HomeMy WebLinkAbout102 Pacific Coast Hwy - CofO (3)—------- ---------------------------
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CERTIFICATE OF O;;CUPANCY
11/22/94
CITY OF HUNTINGTON BEACH
Date
Address
102 PACIFIC
COAST
District i
Business Name
DAIKY QUEEN
Tel.
Business Type
PAST FOOD
Occ. Group P.-2 i
BUILDING OWNER
BUSINESS OWNER/MAN).GER
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Name IOWA
SAGE PARTNERS
Name uTEVE
FIELDS r
f
Home
Address 2Q90
ATRt,7AY
C.- Address 10
ALBA EAST
cityCOSTA
MESA Tel.
4?6-9200 IRVINE
City
Y
Home 944-1 i6�
Tel. _
!
Construction
No. of Stories
_ Occupant Load 22 Sprinklers
CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY DEVELOPMENT "r
by
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COMMUNITY DEVELOPMENT
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19
A,
HUhrrINGTON BB401
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
(PRINT OR TYPE ONLY)
-�ghgby I
DATE
Address `G"�` I `�" �`^- V 4E �t District —
Business Name 'y Tel -
Business Type Q::AS � Z,�S; V-44'J le,7 r Occ Group
BUILaINGS)WNER BUSINESS OWNER/MANAGER
Name W Name
Address
.7ii=S�o1�r Sv rwa # C 3 Home Adore
10 ►4 t- C-- ✓l-s �-
City �i/a v 1� �5 /a Tel City �YL�t I,-- Home Tel.
q ZG 24 40 ^`�ZCx7
THIS USE WOULD BE DtSCRIBED AS: L3
NEWLY CONSTRUCTED BLDG ElCHANGE vF OWNER LJ CHANGE OF OCCUPANT
❑
EXISTING BUILDING CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any may/— __—Occupancy Gr _Div r
SOUARE FT. OF BUILDING TO BE OCCUPIED
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.
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 . re required to schedule an electrical
�j II 'fuse up' inspection in the Department of Community Development at the time this application is filed.
V 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
U' 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 (r/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. 1 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).
(FOR OFFICE USE ONLY) ZONINCoL�' ✓�� rC
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP-� PLAN CHECK NO NO PARKING SPACES
OCCUPANT LOAD _-- PERMIT NO HEALTH DEPT APPROVAL
NO OF STOR ADMIN ACTION UTILITIES RELEASED
G , /I ��
f DATE CERTIFICATE OF OCCUPANCY FEE $
APPROVED CHANGE OF USE OR OCCUPANCY FEE S_
TOTAL $
t 75.039 Rev. 11/90 COMMUNITY DEVELOPMENT
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SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS0a'
V C 1�12 yJ�g �CM
2. Person to contact in
case of
emergency- ��-�C�S
Telephone number:
7/
3. Does the building in
question
have electricity?
❑ Yes
8`N o
(a) If No, are you
requesting
that the electricity be
0 Yes
turned on?
❑ No
4. The building is sprinklered?
I 5. Operations will produce dust/wood shavings or similar
10 material?
6. Operations will involve the repair or replacement of
automobile parts?
If Yes:
(a) Describe the components repaired or replaced.
❑ Yes
C-No
®'4�es
❑ No
❑ Yes
ffi- KI o
(b) Does the operation involve the use of an open flame? ❑ Yes
D-N
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. ❑ Yes
9-110
8. The following best describes my operation;
iiaH
l_
e
Manufacturing/ Distribution (describe process and end product)
e�nt / TaTce 'Out Food
SUPPLEMENT':L INFORMATION (Continued)
Does the operation involve any of the following ;Fiaterials"
If
Yes, indicate quantities:
Material Quantity
_
1.
Flammable liquids
Class I -A
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� .Class I-8
Class I-C
i 2.
Combustible liquids
Class !1
Class III -A
3.
Combination flammable liquids
4.
Flammable gases -- ----
5.
Liquefied flammable gases
r 6.
