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Home My WebLink About120 Pacific Coast Hwy - CofO (9)s k a CERTIFICATE OF OCCUPANCY I CITY OF HUNTINGTON BEACH 5/14j1, Address a r 7 r T t`, r f ,r, Date Business Name District f Business Type R E T A I LO Tel. BUILDING OWNER. _ Occ. Group _C ----- Name B"ACH RESORTS, u4c, BUSINESS OWNER/MANAGER j Name LINDA ANDERSON �. Address ` ' " Home City iiEs. GA Tel. Address P f riot/ fir• r�r Con?;truction Home City �'bktf AT r � CTel. ??7c1—'7 ,—g ----'— No. of Stories Occupant Load Sprinklers 4 t CONDITIONS OF APPROVAL f g " t t s DEPARTMENT'OF COMMUNITY DEVELOPMENT i r i I This Certificate of Occupancy SHALL BE posted in -Conspicuous place on the Premises and shall not be removed except by the it Building Official. by/ st COMMUNITY DEVELOPMENT s t q J" APPLICATION FOR CERTIFICATE OF OCCUPANCY N CITY OF HUNTINGTON BEACH /! i DEPARTMENT OF COMMUNITY DEVELOPMENT Hu M NGTON PEaai (PRINT OR TYPE ONLY) DATE a .. i Address —/ a 0 P C ir-) G C., &C'st C�J (� District x Business Name l✓ Lce$ ru d,de$ tlj Tel i, Business Type Occ. Group � I BUfLDING OWNER BUSINESS OWNERIMANAGER Name— E'aC Name L i he(a iq ry de- r S c N _ } Home Address a a a S +� s Address ??• U` t3b X c35 S City �luY'+)n6 ay� 13eaCG, Tel City MCIhhCnh Ch HomeTe7 32`) -7L THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT �i EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT- Indicate former use. If any Occupancy Gr Div SQUARE FT. OF BUILDING TO BE OCCUPIED /A3 Fee h FOR OFFICE USE ONLY) ` SUPPLEMENTAL INFORMATION � � ZONING--D7`�" OCCUPANCY GROUP PLAN CHECK NO. NO PARKING SPACES .. OCCUPANT LOAD PERMIT NO. HEALTH DEPT. APPROVAL O. OF STORIES ADMIN ACTION UTILITIES RELEASED — �• � �/' � �3 CERTIFICATEOF OCCUPANCY FEE �r 'A PROVED rf DATE CHANGE OF USE OR OCCUPANCY FEE g 5 w p TOTAL g s oas Re .-ge COMMUNITY DEVELOPMENT y n t7 L _ , SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS /07Q -60C/ C.- Q0Sf 1 ca 2. Person to contact in case of emergency ncj ors n Telephone number: 010) 3 9- -7 3._ Does the building in question have electricity? Yes ❑ No (a) 1f No, are you requesting that the electricity be ❑ Yes ,. turned on? ❑ No i 4. The building is sprnklered? - ❑Yes , p 'a -No 5. Operations will p produce dust /wood shavings or similar ' material? ❑ Yes C No 6. Operations will involve the repair or _replacement of - ❑ Yes automobile parts? No ` If Yes: }` (a) Describe the components repaired or replaced. i; (b) Does the operation involve the use of an open flame? ❑ Yes a allo 7. The business is drinking, din`,, .s or assembly use that will '. result in an occupant load of more than 50 persons. ❑ Y 'c,r 8. The following best describes my operation; _ Office Only, etail' S eslesl d-G,,0C CJ01� tr.ter�y�s are ouse. Manufacturing/ Distribution describe ( process and end product) i y Restaurant / Take Out Food'- Medical / Dental- I Other (describe) ; l < _ sutniinn� =nr .ritchRMATIMI I r s R3i3PP1 �E�t1�E�T�eu. INFORMATION (Continued) Does the operation invoice any of the following materials? "` D-.Yes No i li Yes; indi-cate quantities: Material Quantity 1. Flammable=, liquids Class I -A Class I-13 Class I-C 2,. Combustible liquids -� Class it ClassNt-A 3. _ Combination flammable liquids 4. Flammable gases 5. Liquefied flammable, gases 6. ' Flammable fibers - loose x 7. Fiammable fibers - baled 8.; Flammable solids 9. Unstable materials 10. Corrosive liquids 11 " Oxidizing material - gases a 12. Oxidizing material - liquids - 13. Oxidizing material - solids 14,- Organic