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HomeMy WebLinkAbout1120 Pacific Coast Hwy - CofO (17)CMIFICATE OF OCCUPANCY 3 / 13 / 9 5 CITY OF HUNTINGTON BEACH a Dale Address 1120 PACIFIC COAST #fA District Business Name A PERFECT BALANCE Tel. 833-9933 x Business Type COURSELIRG Occ. Group B2 I� BUILDING OWNER BUSINESS OWNER/MANAGER j LARRY 5iCHLEY THUY T. HUYNH Name Name Address 1120 PACIFIC COAST Address 3 VENEZIA AI LE j City HR _Tel. 536-3374 City IRVINE Home 833-,9933 4 Construction 2 12 No. of Stories Occupant Load Sprinklers CONDITIONS OF APPROVAL ti ii ( i t 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 j �. /b, ►�aia5 t� APPLICATION FO CART CATE OF OCCUPANCY CITY OF HUNTINGTON BEACH q DEPARTMENT OF COMMUNITY DEVELOPMENT -J,�ft'II1�Y I I� HUNT NCTON anoi DA• E IPRIt:T OR TYPE ONLY) - i Address 120 PIN / District ', I "2 Business Name����� � _— Tel -71 -? _C✓ Q z Business Type — �T�1V�fll Occ Group I L1t � h BUILDING GJWNER BUSINE. S OWNE) s RIIMANAGER Name 1�— � lfy Name ► ! Adore!Home �1 PC Addre s�j City �61nh O �Ch OA Tel �14City Home Tel.�i _l J 1 ' THIS USE WOULD BE DESCRIBED AS:✓ El LY CONSTRUCTED BLDG ❑ CHANGE OF OWNER U CHANGE OF OCCUPANT q I EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any O1Nt+ _Occupancy Gr _21 Div I SQUARE FT, OF BUILDING TO BE OCCUPIED t NOTICE: 1. Occupanry y building is prohibited and a business license will not be issued until the building has been inspected. 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 ..-1 '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 necessary to make inspection of a building or premises in order to determh re 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 g shall be paid to the city. 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum oftour(4) inches in height with one half (1/2) 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. �C C 5. Huntington Beach Fire Code Section 10 301 requires fire extinguisher selection and distribution per the a GI National Fire Protection Association pamphlet 10 (see reverse side). 1; LA kr._—S] A,_ tlk.. t 9 i? (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION ZONING ';X%ip 07— OCCUPANCY GROUP A-2 PLAN CHECK NO, NO PARKING SPACES} OCCUPANT LOAD / PERMIT NO _ HEALTH DEPT APPROVAL NO. OF STORIES ADMIN ACTION UTILfTIES-RELEASEDt C 3 3 &,5� CERTIFICATE OF OCCUPANCY FEE APPR _D BY DATE CHANGE OF USE OR OCCUPANCY FEE , t TOTAL g 75-039 Rev. 11/90 COMMUNITY DEVELOPMENT i , SUPPLEMENTAL INFORMATION 4,111h)'1Q Yl Ok 1. BUSINESS ADDRE ,S i'.Cl, ,h. 2. Person to contact in case of emergency. T k Telephone number: -71� 835 33 3. Does the building in question have electricity? lB'Yes l ❑ No (a) If No, are you --questing t:— the electricity be ❑ es I f turned on? I No 4. The building is sprinklered? 2-11yes ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ yes No F 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? C�No G° If Yes: 1 (a) Describe the components repaired or replaced. R E l , i (b) Does the operation involve the use of an open flame? ❑ Yes ❑ No 7. The business — drinking, dining or assembly use that will l i result in ar, _--,aupant load of more than 50 persons. El Yes 0--No t 8. The�oles� describes my operation; j I Warehouse ManufactL..*i'ng / Distribution (describe process and end proa:.+ct) i Restaurant / Take Out Food 1` Medical ! Dental Other (describe) ,r \� SUPPLIMENTAL INFORMATION i Fi l 1 1 „I 1 r i i AE -I I• SUPPLEMENTAL INFORMATION (Continued) , Does the operation involve any of the following materials9 ❑❑ Yes If —Yes, indicate quantities: Material —T_-� Quantity 1. Flammable liquids Class I -A Class i-B I' Class I-C r 2. Combustible liquids Class It Class 111-A } 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. Corro: e liquids _ 11. Oxidizing material - gases j 12, Oxidizing material uids 13., Oxidizing material - solids > 14. Organic peroxides r t5. Nitromethane (unstable materials) 16. Am,rnonium nitrate 17. Ammonium nitrate compound mixtures contiaining more than 60% nitrate by weight 18. Highly toxic material and poisonous gas 19... Smokeless powd-r — i 20. Black sporting powder I hereby certify that the above information is true and correct to the best of my edGe. R Si a.i re Date i 'I i 1l.Zd PCB , �iul irY�% n tc h , C / ar E.r,Gs.,. C't3"g ti! fUrii3 it-�iist ti ' tt7.?. �aifi"' t�F .317 Etpl qii� Yt r �Sui `� i�t�} i,4" S �'iiti>a..yii ,-i'.. ..i'�u_. g;-7_. i gt' t�"r pfopq):�CA ,... _ "r3'-, etlP_ :?" i sE ANFISVEP -0 A i 11JE TICa 1. MARK IN r H._. ";;gES' 1,;-,L.i.k,M!"i°[ 9acility use any internal coi'6ibusllon enpinOc cyeaferthari WHIP?: 2. Does yoljr faGiiilty tinvoivve mixing, blendin '-. r, prijt;t,:s _ `1v solvents, adl" e.,t;ves, paint6 or coatings? your factlityf Crean' any dusts or srr1r5,.? 