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Home My WebLink About10042 Adams Ave - CofO (2)-To'D ot �� APPLICATION FOR CERTIF CY Cal CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY OLVELOPMENT _ S 1 I! O I HUNTIPCTON 6E401 — ^'� (PRINT OR TYPE ONLY) DATE 004.2 Ave. 1i.B. 91-6 4 6 Address i A d a t11 S District ,. Business Name 1—i V i n q W a+ e r Tel. 1 1 10 S 9 3- 3 3 15 Business Type W o k e r S} o r e Occ. Group i BUILDING OWNED / BUSINESS OWNER/MANAG. Name J U n 4 L 'Im 1.._ e e Nam, C Address 1 O 0 4 Z Ada m 5 A V e Home �'14 g 93 _ Address City Q 6 Tel. _i_ City — Home Tel. THIS USE WOULD BE DESCRIBED AS: §�ACFIAO fit` �usAeS&)a.w_.O'11'4ElNEWLY CONSTRUCTED BLDG. N E OF 0 R HANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any gt�1►�e, Occupancy Gr. _Div. SQUARE FT. OF BUILDING TO BE OCCUPIED 15� 0 11A NOTICE: 1. `�_ 3upancy of any building is prohibited and a business licenss-: 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. Whenever it is necessary to make inspection of a building or premises in order to determine if a change may be 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 must be a minimum of four (4) inches in height with one half (1/z) inch stroke, and of a contrasting color from the background. These cumbers 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 i National Fire Protection Association pamphlet 10 (see reverse side). t I CIMP T C EE _ ECD(FOR OFFICE USE ONLY) ZONINGOGROUP PLAN CHECK NO. NO PARKING SPACES OCCUPANT LOAD PERMIT NO. HEALTH DEPT APPROVAL NO. OF STORIES ADMIN ACTION UTILITIES RELEASED F-- CERTIFICATE OF OCCUPANCY FEE $ APPROVED BY IDATE CHANGE OF USE OR OCCUPANCY FEE $ I TOTAL $ 75-o3eRev. u97 COMMUNITY DEVELOPMENT %t APPLICATION FOR CERTIFICATE OF OCCUPANCY � a t CITY OF HUBygiNGTONi BEACH trvNrnacrare .scrl DEPARTMENTCIF COMMUNITY DEVELOPMENT (PRINT OR TYPE ONLY) DATE Address C)Qa7- t)t;(LfC y ��' !N�� e[.� r 1 �P46 District Business Name Q V t Nit' ��5 \ _� Tel (,ita) Business Type _��Occ. group— BUILDING OWNER BUSINESS OWNERWANAGER Name Name St?<cC R 0 4)M Horne Add ass- Address r City_ V,,,m? , •`A '- t _��Tel _tL% p City, Teri^Q�f� ------Home Tel(IfO. THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG.I CHANGE OF OWNER ❑ CHANGE OF OCCUPANT ❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT indicate former use, if any _ _ i�ccupancy Gr Div SQUARE FT. OF BUILDING TO BE OCCUPIED -- NOTICE: 1. Occupancy of any building is prohibited and a business license will notbe issued until the building has been inspected and a certificate of occupancy is issued. 2. No electric• service will, be reieased 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. Whenever it is necessary to make inspection of a building or premises in order to determine if a change may be 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 gr, up of occupancy or in a different group of occupancy, a change of occupancy inspection fee of $ shall be paid to the city, 4, Huntington €each Fire Cote Section 10- 8 requires that building numbers must be a minimum of four(4) inches in height with one half (lz) inch d roke, and of a contrasting color from the background. These 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 Protect` n Association pamphlet 10 (see reverse side). t� 9 tL.'il~k�E (FOR OFFICE USE ONLY) ZONING OCCUPANCY GROUP Pi PI A°' t,af ci< NO, Nv) PARKiNG SPACES OCCUPANT LOAD _ . u PERrfr `itiO HEALTH DEPT APPROVAL.._._ NO. OF STORIES _ _� �_ ACMIN Ki , iCif4.. __...—.._.._____.___- r. TiLITIES RELEASED F = a� CERTti=!':---VE OF OCCLIf`.t NC'" FEE c. - APPROVED BY DATE CHANCE _ u'F 1S! OR OCCUPANCY FEE S '' TOTAL g 75-039 Rev. V017 SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 2. Person to contact in case of emergency Telephone number: 3. Does the building in question have electricity" (a) If No, are you requesting that the electricity he turned on? 4. The building is sprinklered? 