HomeMy WebLinkAbout1506 Pacific Coast Hwy - CofO (12)CERTIFICATE OF OCCUPANCY,
u/ 2 5/ 9 6
CITY OF HUNTINGM14 BEACH
Date
Address
1506 PACIFIC COnST
District _
Business Name
311 BOARDING SUPPLIL3
Tel.
714—
RETAIL —SPORTING GOUDS
Occ. Group
SusinessType
BUILDING OWNER
BUSINESS OWNER/MANAGER
BOB
BOLEN
JAMES VARTANIAN
Name
Name
Adriress
TIAIN ST
Address 509 16TH
HUNTINGTON "E:^ 71li_
181.
City HL'NT1NGTONYel.ome
1!1 91�0^97 7
City�
r
5G
Construction
No. of Stories Occupant Load
Spriniders
CONDITIONS OF
APPROVAL
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
1 premises and shall not be removed except by the
Building Official.
DEPARTMENT OF COMMUNITY DEVELOPMENT
k
by
COMMUNITY DEVELOPMENT
-------------------------------------
0
A
6,I' APPLICATION FOR CERTIFICATE OF OCCUPAN
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNTINGTON WM31 (PRINT OR TYPE ONLY) /
S UCH
District „ t
,.-Address
'{ I
mousiness Name d Af /
�/ V -,S
Tel
�usiness Type ...
1 s c) o Ck
Occ. Group
/
B_USINES OWNER/MANAGER
�BUI—LDI GOWN —ER
I5D
�1ame
-�� med
�4ZN
Home
"Address—
/Address
— __&7
Home TeL Y�
yA ?
Tel ,City
�
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG.
ElCHANGE OF OWNER
CHANGE OF OCCUPANT
❑ ADDITIONAL OCCUPANT
EXISTING BUILDING
CHANGE F
SE
Indicate former use. if any _j
ccupancy Gr.
Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED
OL9�
Aso
NOTICE: 1 Oc
sited
" e issued until the building has been
ins /pan / rZ�,...1 I,
2 No 1•� ,�vll 3ed l`�y' e service has been inspected and
ce cupl _ required to schedule an electrical
Go 'fu; �y 1 filent the time this application is filed.
3. Ch a char Q a` of ccu inspection of a building or
prE ofoccupancyoruse ofthe building
or bur I rj ye2 �9 e same group of occupancy or in a
diff anc 1. 9' of $ shall
be paid to the city.
k� ((j4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a mimmum of four (4)
\� y� inches in height with one half (1/z) inch stroke, and of a contrasting color from the background. These
1 ` numbers must be posted on your building in a location that is visible from the street.
5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side). �
TRAFFIC IMPACT FEE
v
DATE PAID -
AMOUNT RECEIVED
NAME —
(FOR OFFICE USE ONLY)
7
ZONING �S - Z-
SUPPLEMENTAL INFORMATION
A/{
OCCUPANCY GROUP `''
PLAN CHECK NO
NO PARKING SPACES
HEALTH DEPT APPROVAL
OCCUPANT LOAD �.� v
PERMIT NO
ADMIN ACTION
UTILITIES RELEASED
NO. OF STORIES
CERTIFICATE OF OCCUPANCY FEE
g8
{
ARI
DATE CHANGE OF USE OR OCCUPANCY FEE
$
TOTAL o�I?^Q
$
75-039 Rev. 11/90
COM1 EVE
PMENT
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS -
I
2. Person to contact in case of emergency If�412 .4N�Dw tJ11��S"
Telephone number:
3. Does the building in question have electricity? Lam' Yes
El No
(a) If No, are you requesting that the electricity be ❑ Yes
turned on? ❑ No
4. The building is sprinklered? ❑ Yes
L�3' !moo
5. Operations will produce dust/wood shavings or similar
material? ❑ Yes
L9'�l o
6. Operations will involve the repair or replacement of ❑ Yes
automobile parts?
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? ❑
0
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. [❑�Ye_s
0
y 8. The following best describes my operation;
Office
e a I I
Ware cause
Manufacturing / DistUbu on (describe process and end product)
-ALI7d /Z-1
Restaurant / Take Out Food
Medical / Dental/
Other (describe) s
C
SUPPLEMENTAL INFORMATION
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the- following materials? ❑ Y
No
If Yes, indicate quantities:
Material . Quantity
1. Flammable liquids
Class I -A
Class I-B
Class I-C
2. Combustible liquids
Class 11
Class III -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. Corrosive liquids
11. Oxidizing material - gases
i
12. Oxidizing material - liquids
l
13. Oxidizing material - solids
14. Organic peroxides
15. Nitromethane (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
18. Highly toxic material and
poisonous gas
19. Smokeless powder
20. Black sporting powder
I hereby certify that the above information is true and correct to
the best of my IvZwle ge.
F `
. igna u to
r
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property:_Z5_-�?_
Property Owner Name:._F01 _._ L _— _Phone #: _
Name of the person preparing this form in print and signature:
NameL� 10 it/!? _. ignatur .- --- - - —
The person preparing this form must be the same person ap i 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 facility involve mixing, blending, or processing any solvents,
adhesives, paints or coatings? ------
—
3.
Does your facility create any dusts or smoke? _ -
-
4.
Does your facility refine any liquids or solids or reclaim any metals?
r
5.
Does your facility pate or coat anything? _
6.
Does your facility have any combustion equipment (i.e. boiler, furnaces,
/
[/
broiler, baking ovens, etc.) rating greater than 2,000,000 BTUiHR?
7.
Does your facRity handle or store solvents or motor fuel?
8.
Do you use or store any acids?
9.
Do you use any chemical process? -
10.
11.
Do you use any solvents for clean-up?
Are a dry cleaner, restaurant with a charbroiler, body shop, gasoline
you
station, printer, br part coater? -
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:
21865 E. Copley Drive
Diamond Bar, CA 91765.4182
Please call: Plan Check (909) 3W2000