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HomeMy WebLinkAbout10043 Adams Ave - CofO (3)CERTIFICA71 E OF OCCUPANCY CITY 0' HUNTINGTON BEACH Date Address L, A I District Business Name L C, k, L I-'k i C. Tel. J, 'I Business Type Occ. Group BUILDING OWNER BUSINESS OWNER/MANAGER i, l- Name Name Address F Home Addressli A.,,. I City lbl. City Home TeL Cons' a uction No. of Stories Occupant Load Sprinklers CONDITIONS OF APPROVAL This Certificate of Occupancy SHALL BE po,ted in a conspicuous place on the premises and shall not be removed except by the Building Official. DEPARTMENT OF COMMUNITY DEVELOPMENT by M COMMUNITY DEVELOPMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT rrunmricrON BEACH (PRINT OR TYPE ONLY) Address kD ��q vYl S l�-e. lEti�ril J`p Business Name OhYl �_ ' CY1 I Busi^ess Type C[c{-c,.�'f C, \3\ C`Q.S t ATE District n Tel. "7Lpt4 Occ. Group BUILDING OWNER BUSINES, OWNERWANAGER Name �� f 'Q P �`' Name�,ny4 I& .Home Address-� C � ©o Address A �I� t j City �e"�� _Te . D Ci,; ►1 -1 � . �E'ft Home Tel + THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ElCHANGE OF OWNER '91 EXISTING BUILDING � CHANGE OF USE Indicate former use, if any Occupancy Gr SQUARE FT. OF BUILDING TO BE OCCUPIED_ NOTICE: '9^CHANGE OF OCCUPANT ❑ ADDITIONAL OCCUPANT Div 1. Occupancy of any building is prohibited and a business license will not be issued until the buildin, 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' inspeceo- 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 chan(le may be made in the character of occupancy or use of the building or premises which would place the buiiding 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 ('/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 FirF. Code Section 10.301 requires fire extinguisher se,ection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). _ SUPPLEMENTAL INFORMATION OCCUPANCY GROUP OCCUPANT LOAD _ NO. OF STORIES a/�_ O ED DATE (FOR OFFICE USE ONLY) ' ZONING PLAN CHECK NO PERMIT NO. — ADMIN. ACTION_ NO. PARKING SPACES — HEALTH DEPT APPROVAL UTILITIES RELEASED — CERTIFICATE OF OCCUPANCY FEE $ CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ 75.039 Rev. 6,68. COMMUNITY DEVELP. I E V 1. BUSINESS ADDRESS SUPF&SMENTAL INPORMATION 0 2. Person to contact in ease of emergency.���� _ rc C( 1VAO iL Telephone number: ( �t 0� 11 " C 3. Does the building in question have electricity? C]Yes 6 �SrNo a. If No, are you requesting that the electricity be es turned oar? ONO 4. The building is sprinklered? OYes o 5. Operations will produce dust/wood shavings or sixiJar material? 0fes o 6. Operations will involve the repair or replacement of C)Yes automobile -parts? o If yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an opm flame? OYes )B140 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persona. Mes )no J 8. The following best describes my operation: Office Only Retail Stales Warehouse Manufacturing/Distribution (describe process and end product)—.— lea r a. � . ads e ?6u oo Medical/Dental other (describe)._:�i--z> ,�". SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? Ves 0No 3` des, in icate quant rries: Material Quantity 1. Flammable liquids Class I -A. Class I-B Class I-C 2. Combustible liquids Class II Class III -A 3. Combination flammable 'quids 4. Flammable Gases 5. Liquefied flammable gases 6. Flammable fibers loose 7. Flammable fibers - baled 8. Flammable solids 9. Unsta'ale materials 10. Corrosive liquids 12. oxidizing material - gases C 12. Oxidizing material - liquids 13. oxidizing material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures ® containing more than 60% nitrate _ by weight 18. Highly toxic material and __poisonous gays 19._Smokeless 2owder. 20. Slack sjRortin2 powder ~� I hereby ce-tify that: the above information is true and correct to the best oF my knowledge. Address Business Name Business Type CERTIFICATE OF OCCUPANCY CITY f F HUN', INGTON BEACH Date District Tel. r,,_;ry _ Occ. Group BUILDING OWNER BUSINESS OWNER/MANAGER C.B.-S. if%;;TAL Name Name 4ddro ru sh,: `:it;y Home ,r:Z eLL s Address me City L(,NG BEECH T@I. ',V :4 �t. City ` Tel. Construction No. of Stoiies Occupant Load t G Sprinklers CONDITIONS OF APPROVAL uAlt. :r_. C :C ..t. CU Wit: cU 0 FTN.1L 1 DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shale not be removed except by the by e `�{:mil �Lf �r✓'f �(� Building Official f COMMUNITY DEVELOPMENT g APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT O. t t lici '7 rw�nrcron Ewa ` (PRINT OR TYPE ONLY) '-;ATE Addr- 3 1 O oLI -% 'AS P"-- District Business Namc Tel. 9& Business Type_ c.0 v-�. L `� oo t�.S [Z��ati� �� 1 es Occ. Group - BUILDING OWNER BUSINESS OWNER/MANAGER Name ,'S, $lZ _ ,4 Name �.31 t�T cT ... \A • S d. w P Address 'P o S o 9 09 3-L Home Q 6 8 0 .. Address-l--���-iSt iq-Lje� City L tea- c R c. r G1� RID8 0ci TVf_:_yJd" V CQI g t uv.'