Flammable fibers - loose
7.
Flammable fibers - baled
8.
Flammable solids
9.
Unstable materials — -- --- T
10.
C. rosive liquids
11.
— � ---_
Oxidizing material - gases
12.
Oxidizing material - liquids—
C 13_^
Oxidizing material -solids-
"r 14.
Organic peroxides
15.
Nitromethane ;unstable materials)
16.
Ammonium nitrate
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
Q Yes
9 14" 0
1 hereby certify that the above information is true and. correct to
the best of my knowledge.
Si b nature -/11ate
Government Code Section 65850.2(b) requires that the City of Huntington Beach not issue the final
certificate of occupancy unless the applicant has met or is meeting the requirements of the South
Coast Air Quality Management District (AQMD). The Department of Community Development must
obtain a written release from AQMD to show the applicant has complied with this law. The check
list on the reverse side is designed to help the applicant and the building division to meet these
requirements.
1. The applicant (the same person who applies for permits from the
Department of Community Development) must complete the check list
which can be obtained either from the Department of Community
Development or at AQMD.
2. If all boxes in the list are checked "no", the Building Division can accept the
check list as the release.
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3. If there are any "yes" answers in the list, the w•7plicant must contact an
AQMD engineer',xy calling (714) 396-2000 to find out whether air permits are
required for the proposed construction project.
4. If air permits are not required, the applicant will obtain a written release from
AQMD.
5. If air permits are required, the applicant must submit the necessary permit
applications before the release can be issued.
Becau, a of the time it may take for AQMD to go through the above procedures, th
advised to contact AQMD immediately after applying for building permits.
k'
e. ADDITIONAL SUPPLIMENTAL INFORMATION
.4.9"„i
i.4r. '2tioit I.i L','kest.+✓t p!'c; f-'°tfi-_._ /�� ._ - V...C-19 / 4't-"�� !(F\4,. - a—In—�.. t'l
Pr er'eV C Jai ci iaa a;—i ey: _•t—�'J }1"
i'tic9mo !' tho, f n"C�>� i "!', '@ {r.. E3s. ,t ;rp 3t'P print. an :ii..
Thep arson preparing this form anust be the same persona zippiyiog fur b ilding Please ansv.s:< the
fr i 3U4':rit v s!ions regarding `. out ! -tjp sed occupancy of th, ciub eect Y Ci f-,!: 3y, s,e, "�CAJ INFO NOT ,'N r,14`
i THE �' NS'WER TO A QUESTION, MARK IN THE " E!iti ' COL.t.9lV N:
e AMR) PERrvry G'C1U.,EC_""WST
YES N1
1. €.,ces your faciFlyy use any internal combustion engines greater than 50HP?
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2. Does your facility involve m;xirag, blending, or procr, E:ry solvents,
adhesives, paints or coatings?-
3. does your facility create any dusts or smoke?
4. Does you facility refine any liquids or solids or reclaim any metals?
L 5. goes your fac ;ty plate or coat anything'?
5. Does your facility have a 3y combustion equipment (i.e. ""Joiler, furnaces, v_
broiler, baking ovenG, etc.) rating greater than 2.000,000 l 's U/hlli`
7. goes your facility handle or store solvents or motor fidel?
r 8. o you use or store any acids?
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g. Uc you use any chemical process'?--
10. Do I;cu use any solvents for clean-up?
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11. Are you a dry cleaner, restaurant with a charbroiler, bergy shop, gasoline
Cation, printear- or part coater?
12. is the slbjart onildivg located within one thor -gar . feet of ap,.,� �—
schc. )1' PROF R'6 Y ,.INE. TO PROPERT', LINE. G K-'£2. — - -
If vcw have rr -v' �?n"? ' ^;. � ' in all columns, yOu do net ncc._xrl.cii
any qu'ef' tons 4, column t13;' must contact the 3'*'.'Ih e ;)cis . ;A•r Q_afil'
j Giarriond Bar, CA 91 l? '82
F- aasu call: Man C, e . _ r; os
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