HomeMy WebLinkAbout10042 Adams Ave - CofO�1 CERTIFICATE OF OCCUIPA NCY
CITY OF HUNTINGT.ON BEACH
e DEPARTMENT OF COMMUNITY DEVELOPMENT
HUKM,GrON MACH
Address 1UU4A AaaMS
Busi,zss Name 1a e2 =ce
Business Type Rai-aA wai-Pr & _Wai-ar sustPm
BUILDING OWNER
City
Construc'ion
No. of Stories
This /'ertificate of Occupancy
SHALL BE p ,sted in a conspi-• ous place on
the premises and shay io! be removed ex-
cept by the Building Official.
Maxch 20, 1989
Date
District _
TeL
Occ. Group B-2
JUSINES: OWNERWANAGER
Name Janet & Greg Funds
Home
Addmss 20402 Marsard Tn.
Tel. City Huntington Beach Home Te!. 968-6083
_Occupant Load 26 Sprinktered
DEPARTMENT OF COMMUNITY DEVELOPMENT
bye _
•jj
.AJ r .
MUNRNaOPi BFAC3i
APPLICATION FOR CER'aF)--ATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
(PR!NT OR TYPE ONLY!
4usir.ess Name GeJa_ �� .__ r•.'S�ac.�r_t_� _ `
mousiness Tyoe /i9e l / _r��.�=ter—GtJ��•� �-s
Rt III WING O11VNFf7
Name
Address
TtNI
THIS USE WOULD BE DESCRIBED AS:
DATE
D"strict
Te!
Occ Group
30SINESS OWNERIMANAGER
t ie— .ic�riefi 4e' Grtq
— �?rr1e
— 4*y _ etin 4i ,r7v 4n /de-t&-4�7 HomeTel =4—
❑ WLY CONSTRUCTED BLDG. 1-1CHANGE OF OWNER
;9r:X'-
ISTING BUILDING t ❑ CHANGE of U!SE
Indicate former use. ,f anv--��- )�`
3OUARE FT OF BUILDING TO BE OCCUPiED�_l-�CF—D
CHANGE OF OCCUPANT
LLLLLL❑������ADDITiONA.L OCCUPP14T
D �,;
NOTICE: 1. Occupancy of any building is prohibited and a bus-ness license will not be issued until the building has been
inspected and a certificate of occupancy ; !ssued.
2. No electrical service will be released for any existing building until the service has beer. 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 appiication is filed.
3. Change of occupancy or use inspection fee. Whenever if 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 th?t building numbers must be a minimum of four (4) I
inches in height with one half (' z) inch stroke, 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 Protection Association pamphlet 10 (see reverse side).
�? e (FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATIOJ
OCCUPANCY GROUP _ _ PLAN _k. N.1 V
OCCUPANT LOAD — ---- PER,"t "..i HEN- Ctr" HP r ,t'Ai__-- _
NO OF STORIES ADVII`J ACTF P•;_.-------.__.--_ .._-- T'1l1t-r:: PV<FAS, CF----.-----_ _ --
_
CERT'FIC;ArE.�—
APP ED BY DA E CHANGE GF USE C1R
TOTAL,
'5-039 fie. [B3
CCM MU -LAITY DEVELP.
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS �(Jc� - zd t-C-q-
2. Person to c^n-,act in case of emergency: -'JA
Telephone number: yG 4 .::) d- 3
3. Does the building in question have electricity? '
a. If No, are you requesting that the electricity be
turned on?
4. The building is sprinklered?
5. Operations will produce dust/wood shavings or similar
material?
6. Operations will involve the repair or replacement of
automobile parts?
If yes:
(a) Describe th, components repaired or replaced.
