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
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followring question�� prqpc:--,:�d vc—cuparcy IF YOU DO NOT KNOW
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