HomeMy WebLinkAbout120 Pacific Coast Hwy - CofO (8)CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON,BEACH z yn n u
r
Address
t r A ie - e' — Distract
Business Name 7, IT r = Tel.
Business Type Occ. Group
r '�•.. �- t•�t.• T r t t cs' n it a.% yJ V 1 T L' ai
BUILDING OWNER BUSINESS OWNER/MANAGER
Name BEACH RESORTS Name nof,,; gWtT P. TrrV z
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Address Home
4 Addrese,
City T 1113 4 eu !Wi U orw��
Y j< Tel. City ` TeL
Construction _ No, of Stories _. Occupant Load .- Sprinklers
CONDITIONS OF APPROVAL
Y
i DEPARTMENT OF COMMUNITY DEVELOPMENT
f
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the by
Building Official. ;
COMMUNITY DEVELOPMENT
I
a
iO2 APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH —� t
DEPARTMENT OF COMMUNITY DEVELOPMENIIT DATE
HUNnNGIU4 OL40i (PRINT OR TYPE ONLY)
`�O' f"c!' District
Address _ j� ,✓1 Tel 714
Business Name
=�'IE� Occ. Group
Business Type BUSINESS OWNERIMANAGER
BUILDING OWNER
Name
Name Home 00//! f�of�i G-I✓
Address 11
Address �rZla� Tel. Home Tel 7%4t 9G�7'sYy
City
City
THIS USE WOULD BE DESCRIBED AS:
❑ CHANGE OF OWNER XCHANGE OF OCCUPANT
El NEWLY,CONSI RUCTED BLDG• ❑ ADDITIONAL OCCUPANT
EXISTING BUILDING El CHANGE OF USE
Occupancy Gr. Div
Indicate former use,. it any —
SQUARE FT. OF BUILDING TO BE OCCUPIED--
NOTICE:
1. Occupancy ofany -wilding is prohibited and a business License will not be issued until the building has been
inspected and a certificate of occupancy is issued. and
ce 2. No electrical ' service will be released for any an existing builbuildinginguntil
the
require
ser id t aschedule aneelecdtrica
certified safe. All applicants for occupancy iny application is filed.
'fuse up' inspection in the Department of,Commuf (I
nit Development at the time this
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
l i premises in order to determine if a change may be made in the character of occupancy or use of the building
3 a r remises which would place the building in a different division of the same group of occupancy or ll
o p shall
t. different group Of occupancy, a change of occupancy inspection fee of $
be paid to the city.
tin tpn Beach Fire Code Section 10:208 requires that building numbers must be a minimum of four (4) '
Hun for from the background. These
4• 9
inches in height. with one ha!f ('/2) inch stroke, and of a contrasting co
numbers must be posted on your building in a location that is visible from the street.
`Fire Code Section 10.30t requires fire extinguisher selection and distribution per the
5. Huntington Beach
National Fire Protection Association pamphlet 10 (see reverse side).
(FOR OFFICE USE ONLY)
ZONING
SUPPLEMENTAL INFORMATION ` PLAN CHECK NO. N0, PARKING SPACES
OCCUPANCY GROUP PERMIT NO. HEALTH DEPT APPROVAL
OCCUPANT LOAD ADMIN, ACTION UTILITIES RELEASED
NO: OF STORIES
CERTIFICATE OF OCCUPANCY," FEE $ _
D TE' CHANGE OF USE OR OCCUPANCY FEE
APR VE Y TOTAL $
COMMUNITY DEVELOPMENT
` 75.039 Rev. 11/90'
j
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS /za f �'/�' � �: � � •
%���
W,
2.
Person to contact in case- of emergency` NJ&i i3i9Y/
Telephone number:
3.
Does the building in question have electricity?
®
Yes
r
❑
No
(a) If No, are you requesting that the electricity be
❑
Yes
turned on?
❑-
No
4.
The building is sprinklered?
❑
Yes
JZ
No
5.
Operations will produce dust / wocd shavings or similar
material?
❑
Yes
❑
No
6.
Operations will involve the ' repair or replacement of
❑
Yes
automobile parts?
ID
No
If Yes:
(a) Describe the components repaired or replaced.
Yes
(b) Does the operation involve the use of an open
flame? ❑
No
7.
The business is drinking, dining or assembly use that
will
result in an occupant load of more than 50 persons.
❑
V1
Yes
No
8.