peroxides 15. Nitromethane, (unstable materials)' 16" Ammonium nitrate 17. Ammonium nitrate compound ; ,mixtures - containing more than FO% nitrate by weight 18. Highly toxiC,material and poisunous g2„ 19,_ Smokeless powder - 20, Black sporting powder i ..l I hereby certify that the above information is true and correct to three best of my knowledge. s�•:yr-c�e-- ' Signa�ure Date i 1 r t l City of Huntington Beach 1 i ; a 2000MAINSTREET 4 •. � �• � J CALlFORNIA97548 DEPAR- 'ENT OF COMMUNITY DEVELOPMENT Building 536-5241 I Planning 536-5271 Housing 536-5271 { { Government Code Section 65850.2(b) requires the City of Fluntin,;-_, Beach Building Division not to issue the final certificate or occupancy unless the applicant has met or is meeting the requirements of the South Coast Air Quality Management District € (AQMD). The Building Division 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. G 1. The applicant (the same person who applies for permits from the Buildina Division) must complete;the'check list which a can be obtainedeither at the Building Division or at AQMD. f 2. If all boxes in the list are checked "no", the Building Division can accept the check list as the release. k 3. If there are an Y "Yes." answers in the list, the applicant P I must cor-tact an AQMD engineer b Q g y calling (714),396-2000 to ` find out whether _air permits are required for the proposed construction project. i ? 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. Because of the time it may take for AQMD to go through the above procedures, the applicant is advised to Contact AQMD immediately after applying for Building permits. z i �r 5 (1360D) t� r 41 id i t i r r. t b� Ka 'f i iY'-.;TH COAST AIR QUALITY MANAGEMENTDISTRICT (Nonresidential Buildings Only) Location of Subject Property: k-) Q fck�c-'VfI CG Coast Property Owner Name: (8eac� t`t�Or �S --MCA Phone # , v. Name of the Person Preparing this form in print and signature is Name; Ll�,ACA OY\AE CS6 �-1 Signature: 4-4-G� �ory The person preparing this form must be the same person applying for g` 3. i building permits. Please answer the following questions r-,garding ff your proposed occupancy of the subject building.- IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN THE "YES" COLUMN: y G AQMD PERMITTING CHECKLIST YES NO �f 1. Does your facility use any internal combLstion $ engines greater than 50-HP? yC 2. Does your facility involve mixing, blending, or processing any solvents, adhesives, paints or coatings? X C 3. Does your facility create any dusts or smoke? 7� 4. Does your facility refine any liquids or solids or reclaim any metals? X 5. Does your facility plate or coat anything? u 6. Does your facility have any combustion_ equipment' i.e. boiler, furnaces, broiler, baking ovens, X etc.) rated greater than 2,000,000 BTU/NP.? X 7. Does your facility 'handle or store_solveaits or motor fuel? 8. Do you use or store any acids? x 9. Do you use any chemical process? ' 3 _ 10. Do you use an solvents for clean-up? Y p ?± ) 11. Are you a dry cleaner, restaurant with a � charbroiler, body shop, gasolir- station, printer, or part-coater? k t 12. Is the subject building locateu within one thousand (1,000) feet of any school? X ; _ PROPERTY LINE TO PROPERTY LINE.; GRADES K-14�. 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 i the "YES" Column you must contact the South Coast Air Quality k Management District located at: � 21.865 E. Copley 'give ' Diamo7d Bar, CA 91765-4182 Please call: Plan Check (714) 396-2000 ix (13 6OD-2 ) s z� 1 I 1 t.