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CERTIFICATE OF OCCUPANCY
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2/27/95 I
CITY OF HUNTINGTON BEACH
Date
Address 7542 [,WARNER #2A
District
Business Name JACKS AUTOHa.ttS BERLIN Tel.
375-0116
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AUTO REPAIR SHOP(AUTO MAINTENACE SVL CTR
H-4
Business Type
Occ. Group
BUILDING OWNER BUSINESS OWNER/MANAGER
ELEONORE HEPPRICH JACOB SEHOON KI14
Name Name
7542 WARNER Home 15022 EDEN ST
Address Address
HB, CA ;1t1-8'1--8643 WEST14INSTER Home
892�-6387
City Tel. City TeL
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Construction No. of Stories _ Occupant Load Sprinklers
CONDITIONS OF APPROVAL
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Comments: NO RETAIL SALES PERMITTED
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DEPARTMENT OF COMMUNITY DEVELOPMENT
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-his Certificate of Occupancy
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SHALL B' posted in a conspicuous place on tare
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premises and shall not be removed except by the bt
Building Official.
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COMMUNITY DEVELOPMENT
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Reorder from Sand Dollar Business Forms, (714) 842-1148 I
LIAPPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH �} r
DEPARTMENT OF COMMUNITY DEVELOPMENT llaq/`'IG
HUNTIP4GTON HAOi (PRINT OR TYPE ONLY) DATE
Address �5 a �"`"'( l A District
j` Business Name �5�A Tel
Business Type Occ. Group
BUILDING OWNER jr nnn�n} ^^BUSINESS O,W,NNERIMANAGER
r Name— Name
Home
Address _. _ Address
(; City Tel Cite Home Tel.
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER VCHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any r.� Occupancy Gr. Div. _
SQUARE FT. OF BUILDING TO BE OCCUPIED
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.
`fuse up' inspection in the Department of Community Development at the time this application is filed,
3. Change of occupancy or use inspection fee. W.lenever it is necessary to make inspection of a building or
premises in order to determine if a change maybe 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 inspection fee of $ shall
be paid to the city.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers mu..t be a minimum offour(4)
inches in height with one hp.!' (%z) inch stroke, and of a contrasting color from the background. These y
numbers must be posted on your building in a location that is visible from the street
5. Huntington Beach Fire G'ode Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
/4*494 1
TRAFF.C' IMPACT FEE
DATE PAID
AMOUNT RECEIVED
NAME ____
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION ZONING
OCCUPANCY GROUP 4 PLAN CHECK NO. NO PARKING SPACES
OCCUPANT LOAD PERMIT NO. HEALTH DEPT APPROVAL
NO. OF TORIES f ADMIN. ACTION UTILITIES RELEASED
%Z -r S CERTIFICATE OF OCCUPANCY FEE
*R VED BY DATE CHANGE OF USE OR OCCUPANCY FEE g
TOTAL g
75.039 Rev, 11/90 COMMUNITY DEVELOPMENT
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SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS
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2.
Person to contact in case of emergency
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Telephone number.
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3.
'Does the building in question have electricity?
0 Yes
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❑ No
(a) If No, are you requesting that the electricity be
❑- Yes
❑
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turned on?
No
4.
The building is sprinklered?
0 Yes
0 No$
S.
Operations will produce dust /wood shavings or similar
❑ Yes
material?
❑ No
6.
Operations will involve the repair or replacement of
Yes
❑ No
automobile parts?
If Yet:
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(a) Describe the components repaired or replaced.
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(b) Does the operation involve the use of an open flame?
❑Yes
❑ No
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The business is drinking, dining or assembly use that will
❑Yes
result in an occupant load of more than 50 persons.
❑ No
3.
The following best de.3cribes my operation;
Office Only
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Retail Sales'
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Warehouse
Man ufacturinn / Distribution (describe process and end protect)
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Restaurant/Take Out Food
Medical / Dental
Other (describe)
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SUPPLEMENTPLINFORMAi -V4
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SUPPLEMENTAL INFORMATION (Continued)
Does
the operation involve any of the following materials? ❑ Yes
❑ No
If
Yes, indicate quantities: r
Material Quantity
1.
Flammable Liquids
Class I• A r
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Class I-B _
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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
B.
Flammable solids
9.
Unstable materials
10.
Gr rosive liquids
11.
Oxidizing material - gases
12.
Oxidizing material - liquids
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.
Slack sporting powder 4
I hereby certify that the above information is true and correct to
the best of my knowledge.
Signature Date
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Government Code Section 65850.2(b) requires that the City of Huntington Beach not issue the final �F
i 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
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obtain a written release from AQMD to show the applicant has complied with this law. The check
r list on the reverse side is designed to help the applicant and the building division to meet these ly
requirements.
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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 Depc.•tment of Community
Development 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. 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 hermits are k
required for the praposed construction project.
4. If air permits are not required, the applicant will obtain a written release from R
AQMrJ.
5. If air permits are required, the applicant must submit the necessary permit
I" applications before the release can be issued.
