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Home My WebLink About120 Main St - CofO (4)CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH Date Address 120, VA 1 % District Business Name bEfir-h LSIGRE Tel. r 14-F "C -422 P Business Type LAME"'; EGUTICzUL' Occ.Group' r,-2 BUILDING OWNER BUSINESS OWNER/MANAGER CALIs G� NIA hh�:CR S LEJA S. CHA Name. Name Home Address 2 'A'H S C, Address *' 1 1 1 S7faNTCT PVF, Home City IaL Tel. 7 ..O �;=Gt City Vi'SJNT STF:R Tel. Construction, No.,of Stories 2 O.;cupant Load C Sprinklers CONDITIONS OF APPROVAL t � � i i i J'I I DEPARTMENT OF COMMUNITY DEVELOPMENT I 1, This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the by Building Official. y COMMUNITY DEVELOPMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT HUNfAl ON BEACH (PRINT OR TYPE ONLY) �a DATE Address 1 111 ` —, l_ • District Business Name 5 Tel Business Type l ~ ' Occ. Group BUILDING OWNER BUSINESS OWNERIMANAGER Name rr,.'� p C'� 'X Named? 0— 5/ C-- „? Home Address s � �' Address ,� I ' City T Tel — City )U Ci~ }I)tTr � aY � D7 Ho ne TeL THIS USF WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER J CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE 1 ADDI1 ZONAL OCCUPANT Indicate former use, if any Occupancy Gr. Div SQUARE FT. OF BUILDING TO BE OCCUPIED r 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 certifiedsafe. All applicants for occupancy in an existing building are requited to schedule an electrical 'fuse lip' 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. 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 from the street. 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the fey National Fire Protection Association pamphlet 10 (see reverse side). N c SUPPLEMENTAL INFORMATION 12, (FOR OFFICE USE ONLY) ZONING�� OCCUPANCY GROUP PLAN CHECK NO NO. PARKING SPACES OCCUPANT LOAD PERMIT NO. HEALTH DEPT. APPROVAL l NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED _ CERTIFICATE OF OCCUPANCY FEE $ ,S ROVE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ S 75-0,19 Rev. t 1 /90 COMMUNITY DEVELOPMENT bee - - i�pl l SUPPLEMENTAL, INFORMATION 1. BUSINESSADDRESS 2. Person to contact in case of emergency) l Telephone cumber: `S?(0 � 7 p —� - -- 1_0 1- 3. Does the building in question have electricity? Yes El No (a) If No, are you requesting that the electricity be CJ Yes turned -on? ❑ No 4., The building is sprinklered? Yes No 5. Operations will produce dust/wood shavings or similar material? Yes ❑r No S. Operations will involve the repair or replacement of ❑ Yes automobile parts? No If 'Yes: (a) Describe the components repaired or replaced. � Yes (b) Does the operation involve the use of an open flame? ❑ EJJ No 7. The business is drinking,,- dining or assembly use that wiH result in an occupant load of more than 50 persons. ❑ Yes ;1 No 8. The following best describes my operation; Office Only Retail Sa e Ware ouse ' Manufacturing ; Distribution (describe process and end _product) Restaurant/Take Out Food Medical / Dental Other (describe) I SUPPLIMENTAL INFCz ="ATION C-77 -...,�.. r. s k SUPPLEMENTAL INFORMATION (Continued) I Does the operation involve any of the following materials? Yes 1 No If Yes, ` indicate quantities: Material Quantity 1. Flammable liquids Class I -A Class I-B Class I-C 2. Combcistible liquids Class II Class LII-A 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 3. Flammable fibers - toose 7. Flammable fibers baled 8. Flammable solid 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material liquids 13. O; idizing material solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound _ mixtures containing more than 60% nitrate by weight A 18. Highly toxic material and 4 poisonous gas f 19. Smokeless powder 2o. Black sporting powder } I her by certify that e above information is true and correct' to the st of my wl dge. Signa ure D to 77 ..--�-r, ,' w SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject property Property Owner name .- Phone , Name of the Person Preparing this form in print and �ignature Name �J�1 ' S .L�Y/` Signature L�j The person preparing this form must be the same person applying for 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 MARK IN THE "YES" COLUMN; SGAQMD PERMITTING CHECKLIST YES NO i 1. Does your facility use any internal combustion enginesgreater than 50-HP? 2 Does your facility involve mixing, blending, or processing any solvents, adhesives, paints or coatings. � 3. Does, your facility create any dusts or smoke? 4. Does your facility refine any liquids or solids? r;—I 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 ovens, etc.) rated greater than 2,000,000 BTU/HR? 7. Does your facility handle or store solvents or motor fuel? IIL 8. Do you use or store any acids? 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? a 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline station, printer; or part coater? 12. Is the subject building located with -in 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 Quality1 permit at this time. If you have marked any questions in the "YES" Column i you must 'contact the South Coast Air Quality Management District located at: 9150 FLAIR DRIVE, EL MONTE, CA 91731 + i Please call these offices: Plan Check (818) 572-6406 { (818) 572-6111, (818) 572-6261 D:AL00603