HomeMy WebLinkAbout9046 Adams Ave - CofO (3)4 •II
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HUNTINGTON BEACH
Business
CERTIFICATE OF OCCUPANCY 020 IS - -7 -�7SI6
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT APPLICATION
Business Owners Name
Business Name
Business Type
( "' Floor — The Applicant Must Apply In -Person)
�Q t Date I I I r f • I
Zip Code
Telephone No. �
0 An4/- Bus. Phone
Name ` I A Name ^
I f-
Address R i UHome Addre4ss F,V\
City 4ZL5S, State/Zip
1 !C E city State/Zip
Telephone No. � - 1 10 5 `-'1 � 1 � Telephone No. �
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or ❑ Existing Building
IS THIS BUILDING FIRE SPRINKLERED? 4Chaynge
es ❑ No
CHECK ALL THAT APPLY:
❑ Change of Business Owner of Occupant ❑ Change of Use ❑ Additional Occupant
• Indicate former type of business
• Are you requesting that the electri ity be turned on? ❑Yes VIA o �,�
• Will operations produce dust/wood shavings or similar material? El Yes L1No
• Will operations involve the repair or replacement of automobile parts? [-]Yes �rNo If yes: Describe the
components repaired or replaced.
• Does the operation involve the use of welding or open flame? ❑ Yes 92r No
• Will the business be a drinking, dining or assembly use with an occupant load of more than 50 person ? ❑ Yes p�No
• Will there be storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? ❑Yes twc
• The following best describes my operation: ❑ Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse/Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other
• Will any meat products including beef, poultry, and/or fish be cooked or fried onsite? ❑ Yes t?4
If you answered yes, please proceed to the next question.
• Does your facility currently,have a grease control device (i.e. grease trap or grease interceptor)?
Check one: ❑ Yes rt;lNo
Grease Interceptor Verified
For Official Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:'O
Bldg. Permit #
Inspected By Initials: Date:
Planning Initial Date: �1 "1I� 9
Conditions of Approval or Other Notes:
4ea +h be uv_t� c
Area: ) 0 50
Area:
Area:
No. of Stories:
Entitlement #: 1 ' — 0 1 _J�5
Use Permitted: CO / N
Occ Load: Z 1
Occ Load:
Occ Load:
TIF Review: / N
Zoning:
Parking Meets Code (for use): 0 N
Building Reviewed By Initials:4; t I vA`L /for
Q-,� b - AY- 73 / - �w
\vvz�'oy '- vw 1 9-Z)\
South Coast Y
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
Phone Number (909) 396-3529 http://www.agmd.gov
Air Quality Permit Checklist
California State Law Code 65850.2 prohibits cities from issuing an occupancy permit to a business without clearance from
the local air quality agency. This checklist will determine if you need to obtain clearance from the South Coast Air Quality
Management District (AQMD).
Company Name: melt V
Property Address: ' L-(-o f A d GtiS! r k_�
City: Zip Code:
Contact Person: Title:
Type of Business: ) z Telephone: Zt::�
Fax Number: V ✓ V E-mail Address: 'U-e- S 5 • C ►;,;..
Applicant (print name). G c Signature: Datel
1. Will the facility release air pollutants, including ut n limited to, dust fumes, gas, mist, odors, smoke, vapor, or a
combination of these to the atmosphere? ❑Yes o
2. Will the facility result of fuel -burning equipment including, but not limited to, boilers, generators, and internal combustion
engines? ❑Yes t2rNo
3. Will the facility result of hazardous mate KNo
ncluding but not limited to, chemical, plastics, rubber, resins, solvents,
paints, and other parts cleaners? ❑Yes
4. Will the facility have use of above or underground storage tank? ❑Yes blNo
5. Will the facility consist of manufacturing, fabrications, finishing, or treatment of wood, metal or plastic products? ❑�No
6. Will the facility result in the use of the equipment listed below? ❑Yes U110
(Select all that apply)
❑Abrasive Blasting Cabinet/Room ❑Internal Combustion Engine (rated > 50 bhp; e.g. back-up generator)
❑Air Conditioning System (containing > 50 Ibs of refrigerant)
❑Application of Paints/Adhesive/Resins
❑Baghouse/Dust Collector
❑Bakery Oven (gas fired)
❑Boiler/Water Heater (max. heat input = or > 1 million BTU/hr)
❑Charbroiler/Smoker
❑Mixing/Blending of Liquids and/or Powders
❑Molding /Extrudi ng/Cu ring of Plastic
❑ Pharmaceutical/Nutraceutical
❑Plasma/Laser Cutter
❑ Printing/Coating/Drying
❑ Production of Fumes/Dust/Smoke/Odors
❑Coffee Roaster/Afterbunner ❑Refrigeration Systems (containing > 50 Ibs of refrigeration
❑Deep Fryer (excluding equipment located at eating establishment) ❑Soldering Oven
❑Dry Cleaning Equipment
❑Electrostatic Precipitator
❑Fermentation
❑Gasoline Storage & Dispensing Equipment
❑Spray Booth
❑Storage of Acids/Solvents/Organics Liquids/Fuels
❑Storage Silos (sugar, flour, etc.)
