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HomeMy WebLinkAbout10038 Adams Ave - CofO (2)CERTIFICATE OF OCCUPANCY CITY OF 14UNTINGTON BEACH May 4. 199773 i DEPARTMENT OF BUILDING & COMMUNITY DEVELOPMENT - Date - HUNtIN(JON REACH This is to certify tear he I­un bualm rss as authorized under Building Permit No. 83833 _and is identified as 10038 t"tdAWS ;,•sr=C` address Huntington tort Boach and described as Pidil •m r F—I'L' Anz-ja CGarn of �4tn_ in the building owned by Names K=boor at 14611 Val IP X!� to Blvd, name address he"ETi an Oaks _ complies with the provisions of all pertinent laws, erodes, ordinances and any imposed conditions for the use described and classified as an F-2 occupancy. MAXIMUM OCCUPANT LOAD PERMITTED_ No Lice: T'�.ts Certificate of Occupancy John F. Behrens SHALL BE posted in a conspicuous place on6�1 Director of BuifdjAig & Community Aavelopn:nrn the premises and shall not be removed except fir` Ly the Buildkng Official, By Applizatcin For Certificate of Orczuparicy i ty of HuntIngton 11each, Calif orni Applicalion is hereby marl for a cue---tificate of Occupancy for a: L] U De rribe ise To be known as -Public .LFiLaarQ P a�ojj -Fhex -rn i n j _of_S.nii -ar_zLU f n 14ame of Business Located at Huntin-J-11 Reach, Address r, 14611 Rhprman QAk.-q, r.A ,Y James, Kamboo 784-6,790--3--26-73 Owner of :.gilding Addross City Phone No. Date This use would be described as: New BuildirgGDExisting Buildingi— jChange of Use[]Change of ChvnerL- .lChange of Occupant Indicate former use if any ,T_ q-Fq-r-r_ Dvi"h1in—P OWNER i�nance ccl__� __GA_ — 8-3-2-- 6161 Name BUSINES§- Phone No. bus iaess: Residence: NOTE: A business license will not be Issue.' :until the building has been inspected and a Certificate of Occupancy Is issued. OFFICE JSE ONLY DEP&RTMENTAL APPROVALS: 1. Planning Department Remarks: 411 Name Date7-- 7- 2. Fire Department Name az- Date 3. wilding Department Vol, -3 e Date 4. Public Works Depar-ri.ent Name Date SUPPLEMENTAL INFORMATION Sq. ft. of buildiiAg Occupancy Group Occupant Load No. of Stories Remarks: Remarks: Remarks Plan Check No. C .9 Ce No. Parking spaces C.E. or U.P. No. Utility R(lease Permit No. Js CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTO N BEACH N ovaY-11 3 ` DEPARTMENT OF DEVELCPMENT SERVICES Data HUNTINGTON BEACH ;Address 10638 Adams Ave. � � � District Business Name CUSTOM CIPSATIVE CEPI MICS Y„ .. _ � Tel. Business Type DENTAL Xr Occ. Crt�ui3 3-2 BUILOINU OWNER BUSINESS OW'N 11NAGEA Marne Davie F a < llhilhelm _ Name SAM Address 201i 2�iAndress_ - City.—.-- I1t nti ngton Beach Tel. 963 04 Icity —Home TeL Construction No. of Sto ies ,_._Occupant Load i Q Sprinklered- - No tice; This Certificate of Occupancy SHALL BE Nested in a conspicuous plane on the premises and shall not be removed except by the Building Official, DEPARTMENT OF Or-WELOPMENT SERVICES 111�4F ♦✓ APPLICA11ON FOR CEATIPICATE OF OCCUPANCY �. CITY OF HUNTINGTON BEACH [ � DEPARTMENT OF DEVELOPNIE IT SERVICES (, � HUNTINGTON BEACH iPRINT Ofi TYPt ONLY) dA Address IDOJKJ ���t�a-s T�[i�- District Business Name �43'�tl �C^mos2 -e= ^����-� - _ Tel. -- Business Type _ w�/ c�=fr- ,. T. Occ. Group BUILDING OWNER 13U61 .SS OWNER, fe . i . R Name t ,`c —i�, l•.!-�1 _ � . _ Narw_ / /���� Home r'�ddress' ��, Address .�... 'City �r.d,n� « TeI�jG/ City - Hence TeI _ THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG. ❑ CHANCE OF OWNER X EXISTING B'.IILDING a CHANGE -OF USE Indicate former use, lt,:ny 4// -d ' _ . _,..,.:.Occupancy Gr. SQUARE FT, OF BUILDING. TO BE L;CUPIEDLCZ(Z_ „r . CHANGE OF OCCUPANT ADDITIONAL OCCUPANT Div. NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the ouilding has been inspected and a certificate of occupancy is issued. 