'the following best describes my operation;
Office OnI
,ales
Warehouse
Manufacturing / Distribution ;(describe process and end product)
Restaurant / Take Out Food
Medical / Dental
G
Other (describe)
SUPPUMENTAL INFORMATION
Y _
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City of Huntington each
* 2000 MAIN STREECALIFORNIACAGI F92648
DEPARTMENT OF COMMUMITY DEVELOPMENT
Building 536-524t
Planning 536-5271
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Housing 536-5271
2
Government Code Section 65850.2(b) requires the City of Huntington
Beach Building Division not
to issue the finalcertificateof
occupancy unless the applicant has met or is meeting the
requirements of the South Coast ;Fir Quality Management District
(A,QMD). The
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j
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 %equi,rements.
1. The applicant (the same
the But person who applies for`pPrmits
inq Division) must
°
complete the checklistwhich
can be oh::ained either at the Building Division at
i
or AQ1v1D.
2. If all boxes in the list are checked "no", the `Building
Division
can accept the check list as the _release.
3. If there are any "yea" answers in the 'list, the applicant
must
contact an AQMD engineer by calling (714)`396-2000 to
find out
s
whether air permits are required for the proposed
•
constr uction r o e ct.
P J
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 permitapplications before the release can be
issued:'
Because of the time it may -take for AQMD to go through the above
procedures -th e applicant is
'
r
, advised to contact AQMD immediately-
after applying for Building permits.
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SOUTH COAST AIR QUALInl* MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
t Location of Subject Property:/Z nG' /7 • �%� ���
Property Owner -Name:
7 5' iG'
Phone #
Name of the Person Preparing this form in
Print nd�ignatu e
Name : '�/ 6,�/
Signature:
The person preparing this form must be the same person applying
building permits. Please answer the followingPp yang or
your occupancy questions regarding
proposed occu anc of the subject building. IF YOU DO NOT KNOW
THE ANSWER TO A QUESTION MARK IN THE "YES COLUMN
AQMD PERMITTING CHECKLIST
YES NO
1. Does your facility use any internal combustion
engines greater than 50-HP?
2. Does your facility involve mixing, blending,
processing any solvents, adhesives or
or coatings? , paints
3. Does your facility create any dusts or smoke?
SLI
4`. Does your facility refine any liquids or solids
or .reclaim any '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 2,000,000 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. Isthe subject building located within one
thousand (1,000) feet of any school?
PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
If you have marked "NO11 in all columns,
Column Quality permit at this time. If You do not need an Air
the "YES""YES"i'you have marked any questions in
you must contact the South Coast Air Quality
Management District located at:
?,1865 E. Copley Drive
Diamond Bar, CA 91765-4182
Please call: Plan Check (714) 396-2000
(13 60D-2 )
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CERTIFICATE OF OCCUPANCY P
CITY OF HUNTINGTON BEACH "
Address District
rcv rr. ..yi•1i 4liYat
Business Name ,,rr R..., Tel t
Business Type Occ. Group
i
BUILDING OWNER BUSINESS OWNER/MANAGER
r�
Name £EAi;� ftFSt1,t � s Name Tr,!. c.r,i•r , •7 s F: rctc r; arn.�r. A
Home i
Address �,. .. Address.
City r*T GA Te1. City
Tel.
G�
Construction
No. of Stories Occupant Load o r Sprinklers
CONDITIONS OF APPROVAL
4 '
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q
} 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 by%
Building Official.
COMMUNITY DEVELOPMENT h
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tjAPPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNTINGTOY BEACH DATE
(PRINT OR TYPE ONLY(
f
Address I Z / District
P Business Name Cr' .,.r r d G/ Tel W4
Business Type
Oc G� �i�! S i1�J0 /iGGZ?ilE Occ- Group
BUILDING OWNER BUSINESS OWNERIMANAGER
r. Name_ �7�"Gf� ,z ; �5, :,c/L N-me 17d�✓ Sc��uLT /L?/� $i4u lE_.�
7—Z Sf4 ✓�7 y% Home
Z
I Address // Address
I City. i �. � 1: /14 �JZI ¢o Tel Coy %.,%, me Tel-7�/5'1v��8�i
0
I THIS USE WOULD BE DESCRIBED AS:
r ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER L2kCHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT 1
Indicate former use. it any �+'�%T.nl 4- Oc (t pancv Gr—Div I
SOUARE FT. OF BUILDING TO BE OCCUPIEDh ���
F,.
