The URL can be used to link to this page

Home My WebLink About102 Pacific Coast Hwy - CofOT APPLICATION FOR CERTIFICATE OF OCCUPAN *fir CITY OF HUNTINGTON BEACH DEPARTMENT OF Ct11ylPAUNITY DEVELOPMENT Hutvtit,K.1Ck+ 3€titlj (PRINT Oil TYPE ONLYI ATE, Address-' f GwsC. t t .0 ?t t" aly _ District Business lame it-1 9rq-31)1-1 - Ll q0 R Business Iype g r-� try r^rs �. _ �� Occ Group BUILDING OWNER BUSINE'jti OWNERIMANAGER Named _t. '- L.12, Y- aL Aqye Name `. t K: C'c�* Horne Address._. lC �# I __ .,_ _ - r. Address 141 r m e �� 1 _ T svity, ,� c*"a;_: ��.�(`-ti.r ��. Tel .._....S.�S �.ts.a.. City.—�Z_is� ��..."=�-t�[:�.5:.=..,.. Home Tel THIS USE WOULD BE DESCRIBED AS; 0 NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER CHANGE OF UCCUPANT 9 EXISTING BUILDING El CHANGE OF USE 0 ADDITIONAL OCCUPANT Indicate former use. if any " i' _�' � ._ O c upanc y Gr SQUARE FT. OF BUILDING TO BE OCCUPIED! t 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 an electrical 'fuse up' inspection in the Department of Community Development at the time this application is tiled 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 whic', 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 1 be paid to the city. �. 4, Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of foul (4) I ;aches In height with one half (?-a) inch stroke, and of a contrasting color from the background, These numbers gust be posted on your building in a location that is visible from the street. 6. Huntington Beach Fire Cade Section 10,301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). sea F i _ )FOR OFFICE USE s'�I�SLY' s . OCCUPANCY GROUP RL AN 'CHECK NO NO PARKINCt ,SPACES ( O CUPANT LOAD IL-AIAH DEPT APPROVAI ` NO Of ST IE5 - ,- _ �L"L+Irt A{'TIt?rt _ _.. REI [ASED _ `j AP B u, t t r tiA;N �_ < I" L�um s ,4 a.!'� .. r FEE b R ,+ , E da APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNT'INGTON BEACH d ,. DFiAf?TdiR€NT OF Ct3MliitfTY l3EVEtvflRtiENT HUNTkX rtJ4V 03£Afl (PRINT OR TYPE ONLYJ t�3ATE r..r' .. ♦. .. .. .o z 'i Address District Business Name Tel - Business Type -•T- ' - Occ Group BUILDING OWNEH BUSINESS OWNEPWANAG R Name ° _ w F Names_._ Home r ess Address x Add- , p . r Tel _ Csty Hume Tel City-- e .=-- �-- -- _h 'r THIS USE WOULD at, DESCRIBED AS. CI NEWLY CONSTRUCTED BLDG . "CHANGE OF OWNER .CHANGE OF OCGURANT EXISTING BUILDING CHANGE OF USE � ADDiTIONAL OCCUPANT Indicate former use, if any. ter (3iv SQUA,C E ET. OF BUILDING TO BE OCCUPIED .�. i NOTICE'1. Occupancy of any building is prohibited and a business license wili not be issued until the building has been j inspected and a certificate of occupancy is issued. i Z. 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, 1 3. Change of occupancy or use inspection tee. Whenever it is necessary to make inspection of a building or premise,, in order to determine if n change may be made in the character of occupancyor use of the building or premises which would place me 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. Huntinglon Beach Eire Code Section 10.208 requires that building numbers must be a minimum of four.(4) inches in height with one half ('rz) inch strcke, and of a contrasting color from the background. 'These numbers must bG posted on your building in a location that is visible from the street. 