HomeMy WebLinkAbout118 Main St - CofO (13)q
CERTIFICATE OF
OCCUPANCY
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CITY OF HUNTINGTON
BEACH —
Date
Address
District
DaAFE'u _ INC„
7'14-5 •-7c�r
Business Name
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Tel.
RETAiL SALES a bATH1to
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Business Type
Occ. Group
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BUILDING OWNER
BUSINESS OWNER/MANAGER
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WILLIAIN LfiRICHT
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LI;uDIt 01,110B 1, IG(;
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Name. > , _. _
Name
Address 101D6 VIA LINDE,
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Home 125 P�,�1NHATTAN �is&AGH BLVD
Address
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51 p 4,r..
,;czaAaTAik �t: Home ;,it 546-.4o, 1
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City Tel.
City Tel.
Construction No. of Stories
Occupant. Load
— Sprinklers
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CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY DEVELOPMENT
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This Certificate of Occupancy
SHALL BE posted in a conspicuous piace'on the
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remises and shall not be removed' except
P b P Y the
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Building Official.
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COMMUNITY
DEVELOPMENT
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LIGATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
(PRINT OR TYPE ONLY) DATE
//8 #7VA/ 67ZOAr District
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/G 24 556o lTda
Businea Name Tel-
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lBusiness Type L 5 �'^ � � 4t�. c�t ` �- Occ. Group
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BUILDING OWNER BUSINESS OWNER/MANAGER
✓Name ctij w1 -M 6J 4&1-'r "Name �I-ill% F? > ji&
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&' -0 &JIDdress
/Address 110/00yj* b1kASUG�r103-2y6 12-0.y�Oft O '►1La�Na�l}r
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City tXP J r!►�i7ij OJGCC�D Tel �OZTn i)y lrl►4YF ,1(G��lN�7 Home Te�3lD
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T IS USE WOULD BE DEFT%*P.IBED AS:
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❑ �HANGE
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NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
p
ndicate former use, if any rril-b-i-3 Occupancy Gr. iv.
S UARE FT. OF BUILDING TO BE
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N TICE: 1. 'Occupancy of any building is prohibited and a business license will not be issued until the building has bee
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 abuilding or
premises in order to determine if a change may be made in the character of occupancy or use ofthe building
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or premises which would place the building in a different division of the same group of occupancy or ina
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)
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inches in height with one half (1/2) inch stroke, and of a contrasting color from the background. These
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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
National Fire Protection Association pamphlet 10 (see reverse side).
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TRAFFIC IMPACT E�_
DATE PAID
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AMOUNT RECEIVED
NAME > (FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATIONJNING
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OCCUPANCY GROUP PLAN CHECK NO. "— NO. PARKING SPACES
OCCUPANT LOAD PERMIT NO 41 =01 --{�j HEALTH DEPT APPROVAL
NO. OF ST RIES ADMIN. ACTION ^" 'r UTILITIES RELEASED
ICExHTIFICATE OF OCCUPANCY FEE $ ,
APPR BY DATE CHANGE OF USE OR OCCUPANCY FEE
TOTAL $ '
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75.039 Rev. 11/90 COMMUNITY DEVELOPMENT
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SUPPLEMENTAL INFORMATION
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1.
BUSINESS ADDRESS //f /YeZA"' 07 h�4GlZ6l -77&-'
2.
Person to contact in case of emergency- IVA40,4
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Telephone number: 0 S-*(a YO&/
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3.
Does the building in question have electricity?
L7 Yes
C No
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(a) If No, are you requesting that the electricity be
❑ Yes
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turned on?
❑ No
4.
The building is sprinklered?
[Yes
No
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� 5.
.Operations .will produce dust/wood shavings or similar
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ma?erial?
❑ Yes
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�N O
6.
Operations will involve the repair or replacement of
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automobile parts?
No
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If Yes:
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(a)- Describe the components repaired or replaced.
hLl Yes
(b) Does the operation involve the use of an open flame?
7.
The business is drinking, dining or assembly use that will
No
result in an occupant load of more than 50 persons.
❑ Yes
LEI N o
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The following best describes my operation;
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Retail Sal
Warehouse
Manufacturing I Distribution (describe process and end product)
�5w�, m u��, SOorlasw�, Az��sv�2a r� 8
Restaurant/Take Out Food
Medical / Dental
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Lather (describe)
SUPPLEMENTAL INFORMAMON
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SUPPLEMENTAL INFORMATION (Continued) r
Does the operation involve any of the following materials? ❑ Yes
�No
If Yes, indicate quantities:
Material Quantity
� 1. Flammable liquids
Class I -A
` Class I-B
Class I-C
2. Combustible liquids —
Class II
Class 111-A
3. Combination flammable liquids _
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4. Flammable gases -
5. Liquefied flammable gases
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6. Flammable fibers - loose' )
7. Flammable fibers - baled
8. Flammable solids
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I 9. Unstable materials
10. Corrosive liquids
11 _ Oxidizing material - gases
12. Oxidizing material liquids
13. , Oxidizing material - solids
14. Organic peroxides
15. Nitromethane (unstable materials)
16. Ammonium nitrate
1 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
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hereby certify that the above information is true and correct to
the best of my knowledge. l
Signature Date
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
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Location of Subject Property:_%1�R7cST___�TI>NG�i� ��
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Property Owner Name:_G /1/k# ?!_ YiYI �1 � Phone (iTJa `fS7� 0,
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Name of the person preparing this form in ,print and signature:
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Name: 1L—ll.�f---
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The person preparing this form must be the same person applying for building permits. Please answer the
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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:
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AQMD PERMITTING CHECKLIST
YES NO
1. Does your facility use any internal combustion engines greater than 50HP?
2. Does your facility involve mixing, blending, or processing any solvents,
adhesives, paints or coatings? _
3. Does your facility create any dusts or smoke?
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4. Does your facility refine any liquids or solids or reclaim any metals? —
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5. Does your facility plate or coat anything?
6. Does your facility have any combustion equipment (i.e. boiler, furnaces, /
broiler, baking ovens, etc.) rating greater than 2,000,000 BTU/HR? ✓/
7. Does your facillity handle or store solventsor motor fuel?
8. Do you use or store any acids?
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9. Do you use any chemical process?
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10. Do you use any solvents for clean-up?
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11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline
station, printer, br part coater? _
12. Is the subject building located within one thousand (1,000) feet of any
schoo(? 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 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
Please cnil: Plan Check (909) 396-2000
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