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HomeMy WebLinkAbout1506 Pacific Coast Hwy - CofO (6)I CERTIFICATE OF OCCUPANCY 3 / 0 2 / 9 CITY OF HUNTINGTON BEACH Date Address 1506 PACIFIC COAST District WINNER r S CIRCLE CARE _ Tel. Business Name B-2 CA Occ. Group ,_-- Business Type BUSINESS OWNER/MANAGER BUILDING OWNER t JOH14 BOCKEY BOB BOLEN Name Name Home 11814 NiPTJNE 322 iiellla Address __ 960--6541 Nis HH Address ome 645--5 i 28 H $ City Tel. ---- City Tel. 2 5 1 Sprinklers Construction _ No. of Stories Occupant Load Y CONDITIONS OF APPROVAL Comments: DINING OCC. 31/KITCHEN it STORAGE 4 DEPARTMENT OF COMMUNITY DEVELOPMENT f L This Certificate of Occupancy SHALL BE posted in a conspicuous placg on the premises and shall not be removed excep, by the by 4 `I Building Official. i e COMMUNITY DEVELOPMENT a APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT 9;>'a) A 7 DATE FSUKSUiGTON �/uCii (PRINT OR TYPE ONLY) / District v Address �— �� Tel. ✓Business ��. Name N —�-'� —_—C-� r � Occ.Group_ Business Type / BUSINESS OWNERtMANAGER BUiLGit,G OWNER ��b Sl1o�� v� ✓ Namee>�• Name—,. ---- /Home ddress 7�1 �dwc..•n, Address LA%kLA1_ 4 �- HomE Tel. �it+7�3� Tel!�ie�2r�rySzi�City HIS USE WOULD BE DESCRIBED ,AS: ❑ CHANGE OF OWNER CHANGE OF OCCUPANT ❑ NEWLY CONSTRUCTED BLDG El ADDITIONAL OCCUPANT EXISTING BUILDING El CHANGE OF USE Indicate former use, if any Occupancy Gr. Div.. SQUARE FT. OF BUILDING TO BE OCCUPIED ------------------ en/ NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has be inspected and a certificate of occupancy is issued. /A No electrical service will be released for any existing building until the service has been inspected and f certified safe. All applicants for occupancy in an existing building are required to schedule an electrical 'fuse up inspection in the Department of Communit 3. y Development at the time this application is filed. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or premises in order to determine 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 oshall in a different group of occupancy, a change of occupancy inspection fee of t Paid to the city. tuntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) �J chesin height with one half (1/z) inch stroke, and of a contr-asting color from the background. These umbers must be posted on your building in a location that is visible from the street. untington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the ational Fire Protection Association pamphlet 10 (seE reverse side). (FOR OFFICE USE ONLY) �� � - ZONING SUPPLEMENTAL INFORMATION OCCUPANCY GROUP• 2 PLAN CHECK NO. I:O. PARKING SPACES , I'r PFrIMIT N0. HEALTH DEPT APPROVAL i' OCCUPANT LOADRS�-Q111� P — UTILITIES RELEAS D NO, OF STORIES �+�a ADMIN. ACTION /"CERTIFICATE OF OCCUPANCY FEE $ } APPR �D Y D Tc CHANGE OF USE OR OCCUPANCY FEE $ •j TOTAL $ 75•039 Rev. 11/90 COMMUNITY DEVELOPMENT �'1 SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 2. Pjrson to contact in case of emergenc Telephone number: -Si2-S 3. Does the building in question have electricity? Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? ❑ Yes & No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes fi5 No 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? A No If Yes: (a) Describe the components repaired or reel iced. (b) Does the operation involve the use of an open flame? P Yes ❑ No 7. The business is drinking, dining or assembly use that a ill result in an occupant load of more than 50 persons. ❑ Yes i� No 8. The following best describes my operation; Office Only Retail Safes Warehouse Manufacturing / Distribution (describe process and end product) Restaurant / I aKe uut rood Medical / Dental Other (describe) StlPPLIMENTAL INFORMATION SUPPLEMENTAL INFOrIMATION (Oootinued) Does the',operation involve- aW/- of the fotlovving materials? If Yes, indicate quantities: Material Quantity 1. Flammable liquids Gass I -A Cless I-C clas%z 11 Uasr� --- ------- ------ 4. Flammabse,gases 5. 6. Pamrrab,'e fibc--s ;(.)oGe 12. t Flarnrn,able fiberso Oxidizzing rnipteri',i T4T--67i�g-anic perox;des 'ansiabie rnaterialoi T5T' Nitromethane k � 16. Arrimonium nitratc t 17. Ammunium mixture,� containing more thar 60% nitrntE Pi by weight 18. Highly toxic material and poisonous gas is. Smokeless powder 20. Black spoiting powder I hereby certify that the above information is true and correct to the best of my knowledge. n a. u re Date Yes No Government Code Section 65850.2(b) requires that the City of HL,ntington,Bea ch 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. 1. The applicant (the same person who applies for permits from the 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 bores in the list are checked "no", the Building Division can acce;'t the check list as the release. 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 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 c f 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. ADDITIONAL SUPPLIMENT4L INFORMATION u/ f1 l SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property:_C&2 C<!)C\7_ _�'} Property owner Name:_ Zak 4&n\ P_, Phone Name of the person preparing this form in print and signature: Name: �1 __Q a� Signature._ 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 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 50HP? 2. Does your fagility involve mixing, blending, or processing any solvents, adhesives, paints or coatings., 3. Does your facility create aria dusts or smoke? X 4. Does your facility refine any liquids or solids or reclaim any metals? X _ 5. Does your facility plate or coat anything? __ �k _ 6. Does your facility have any combustion equipment (i.e. boiler, furnaces, X broiler, baking ovens, etc.) rating greater than 2,000,000 BTUIHR? 7. Does your faclity handle or store solvents or motor fuel? __ x 6. Do you use or store any acids? X 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? ,_ X 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline station, printer, or part coater? _ T 12. Is the subject building located within one thousand (1,000) feet of any � school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. 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 the "YES" column you must contact the South Coast Air Quality Management District located at: 21965 E. Copley Drive Diamond Bar, CA 91765.4182 Please call: Plan Check (909) 396-2000