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SUPPLEMENTAL INFORMATION
i
1.
BUSINESS ADDRESS
2.
Person to con`.. ct in case of emergency- /4/kF
Telephone number: 714
1.
Does the building in question have electricity?
Yes
❑ No
(a) If No, are you requesting that the electricity be
❑ Yes
turned on?
❑ No
l
'
4.
The building is sprinklered?
❑ Yes`
:
I
No
5.
Operations will produce dust/wood shavings or similar
i
material?
❑ Yes
0 No
I
6.
Operations will involve the repair or replacement of
❑Yes
w
automobile parts?
Zl No
I
If Yes:
'
(a) Describe the components repaired or replaced.
r
l
(b) Does the operation involve the use of an open
flame? ❑Yes
p No
i
7.
s is drinking, dining or assembly use that
The bushes 9, `�
will
result in an occupant load of more than 50 persons.
❑
Yes
4
-
No
I
8.
The following best describes my operation;
r
Office Only
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end
product)
Restaurant/Take Out Food
g
Medical / Dental
Other (describe)
i
,
f
SUPPLIMENTAL INFORMATION
1
1
I
_
i
-
4
f
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? El Yus
G No
If
Yes, indicate quantities:
Material Quantity
1.
Flammable liquids
Class I -A
I
Class I-8 _
Class I-C
2.
Combustible liquids
Class II
Class III -A
h
3.
Combination flammable liquids
4 -.
Flammable gases
5.
Liquefied flammable gases
' -
6. `
Flammable fibers - loose ;
7.
Flammable fibers - baled
8.
Flammable solids
9.
Unstable materials
10.
Corrosive liquids a
11:
Oxidizing material - gases
12.
Oxidizing material - liquids
'13.
Oxidizing materiel - solids
14.
Organic peroxides
'
15.
Nitromethane (unstable materials' I
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 �A
20.
Black sporting powder
I hereby certify that the ab i tiara is true and correc" to
the my kn tpdoe
� ;
7kutof
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Sig nQ ure Date
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City of Huntington Beach
2000 MAIN STREET CALIFORNIA 92648
_-- DEPARTMENT OF COMMUNITY DEVELOPMENT
}
Building 536-5241
Planning 536-5271
Housing 536-5271
t-
I
Government Code Section 65850.2(b) requires the City of Huntington
Beach Building Division not to 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 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.
L
1. The applicant (the same person who applies for Permits from f
the Building Division) must complete the check list which
can be obtained either at the Building Division or at AQMD,
1 _
2. If all boxes in the list are checked "no the Building
' Division can accept the check list as the release.
}
I
3. If these are any "yes" answers in the List, the applicant
must contact an AQMD engineer by 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.
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.
1
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(1360D)
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SOUTH COAST AIR QUALITY 14ANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: /Z C) e / J•, ,yam G,
9ZG '
Property Owner Name:Phone #
F
Name of the Person Preparing this form in print nd signatu e
Name: .!J6:!/ 0e-17Z �Z-T"z Signature
e
' The person preparing this form must be the same person applying
for
building permits. Please answer the following questions regarding
your proposed occupancy of the subject building. IF YOU DO NOT
KNOW
F
THE ANSWER TO A QUESTION MARK IN THE "YES" COLUMN:
AQMD PERMITTING CHECKLIST
YES
NO
1. Does your facility use any internal combustion
1 engines greater than 50-HP?
/r 2. Does your facility involve mixing, blending, or
processing any solvents, adhesives, paints
or coatings?
3. Does your facility create any dusts or smoke?
4. Does your facility refine any liquids or solids
—'`Z j
or reclaim any metals?
5.
J
Does your facility plate or coat anything?
6. Does your facility have any combustion equipment
f i
i.e. boiler, furnaces, broiler, baking ovens,
�G
etc.) rated greater than 2,000,000 BTU/HR?
7 Does your facility handle or store solvents or
t motor fuel?
f
8. Do you use or store any acids?
9. Do you useanychemical. 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 ?
P part coater.
12. Is the subject building located within one
thousand (1,000) feet of any school?
J`
PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
If you have marked "NO" in all columns, you. do notneed 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
t
21865 E. Copley Drive
Diamond Bar, CA 91765-4182
Please call: Plan Check (714) 396-2000
(1360D-2)
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