HomeMy WebLinkAbout10001 Adams Ave - CofO (2)CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Address 10001 ALAfiS
i�
9/21/94
Date
❑istrirt
Business Name
NtALzYeS 1•;AP?BUFsC:EIiS,
IIy%. j.'1222
Tel. 714—�`6—"92G �J
Business Type
hL`'IAURANa!
Occ.Group F-2
BUILDING OWNER
BUSINESS OWNER/MANAGER
RALLYa
NAtti'EHCLRE, II'`,
LAL•,R HEW,'
Name
Name
Address 2F 2f IV
HBSICELL
Home
Address 71b hICHF'TELL
LALLA.;,
I'V Tei.
City
PLAC.2.-I—rA Tome
Construc'Jon _
No. of Stories
Occupant Load
G
' Sprinklers
CONDITIONS OF APPROVAL
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the
Building Official.
DEPARTMENT OF COMMUNITY DEVELOPMENT
I
{l
by
_1
COMMUNITY DEVELOPMENT i
.____.-------------.__.. ,._--__-..__,...-.._...---_,_.._-____ ------------------------------
Occupancy of any building is prohibited and a business license will not be issued until the building has been
inspected and a ;ertificate of occupancy is issued.
,,,o electrical service will be released for ary existing building until the service has been inspected and
certified safe. All applicants for occupancy i 1 an existing building are required to schedule an electrical
'fus, up' inspection in the Department of Community Development at the time this application is filed.
Change of occupancy or use inspection fee. Wherever it is necessary to make inspection of a building t.
premises in order to determine if a chat;ge may be made it the charac., r of occupancy or use of the builv''ng
or premises which would place the building in a different division of the same group of occupancy or in a
different ciroup of occupancy, a change of occupancy inspection fee of shall
be paid to the city.
Huntington b ,ch Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
inches in height with one half (1/2) 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.
Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection As {Jation paml hfet 10 (see reverse side).
Ai
J'----'
(FOR Oh`FICE USE ONLY)
SUPPLEMENTAL INFORMATION ZONING
OCCUPANCY GROUP,—_ PLAN CHEi, K NO _ q `i G NO PARKING SPAC" S f
OCCUPANT LOAD PERM:T NO -Z SS.4-.1...._____ HEALTH DEPT APPROVAL
NO, OF STORIES ADMIN ACTION — UTILITIES RELEASED
`1-%FICATE OF r'CCUPANCY FEE $` c G2
APPROVED BY DATE CH NGE OF USE OR GCCUPANCY FEE $
TOTAL 1
�- 1
� � APPLICATION FOR CERTIFICATE OF OCCUPANCY
;"00 ---,\ CITY OF HUN—!NG rON BEACH
t DEPARTMENT OF COMMUNITY DEVELOPMENT Sr/'i yj �lr
RUNTtNG7JN ergot /i (PRINT OR TYPE ONLY) DATE
Address /O �v c
_. _ District
Business Name��Y Te.
Business Type Oce. Group_! —.—
BUILDtNG OWNER BUSINESS OWNERlMAN GER
Name 11'��d � !.9"rr.5 00/e.A Name
Address 2 Y' i,.�'i9�l�'t'� 4 Home ,
Address
City G'r9.UeIE _—�. Tel 3/O4dye Clty ✓�4�i9r� �liiT�.47 Home Tel.
THIS USE WOULD BE DESCRIBED AS:
NEWLY CONST;3UCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
❑ EXISTING BUILDING ❑ CHANGE OF USE �j ❑ PDD.T'ONAL OCCUPANT
Inuicate former use, if any Occupancy Gr 1a' Di,,
SQUARE FT. OF 3U:LDING TO BE OCCUPIED —
NOTICE: .1.
2.
�• 3.
L�
4.
75-039 Rev, 11/90
COM%)NITY DEVELOPMENT
I
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS _ `,so`� �� ''' —'5 6'
2. Person to
contact io case of
emergency- 09ule
"elephone
number:
W,
4109, 3
J. Does the
building in question
have electricity?
!7 Yes
❑ No
(a) If No,
are you requesting
that the electricity be
❑ Yes
turned on?
❑ No
4. The building is sprinklered? 0
L`5 Z
5. Operations will produce dust/wood shavings or similar
material? ❑ Yews
0
6. Opera ions will involve the repair or replacement of ❑ Yes
automobile parts? 99-'1q�o
If Yas:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? E"-Yes
❑ No
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 56 persons. CZ es
E" r; o
8. The following best Describes my operation;
Office Only
Retail Sales
Warehouse
Manufacturing / Distribution (descriLe process and end product)
Restaurant / Take Out Food
M decal / Dental
Othc-r (describe) v _
SUPPLIMUtTAL INFORMATION
.r
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the follov ing materials? ❑ Yes
E l�o
If Yes, indicate quantities:
Material Quantity
1. Flammable liquids —~
Class I -A
Class f-B�—
Class I-C
2. Combustible liquids
Cass II
Class III -A
3. Combination flammable liquids
4. Flammable gases
5. Liquefied flammable gases
6. Flammable fibers - loose
7. Fiammable fibers - baled
T
8. v-- Flammable solids
9. Unstable materials
10. Corrosive liquids -�
11. Oxidizing material - gases
12. Oxidizing material - liquids -
13. Oxidizing material - solids
14. Organic peroxides
15. N"tromethane (unstable materials,
16.. , -Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
b, weight
18. Highly toxic material and
poisonous gas
19. Smokeless powder
20. Black sporting powder
I herby certify that the above information is true and correct to
the best of my kn�ge
Signature w �a�
5
Government Code Section 65856.2(b) requires that the City of Huntington Beach not issue the final
certificate of occupancy unless the applicant has met or is meeting the requirements of the South
Coast Air Quality Management District (AQMD). The Department of Community Development must
obtain a written release from AQMD to show the applicant has complied with this law. The check
list on the reve,'se side is designed to help the applicant and the building division to meet these
requirements.
