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HomeMy WebLinkAbout10032 Adams Ave - CofO1- CERTIFICATE OF OCCUPANCY f CITY OF HUNTINGTON BEACH �1 DEPARTMENT OF DEVELOPMENT SERVICES Data HUNIYNGTON -f ACH Address District - Business Name_-_._. ____ _ _.� �_ � __ _. w__ w_ - Tel. !� Eusiness Type Oce. Group BUIt.D(NWOWNER OWNEF?(MANAGER 11 Name _ _ _ .__ __ ____., _ _ Name 6 Address City - _ _ __ _ Tel _ __ City __ _ . (el. �. jConstruction_...No,o.5tories-,___07cupantLoad_ Notice: This Certificate of Occupancy �.t)OC� DEPARTMENT OF DEVELOPMENT SERVICES SHALL BE posted in a ccnspicuous place on the premises and shall W be removed ` by the Building Official. ,o hY-- -- - - - Fwr1 O HUN IINGTON BEACH Address _C7 Business Name /r Business Type Narae Address City _ — THIS USE WOULD BE DESCRIBED AS: C] NEWLY CONSTRUCTED BLDG EXISTING BUILDING Indicate former use, if any APPLICATION FOR CERTIFICATE OF OCCUPANCY CIr( OF HUNTINGTON BEACH 'DEPARTMENT OF DEVELOPMENT SERVICES (PRINT OR TYPE ONLY) DATE Distri,:t Tel. Occ, Group J- UWNER/,MANAGERR Name Address _ Tel. City.2!�'�� CHANGE OF JWNER (j CHANGE OF OCCUPANT I� CHANGE OF USE ADDITIONAL OCCUPANT Occupancy Gr. .. _ Div. _ NOTICE. 1. Occupancy of any building is prohibited and a business license will not be issued unf?1 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. Ali applicants for occupancy in an existing building are required to schedule an electrical 'fuse up' inspection in the Department of Development Services at the time this, applica- tion is filed. 3. Change of occupancy or use inspection fee, Whenever it is necessary to make inspection 01 a. build- ing or premises in order to determine if a change may De 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 Irol;p of occupancy or in a different groin of occupancy, a change of occupancy inspection fee or $30.00 shall be paid to the city. 4. Huntington Bas:rh Fire Code Section 10.208 requires that building • ambers must be a minimum of four (4) inches in height with one half (%) inch stroke, and of ;, contrasting color from toe back- ground. These numbers must be posted on your building in a location that is visible from the street. 5. Huntington Beach Fire rode Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION SQUARE FT. OF BUILDING �- 1 -- _ PLAN CHECK NO, NO. PARKING SPACES u� OCCUPANCY GROUP // " .� PERMIT NO. HFALTH DEPT. APPROVAL OCCUPANT LOAD _— "Z ADMIN. ACTION UTILITIES RELEASED NO. OF STORIES r" CERTIFICATE OF OCCUPANCY FEE $ .. APPROVED BY DATE CHANGE OF OCCUPANCY FEE $ f l / AF,<' "�� �,v� G , Wt :ati, r/1 TOTAL $.�_; -- y. v ,< 7"39 REV. ,'_- EL0(°PAE:Iti`i SMVICE.S T y mj CERTINCATE OF OCCUPANCY Clrro OF HUNI INGTO V BEACH DEPARTMENT OF DEVELOPMENT SERVICES Date HUNTINGTON C-ACH - Address _ _ .�_ _ _ _ __ District__ , Business Name r _ _ - ____ i el. Business Type _ _ _ Occ. Group BUILDING OWNE�l OWNERWANAGER Name _ — Name Adurc,s �_ Address City__ — Tel___ City _ Tel. a I Construction — - No. of Stories Occupant LvarI _., Sprinkiered— Notice: This Certificate of Omupancy QL'� � DEPARTMENT OF DEEVELOPMENT SERVICES SHALL BE posted in a conspicuous place in � ��• the premises and shall not be removed except by the Building Official. 