5, Huntington Beach Eire Code Section 10.301 requires fire extinguisher selection and distribution per the E National Eire Protection Association pamphlet 10 (see reverse side). i r w, a. t 1 ,F (FOR OFFICEU5E t?4NLY) ,s i ONIN. � N S'ACFS ' ?OCCUPANCY GROUP,-, PLAN HE OCCUPANT l.t. Ao �I. Ct'•' N("i Fie .ALTO-E INERT' APPROVA! NGl Cif; STORIES' f - Af, %N r i ,y _ _ i i:lt_iTIES HELL ASED . i �.. t.i�:`cl i!'i�,+4ii�.#v I«'i✓�,ri fl�M'e; VY..e �...�^l I. APPAt?VEQ`CY" TDATE Cti.ANGi"G. - USE.,`'P 75-039 Rev, 1f 9? SUPPLEMENTAL INFORMATION BUSINESS ,ADDRESS 2. Person to contact in case of emergencytin/ ' Telephone number: .2 3. Does the building in question have electricity? Yes No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4, The building is sprinklered? ❑ Yes t No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes C' No 6. Operaticns 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 open flame? ❑ Yes No i. The business is drinking, dining or assembly use that will result in an occupant load of more than 60 persons. Yes D No S. The following best describes my operation; Office Only Retail Sales Warehouse Manufacturing l Distribution (describe process and end product) l�esiaurant/ Take Out o ,. Medical t mental Other (describe) -- ': k '+8'+3TA .. N-OV' 3,ftib F''?+TION ('.'C.eontiQlu i.YM.' the;SYV�..� y�: G. . ,3 Class I -IC Class Sl Class 111-A -g&.1s4f36�•: i'��`l°u.R..± br'i5 v...-. .,. ......„. _ , 5. q od Y a }.0 rj{'�k'•n+^yLl.,li..t�aY .> 6 CGEv 83 Flak ma"'ab9t, Unstable . IN it`i )i4ke2hFSn 17,�- yd. ns0a'2 bs .,Arn _ u - con zng nnio e 6 b-3 .. i',.Y Z' Wsi ..Y .. - by weight p. ari s M� 'G-. 4„"a >.a k v,x p e ¢ 4kg;Mrc pk a;Yutf 3 . �"J, ara. 4 a;rUGI �0 ;. �+s �>'� icy'"r�'1.F^C:r:`"xsw', O rr. a t e 3 South Coast Ails. QUALITY MANAGEMENT DISTRICT 2t355 E. Copley Drive. Diamond Bar, CA91765-4182 (909) 396.2000 for nonresideatial buildings only Company Name: V', A I Location of Property. It5 . A c�iP'< Cra.___d�__^ City: to rVA'l �1 (-i Zip Code: 1i K Contact Ferson C,_ Title:" TeleplloneNumber: =} c- L! `? l;`ahZ Tumbet: 0 .�, Type of Industry/Business: _ To apply for a nooresidenti,4 building permit, you raust complete this checklist, Ifyou. have any questions about completing this checklist, please, it (800) 38$-2121> YES NO 1: Will the facility have a charbroiler? { 2. Will any internal combustion engine with greater than 50 horsepow r operate. at the facility (excluding motor vehicles)? j I 3. Will operations at the facility involve (nixing, blending, or p ocessing of solvents, adhesives, paints or coatings? 4. Will dust or smoke be generated at the facility"? 5, `grill, refining of any liquids or solids be done at the facility? 6. Will any plating or coating of materials be done at the facility? j ] 7.. Will any combustion equipment rated greater thatr 2,000,000 BTU/ ar be operated at the facility? 8 Will any acids, solvents, or motor fuel be used or stored at the facility? 9. Will any organic liquids or gases be reacted or produced? 10. Will any ovens be used to dry or cure products at the facility? [ 11, Will any C C (Freon) recycling machines operate at the facility? [ � Applicant: Signature: r , (Print name clearly) If you have marked :ENO" in Ka! the boxes, an, air quality- pet it is z9g, needed at this time, and this cbeef ast is your written release. If °i k narked `� S" in '1V �.,§�l�.t',w w�'�t y 4"�+:."u Mmr,, t'�'4�`,ataa`.t the �$°'i C@inst,�s.�r QuaRl " +pfin^r�� c yy ent Diys, trHwq* Q'i 1) �, lexs read the r�:�.�uire g6�as On he heck of°the the�,ldist. d`{�.;d4EJi��.,�`w�11uY�rA16 �xkt.. q<P� }'a � Sb's K<. (800.) nS."ud