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CERTIFICATE OF OCCUPANCY 3
CITY OF HUNTINGTON BEACH ?/94
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Date
Address T G 5 2 T Tf; ' :F 1(11 District
Business Name CCAST PF! SUPPLY Tel. 7II►—E'06-97R8
Business Type Wh'0LSE PET SUPPLIES Occ[Group F;_2 i
BUILDING OWNER BUSINESS OWNER/MANAGER
RREEF Name ELAINE PINA
Name
Home r,1�U fiAtdt TR
Address 1 n i DGV H` Address
Home 711a_F4h�C1RC,R
City NEWFGRT $CH Tel. City LI+KF.L"01F; Tel.
Construction No. of Stories Occupant Load �' Sprinklers y
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CONDITIONS OF APPROVAL
APPLICATION FOR CERTIFICATE OF OCCUPANCY%
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COM>- tfTY DEVELOPMENT
HUNnHc rON MAJEN DATE )
(PRINT OR T 3NLY)
Aess 15%3l !t'0'o►4 4.4 ✓4111!P /0( llyAlrldGio+! �6¢c'KC"
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II B iness Name COiq r &r SvfFt_-f Tel 71q 84 L RAPS,
F Business Type Wift j-e ft-r X ri trrf ro'f Occ Group
BUILDING OWNER BUSINESS OWNERIMANAGER
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t Name ,.lkNqf��++me 11�%C
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/dress 1301 Dove ~gOmess_ ���i5134 Banlin 6
'City Newport Beach, CA Lakewood, CA 9071
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LUSE WOULD BE DESCRIBED AS: i
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4 WLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER J� CHANGE OF OCCUPANT
EXISTfNG BUILDING ❑ CHANGE OF USE / e
❑ ADDITIONAL OCCUPANTte former use. if any 4611�� p-Occ upancy Gr D1v
RE FT. OF BUILDING TO BE OCCUPIED 903 S, r
NOTICE: 1. Occupancy of 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
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'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
r�} premises in order to determine if a change may 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 of in a 1
different group of occupancy, a change of occupancy inspection fee of $ shall
be paid to the city.
4. Huntington Beach Fire Code Section 10,208 requires that building numbers must be a minimum of four (4)
inches in height with one half (1/2) inch stroke, and of a contrasting color from the background. These
uuv 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).
(FOR OFFICE USE ONLY) 1
SUPPLEMENTAL INFORMATION ZONING ft� `I 4\ I
OCCUPANCY GROUP PLAN CHECK NO. NO PARKING SPACES
OCCUPANT LOAD PERMIT NO HEALTH DEPT APPROVAL
NO, OF STORIES ADMIN. ACTION UTILITIES RELEASED
CERTIFICATE or OCCUPANCY FEE $ -�
_Ar1_PR0'VVeY DATE CHANGE OF USE OR OCCUPANCY FEE S {
TOTAL S t
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75.039 Rev. 11190 COMMUNITY DEVELOPMENT
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SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS /6131 ;;' <VOd 1W 1udif /ol f{•Q- C4`f26y�J
2.
Person to contact in case of emergency -
Telephone number: 310 63y z0f3
3.
Does the building in questirn have electricity?
I/Yes
No
' I
a If No, are you requesting that the electricity be
❑ Yes
i
turned on?
No
4.
The building is sprinklered?
2 Yes
El No
5.
Operations will produce dust/wood shavings or similar_
material?
❑yes
No
6.
Operations will involve the repair or replacement of
❑ Ves
automobile parts?
EkINo
If Yes:'
(a) Describe the components repaired or replaced.
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(b) Does the operation involve the use of an open flame?
YNoi`
7.
The business is drinking, dining or assembly use that will
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result in an occupant load of more than 50 persons.
es E
No
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8.
The following best describes my operation;
Office Only
Retail Sales
--
Warehouse
Manufacturing / DistribUion (describe process and end product),
W li(LE-tt0 U.'
L.
Restaurant/Take Out Food
Medical / Dental
Other (describe)
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SUPPLIMENTAL INFORMATION
SUPPLEMENTAL INFORMATION {Continued}
Does the operation involve any' of -the following 'materials? C YFS
IN"H °
If Yes, indicate quantities:
f Materiat Quantity
1. Flammable liquids g
Class I -A
Class I- B
Class I-C
2. Combustible liquids
Class 1!
Class 111-A
3. Combination flammable _ liquids i
4.Flammable gases
5. Liquefied flammable gases
6. Flammable fibers loose;
7. Fiammablo fibers - baled`
'
9. Unstable materials{
14. Corrosive liquids
11. Oxidizing material - gases , 1
12. Oxidizing material - liquids
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r 13. Oxidizing , material solids
14 Organic peroxides
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15. Nitromethane
(unstable materials)
16. Ammonium nitrate --
17. Ammonium nitrate" compound mixtures
containing more than 60% nitrate
by weight
18. Highly toxic 'material and
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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 nowledge.
Signature Late
P
City of Huntington Beach
2000 MAIN STREET CALIFORNIA 9264£'
DEPARTMENT OF COMMUNITY DEVELOPMENT
Building
Planning
Housing
Government Code Section 65850.2(b) requires the City of Huntington
Beach Building 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
A MD Th B 'ld' D' 4-bt ii tt la f 'reerom
( Q ). a U ing ivision mus o an a wren se
AQMD to show the applicant has complied with this law. The check
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list on the reverse side is designed to help the applicant and the
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building division to meet these requirements.
1. The applicant (the same person who applies for permits from
the Building Division) must complete the check fist which
can be obtained either at the Building Division or at AQMD.
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2. If all boxes in the list are checked "no", the Building
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Division can accept the check list as the release.
.
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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
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construction project.
4. If air permits are not required, the applicant will obtain
a written release from AQMD.
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5. If air permits are required, the applicant must submit the
necessary permit applications before the release can be
issued.
I
Because of the time it may take for AQMD to go through the above
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9
procedures, the applicant is advised to contact AQMD immediately
after applying for Building permits.
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(1360D)
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: 1513r TAdAi Lti Alfe 101 /--/ 13 G9 lz6g9
Property Owner Name: WerfeF -hone #
Name of the Person Preparing this form in print an signa u
Name: E7,111E 4ff4 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 MARKIN THE; "YES" COLUMN:
AQMD PERMITTING CHECKLIST
YES
NO
1. Does your facility use any internal combustion
1
engines greater than 50-HP?
2. Does your facility involve mixing, blending, or
processing any solvents, adhesives, paints
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or coatings? _
3. Does your facility create any dusts or smoke?
A'
I 4. Does your facility refine any liquids or solids
or reclaim any metals?
✓
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5. Does your facility plate or coat anything?
6. Does your facility have any combustion equipment
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i.e. boiler. furnaces, broiler, baking ovens,
etc.) rated greater than 2,000,000 BTU/HR?
R 7. Does your facility handle or store solvents or
motor fuel?
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8. Do you use or store any acids?
9. Do you use any chemical process?
10. Do you use any solvents for clean-up?
11. Are you a dry cleaner, restaurant with a
charbroiler, body shop, gasoline station,
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printer, or part coater?
"
12. Is the subject building located within one
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thousand (1,000) feet of any school?
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C
I PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
6 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:
F
218`65 E. Copley Drive
Diamond Bar, CA 91765-4182
Please call: Plan Check (714) 396-2000
#
(1360D-2)
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