The URL can be used to link to this page

Home My WebLink About110 Pacific Coast Hwy - CofO (4)4 CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH Date Address District_' Business Name P 7 T i, Tel: Business Type 4 P C-'I 111 l• r N, Ir Occ. Group BUILDING OWNER BUSINESS-O!NNi:R/MANAGER Name Name `! LL.1.P T,"REGEN Address �mr. �r -- Home Address ; : s T< x, Home City '- Tel. 11 r1 ;.7-3=City rA Tel. r c > y rr r ra r Construction No, of Stories Occupant Load Sprinklers._ CONDITIONS OF APPROVAL 3 # 1 y s s DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy ` SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the b,,• Building Official. - y-- t xe _ COMMUNITY DEVELOPMENT 'x rmr rt { �. � _.�•�` s�..;v—.l ii .. "''CrPr-.. +. `". :.!A3:i YJ'i+'v.P`e1iY.,. r 1 W 111124 J' APPLICATION FOR CERTIFICATE OF OCCUPANCY �r CITY OF HUNTINGTON BEACH v� { DEPARTMENT OF COMMUNITY DEVELOPMENT � ` �0 MU"NGT04 FAaai.. - DAB" (PRINT OR TYPE ONLY) Address E t Lj a Dist ict Business Name l�J ! Tel Business Type �� CZ Occ Group BUILDING OWNER BUSINESS OWNER/MANAGER Name ► ) C7 Name Address Home mow` � � ""/ ..Address City 9M Tel City ��`—� Home Tel. THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG_ ' ❑ CHANGE OF OWNER CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any U OccupancyGr Div. - SQUARE FT, OF BUILDING TO BE OCCUPIED Th NOTICE: . 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 filed. 3.. Change of occupancy or use inspection fee. Whenever it is nec-ssary 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 %f different group of occupancy, a change of occupancy inspection fee of $ shall be paid to the city. a Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum offour (4) inches in height with one half (12) 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 BeachFire Code Section 10.301 require:: fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (seb reverse side). I { (FOR OFFICE USE ONLY)p SUPPLEMENTAL INFORMATION --- ZONING OCCUPANCY GROUP PLAN CHECK NO. NO, PARKING SPACES OCCUPANT LOAD' PERMIT NO. -- _. HEALTH DEPT APPROVAL _ NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED CERTIFICATE OF OCCUPANCY FEE $ A/ lip;PROVP6 BY ATE CHANGE OF USE OR OCCUPANCY FEE $ --� TOTAL $ 75-039 Rev. 11 /90 COMMUNITY DEVEI C,dMENT r-- SUPPLEMENTAL INFORMATION k 1 • BUSINESS ADDRESS `/0 7-- 6, 2. Person to contact in case cif emergencyr'tri r'� am— Telephone Telephone number: 3. Does the building in question have electricity? ❑ Yes P--Iqoo (a) If No, are you requesting that the electricity be 0-17es turned on? ❑ No 4. The building is sprinklered? ❑ Yes Er -No 5. Operations will produce dust / wvood shavings or similar material ? ❑; Yes 0- 6. Operations will involve the repair or replacement of ❑ Yet automobile parts? 8—Wo If Yes: (,a) Describe the components repaired or replaced. ❑ Yes (b) Does the operation involve the use of an open flame? E -o 7. T11s business is drinking, dining or assembly u e that will result in an occupant load of more than 50 persons: ❑ Yes �'IIQo 8. The following best describes my operation; Office Only y Retail Sales Warehouse Manufacturing/ Distribution (describe process and end product) < Restaurant / Take Out Food Medical / Dental_ --- Other describe , SUPPLIMENTAL INFORMATION 77: 77-7777'7, r SUPPLEMENTAL INFORMATION (Continued) , e Does the operation involve any of the following materials? ❑ Yes I-� o If Yes, indicate quantities'. Material Quantity 1. Flammable liquids Class I -A .Class I-B - Class I-C 2. Combustible - liquids _. Class- 11 Class I'll -A _ 3. Combinatioo flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers _ baled g. Flammable ` solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Ox4,lzing material - solids 14. Organic peroxides 15.. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium' nitrate compound mixtures containing more than 60% nitrate i` by weight 13. Highly toxic material and poisonous gas 19. Smokeless powder _ 20.` Black sporting powder i K 5 rtify that the above information is true and correct to thmy nowled`ge. Vest Z 1"A1 �-i gcicki tre Date y �75 b ' i p SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonrre ,lent ia1 Buildings Only) Location of Subject Propex Property Owner names ktp ,'� - (T-<a Phone #Lllao 3.3v7 Name a the Person Preparing this form in prin an ignatu Name `\1 lti- Signature - The 'person preparing this form must be the same person a lying foi building permits. Please answer the following questio regarding your subject building. IF YOU DO KNOW THE ANSWER proposed occupancy of the TO A QUESTION ihARK IN'' THE 94YES" COLUMN: SCAQMD PERMITTING CHECKLIST YES NO 1 Does your facility use any internal combustion C� engines greater than 50-HP? ty involve mixing, blending, or 2. Does your facili processing any solvents, adhesives, paints' or coatings? 3. Does your facility createany dusts or smoke? 4. Does your facility refine any liquids or solids. F=1 *A im an Recla y 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 2,00o,000 BTU/HR? 7 Does your facility handle or store solvents or motor fuel? 8. Do you use or store any acids? 9 Do you use any chemical process? 10 Do you ;use any solvents for clean-up? .•� 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline station, printer, or part coater? 12. Is the subject building located within one thousand (1,000) feet of any school? 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 .i you must contact the South Coast Air Quality Management District located at: 9150 FLAIR DRIVE, EL MONTE, CA 91731 Please call these offices: Plan Check (818) 572-6406 (818) 572-6111, (818) 572-6261 DsAL00603 - un a { � k u k' Y a