1. The applicant (the same person who applies for permits from the
Depaetment of Community Development) must complete the check list
which can be obtained either from the Department of Community
Development or at AQMD.
2. If all boxes in the list are checked "no", the Building Division can accept the
check list as the release.
3. If there are any "yes" answers in he list, the applicant must contact an
AQMD engineer by calling (714) 396-2000 to find out whether ^.r ,permits are
required for the proposed construction project.
4. If air permits are not required, the applicant will obtain a written release from
AQMD.
5. If air permits are required, the applicant most submit the necessar jermit
applications Wore -the release can be issued.
Because of the time it may take for AQMD to gu through the above procedures, the applicant is
advised to contact AQW) immediately after applying for building permits.
(13600)
ADDITIONS L SUPPLIMENTAL IWORMATION
�
Pzrnr rl* 'Zh'e P form in print an a'
The parson, preparirg this fern rausi be the same pera,-,x4ppiyirig for L1, "lidinq Mease cxsvver the
questions regarding year proposed occupzncy of b. Ojeoi ir-- YOU DO NC KINIOAN'
THE ANMRVER TO A QUESTION, MARK N THE -Y�S" M-*,J-,'AM:
AQMD PERNTUNC V"OECKZA&74
VE0 0
1.
facijihl ur-R an of internal combustion end., nes q,eatorthan 50'rIP?
2.
Does v,3ur facility involve i nixing, blending, or pg ony selvents,
cad!,esllfes. Paints Or Coatings?
3,
Dr-,L�s your facility create any dusts or smoke?
4.
Does yourfaciLt-, refine, arty liquids or solids or reclaim aria, i-0.2tals?
-Does your faciljt* plate or coat anything?
f.
Do-s rur facilfty i a Iny combustion equipment (i.e. boiter, furnaces,
3"FUA-K
bicilar. Ovens etc.} rating greater than
k-oes your facility handle or store solvents ornnoto:
2
Do ru use, or Moi-e ai--v acids?
9.
Dv yoJ use any rlhemicii procL-ss?
M.
Do cu aso any solvems or cle-.-.-up?
11.
c!earcw, restaurant with a charbro"ler, bc�uv shop, gz��ncFka
Are vnu as dni e
Saikx-, or oaN. ccmler?
12,
the csjb�rzV DzA'19 no, locnte-' vAthin one thous An
1.71R.C."P771-i7i
U.N117. TC.' PROPERTY LINE,
you do noz :"I
'nnl, ,94;;Pwsl contac!
I" V:
21835- E.
Damond Bp-s', CI -If% -2�, S"
Ploase ^ail: Man
� s
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
Inspection
Record
. I Post On Job
IN A CL= SPICUOUS PLACE
CALL 536-5241. OR AS MOTTO. FOR INSPECC)T DNS
JO�ADDRESS �%�� �=��-A-�
PERMIT N0.
OWNER
CONTRACTOR -
INSPECTION DATE IN ECTUR
LINE & GRADE PW 536-S431)
PLUMBING GRGUND SOIL
ELECTRICAL GROUND W
UFERGROUND
FOUNDATION
GROUNDWATER a' 7-1
SLAB OR DECK
MECHPNIUL GROUNDWORK
PLUMBING ROUGH WATER SERVICE
MECH'LROUGH -WA4, 3v�9c
MECH'LR11U H-CEILINGS 6%tEK
ELECTRICAL RDUGH - WALLS -
ELECTRICAL ROUGH-'EILINGS
ROOFSHEATN_
GRID UiLING
GROUT
..a ROUSHMECH'LFIREPLAC
FRAMIN5
INSULATION is c
SHOWER PAN
IF
COVER NO WORK UNTIL ABOVE HAI' . ! SI6NE
EXTERIOR LATH '
INTERIOR OR DRYWALL [�
MISCELLANEOUS
SEWER I CAP = s
SEPTIC TANK I ABATE
GAS TEST
ALL THE APPLICABLE ITEMS BELOW MUST BE SIGNED
BE73RE UTILITIES ARE RELEASED.
PRECIS SE GNADE(PW) C536-5431) ff-ll-
UND3CAPING FINAL (536-5480)
LAWN SPRINKLER FINAL
PLUMBING FINAL
MECH'L FINAL is �l 42
ELECTRICAL FINAL APY4
FIRE DEPT. _ (536-5411)
WATER DEPT. (536-5921) '
QPUBLICWDRXS (536-5431) ''$7
BUILDING FINAL,
Y-0M•PL•gA All
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