4 Dma ,%s your fccii1ty t-ellne any liquids oi, s io.� ci i,edain, a,, , r, Does your facility plat; or coat anytN nab? 6- Dce3 you, fa �_Oi�y have any con, bustioa quip*nent(i a boiler, furnaces, Et.9ilC- --- - Do,_,8 y= ,ur f chit' fiandlt� or Store solvents or mefor fu ;l? Df� vcui use £1r St: t ? any �c,ids? ;i- 4Ja, Bair.' any (;siGmkial process? :fie you use any ;:-m vPnt s fir clean-up? ; Ar via a dry cioaner, restaurant with a t,iv 9Wroiier, bcu'y shag. gaschiie f� tator, prin-vIar, cr parl matar? - b e the i li'Ct t.+lW iiTif, located within ore ri ' adfi, i _ :: r, 1of �v�6Ct.a r PRO" r 43 sr �' €C'�ll: i O I�iC'tOt'E1�`5 i " 6 °� �i... ��.mi :'he c t� 2. ?' i ,ar4eo . . ' 'n all columns, need w:: a.ii➢i'�' ft mr „ ri+»'•5.-ti'i'�, . E fir.:. columnyou rr:e�S� c,.t'''�i_=t . �%i:' �i;2 F .a,c. t f Tease cA,. ^law,,; , ? ?`?•.l a I 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. I 1. The applicant (the sarne person who applies for permits froth the 1 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. i 3. If there 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 r' 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. a 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. APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BE Hunmre�TONeEwi DEPARTMENT OF COMMUNITY DEVELOPMENT (PRINT OR TYPE ONLY) DATE CA q -,,W ZS District -'-Business Name C ©R-PDT-A-'f f !g (C lJ Q-111E-5 Cr-&,, Tel I Ocir. L( (- n-s t vslness Type �(Zof.LC-�P-4C �Group-- BUILDINGI. . YP Occ. /r OWNER BUSINESS OWNERIMANAGER .,Dame �.�nsJt�_.ArJcr- S --g-ame � �kf I L.ES H A n //Cddress—�1(�Za P �' �w Address- '(:>,40'Z p(i`2 b2 ilY C'l2Fr�} Tel 5 City- g 2Cv� Home Tel. �r�Z-:�f THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT EXISTING BUILDING CHA(NG F USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any 11�G W�+Occupancy Gr. Div. SQUARE FT. OF BUILDING TO BE OCCUPIED O DATE PAIp. G•� 1 AMOUNT RECEIVED NAME (FOR OFFICE USE ONLY) •� ►CI%,, SUPPLEMENTAL INFORMATIONS �fj 1 OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES - OCCUPANT LOAD PERMIT NO, HEALTH DEPT APPROVAL I NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED CERTIFICATE OF OCCUPANCY FEE APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $ � TOTAL �'`� $ 75-039 Rev. 11190 COMM DEV LOPMENT f l p CAT'� IFICATE OF O C C UPS � C Sr- :y , i' �� T ill s l � s � C i - RT�/ T BUlill �'�'L�- s~• S.A� i'�� i __ (�r:ft�I00Y;-l�rIZZSt=�py EJ;.�tl-.f 81`SOti� }Buss 1.. `S i icens-, z w - =`3cL -Pro7e:yl o rier In or -at,On Name, a :address ��'"1� �� ���,A Izorr ; � ddre� ] ('r, c�' T el. city qUCC C� Gity�'i/ i*.2 THIS USE IWO- BE DESCRIBED AS. 1'Ex Bulking C Newly Constructed Building or sting CHECK ALL THAT APPLY: UChanoe of Owner0Chailge of Occupant M—Cban;e of Use ®Additiorial Occupant a Indicate forger use, if any Does the buildingelectricity? ; Yes No Q .have If No, are you recluestin That the electricity he turned on? Yes No El The building is sprinldered? Yes No } Operations w11 product dustltivood shavings or similar material? Yes No No Operations will involve the repair or replacemeiit of automobile parts Yes If yes: Describe the components repaired or replaced. Does the operation involve the use of welding or open flame? Yes 0 No d The business is drinlcing,-dining or assembly use that will result in an occupant to of more,,lian 50 persons. Yes Q NO X The following best describes my operation: Of ice Only ❑Retail Wes ❑Nledical/Dental ORestaii antfTake Out Food QWazenOuse EliMan,,liacfLrillcr.fDistnbution (describe process and end prodi ct)- Other (describe) ! � � S Fz`Occupi,ed: 1 Oce Group; Qcc I�ozd: ! 