F Because of the time it may take for AQMD to go through the above procedures, the applicant is
Jse^J-to contact AC.",) :mmediately after applying for building permits. 1'
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ADDMONAI_ SUPPLEMENTAL INFORMATION
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APPLICATION FOR CERTIFICATE OF OCCUPANCY -
FIRE-EXTINGUISHER REQUIREMENTS
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A. APARTMENT BUILDINGS (5 OR MORE UNITS): One (1) 2A rated extinguisher, to be located on
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each floor level so as not to exceed 100 feet of travel Two or less apartment units on an upper level
may be serviced by the extinguisher on the next lower floor,
B. INDUSTRIAL AND COMMERCIAL BUILDINGS:
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(1) LIGHT HAZARD - (Ma include offices schoolrooms, churches, assembly halls telephone
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exchanges, etc.')" One (1) 2A rated extinguisher is required for each 6,000 square feet of floor
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area, or a portion thereof.
(2) ORDINARY HAZARD - (1,"3y include mercantile storage and display, auto showrooms, park-
ing garages light manu!- .;luring, warehouses net classified as extra hazard, school shop
areas, etc.) - One (1) 2A rated extinguisher is required for each 3,000 square feet of floor
area or a portion thereof.
(3) EXTRA HAZARD - (Nay include woodworking, auto repair, aircraft servicing, warehouses
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with high -piled (over 15 feet in solid piles, over 12 feet in piles that contain horizontal than-
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nels) combustibles, and processes such as flammable liquid handling. painting, dipping, etc.)
One (1) 3A rated extinguisher is required for each 3000 square feet of flour area, or a por-
tion thereof, Certain extra hazardous uses and/or processes may require additional fire pro-
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lection systems. An on site inspection will be required to make the determination.
C. SERVICE STATIONS: Are required to maintain one (1) 10BC rated extinguisher within 75 feet of
travel of the dispenser cabirsets, and one (1) 2A rated extinguisher on the premises-
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D. Fire extinguishers for commercial and industrial building,, ,are to be located so as to maintain a max-
imum distance of travel of 75 feet.'
IMPORTANT: PLEASE READ THE FOLLOWING CAREFULLY.
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You may purchase !his extinguisher at any hardware store and a number of department or discount
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may you or , stores
y y purchase your extfnguisher from an extinguisher service company, which may be
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found under "Fire Extinguishers— in the yellow pages of your phone book. The extinguisher is re-
quired to be serviced when new and annually thereafter. The hardware, department and discount
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stores usually are NOT licensed to service extinguishers. Therefore, you should expect an additional,
expense to have your new extinguisher certified by an extinguisher service company if you purchase
it from -one of these stores.
It you have any questions regarding (lie inspection or fire extinguishers requirements please feel free
to contact the Huntington Beach Fire Department Fire Prevention Bureau at (714) 536-5411.
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
IQA�1TN .R�1 KAOY (PRIN OR TYPE ONLY)
Address it t—t4 '1 :t— . )A D
Business Name ti ` l' 1T= , "l Ti
I ^ /
Business Type Occ. Group_
Name
Address
City
BUSMESS OWNER/MANAGER
DATE
Home
Address
City Home Tel._
THIS USE WOULD BE DESCRIBED A':
i
El NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNEF
13EXISTING BUILDING ❑ CHANGE OF USE
Indicate former use, it any
I
SQUARE FT. OF BUILDING TO BE OCCUPIED_
0 CHANGE OF OCCUPANT
El ADDITIONAL OCCUPANT
Occupancy Gr. Div.
NOTICE: 1. Occupancyof 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 an, existing building until the service has been inspected and
certified save. All applicants for occupancy in an existing building are required to schedule an electrical
'fuse up' inspection in the Department of Community Development at the time this aoplication is files
3, 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 characterof occupancy or usa of the building
or premises which would place the building in a different division of tyc same group of occupancy or in a
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
numbers must be posted on your building in 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).
SUPPLEMENTAL INFORMATION
(FOR OFFICE USE ONLY)
ZONING
OCCUPANCY GROUP
— PLAN CHECK NO.
NO PARKING SPACES
OCCUPANT LOAD
PERMIT NO.
HEALTH DEPT APPROVAL
NO. OF STORIES
ADMIN: ACTION
UTILITIES RELEASED
-_2 F ` /:?J8ERTIFICATE OF OCCUPANCY FEE
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PROVED BY
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DATE CHANGE OF USE OR OCCUPANCY FEE
TOTAL
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7"39 Fiev. 11190
APPLICANT
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IN
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property:_
Property Owner Name:_ Phone #:
Name of the person preparing this form in print and signature:
Name:----- 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:
AGIMID 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 ant dusts or smoke? _ —
4.
Does your facility refine any liquids or !:,Mids or reclaim any metals? _.
5.
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Does your facility plate 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 BTU/HR?
7.
Does your facitity handle or store solvents or motor fuel?
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Do you, use or store any acids?
9.
Do you r :ny chemical process?
10.
Do you use any so.vents for clean-up. —
11.
Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline
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 marker)
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
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Please call: Plan Check (909) 396-2000