HomeMy WebLinkAbout116 Main St - CofO (7)-
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
1/ 2 5/ 9 4
Address
_ 116 lvi
Date
Business Name
JAEES PIZZA
District _
Business Type _
EGOU TAKE GUT
Tel. —
"a 1 tx f� f"r t �,
Occ. Group _r•
BUILDING OWNER
PF�ETT
.A EhIRIGF�IT
BUSINESS OWNER/MANAGER
Name
Name PRETT
ENRTGHT
Address 116
N1A T M ST
Home
City HF� $ CA
Address 'I I10
VIA r i,T3C
7
Tel. --------
City NFVE(hT
Tf Home
7111 Ftlh ti Cr;
Construction
No. of Stories
Occupant Load 4 [
Sprinklers_
CONDITIONS OF APPROVAL
Comments,;
TAK OUT RESTAURANT
MAXJJ,+UN 12 SEA tS) FI
ee APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH 1 y
DEPARTMENT OF COMMUNITY DEVELOPMENT —?
1 HUNnNGTON KVJ1 DATE
(PRINT OR TYPE ONLY)
t Address �l1 K7 _�Q I^. District
Business Name i/ 4 Piz Z7 Gt Tel.
Business Type /'z' e"i / / G�,Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name/Name— Tl "r
Home J.�D
Address 11 i q i r\ Address
��J 7/ % G —y l
City feu I fit+ � �. fie a r I Tel. City i "` a'`f� ��-z Gh Home Tel.
THIS USE WOULD BE DESCRIBED AS:
El NEWLY CONSTRUCTED BLDG. LP CHANGE OF OWNEfT CHANGE OF OCCUPANT
�; EXISTING BUILDING E CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any L - Occupancy Gr. Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED 23 0
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 anelectrical
`fuse up' inspection in the Department of C_ mmunity 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 maybe made in the characterof 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
1� 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 thatbuilding numbers must be a minimum of four (4)
inches in height with one half (1/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 Section 10.301 requires fire extinguisher selection and distribute n } e
National Fire Protection Association pamphlet 10 (see reverse side).
(%Coe,
� -rya--�C`' �eC. • � �... �
SUPPLEMENTAL INFORMATIOPI
1.
BUSINESS ADDRESS
2.
Person to contact in case of emergency. re�
Telephone number:
3.-
Does the building in question have electricity?
'Yes
L7- No
(a) If No, are you requesting that the electricity be
❑ Yes
turned on?
❑ No
4.
The building is sprinklered?
CI Yes
-a' N o
5.
Operations will produce dust / wood shavings or similar
material?'
El Yes
JR-No
6.
Operations will involve the repair ,or replacement of
❑ Yes
automobile parts?
No
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an openflame? ❑ Yes
-9-No
7.
The business is -drinking, dining or assembly use that will
rsons.
result In an occupant load 'of more than 50 pen
CI Yes
No
8.
The following best describes my operation;
Office Only
Retail Sales
Warehouse
I
Manufacturing / Distribution (describe process and end
product)
_
a, -Restaurant /' ake Out Food
Medical / Dental
Other (describe)
k
: UPPLIMEN'tAL INFORMATION
y.
SUPPLEMENTAL_," INFORMATION (Continued)
J
Does the.. operation involve .any of fha. following materials? . '
(D --Yes
No
!f
Yes, indibate: quantities:
'
Materi_a! Quantity
1.
Flammable liquids
_
Class I -A
r
_Class I-B
J
Class l-C ,.
2.'
Combustible liquids
Class II
Class 111-A
3.
Combination flammable Liquids - --
4. -
Flammable gases
5. `
Liquefied flammable gases
6.
Flammable fibers--`bcise
7.
flammable fibers -' baled
6.
flammable solids'
9. Unstable- materials
--
10. Corrosive liquids
11. Oxidizing material
12. Oxidizing. material -.:liquids
10 - Oxidizing mate solids
14. Organic peroxides
15. Nitromethane ` (unstable materials)
..Ammonium
nitrate.
17. Ammonium nitrate Compound ,. mixtures
containing: more than 60% nitrate
by weight
18. Highly toxic material and
:.
Smokeless.. powder,
20. Black sporting powder
RICT
SOUTH COAST AIR QUALITY MANAGEMEW DISTRICT
(Nonresidential Buildings Only)
Location of subject Property: &
Property Owner Named, = ,r 1 L Phone
Name of the person preparing this form in print and signature:
Name:� Signature'
The person .prepar ng this -form must be the same. person applying for building 'permits. Please answer the
following questtoiis regarding your proposeddccupancy of toe st4bject Wldlpg.'PP YOU DG NOT KNOW
THE ANSW=1�'i"OWOUESTION, MARK IN THE "YES" COLU�flly:
"
AQMD PERMITTING CHECKLIST
YES
NO
1. does your fadility'use°any inteer al`cornbbGtiori' engines greater than'6OHIi?
2. Does your facility involve mixing, blending, or processing any solvents,,,
adhesives, paints or coatings?
,x
11and, smoke,?
3. Does your facility create dusts or
4. Does your facility refine any liquids or solids or reclaim any metals?
S. Does your facility plate or coat anything? ---
6. Does your facility have any combustion equipment (i.e. boiler, furnacevl,
broiler, baking ovens, etc.) rating greater than 2,000,000 BTU/HR?
�-- --
7. Does yaurfac(lity handlb or store-solVe`htsat�r nTQtorfiuel?
8. Do you use or store any acids? _
c
9. Do you use any CitetitlCal process? .,
10. Do you use any solvents for clean-up?
11. Are you a dry cleaner, restaurant with a charproile,r„body,shop, gasoline
: .
l�
station, printer, or part coater?
12, Is the subject building located within one thousand (1,660) feet of any
school? PROPERTY LIME TO PROPERTY LIME, 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 91765-4182
{Tease call: Plan Check (909) 396:2000
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