5. Operations will produce dust/wood shavings or sim"ar material? 6, Operations will involve the repair or replacement of automobile parts? If Yes: (a) Describe the components repaired or replaced. Yes No 171 Yes E No n Yes 0 No Yes No la Yes No (b) Does the operation involve the use of an open flame' ❑ Yes 0 No 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes IR No 8. The following best describes my operation; Office Only Retail .Sale Warehouse Manufacturing / Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other (describe) SUPPLEMENTAL INFORMAT40N (Continued) Dees the ,ration involve any of the following, materials? 0 Yes No If Yes, indicate quantities, Material Quantity 1. Flammable Faqetids Glass l- Class I-B Class l-G 2. Glass @! Class lil-A a. ri3bsnat'ros Tait' nable 8.�r...�.�...,.�._:._.._.,._._«,_,_w._....�,..«_�,..»...__...._.._,.._�� kiuids Flammable le gazes T--liqueffed flammable gases . -lL i 15+i�'a,Y i{w` oSdYd1T 3 9.tall0 MQtr;alS 10. NCorrosive Inquids material go'-so's Z. Oxidizing material by vVeigrit toxic ar'd poisonous gas t.I iXZ to ., esbova in3oOrii E3tK)P i$ tru, anv, correct to tile best Date South Coast Zj Air Quality Management District " 21865 E. Copley Drive, D..ir fond Bar, CA 91765 4-132 (909) 396-3529 • http://www.agmd.gov Air Quality Permit Checklist California State Lary 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 fiom the South Coast Air Quality Management District (AQ11YID). Company Name: L-1 V I R iy Property Address: j_P 6 -�Lz . /�d a"S 14urz , 9 -E-,rJ &-,JAB CA P.�- % �G City: CA Zip Code: :2t AG 6 Contact Person: C) nn i� o I E (�i Q QeIA Type of Business: [cad?'its Applicant (print name) -o <cc fc- P 041 _ Title: 0 COti ?Al Telephone: a tS Signature: Will the facility have any of the following equipment? Yes[ ] No (`�] Charbroiler Dry cleaning machine Spray booth Printing press (screen/lithogriaphic/flexographic) Internal combustion engine (greater than 50 HP (excluding motor vehicles) Boiler/combustion equipment (greater than 2 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge-type dust filter/scrubber Motor fuel storage and dispensing,, equipment Will any of the following operations be performed! Yes[ No [X} Application of paints or adhesives Etching, plating, casting, or melting of m,:tals Molding; extruding, or curing ofplastics Mixing and blending of liquid,, Nor powdery Storage of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke, or strong odors If you answered "No" to both questions, this checklist is your clearance from AQM, !. If you answered "Yes" to either question, you must contact AQND to determine i" air quality permits are required, If permits are needr d, AQMD will assist you in submitting pe.-mit application(s) and then provide you with a, clearance letter. You can call AQMI) at their Small Business Assistance Office at (800) 388-2121. Revised Febmary 1999 Trariaode,, [PERMIT] C 0 M M U N I T Y D E V E L 0 P M E N T Function, [HSTJ PERMIT HI STORY I [BO1027613 Address (100421 CADAki3 (PLEASE CONTINUE Unit Permit Issued Status Effective Building Use r I (B0102761 f0I1919993 f I [COM ALTER J[BOlOS34][022119891[ It ](COM ADD (130764501 [1109200C] (PINIkLLED 1 '132820001 [COM ROOF A [E(-1-46411 (051219881 ( J t 1 [COM E "59441 [012619891 ( . [COM 1 [B0071731 (0?2119891 ( l f I (COM 3 [E0072721 [030619891 [ I rcom I I [EO073691 (031619891 ( (COM I[E033146](12071999)(FINALLED ](031020001[COM MISC 1 [POD59901 1013019891 [ [COrq TI I [P0063551 (030919891 ( (COM I[ IC I[ [40701 PG 1. Li.-k Pge 1 1 3 (BO302761[ j [BO105241[ 1 !140102791 ( I [BO105341[ I I It I LB0102763[ I [B0102761 I