MY\nJ fit^
2.
Person to contact in case of emergency -
Telephone number: P�E�; j!3 —Z-2-0
3.
Does the building in question have electricity?
as
❑_No
(a) if No, are you requesting that the electricity be
'as
turned on?
No
F
9-Yes
4
The building is sprinklered?
❑ No
5.
Operations will produce dust /wood shavings or similar
`.
material?
❑ Yes
�N o
6.
Operations will involve the repair or replacement of
❑ Y,es
automobile parts?
No
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame?
❑ Yes.
E�No
7.
The business is drinking, dining or assembly use that will
result in an occupant loud of more than 50 persons.
❑ Yes
'
"o
►-- 5.
The following best describes my operation;
Office Only
Retail Sales
`
1
Warehouse
Manufacturing / Distribution (describe process and end product)
(estaurant/ ake Out Food
Medical / Dental
Other (describe)
SUPPLIMENTAL INFORMATION
i
p
1
i
SUPPLEMENTAL INFORMATION
(Continued)
Does the operation involve any of the fo+iov;ng E3 `
~'
If
Yes indicate quantities:
Material
Quantity
Flammable ,- - -- _
"iquids
•-_ .�. ._
Class ]-A
i
Class l-a - .__:------
Class I-C
r
i
Class Il
F
h
Class
t
3.
Combinatioo flae„rnable liquids
Flammable gases
5.
Liquefied flammable — _
gasps
'
fibers Fiammabi - fi s ..
c bated
.
Unstable materials
yCorrosive
�
liquids
Oxidizing material - gases
t
12.
Oxidizing material - liquids
13,
Oxidizing material solids
Organic Peroxides
15.
Nitromethane (unstable materials)
1'6.
Ammonium nitrate
17.
Ammonium nitrate compound (fixtures
containing more; than 60% nitrate
by weight
18.
Fliphly toxic material_ and
Poisonous gas
19.
Smokeless powder �-
20.
Black sporting powder
--'
'
I hereby certify that the above ' information is true
the best of my knowledge.
and correct to
I.
Date
3
it
s
City of nuntlilo1 Beach
* 2000 MAIN STREET .r.....
k
CALIFORNIA 92648
` < - DEPARTMENT Or7 COMMUNITY DEVELOPMENT
F Building Division 536.5241
Planning Division 536-5271
i
�
Government. Gcle Section 65850.2 Beach Buildin (b) requires the. City y Division
not to issue the final CertificatenofngtGn
occupancy unless the applicantrequirements
has met or is meeting the
(AQMD) The the South Coast Air Quality Management
District
AQMD to 9 Division must obtain a written
show the applicant written
�
release
has as'e 1i
st co f o m r n ---_ o co
mplied m
the e h P d
reverse side is designed h with this law, The check
bui> d
_
C �.
n _ to help the applicant
g division to meet these requirements.'
1-
l• The applicant (the same erson who a
the Buildin Division lies for Permits
I
Erorn
can be obtain must complete the 1 ed che
ck ck eith list r a
t the.
twhich
Building Division or at AQMD,
2• iF all boxes in
the list are checked
Division can accept the 'check
no the Building
list as the release.
3•. If there
are an Yes" s" answers in the list, th
must contact an AQMD engineer e applicant
Find by
J396-2000
callin1
c
out whether air permits a(714)
construction re tQ
required for
project, the proposed
' ? • If air Permits are nct required, the applicant
k a written release from will
AQMD. obtain
5' If air Permits are required, the a
necessary applicant must submit the
permit applications
issued.
�
h
before the release can be
Because of the time it
ma
procedures thF� y' take for AQMD to go through
ai"-er a a P�1_�c,ant is adviser]. to contact g the above
i'PlYi ng for. Buildin AQMD
9 Permits. immediately
t
r:
(1360D)
r:
�i
_- r
1
n
1
SOUTH COAST AIR QUALITY MANAGEMENT. DISTRICT
(Nonresidential Buildings Only)
jUcatior: of Subject Property: — _tL� i� tAir�--�—1-4--�3----
—
Name:lLrO.111p��7L—
Property O�n�r — -Phone
�.ame .)f the person Preparing this fora: in print and sianc./�-s
u ^ Signatcre: _ _ —O�
_
L
hP g:.r on preparing this form must be the same pars .n apply i 1g -for
the following questions regarding
t
j
_..i k ing permits.Please answer
.-ur propose! occupancy of the subject building. IF YOU DO NOT
KNOW
A QUESTION .MARK: IN THE "YES" COLUMN:
�
YES
NO
is
t
a. Does yLor facility use any internal: combustion
J
engires greater Than 50-HP?--
. Doe ,:jr facility involve mixing, blending, oL
-proc_sig any solvent's, adhesives, paints
✓'
r c ngs?
�
z Does ycu, facilitycreate any dusts or smoke?
�f
- ,'r farili-ty marine any liquids or sal.idsor
�
m any merdls7
5. 'roe tr facility ;late or coat anything? hing? -- --
�t
rnL :t L a':. lity have. any combustion equipment'.
' ��^- furnaces, broiler, bd}'.;CT .l°JCaTI
etc ;tea greater than 2.000,000 i3TUJHR?
7, :)oes ytir facility handle or store solvents or.
�
(�
�o y ise or stare any acids?
Do .se ;any chumical process? -
10, )n ; se any solvents for clean-up?
-_
' 1... r_.ce '. j: 1 dry cleaner. restaurant. with 8
0'
'•�
I
R
- j :s' u1�jFc t bt.11i ,rq 'located c4ithin one
th (1,000) feet of any school?
pROP_R - T,.4NE TO PROPERTY LINE GRADES K-12.
Ti
E
i f yc ' have marked "NO" in all columns, you do not need an Air
1
have marked' any questions
rc
al, y pe ,_- at- th s { t ne. if you
_ , C_ '..nr� ti•o, must contact the South Coast Air Quality
2 1 8 r - Copley D ] G o
Dlemcni :mar, CA. L 6 41u'l
lease call:plan Check (714) 396-2000
1 ? 60d-2.)
1
i
{