If you answered "No" to any of the above questions and your facility will not have the following
equipment listed, this checklist is your clearance from AQMD. If you answered "Yes" to either question,
you must contact AQMD to determine if air quality permits are required. If permits are needed, AQMD will
assist you in submitting permit application(s) and then provide you with a clearance letter. You can call AQMD
at their Small Business Assistance Office at 1-800-CUT-SMOG (1-800-288-7664).
Depar-trhent of Planning & Building ,
2000 Main Street }
Huntington Beach, CA 92648 �1
Phone: (714) 536-5241 Fax: (714) 374-1647 Occupancy Application
9132 Adams Ave
�9122 APN 151_191-25 -
Application Binder
Num Street Unit Bldg_
JobAddress,9046 AdamsAve( I APN 1151-191-25 RD 13918
Zoning CG-FP2 Lott Tract J Block
File Number
CofO?
M1996-018281
No
Entered By
Date Entered 102/24/1999
I M1997-019810
iP1996-019104
No
No
Default Inspector ((��
Status iIssued -'
P1996-019502
No
Permit Type CCertificate of Occupancy
_
Issue Permit? Date 03/05/1999
P1997-019813
No
— - -- ---a
P1997-020470
No
Origin I
Issued By
01992-000100
02002-010468
Yes
Yes
--- -- ----
Building Use -City
-- -' --
7 Planner Madera, Jane
_ -
'01990-000103
Yes
Building Use -County New Building?
Plan Checker Carnahan, Mark
101996-000104
Yes
U
_ _
——I
101998-000105
Yes
Description
:01999-000106
Yes
Internal Notes
CofO Number C01999-000106 Choose Pdnf All CofO Type Fees and Payments
L^ -- — Sheets to Issue
Inspections
Issued By �! Single C/O CofO Status Issued
CofO Date Issued 103/05/1999 Temp. CofO Issued Date Printed
L
Utility Release Date 1 Temp. COFO Expiration
License Number
Business Name i KC HAIR & NAIL SALON
Business Type jHAIR & NAIL SALON
Business Phone 1(714) 962-8869 __
Proposed Use
Former Use f e A RAC
Conditions
Click the « button to copy the Business License
information into the Certificate of Occupancy.
Business Licenses Business Name
A198636 (MARTINEZ MARTHA E U
A145600 CENTURY 21 WELCOME
1A004982 CENTURY 21 BERG REALTY
A221472 COUNTRYWIDE HOME LOANS INC
Approved Occupied Area (Sq 1,050.00
# of Stories 1
11 Change of Owner
Elec. Available?
Q Drinking / Dining a 50 Occupants?
13 Change of Use?
Want Electricity On?
Q Welding / Open Flame?
Change of occupant?
Sprinklered?
Automobile Repairs?
Additional Occupant?
Dust! Wood? Auto Parts Desc.
Group Description Area
Construction
Type Occupancy Load
Group Definiti8A building or structure, or a portion thereof, for office, professional or service -type transactions, including storage of
(records and accounts; eating and drinking establishments with an occupant load of less than 50.
i
Type
Property Owner
Property Owner
Manager
j
` Name field must be blank to add/change Contractor, Designer or Engineer Same As
Contractor Designer / Engineer Mobile Phone
Name
Company
Address
City / State / Zip
Email
Phone
Pager
State License Type
Self Insured / Non -Employer?
Override Contractor
Expiration Dates?
Date Overridden j
Overridden By j� T
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