� �-1tie� o. �j � c. G�.- Home Tellge-27_';�-I_ THIS USE WOULD BE DESCRIBED AS: ,W❑ N WLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT E BUILDING ❑CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if a C-�i`ly �n/�-L� o Occupancy Gr. Div. SQUARE FT. OF BUILDING TO BE OCCUP ED + N ',ICE: 1. 2. 3. 07, - 6p_ ��/�,�j 5. 6 Occupancy of any building is prohibited and a business license will not be issued until the building has been inspected and a certificate of occupancy is issued. 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' inspe( tioi. in the Department of Community Development at the time this application is filed_ 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 c1 ,):;emises which would place the building in a different division of the same group cf occupancy or in a diff'rent group of occupancy, a change of occupancy inspection fee of $ shall be paid to the city. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a m'nimum 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 Association pamphlet 10 (see reverse side). �j' r 77 TRAFFIC IMPACT FEE- L✓2' DATE PAID XACUNT RECEIVED NAME 5-t2-R7 (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION OCCUPANCY GROUP PLAN CHECK NO OCCUPANT LOAD PERMIT NO NO. Or ;STORIES - ADMIN. ACTION t t� l5�" CERTIFICATE OF O(7- JPANCY FEE -kP' OVFD BY DATECHANGE OF USE OR OCCUPANCY FEE TOTAL 75-039I ley. I/97 COMMUNITY DEVELOPMFNT C 61 - /i-P2 NO PARKING SPACES — HEALTH DEPT APPROVAL_ UTILITIES RELEASED s SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 1 0 0'13 R A,— % 141r--, 2. rdrson to contact in case of emergency. Telephone number: 9p6 £3 -Zz S c�L 3. Does the building in question have electricity? Ymt Yeas o.l, Q'Yes ❑ No (a) If No, are you requesting that the electricity be R'Yes turned on? ❑ No 4. The building is sprinklered? ❑ Yes -❑'N o 5. Operations will produce dust/wood shavings or similar material? ❑ Yes E'No 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? 9-NO If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes ❑ No 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes 9--No S. The following best describes my operation; Office Only vRetail Sales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant / Tnke Out Food Medical / Dental Other (describe) SUPPLEMENTAL INFORMATION SUPPLEMENTAL INFORMATION (Continued) Does the operation ;nvolve any of the following materials? Cl Yes C&N o If Yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A Class I-B Class I-C 2. Combustible liquids Class II Class Ili -A 3. Corr oination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled 8. Flammab'. solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing miaterial - solids 14. Organic peroxides i 15. Nitromethane (unstablo materials) 16. Ammonium nitrate 17 Ammonium nitrate compounc mixtures containing more than 60% nitrate by weight _ 18. Highly toxic material and poisonous gas p^� 19. Smo.:eless powder 20. Black sporting powder I hereby certify that the above information is true and correct to the best of my knowledge. TE e Signature Date South Coast i AIR QUALITY MANAGEMENT DISTRICT 2.1865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AIR QUALITY PERMIT CHECKLIST for nonresidential buildings only Company Name: 7 A 2K S i A 1t- t 2.-h oc S Location of Property: 1 Oo 14 3 City: 14 ,-{ L-�� 4" i3 es. c.: Zip Code: Contact Person: W 1-1- S-El— e- t Title: 0. - r Telephone Number: 6 S 1 -7 S i Fax Number: Type of IndustryBusiness: C- 0— t c- 5 - o tom- S To apply for a nonresidential building permit, you must complete this checklist. If you have any questions about completing this checklist, please call (800) 388-2121. YES NO 1. Will the facilhy 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? [ ] [XJ 4. Will dust or smoke be generated at the facility? [ ] [X] 5. Will refining of any liquids or solids be done at the facility? 6. Will any plating or coating ofmaterials be done at the facility? [ ] [ICJ 7. Will any combustion equipment rated greater than 2,000,000 BTU/hr be operated at the facility? [ ) [ x] 8. Will any acids, solvents, or motor fuel be used or stored at the facility? 9. Will any organic liquids or gas( be reacted or produced? [ ] [ x] 10. Will any ovens be used to dry or cure products at the facility? [ ] [ x] 11. Will any CFC (Freon) recycling machines operate at the facility? [ ] [ Applicant: -W_,S.Iw.e ` Signature: ` (Print name clearly) If yc- have marked "NO" in all the boxes, an air quality permit is not needed at this tir.,le, and this checklist is your written release. If you marked "YES" in any of the boxes, you must contact the Sov eh Coast Air Quality Management District (AQMD). Please read the requirements on the back of the checklist. (800) 388-2121 ADDITIONAL SUPPLEMENTAL INFOPMAMN