HomeMy WebLinkAbout10043 Adams Ave - CofOs
.i� CERTIFICATE OF OCCUPANCY
37
CITY OF HUNTINGTON BEACH 5V y.a °'rn
DEPARTMENT OF DEVELOKIENT SERVICES Date
HUM INGFON 9EAGi
Address 111;043 sdczrns Ave. District_
Business Name='0= a3�i13t-- ,4ft rel.
A ! � SiJr+.7m fi aLO `_ ��a�� ac.. t 4`?' 9 Cs°ti ,
Business Type Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name .',-.'«','tQr!Z PC.'ea. ltyT irryeol i:-Wto Name 1jeach _" Sr?nq
Address L(i y 1-- e ch 'a' �yd Addre
. Homess c 4 F 1-an s
City un i'IC^:��;`sch' 7.1 Tel - City -Horne Tel `_9; >r
Construction No. of Stories Occupant Load 14 Sprinklered
This Certificat. of Occupancy DEPARTMENT OF DEVELOPMENT SERVICES
SHALL BE posted in a conspicuous place on
the premises and shall not be removed ex- a
cept by the Building Official. by
APPLICATION FOR CERTIFICATE OF OCCUPANCY
i o CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
I'U" TINGrON BUCH (PRINT OR TYPE ONLY{
Address
Business
Business
OWNER
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG.
tz EXISTING BUILDING
�X/93
-/�- -)4-
DATE
Tel
Occ. Group
BUSINESS OWNERWANAGER
pl_'•
fr
0
❑ CHANGE OF OWNER L& CHANGE OF OCCUPANT
❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, it any Occupancy Gr.—Div
SQUARE FT. OF BUILDING TO BE OCCUPIED 40 J'6
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has
q been inspected and a certificate of occupancy is issued.
No electrical service wili 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 scheduie an electrical
'fuse up' inspection in the Department of Development Services at the iime this application is filed.
3. Chnnge 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 occupancv 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 that building numbers must be a minimum of four
(4) inches in height with one half (Yz) 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 se!ect,on and distribution per
the National Fire Protection Association pamphlet 10 (see reverse side).
Nyc_ (FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION ZONING.
OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES _
OCCUPANT LOAD , — PERMIT NO. HEALTH DEPT APPROVAL
NO�SR �i ADMIN. ACTION_.... UTILITIES RELEASED
CERTIFICATE OF OC,CUPANG', FEE g
APPROV BY DATE CHANGE OF USE OR OCCUPANCY FEE $
TGTAL $
75-039REV DEVELOPMENT SERVICES
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS
2. Person to contact in case of emergency:
Telephone number:
r
3. Does the building in question have electricity? OYYes
0
a. If No, are you requesting that the electricity be )ker
turned on? O No
4. The buildinn is sprinklered? Wes
❑ No
5. Operations will produce dust/wood shavings or similar
material: owes
;9�o
6. Operations will involve the repair or replacement of Dyes
automobile parts?
If yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? Dyes
*Io
7. The business is drinking, dining or assembly use that will
result in an cccupant load of more than 50 persons. 9
0'res
8. The f .—b—est.,describes my operation:
Offi Only
Retail Sales
Warehouse
Manufacturing/Distribution (describe process and end
product)
Restaurant Tz. a Out Food
Medical/Dental
Other (describe)
(0562D) (12/8/86)
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? O1°es
It Yes, indicate quantities:
Material Ouanti.ty
1. Flammable liquids
Class I -A
Class I-B
Class I-C i
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 - baled
8. Flammable solids
9. Unstable materials
10. Corrosive liquids
7 l r%_' A" a; r r m.i-or; 71 _ rr.-
12. Oxidizing material -__Liquids
13. Oxidizinq 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 gas 1
19. Smokeless powder
20. Black sporting powder
I hereby certify that the above information is true and correct to the
best o\ knowledge.
Signature Date
(0562D) (12/8/86)