C7Yes
0'N o
Q-f -e-s
ONo
7 Oyes
ONo
Oyes
04101-
OYes
(b) Does the operation involve the use of an open flame? Oyes
LkNc--
7. The business is drinking, dining or assembly use that will
result in an occupant load of me a than 50 persons. OYes
Qmu--
8. The following best describes my operation:
0 :f;
Retail Sales
Warred'
Manufacturing/Distribution (describe process and end
product)___
Restaurant Ta a Out Food
1'r
Medical/Dental
Other (describe)
(0562D) (12/8/86)
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? Dyes
1po
I f Yes, zn icate quantities:
Matzrial Quantity
1. Flammable liquids
Class I -A
Class I-B
Class I-C
2. Combustible liquids
Class II
Class III -A
3. Combination flammable liquids
4. Flammable gases
5. Liquefied flammable gases
6. Flammable fibers — loose
_7. Flammable fibers - waled
8. Flammable solids _
9. Unstable materials
10. Corrosive liquide;
11. oxidizing material - gases
12. exidizinq material - licruids
13. Oxidizing material - solids
1.4. Organic peroxides _
15. Nitromethane (unstable materials)
16. Ammonium nitrate
17. Ammonium i.itrate compound mixtures
containing` more than 60% nitrate
by weight
18. Highly toxic material and
poisonous gas
19.SSmokeless powder
20. Black sporting powder
I hzreby certify that the above information is true and correct to the
best of my knowledge,
Signature 'Date (1218186)
n
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Address 100 4 2 A A A 110
Business Name td't T is `l �- 0 U P. C Ci
Business Type
BUILDING OWNER
L.C.S.,a J. t ..ri=i— ti.L:111
1iiy7
Date
District
Tel. 1 �� •gi.-
Occ. Group
BUSINESS OWNER/MANAGER
:JUit
Name Name
17C 1 E TRCH Home I 2 4. w;r.N1;Y <'01Uk LT.
Address Address
fRV.cdL CA 714-,Y' 4C' Fz T C i)V1 A Home er r 2
City Tel. City Tel.
Cor.-!ruction No. of Stories Occupant Load Sprinklers
CONDITIONS OF APPROVAL
Coin: �r,u 4CU S.F.
DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy �
SHALL BE posted in a conspicuous place on the 1f
premises and shall nag be removed except by the by�,j i ! vv
Building Official.
COMMUNr Y DEVELOPMENT r
M-4
AIPPLICATI F CERTIFIC F dCCUPANCY
CITY OF HUNTINGTON BEACH
DE ARTMENT )F COMMUNITY DEVELC PMENT —9 DATE%f
FiUNTtw10NH (PRINT OR TYPE ONLY)
(Business
ddress o z JAMS 2 of '� Gay District
ras-ne G C.�i7 ac.�l� C-Q _ Telusiness Type )rn. f 1- Occ. Group._ +__
BUILDING OWNER -- �- BUSINESS OWNER/MANAGER
[Name 4, ' /YGlG /�%1 . iTC�tame c .blIlYl� �11t = 1-40
Home ddress �' 3 /iit�; Addres�s���� �hdty r✓Vi e Tel. �� city —(5)& L oJi N o. 1 g�;Z9c Home Tel( 33 -i;
H
IS USE WOULD BE DESCRIBED AS:
❑j NEWLY CONSTRUCTED BLDG. Im CHANGE OF OWNER El CHANGE OF OCCUPANT
^tom EXISTING BUILDING /- El CHANGE OF USE ❑ ADDITIONAL OCCUPANT t
Indicate former use, if any 5��'� t=� Occupancy Gr. Div.
SQ/UARE FT. OF BUILDING TO BE OCCUPIED f� t 40O �S 9SAP1 ,15 S �ii {A nF{� -6)
NOTICE: 1, Occupancy of any building i, 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 us- inspection fee. Whenever K 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 h
or premises which would place the building in a different division of the same group of oc,,upancy or in a
different group of occupancy, a change of occupancy inspection fee of $ shall ;e
be paid to the city.
4. Huntington Beach Fire Code Section+. 10.208 requires that building numbers must be a minimum of four (4)
incl-z�s in height with one half (1/2) inch stroke, and of a contrasting color from the background. These j
numbers must be posted on your building in a location that is visible from the street. i
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).
