HomeMy WebLinkAbout1506 Pacific Coast Hwy - CofO (13)CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH 4/1 / 9 -z i
Fe4 C C AA C J:I' I C C Oate
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I'ACIF C taH L' DistrictREAUF'.tltT Tel. 79!i_Occ. Group P-2BUILDING OWNER
LIN BUSINESS OWNER/MANAGERName a ICFAEL COEIVELL
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Address {22 MA-:iq Home
Address ? Ie_FAr (itRitf��tt' r5R
F1
City
' A Tel. Cif E B .
y Cn1 Home
Construction Tel. 714--, i 41 _ � R 7
_ No. of Stori+s Occupant Load 2
CONDITIONS OF APPROVAL Sprinklers
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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
Evilding Official. by
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COMMUNITY DEVELOPMENT
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
HUNTINGTON BFAOI DEPARTMENT OF COMMUNITY DEVELOPMENT 2 -
(PRINT OR TYPE ONLY) DATE -
Address
— District
Business Name 2 („�rg�C e ` Tel
Business Type Occ. Group
BUILDING OWNER BUSINESS OWNER(MANAGER
Name--6F' L�J�l Name_J�91 i Q�/.Clf' 1
Address ��� �f L�G� `-% Home
Address
City- Tel �
City Horn FX_d 7' 2 S
THIS USE WOULD BE DESCRIBED AS: �{
❑ N tY CONSTRUCTED BLDG l�LCHANGE OF OWNER ^ ❑ CHANGE OF OCCUPANT
E EXISTING BUILDING ' ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any plyjl P _Occupancy Gr Div
SQUARE FT. OF BUILDING TO BE GCCUPIED7
NO ICE: 1. Occupancvof 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
j 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 determine it 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 inspectioe. fee of $ shall
be paid to the city.
� 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum offour(4)
f inches in height with one half (112) inch stroke, and of a contrasting color from the background. These
A� \ numbers must be posted on your building in a location that is visible from the street.
l 5. Huntington Beach Fire Cr,de Section 10.301 requit es fire extinguisher selection and distribution per the
National Fire Protectloo Association pamphlet 10 (see reverse side).
(FOR OFFICE USE ONLY)
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
EDT
CERTIFICATE OF OCCUPANCY FEE gCHANGE OF USE OR OCCUPANCY FEE $
TOTAL $
75-039 Rev. 11/90 COMMUNITY DEVELOPMENT
. J.
SUPPLWENTAL
INFo�';tIIMP�TlON
ADDRESS
1. BUSINESS
2. Person to
contact in case of emergency' �yG 17—
Telephone number: 2�- Yes
have electricity? ❑ No
in question pY Yes
3. Does the building be
t• that. the electricity ❑ No
(a) If No,
are you reque; .ing
turned on? ❑ Yes
5No
building is sprinklered? a.
4, The similar p Yes
ations will produce dust /woad shavings or
�-No
5. Oper material? ❑Yes
Of
will involve the repair or
replacement o
6. Operatioljs
automobile parts?
Ili Yes:
the components repaired or replaced.
(a) Describe
open flame;? ❑ Yes
the uperation involve the
Use of an [ No
(b) [does use that Will
or assembly ❑Yes
is jrinkin7, dining than 50 persons. �No
7, The business ant load of more
result in an occup'
following best describes
my operation;
�3. The office 0111y
Retail Sales and end product)
Warehouse describe process
Manufacturing /Distribution
Restaurant �T�aa�i�va Out FMedical / Den
Other (describe)
G
SUPPUM NTA INFORM ATION
SUPPLEMENTAL INFORMATION (Continued)
Doe., the operation involve any of the followring materials? C ',
0
_._--
If Yes, indicate quantities:
,Material Quantity --
1. Flammable iiquids
Class I -A
Class I-B
Class I-C
2. Combustible liquids
Class II
Class Ill -A
3. Combination flammable liquids
4. Flammable gases
5. Liquefied flammable gases
6. Flammable f;bers - loose
7. Fiar tmable fibers baled
8. Flamrnahie solids
9. Unstable materials
10, Corrosive liquids „
11. Oxidizing material g.-tes
12 Oxidizing materiai - liquids
13. Oxidizing _ material solids
14. "'Organic peroxides
15. Nitromethane (unstable rr,aterials) I'
16 Ammonium nitrate —
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
8. Highly toxic material and
poisonous gas
19. Smokel,ass pr,wder
20. Black sporting powder
hereby certify that the above information is true and correc to
the be my knowledge.
4
-- J Z'
i� re Date
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
`Nonresidential Buildings Only)
Location of Subject Property: 450 0 -- �
� Phone #
��'`�
Property Owner Name:
Name of the Person Preparing this form in print and signature
Signature:
�� fr •
//�
_
Name: _
�`�
The person preparing this form must be the same person applying
the following questions
for
e answer T
building permits. P?Easof the subject building. I YOU D NO
KNOW
your proposed occup4 .`''7
A QUV_ MARK IN THE "YES" COLUP-3N:
-�
THE ANSWER TO
AQMD PERMITTING CHECKLIST
YES
NO
1. Does your facility . e any internal combustion
engines greater than 50-HP?
facility involve mixing, blending, or
2. Does your
processing any solvents, adhesives, paints
or coatings?
3. Does your facility create any dusts or smoke?
liquids or solids
�!
4. Does your facility refine any
or reclaim any metals?
facility plate or coat anything?
5. Does your
6. Does your facility have any combustion equipment
i.e. boiler, furnaces, broiler, baking ovens,
2,000,000 BTU/HR?
etc.) rated greater than
facility handle or store solvents or
7. Does your
motor fuel?
8. Do you use or stort; any acids? --
9• Do you use any chemical process?
solvents for clean-up?
-_
10. Do you use aay
11. Are you a dry cleaner, restaurant with a
charbroiler, body shop, gasoline station,
printer, or part coater?
is the subject building located within one
12.
thousand (1,000) feet of any school?
'PROPERTY GRADES K-12.
PROPERTY LINE TO LINE.
If you have marked '°NO" in all columns, you do not need an Air
have marked any questions
in
Quality permit at this time. If you
must contact the South Coast Air Quality
the "YES" column you
Management District located at:
;
21865 E. Copley Drive
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Diamond Bar, CA 91765-4182
City of Huntington Beach
2000 MAIN STREET CALIFORNIA 92648
DEPARTMENT OF COMMUNITY DEVELOPMENT
Building 536-5241
Planning 536-5271
Housing 536-5271
Government Code Section 55350.2(b) requires the City of Huntington
Beach 3uilding 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.
1. The applicant (the same person who applies for permits from
the Building Division) must complete the check list which
can be obtained either at the Building Division or at AQMD.
2. If all boxes in the list are checked "no", the Building
Division can accept the check list as the release.
3. Tf there are any "yes" answers in the list, the applicant
gust contact an AQMD engineer by calling (714) 396--2000 to
find out whether air permits are required for the proposed
ccristruction project.
4. ;( 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.