'Offzce Use Gaily. I ��o r A mt PaidS: t ` Parlu� a Spaces: _____�-__ TIFF Rev�e�v: Y! 1 ' -n-11Ed Bfi. o� i�=�'�� A � - tStogies; ii77 4:?r li�le ment BLLS ding 1 >inlzi� ."' No --o P�P,C- f f �%OIT! 1ieilta T 7r Blda-?Fla-i Checker fnitals o- — " F A Z � ()US YLA TER? A ; .SDI i-- OSTJ�.�., _�.�Y�� 1 h � � r i h.untin_.ton Beach Fire Department i `' �q� lre5 tCeLr� ��D2�`1�7� t0 T1l�t� OL' iJ t h� el �. teat �alifaraia re�lh and 5al_�y roc r _ ` 1 ^a50i1 dry Cleat'?ing ��'_G', etc.. a con io rE�'_�a rnatzrials. YYSoLor Orl, 11yCSiauliC rlLl_d5 rnLSt be d15C1cJ5ed. If you,I1Sc, handlz {at store hazardous mate 'al_ o_ Y�cs.e matenais -cual to o_ u ex O_ the followingbasic quantities, your are requi:eti i0 disclose- 9 55 gallons of liquid a 500 pounds of solid ® 200 cubic feet of compressed, gas ® Any amc=t of radioactive materials • Any amount ofClass A eXplosive Any amount of chemicals known to cause cancer a Any amount of commercial pesticides Reportable quantity of any chemical on EPA E;:t_enelyHazardous Materials Substance moist Disclosure is not required for the following: 1. Hazardous substances conta ned in food, drug, cosmetic or tobacco products; of the Fire Chief, hazardous materials contained sol ay in consumer products packaged 2. Upon approval for use by and dlst6buted to the general public. However, pesticides, herbicides, and ammonium nitratz fertilizers over the required disclosure an, are not exempt from disclosure. 3. The transportation of hazardous materials accompanied by shipping gapers prcpared in accordance with the provisions of 49 Cade of Federal Rogulations.' d. <Infectious Waste generated by health carp. facilities that are regulated under Title 22 of the: California Administrative Code, Check one of the following:' No chemicals are utheresed, handled or stored at this business. ` =Q'- uireznents for disclosure Chemicals are used, handled or stored at this business, but do notmale t q Chemicals are used, handled or stored at this business. Disclosure farrzis will be sent to you. � un is will be verified by the Fire Department during annual inspections. Tt is unlawful for any person to Atrl. Imowin_ly violate any provision of this ordinance. X Ce c1Iy, underthe pon�lty 01, perluy� that the above ItlfQiivat10i115 u'lae and C©ri�Ct to the best of ily IMocrledge. Signa�tiza j Home Phone s Please call i?'- �0-56 6 with c ucsi arcs reaar illg 6e Hazardousl�luterials PI-Qrarn. j South Coast Air Quality ►�a11ag`11�`ayl DiStiiLi 21865 :�:. Conley Drive Dia ni and Bar, CtA., 91766-4182 (909) 3,00-35-29 Aid` ualft3 Check12.84 California Caovermnent Code 65850.2 prohibits cities uen issuing a. Cep i oate of Uccupa cy to a business without clearance from the local air q?-, alit f agency. This checklist - ' 11 determine is you reed to obtain+ clearance from the South Coast Air Quality Management District (.A.01AD). Company-Name:�• �A/ i c �n a.c iy -- Property Address:n City: U Zip Code: �t Contact Person: c[ Title: _7rr�� rl�ca r [� Type ofBusi?less:1r���--_ Telephone: Applicant: (print name) S;nature:.` • X7111 the facilit;,r have any of the following equipment" Yes NTO Charbroiler Dry cleaning machine' Spray Booth Printing Press (screen/lithographic/flexographio) Internal combustion engine (greater than 50HP) (excluding r7otor vehicles) Boiler/combustion equipment (greater than 2 million BTU/hr. rnaxinurn input) Abrasive blasting cabinet/room BaghQu:se/cartridge type dust flter/scrubber Motor fue= storage and dispensing equipment Will any of the following operations be performed? Yes © No Application of paints or adhesives Etching, plating,. casting, or melting of metals Molding and blending of liquids and/or powders Storage of acids, solvents, organic liquids or fuels production of acids, solvents, organic liquids, orfuels Production of funnes, dust, smoke or song odors V' If you ans)vere d `to" to both questions; this checklist is your clearancd uo AQ'�'� y `:yes" to zither question, you must contact AQl\'D to deter�Ke if air quality permits are • LF you answered required, Tf pests axe needed, AQ will assist you i submitting gezmit 3PP1iahvn(s);and then pro�ida yoL drh a clear��ce letter. You ^an call : Q1�SD at their Small Business Assistance Office at (800) 388 ��....uxr�.r..werx... w.. ✓ .4..'Jrx^'-n"a i` ..,. —. :A..�..n... v-.-... n ._.. v. -:. n...+ x.... .. .. _. ... . ,...v _.. - .n-.+r