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