4+� '� by — i APPLICATION FOR r_RTIFICATE OF OCCUPANCY T Huntington beaci! uepartment or bui!aing & uommunity ueve� PLICANT TO FILL IN (Print or type only) DATE Z:2 — �Z- 7 2 Application is hereby made for a Certificate of Occupancy for a: ribe Business X Occupancy: ter. {., Div.? -- To be known as ----- 01 ' // _ 11 i�N�r i I� 4h ti i ame of Business = Located at 11hy%ti [7 •�� ' ` �` Business Address 2z, j,IA.., r-1)p71N Name: BUSINESS OkiNE Residence Address City Zip r Phone No. - 3usiness: `,'� �'� _ Residence:?4��f7� —�! S ���-z����fi4'�a���� � f�'l ��r�, .S�)et-1'�a. •�� ��„ � � °� �l� �ti3��3-7&'1�I Name: BUILDING OWNER' teas�y � Zip Phone No. THIS USE WOULD BE DESCRIBED AS: [-j Newly Constr4:cted Building rV Change of Owner (7 Change of Occupant Existing dui,ding = Change of Use Additional Occupant Indicate former use if any _ Occupancy: Gr. Div. I�ivuiiut: i. uccupancy oT any Dui icing is pronlDltea ana a Guslness ilcense wi11 not De issuea " 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 ser:,ice has been inspected and cer ified safe. All applicants for ,)c,-upancy in an existing building are required to schedule an electrical "fuse up" inspe�.ticn in the Department of Building a;id Community Development at the time th;s application is filed. 3. CHANGE OF OCCUPANCY OR USE inspection of a building or INSPECTION FEE, Whenever it is necessary to make premiscz in order to catermine if a change may J be made in the character of occupancy or use of the building or premises which would place the building in in a different a different division of the same group of occupancy inspection fee or group of occupancy, a change (f occupancy or= $30.00 shall be paid to the City. (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION Sq. ft. of building C;1?4 Plan Check No. Occupancy Group -_2 Permit No. _ Occupant Load _ Admin. Action No. of Stories _ No. Parking Space _ Health Dept. Approval / Utilities Released `6ATE- CER,iFICATE JF OCCUPANCY FED $ 6.00 CHANGE Or OCCUPANCY OR USE INSPECTION FEE TOTAL (#75-03g ) CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH Address 1:: .,2 ADAMS Business Name HAIR SALO7'. Business Type BUILDING OWNER DAVID Name Addres51GG2% FUAri:u Cit 1Uj!T114GT(,E LIF"A, Tel. 14-. ,6 2 -21X y - 1 Construction No. of Stories Occupant Load CONDITIONS OF APPROVAL This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by he Buildinr Official. Date District 714-962-04';,I; Tel. _ F Occ. Group BUSINESS OWNER/MANAGER i i A110C,Fz A I K -th Ut; Name Home 1rc?K IlyD Address 1!OUINTAI?I VL1 Home _ y14- d 73-2� 1i City Tel. 10 — Sprinklers _ DEPARTMENT OF COMMUNITY DEVELOPMENT by 01 COMMUNITY DEVELOPMENT r r APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH y j ,�� a DEPA13TMENT OF COMMUNITY DEVELOPMENT ` (PRINT OR TYPE ONLY) RUNTINGTON DATE Address /44031 AA*A o411/F� District Rusiness Name r"2 /,4 S �'I `�� i' /'r7 � Tel. Business Type I 5i4 C PV Occ. Gro_p-L*5-- BUILDING OWIER BUSINESS OWNERIMANAGER Name,J V I D >� ll l - %%' ° ,��. �' Name �N /,r1!W *z-0A ®� Address %4K7 J'f> Home IUNr4!??�'i/r� Address 11 City •t&- 1!:.,•. C. Tel.�l` City7 A I&V Home Tel. THIS USE WOULD BE DESCRIBED AS: r ❑ NEWLY CONSTRUCTED BLDG. CHANGE OF O%/IINER ❑ CHANGE OF OCCUPANT EXISTING BUILDING , ! ❑ CHANGE OF USE ❑ P.DDITIONAL OCCUPANT Indicate former use, if any /�jfM�rt 3,0E004 Occupancy Gr. IG Div SQUARE FT. OF BUILDING TO BE OCCUPIED -j"A' NOTICE: 1 2 3. 4. 2 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. No electricar service ,vill 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 0.epartmeia of Community Development at the tima this application is filed. ;hange of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or premises in order to determine if a, ,.hsnge may be marle in the ch` 'acter of occupancy or use of the. uflding 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 I-� puid to the city. Huntingtoh Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4' inches in height with one half (1121 inch stroke, and of a contrasting color from the background. These numbers must be posted on your build!,g in a location that is visible from the street. Huntington Eaach Fire Code Section 10.3C1 requires fire extinguisher selection and distribution per the National Fire Protection Aqsociation pamphlet 10 (see reverse side). +i�::P::t:.:��V'Cl...