1-23L
�J %
/ k
TRAFFIC IMPACT FEE LIT
G�
DATE PAID L I
AMOUNT RECEIVED
NAME - (FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION ZONING
OCCUPANCY GROUP .jj PLAN CHECK NO. _ NO PARKING SPACES
3-
OCCUPANT LOAD PERMIT NO. HEALTH DEPT. APPPFLVAL
NO. OF STORIES ADMIN. ACTION UTILITIES RF
Arm" i,
CERTIFICATE OF OCCUPANCY FEE g -' —52r7f
APPROVEL BY DATE CHANGE OF USE OR OCCUPANCY FEE
ITOTAL
75-039 Rev.1/97 COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS A5 D- z4dim
!�- Aae
2.
Person to contact in case of
emergency'
Telephone number:
L
3.
Does the building in question
have electricity?
A Yes
❑ No
(a) If No, are you requesting
that the electricity bie
❑ Yes
turned on?
n No
4.
The building is sprinklered?
AYes
❑ No
5.
Operations will produce dust/wood shavings or similar
material?
❑ Yes
P�'No
6.
Operations -,aill involve the repair or replacement of
❑ Yes
automobile parts?
X'No
If Yes:
(a) Describe the components
repaired or replaced.
(b) Does the operation involve the use of an open flame? ❑ Yes
KNo
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. ❑ Yes
�No
8. ThE following best describes my operation; `
O#f�4n�
�etail Sale
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant / Take Out Food
Medical / Dental
Other (describe)
SUPPLEMENTAL INFORMATION
1
0
SUPPLEMENTAL. IN."ORMATION (Continued)
Docs the operation involve any of the following materials?
If Yes, indicate quantities:
Material Quantity
1. Flammable liquids
Class I -A
Class I-B
Class I-C
2. Combustible liquids
Class 11
Class Ill -A
3. Combinatico flammable liquids
4. Flammable gases
5. Liquefied flammable gases
-67 FIa ,.rablQ fibers - loose
7. Flammable fibers - baled
8. Flammable solids
9. Unstable materials
10. Corrosive liquidls
11. Oxidizing material - gases
12. Oxidizing material - liquids
13. Oxidizing material - solids
14. Organic peroxides
15. Nitromethane (unstable materials)
16. Ammonium nitrate
17. i Ammonium Nitrate compound ►�ixtures
containing more than fill% nitrate
_ by weight
18. Highly toxic material ar:d
poisonous gas
El Yes
i
13. Smokeless powder
20. Black sporting powder
I hereby certify that the above hiformation is true and correct to \ J
the best of ,ny knowledge. v "
oignature Date
0
1 South Coast
AIR OUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000
AIR QUALITY PERMIT CHECKLIST
for nonresi dential buildings only
Company Name: W K-re �- Svc c v Q
Location of Property: r`0" V- Ado w c Au ,-
City_, Zip Code: %�- d 1/-6
Contact Person- _ 4 c, 19a Title: l.5co�e Y
Telephone Number: l V-) 2 t 9 2 Fax Number:
Type of Industry/Business:e-
To apply for a nonresidential building permit, you must compicj di -Is checklist. If you have any
questions about completing this checklist, please call (800) 388-2121.
1. Will the facility have a charbroiler?
2. Will any internal combustion engine with greater than 50 horsepower
operate at the facility (excluding motor vehicles)?
3. Will operations at the facility involve mixing, blending, or processing of
solvents, adhesives, paints or coatings?
4. Will dust or smoke be generated at the facility?
5. Will refining of any liquids or solids be done at the facility?
6. Will any plating or coating of materials be done at the facility?
7. Will any combustion equipment rated greater than 2,000,000 BTU%nr be
operated at the facility?
8. Will any acids, solvents, or motor fuel be used or stored at the facility?
9. Will any organic liquids or gases be reacted or produced?
10. `.Y,rill any ovens be used to chy or cure products at th, facility?
11. Will any CFC (Freon) recycling mac * a hp cility?
Applicant: " Signature:
(Print name clearly)
If you have marked "NO" in ail the boxes, an air quality permit is not needed 3t this time,
and this checklist is your written release.
If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality
Management District (AQMD). Please read the requirements on the back of the checklist.
(8010) 388-2121
ADDMONAL SUPPLEMFNTAL WoRMAnm