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HomeMy WebLinkAbout1120 Pacific Coast Hwy - CofO (12)I 't a 6 CERMICATE OF OCCUPANCY fUklt'. 14, 9$$ ' 0EPARTMENTOPCc7MtvUMTYDEVELOPMENT „r rtu+nwc" SEAW {{ Address 1120 *Paclfic coos' Hw BusinessNarna C* ?Urn?fi Ii GE ' 3f A" 4'd FT M ter 53 6--Z4A5.' Buuries,5Type F `kIV WWI s. C mt�T ^' � {{ JBV1 D1NG wtA� N'EC4 f Name Cr.ntyxa 21110bert a Oman A&ress 1120 Pacific Coast TN �.,,.. r, j �.513 �D01aware St. ; 1tft c,ia a ; ntx�rLtn 2agh f` (;tynSitUG`.rOn � _...._,_.—... NO of a r or, � ..1.�:..,. .. ,..,..... .if r,rK rr,•i . t . . w.m _ _ter>ri: rf{ w tt i Thfa Garflficateof 010upancy DEPARTMENT ()F COMMUNITY %?EVF-LOPMENT I SHALL CG post -id in a conspicucuspiacn on the premises and shall not be removed ex. ' cept by Lno Suilding gifi'ra3 5y �..•: _" Ate' .:f`fi, tcRir.Vdud�rF56•.l^d:'E+�' " "'_'..^_"'.-...^'�..' ; ,. P wf 110JE APPLICATiON FOR CERTIFICATE OF OC CUPANC'YCITY OF HUNTINGTON BEACW EF'ARTRM1ENT OF DEVELOPMENT SERVICES� C � DATE HUNt1NCiTON WAL}t +rr;^, a+- t•.•#' ar., IH raF`2S Nafne..� ._...._.,.w..._. --• : p r Occ Urou .._ — — w-_____---- 136sines Type f311StNE` 4 rJWNERIMAtvAaFR BUR VI NG- Name- � s 7�t1rZ = _ 7 3 ! too ri d jr� �ti� cc Pit E Address _,._.a.Han,e Te1 _..,...--.—.-- Gtty--- f�i=`r.!�%-c.z��Gµv•n3'c• t-_. __.-T . - ` s THIS USE kvoULD BE DESCRIBED AS. c--� ��-•-''{{ {;...ti C.�; Tr:ai o; i'x1�"Jt'SEf•i ._,_,l �t iT,^t� aL" t"ir: �)GCtJPr",N T kX14TING t UII r'iW3 ;,ITArI..F c..F USE` LJ ACiIN"iCaCaFrL yCUtAtvT J SOIJARE i:T. OF Fs, lt.t?fP�l, f; BE _ w j i S r i i� }t�.c C `t; WIII no` C rrCni,} thr, b71dg haS JIUTICE~' I 4 t !t}a� y of iry h 1 ~t i#} � F ;,`yCfl tti:a%k�d:tt?Ci i�S",C d f:E;fi Ftf rl t•i �a U�i:xCtt.'�' +,tt ' .. N(3 electrical service 4 i21 tit rt r t 4 f,,t rift r M1 .' 11Q t)JiiFt 7 ,irit:1 tl rx $erviCe ha3 , 1 x?±S ttlSd and ° :;+ t( ! tr '10 scheduleactrical Ott Ai# �rrt tc,t# 'ir ,� i:y 1hE rtYr1.3;tm x, 4tt l'ir ie ifJr21 C3i `�'xs'-fYiICE's 1C tlaC� !i#ile tad` x pt;CrllfCiCi8t't. change of occupancy or use i 5pectlrtrr fea tUt,, # 4 :r ;i i n try + a7 aka „7^pectierl rat a building qr r rti' S(} It�tP R'.Ytf+ i Chai'.'tc ftt;iy' }tie t a(ltt h it � 4 d �C `t:r Cat JCCiI�Ya(C f or L3SG of the rrr i�Se;fT a t "1 Q J; c r tk'e c:' tYiEs' ro f t QCCUQiiRGj t i.Jttud?g er prernisos wr# t.h uvtr„l!t t n P t atcirtc h d ji,ft.# nt vi ich , s 3 p (! rn tj"4fe}rt'rlt ('oup 0, lr} 1 r! .It 3 rt f3f C i �l ll?C� lfialJo C'tr7 c it3E V Snai! be paid to lt)c`, ctty x # # ;must be a d. Huntington Beach *Fire nod aSccislont�tj .,Irnke a•7d of a�car rat ng colorrirom the backgr� r n!. Thes tom} inche s in he g t number; tTlus: be po>tf d ,rr }tal:<r building in a icL=�tlrf, ll3SttKi� v; ,rbiE frgrn 'hc street. 5. Huntington Beach Fire Code Section 1-3 °,0T r(' I ror r extir#pui�at2ar ;clec'tcn antd dl�trrbuatori Pet the Cvdticnal F }rc. proteC'aio1 �Su t��tiort ptarTtphlpl f J €�,a rever,,(- iede�t (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATIO . tS C,;;3'�pANGY �CF`dTlm.. _ KhCSPACES -N CHCtNO N0 PAR . EALTH DEPT APPROVALCR}UPMIT dC. t F"RC)PANT LOAD 'TILIIIESRELFASED-- _--_-__.. .-- AEMIN A6Tf0N--_._ t:ATE ----. - - -- - C!F 0,,C IpAANGY FFE $ _. DAiE CH.ANGa OF USE :;R { CC uPANCY FEE $ _ Tf7Tt,t � X, SERVIOCS Via ft v. APPLICATION FOR CLRTI.FICATE OF OCCUPANCY CITY OF HUNTING"l.ON BEACH - DEPARTIYIEI�T�` (3T �[TJtLDTi!:G & SAFETY (3"11loon—M'ItytApplylir l'ersoit) 5 ~S' i I ' Business License # Pr X�q�a Date 1 ' Address'✓` Business NatueG "� Telephone �'f Business Type i — B nergency Contact Information Business Owner Name fVLErT�: �� - --- Name t. �i .i��t�� � do Address . dq z r klome Address t-l� t' ' City 'P4 t t -% 9 ' Citl � g>=,_C�L _Tel. qkq. THIS USE WOULD BE DESCRIBED AS: ®Nervily Constructed Building or �J xisting Building CHECK ALL THAT APPLY: Change of Owner of Occupant QChange of I lAdditionai Occupant Indicate former use, if an} Dofs the building have electricity? Yes NnQ It No, are y au ret uestitig that the electricity. be turned on`? Ye.; Q No Q The building is sprI klered? Yes ❑ 10 Operations rvll product duslAvood shaviings or similar material? Yes Q No Operations will involve the repair or replacement of automobile parts dos ❑ No If yes. Describe the components repaired or replaced. Doe, the operation involve the u:,e of welding or open flame? Yes Q No The business is drinking,dining or assembly u that will result in an occupant, Ioad of more than 50 persons, Yes Q No 13 1follo��ing best describes my operation: offirc Only QR.etall Sales QMedicaMental QPtiestaurart/Tal;e Out FoodClIXTarehouse i CJ ManufacturinglD istribution (describe process and end product) © Other (describe) Uf 1ice Cise 0111y: Sq Ft Occupied: Occ Group: Oce Load: # Stories: Pstrking Spares; ill= tevie-w; YIN Amt Pi.id$: Paid BEFO RE'Final Icspoction Building Permit rr � Entitlement 9; Comments: Planner Tnrtial . tt � f3ldgfPlan Checker Initials: _ Gty�O 41 v.