�,+ Name SUPPLE RITAL INFORMATION OCCUPANCY GROUP_ _ OCCUPANT LOAD NO. OF TO IES 4 J,APPP4VEI1 BY ,p AfE 7IEhew ii�S/ME B K��4 &",S 1 75.039 Rev. 11/90 'FOR OFFICE USE ONLY) ZONING rV, b i V Z, PLAN CHECK NO PERMIT NO. _— ADMIN ACTiO:'d_ NO PARKING SPACES _ HEALTH DEPT APPROVAL UTILITIES RELEASED _ CERTIFICATE OF OCCUPANCY FEE g CHANGE OF USE 0"1 OCCUPANCY FEE TOTAL CA1. COMMUNITY DEVELOPMENT SUPPLEMENTAL INFORMATION 1. BUSANESS ADDRESS 122 ���>�L�' i�'� ' 2. Berson to contact in case of emergency_'`C� �C . Telephone number: __ °7 75" -2b' J. Does the building in question have electricity? 4'Yes 4W No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The braiding is sprinklered? ❑ Yes 19 No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes No 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? FW No If Yes: (a) Describe the components repaired or replaced. (b) Does the aperation involve the use of an open flamer ❑ Yes El No 7. The bus;ne3s !a drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes *No 6. The following best describes my operation; Office Only eta;li s e,, Warehouse Manufacturing / Distribution (describe process and end product) Restaurant/ Take Out Focd Medical / Dental Other (describe) _ SUPPUMEN 'AL INFORMATION SUPPLEMENTAL INFORMATION (Continued) Dore the operation involve any of the following materials? 0_Yes If Yes, ;ndicate quantities: Material Quantity 1. Flammable liquids Class I -A Class I-B CIP'ss I-C 2. Combustible liquids Class li .,Class III -A 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. -,,Flammable tibers - loose 7. Flammable fibers - baled 8. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing, material - liquids 13. Oxidizing material - solids 14. Organic perox'des--"' 15. Nitromethane (unstable materials) J 16. ,,Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60%, nitrate _ by weight 18. Hsn'hly toxic material and poisonous gas 19. Smokeless powder u 20. Black sporting powder I hereby certify that the above information is true and correct to ne best of my knowledge. ignature Date 30PUMN, C1-110111-F,7 1ARR, QLfW\.UT%` MMICT Locati !"larle aline P.xv pmny— wn apno me: J) 14 1 C,:,.O/,> �,7 /A- ?-^, o"" - , � Na, z Re po son pmg o ! i ',ig .. e TO smre PC W01 i ft,,, ui ilp.g Piease answer tI'. followring question�� prqpc:--,:�d vc—cuparcy IF YOU DO NOT KNOW "E A.NSWFR TO A NIA11-11". IN, TFIE "YE'S" C011 0[.11N: H PEZ"'.""T"',a PCY ci: 1,57 'Es Mes yov VnQ i�,.eanV internal con busfiori nroa:_% than M-HP? 2. Doss YOUF swov h Mrsu qW jo �jalnl-q i� 0. 009F y3w Lap, no, 7w tlu� ��mo!�' 1 Xet xv fy&N� o��Jaii-a 1 --neility ti,, P or rcat 6. DO&I P 4 Alain W 400 ;H� e. Man Mono ;,man too) an"! ;own u0n 2MOOTGO M 7 S. Do yon ux a0y 01�0�0 �VAAi qqo 17) Now MY K) i7. you use. avy, sdvent�,- fc�r U Am yon a 0 v Mn*" vonoan-,,�itn a lbcd� Station, P-1var crmtGrY 12. Is ke majo hwMing honvo *Rh!n F'T�' s!cV OY -"7%�01A1�v;LPRPEI T-PROF�0,DES K- If yo?! i�,Vfs, Inaked 'AM K v1! ycu tj,. 110, a' : W', A's r,�?i,mft at ih3 Jine. V you have viniurked miy qaMens in the "VES- min ma you mu cc rr Zacl. Vit? Ooui.i,, C'caa i Adi, Quality Mana 2 'CGS E. C amay Cr vo Dix-i%ond Car. CA o AGE-4102 P10000 rob Man MON (M) 352-2000