2. No electrical sei ice will be released +Dr 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 Development 'Services at the time this applica- 3. von is filed. Change of occupancy or use inspection fee, ft1henever it s necessary to make inspection of a build- ing or premises in order to deter mine if a change may be made in -Lhe character of occupancy or use of the building or premises which would place the building in a different division of the same Troup l�� 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 e minimum of four (4) inches in height with one half (1/7.) inch stroke, and of a contrasting color from the back- ground. 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 Njf / per the National Fire Protection Assoc;Wion pamphlet 10 (see inverse side). (FOR OFFICE USE ONLY) Al— SUPPLEMENTAL INFORMATION e) NING OCCUPANCY GROUP I --- PLAN CHECK NO. NO. PARKING SPACES OCCUPAN?LOAD PERMIT NQ. HEALTH DEPT. APPROVAL — N0. OF STORIES _ ADMIN. ACTION .. UTILITIES RELEASED dares---�LG?r CERTIFICATE OF OCCUPANCY FEE $ APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $ _ TOTAL $ - 7"39 REV. Address 10038 ADANS TOOTH EFFECTS Business Name DENTAL LAE Business Type BUILDING OWNER DAVID F. I-11EHELF1 DD5 Name — Address 1 005 i AD,MS CT HUNTINGTON BENC City del. _ Construction — _ No. of Stories CONDITIONS OF APPROVAL This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be re ieved except by the Building Official. CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BENCH Tel. 2/26/96 Date District 714--963--1904 Occ. Group B BUSINESS OWNER/MANAGER KICHALL !t 00WAA — Name Home 22197 C14NTO ARROYO SECO Address 14- 962-24Q'2 LAGUNA hILWme ; 1$»45L'-5303 City Tel. 10 Occupant Load Sprinklers DEPARTMENT OF COMMUNITY DEVELOPMENT by COMMUNITY DEVELOPMENT r, APPLICAFION FOR CERTIFICATE OF OCCUFA CY o CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVEi OP►IIENT HUNT TON °FAQi (PRINT OR 1YPc ONLY) / DATE Address (0 0-, 9' A as "" 5 Aw, . — 0<Ca t i0 District Business Name 9-00►1•i Tel. Businc-s Type _ L I % A IL— _ _. Occ. Group. BUILDING OWNER BUSINESS OWNERIMANAGER Name D^yi'O �7+ L,,j )UArr-LP1 ()_Q, S. Narne_AA'\ C14At=i._ (ZvSZ nr a K Home Address IVO S �f A ot1✓ i 5 cq- _ Address Zzrg0 C-MA TO .A( PY .0 Size) City «Y ,_ Tel 2'2 0'L City LAL-Lr" A 14,LLS Home Tel, gS7z-67�o3 THIS USE WOUf.D 13E DESCRIr,,:D AS: ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER CHANGE OF OCCUPANT XISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT indicate former u; if any D t, k Occupancy Gr.—Div. _ SQUARE FT OF BUILDING TO BE OCCUPIED 60Q` 0 'Ec NOTICE: 1. Occupancyof any building is prohibited and a business license will not be issued until the building has been inspected al;d a certificate of occupancy i.; issued. 2. No electrical service will be releasers for any existing building until the service has been inspected and 6 certified safe. A!I ,aprlicants for occupancy in on existing buildirg are required to schedule an electrical 'fuse Lion' inspection in the Department cf, Community Developmnnt at the time this applica}ion is filed. Chi of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or premises in order to detc , mine if a change maybe made in the character of occupancy or use of the building or premises which would place the building in a different civlsion 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 '-ode Section 10.208 requires inat building numbers must be a minimum of four (4) inches in height with one half (V' inch stroke, and of a contrasting color from the t-ckground. 