HomeMy WebLinkAbout10001 Adams Ave - CofO (3)wt
CERTIFICATE OF .00CUPANCY
CITY of HUNTIWSTON BEACH p.
I DEPARTMENT OF BUILDING & COMMUNITY i IFVELOPMENT Date
HUNTINGTON REACH
This .s. to certify that the Auto SeTy" ce Station � .�� _ � � r a.,s authorized
under Buildinq Pr ;mist No. EXiStILI —and is identified as 10001 Adams Avenue & Bra okh- rs'I
address
Hlmtift ton Beaci7 and described as. Steger Seven
in the building owned by The Southland CCYI`39ration at 1032.0 a ib*6 'Road
narne +�Jaddress
._cif. complies with the provisions of ail pertinent laws, codes, ordinances and any imposed
conditions for the use described and classified as an - "` - —occupancy.
MAXWUM OCCGPANT LOAD PfrRMITTEO
NO dca; 1
This Certificate of Occupancy Jahn l`, Betirelas
SHALL BE posted in a conspicuous place on uirector of Guildin a & Community Development
the premises and shall not be removed except
by the Building Official. --
DEP,AJZTMErV OF BUILDING COMMUNITY DEVELOPMENT
OCCUPA..XCY RELEASE REQUEST
LANDSCA'{E
DATE, ROUTED; L E(Div. 1 uh .Wks
FIRE ' PUBLIC WORKS
i ..."�I FLAW ING HEALTH
A release for occupancy has been requested for the building
located an:. described as follows:
Jr"R ADDRESS :
JOB DESCRIPTION:
PIWNE
USV, °'IS DESGRIB2D AS i' lea
j NEW BUILDING iiUi�bINC
I`
c. CFIMGE OF US,F �GE OF
�x64At4ate,
CHANCE OF OCCUPANT
Please check the statos of thi-a project vrH-fi respect to
requirements cif your Dep4 fitment and confiact. the owner
revi) dir�g airy hoUds.
OCCUI?A.. Y APPROVE,),:
47
} r' DA E
�iOLD OCGUPANC11Y,
s
DATE
REMARKS.- s%{f-= -----_
-'THIS FORM IS TO BE SIGNED, DATED AND RETURNED TO THE
lEPAWTMtNrf OF SUILDI GC, S COMA UNITY DEVELOPMENT,. (,t73A00i) '
JJ
t� y,}
APPLIC'ITION FOR CERTIFICATE OF OCCUPANCY
City of Huntington. Beach DepartmenL of Building & Community Develo meat
FOR APPLICANT TO FILL IN (Print or type only) ✓AT4-
pplration is hereby made for ; 'ertifi^ate of Occupancy for a
Describe Business Use
To he knca-n as--__—
^ Name of Business
Located at ti Elm / G.t aG'G_
Business Address,
Name: 'WILDING OWNER Address C� Zip Phone No.
THIS USE 0OULD BE DESCRIBED AS:
Newly Constrr, cted Building Change of Owner =, Change of Occupant
Existing Building Change of Use D Addi'-ional Occupant
Indicate former use if any
Name: E'USINESS OWNER Residenc Adg�� City Zip
PhGne No. Biisiness('•'Residence:
JNOTICE: 1. Occupancy Z f any building is prohibited and a b� usiness license Wild not be
issued until the building has been inspected and a Certificate of Occupancy
Is issued.
2--1 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"
z inspection in the Department of Building and Community Development at the
tima this application is filed.
CHA14GE -)F OCCUPANCY OR USE IN5PFCTIOU'FEE. Whenever :L't i_> necessary to make
rr inspection of a building or premises in order to determine if a change may
be made iv2 the dha acter of o^,:upancy or use of the building cr premises
p�a which would place the building in a different d.tvisicn o� the same group of
ya M occupancy or in a different group aL occupancye a change of occupancy
inspection fee of $25 00 Fhali'be paid to the City. -- --�
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
Sq. ft. of building (z, - Flan Check No. _
Occupancy Group �r Permit No.
Occupant Load. f'Admin. Action —
140. of Stories No. Parking Spaces
health Dept Approval
1,6 Utilities Released
APPRO JED BY DA`
CEjt .� PICATE OF OCCUPANCY FEE $ 5. 00
{ #7-533�) CHANGE OI' OCC'UPAWY OR ,LASE INSPECTION FEE
rCYTAft $
He
CERTIFICATE Or OCCUPANCY
CITY OF HUNTINGTON BEACH �y64 1977
DEPARTMENT "` fit#"-'7.'ie, & Ct�li�"i�ll1N1TY Gi;i/ELf3PM1;NTra
rtY75 e
ON OfAC s
This is to,, certify that the_ Gas Station as autlinrixed
under Building Permit No. A 4445 and is identified as 10001 Addy, Hufttinton Beach
idress
and described as _1!' tr Seven
in the building owned by Southland Cbtp. at 678 St 111410A Hill, C aremut,
name addres,
complies with the provisions of all pertinent lags, codes, ordinances and any imposed
conditions fer the use described and classified as an ` occupancy,
MAXIMUM OCCUPANT LOAD PERMITTED 2 �.
Idatke;
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on
thu premises and shall not be removed except
by the Building Official.
John F. Behrens
Director of Building & Community Development
By E{-�rf ---
APPLICATION FOR CERTII'ICATE OF OCCUPANCY
City of Huntingtor. Beach _ _ Department of Building & CommunityDevelopment
?iOR APPLICANT TO FILL IN (Print or type only) DA17 � - ��%
pplication is hereby made for a Certificate of Occupancy for a:
!l�'L
.Describe Business Use
To be known as L. c . %' � 5. e t"' e ,4CX
Name of Business
Located at �� -- -,6 :22g
Business Address
A
Name: BUILDING OWNER' Address City T zip Phone No.
THIS USE WOULD BE DESCRIBED AS:
ly Constr,zcted Building F Change of Owner E] Change of Occupant
Existing Fuilding Change of Use Additional Occupant
Indicate former use if 3zy
J— �+rr (� L cd'_,/ G fC�� s'� la-g; ��1 cf -e l L C
7a BUSINES,S O R Residence Address Cit Zip
�7 �' C"
Phonu No. Busine8sf 1��ce}/--1Y5r'te, Residence:
�f
1.
Occupancy of any building is prohibited and a business .License will not be
issued until the building has been inspec-:ed 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 sate. All applicants for occupancy
in an existing building are required to schedule an electri^al "fuse up"
inspection in the Department of Rui.ldinq and Community Development at the
time this application is filed.
3. CHANGE OF OCCUPANCY OR USE INSPECTION FEE. Thepever it is necessary to make
insi ecti on of a ijuilding or premises in order to determine if a change may
be made in the character r,f occupancy or use of the building or premises
which world place the *wilding in a different division of the same group of
occupancy or in a different group of occupancy, a change of occupancy
inspection fee c,f $25.00 shall be paid to the City.
SUPPLEMENTAL INFORMATION (FOR OF1FICE USE ONLY)
Sq. ft. of building
Occupancy Group
Occupant Load
No. of Stories -
APP0b61PD BY DATE
Plan Check No. 7 h-'J 7_
Permit No.
Admin. Action
No. Parking Spaces
Health Dept. Approval
Utilities Rei:easea
4i
CERTIFICATE OF OCCUPANCY FEE $ 5.00
(#7 5-n3 } CHANGE OF OC' UPANCY OR USE INSPECTIM FEE
TOTAL, $