� .:. ,7{ HAZAYWOUS MATERIALS DISCLOSURE INFORM-".TJON Huntington Beach Fire Department California Health and Safety Code requires the pile Department to regulate businesses That handle hazardous fmaterials, Motor oil, hydraulic fluids, gasoline, dry cleaning ,fluid, etc., are considered. hazardous materials and must be disclosed. If you use, Landle or store hazardous materials or waste materials equal to orin excess of the following basic quantities, your are required to disclose, { • 55 gallons of ligttid • 500 pounds of solid • 200 cubic f-,et of compressed gas Any amount of radioactive materials • Any amount of Class A explosive • Any amount ofchen icals known to cause cancer • Any amount of commercial pesticides • Reportable quantity of any chemical on EPA. Extremely Hazardous Materials Substance List t Disclosure is not required for the follo%ving: 1, Hnardous substances contained in focd, drug, cosmetic or tobacco products_ 2. Upon approval of the Fire Chief, hazardous materials contained Sol .l in consumer products packaged y p P .� for use by and distributed to the general public. However, pesticides, herbicides, and ammonium nitrate fertiWers over the required disclosure amounts are not exempt from disclosure. 3. The transportation of hazardous materials accompanied by shipping papers prepared in accordance with the provisions of49 Code of Federal Regulations.', 4_; Infectious waste generated by health care facilities wat are regulated under Title 22 of the California, Administrative Code Check one of the following: No chemicals are used, handled or stored at this busines.. Chemicals are used, handled or stored at this business, but do nett meet the requirements for disclosure Chemicals are used, handled or stored at this business. Disclosture forms )vill be send to y011. Amounts vvxll be verified by the lire Department during annual inspections. It is unlawful for any person to knowingly violate any provision of Us old nanee. I certify, under the penalty of per ttrv, that the above information is true and correct to the best of my knowledge, Signature Date dT 4 7-Y-03 fJome Phone � Ptearse call 714-536-5676 )vitit gtteslid,?ats re aiding fJte flozardaus ilxaterials Prograttt. i a `. k F ` South Coast .fir Quality Management District 21865 E. Copley Drive Diamond Bar, CA 91765-4182 (909) 396-3529 htpp://Nvww.agmd.gov Air Quality Permit Cheeidist California Government Code 65850.2 prohibits cities from issuing a Certificate of Occupancy to a business without clearance from the local air quality agency. This checklist will determine if you need to obtain clearance from the South Coast Air Quality Management District (AQNID). Company Name: Property Address: City !ip Code: Contact Person: Title: Type of Business: Tel,ephozae ,0�---� Applicant: (print nt.me)_ Signature; o Will the facility have any of the following equipment? Yes 0 No tJ Charbroiler Dry cleaning machine Spray Booth Printing Press (screen/litiiographie/fiexographie) r Internal combustion engine (greater than 50HP) (excluding motor vehicles) 1 Boilerlcombustion equipment (greater than 2 nullion BT U/hr. maximum input) Abrasive blasting cabinet/room Bag house/cartridge type dust filter/scrubh,er 'Motor fuel storage and dispensing equipment • `4'Viil any of the following operations be performed? Yes ❑ No U Application ofpairts or adhesives i 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, or fuels Production of fumes, dust, smoke or strong odors r • If you answered "Nc" to both questions, thus checklist is your clearance from AQhiD.' • If you answered "Yes" to either question, you mu;t contact AQMD to deterrrtinc if air quality permits are required. Ifpetttits .are neeaed, AQMD ��il l assist you in submitting, permit application(s) and then provide you with a clearance Letter. You can call. AQA3.v at their Small Business Assistance Off ce at (800) 388=2121. i r! i" x,. {