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;. TRAFFIC IMPACT FEE DATL• PAID AMOUNT RECE E© NAME ` (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION ZONING OCCUPANCY GROUP f OCCUPANT LOAD / d NO. OF STORIES j// �-z 7C fiP ROVF_D BY DATE PLAN GiECK NO PERMIT NO — ADMIN. ACTION_ NO PARKING SPACES — HEALTH DEPT APPROVAL UTILITIES RELEASED — CERTIFICATE OF OCCUPANCY FEE $ CHANGE OF USE OR OCCUPANCY FEE $ — TOTAL R 7&019 Rev. t 1/90 COMMUNITY DEVELOPMENT SUPPLEMENTAL iNFORMiATiON 1. BUSINESS ADDRESS 10039 A �J 2. Person to contact in case of emergency' .P✓��c��s-�-� p�s��,�u Telephone number: 3. Does the building in question have electricity? tom) If I"o, are you requesting that the electricity be turned on? 4. The building is sprinklered? 5. Opa.•ations will produce dust/wood shavings or similar material? 6. Operations will involve the repair or replacement of automobile parts? 7. Q If Yes: (a) Describe the components repaired or replaced. Yes G No CJ 'Yes ❑ i'a o ❑ Yes ErNo ❑ Yes ,B—No C] Yes 'Q-No (b) Does the operation involve the use of an open flame? 2"Yes ❑ No The business is drinking, dining or assembly use that wi".I result in an coiccupant load of more than 50 persons. ❑ Yes A31I 0 The following best describes my of eration; Office Only Retail Sales Warehouse Manuf"Acturin Distribution (describe process and end product) Rcstaura-i / Take Out Food Medical / Dental Other (describe) SUPPLEMENTAL INFORMATIOM SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? J23 Yes ❑ No If Yes, indicate ou-nti+yes: Material Quantity 1. Flammable liquids Class I -A Class I-B Class I-C 2. Comb,stible liquids. Class 11 Class III -A 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - Loose 7. Flammable fibers - baled B. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compiound mixtures containing more tF an 60% nitrate by weight 18. Highly toxic material and poisonous gas 15. Smokeless powder 20. Black sporting powder I hereby certify that the above information is true and correct to the best of my knowledge. 2+ 2I 1 Qb — Signatur�, Date 4 SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property:__AoU��'__4" t5_ Property Owner Name:_ t1 0— �.. ,__W_VL kt_Ld Phone #:--I t Name of the person preparing this form in print and signature: 7Z4 0_ Z _ , The person preparing this form must be the same person applying for building permits. Please answer the following questions regarding your proposed occupancy of the subject building. IF YOU DO NO( KNOW THE ANSWER TO A QUESTION, MARK IN THE "YES" COLUMN: AQMD PERMITTING CHECKLIST YES NO 1. Does your facility use any internal combustion engines greater then 50HP? 2. Does your facility involve mixing, bleeding, or processing any solvents, l� adhesives, paints or coatings? 3. Does your facility create an> dusts or smoke? __ ✓- 4. Does your facility refine any liquids or solids or reclaim any metals? `f 5. Does your facility plate or coat anything? 6. Does your facility have any combustion equipment (i.e. boiler, furnaces, broiler, baking ovens, etc.) rating greater than 2,000,000 BTU/HR? 7. Does your facility handle or store solvents or motor fuel? 8. Do you use or store any acids? 9. Do you use any cherrucal process? — ✓ 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline ✓ station, printer br part coater? _ _ 12. Is tha subject building located within one thousand (1,000) feet of any yr school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked any questio;,.; in the "YES" column you must contact the South Coast Air Quality Management District located at: 21865 E. Copley Drive Diamond Bar, CA 91765-4182 Please call: Plan Check (909) 396-2000