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Home My WebLink About10045 Adams Ave - CofO9 CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH 1 / 15 / 94 Date Address 1 t7 6 Li 'b A al A MS District Business Name DARK :;TAR ,CQN'iCS Tel. 7 14 —,� 6 17 5 i Business Type C OTf C e CARD6 Occ. Group B ^2 BUiLDING OWNER BUSINESS OWNER/MANAGER BRUCE A COWG1LL Name BAiR Af;N STLLWELL Name HomeAddress Address ? 7 60 E S?i'ING St CIEs f ALLISON CN L00G BEACH City Tel. fib, GA Home City Tel. 714-966-2254 Construction No. of Stories _ Occupant Load 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 by COMMUNITY DEVELOPMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT �I ~ DATE HUNnNGTON HEAOf (PRINT OR TYPE ONLY) � Address `� 0 1y 2� District 9 Business Name Dick f% p� � Tel. 1 y - J 12 5 f Business Type Gy sn ! / IS 4-CCk_Gk Occ. Group _ � BUILDING OWNER BUSINESS OWNERIMANAGER / Name 9 "7 y (A c �P_ )Q, CO W �; Name Yam.-. r 10121 V-4 luf P// Home Address % Address City ^ o n _ Tel. City Home 7e THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT EXISTING BUILDING CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any �J c. h,C Occupancy Gr.—Div. _ SQUARE FT. OF BUILDING TO BE OCCUPIED NOTICE: 1. Occupancy of any building is prohibited and a business license will not be is -aed until the building 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' inspection in t',e Depa tment of Community Development at the time this application is filed. 3. Change of occupancy or use inspection fee. Whenever it is necessary to ake 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 bu?iding 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. y lye 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 (%) inch stroke, and of a contrast ng color from the background. These numbers must be posted on your building in a location that is visible from the street. 5. Huntington Deach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). b, I I 1 /91 (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION OCCUPANCY GROUP PLAN CHECK NO. OCCUPANT LOAD 37-1 PERMIT NO. NO. OF STORIES ADMIN. ACTION CERTIFICATE OF OCCUPANCY FEE APPROVED VATE' CHANGE OF USE OR OCCUPANCY FEE IV TOTAL 75-039 Rev. 11/90 COMMUNITY DEVELOPMENT ZONING-6- 0— NO PARKING SPACES — HEALTH DEPT APPROVAL UT'LITIES RELEASED — $ $ _ SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS -10 U y )h 2. Person to contact in case of emergency- Telephone number: (off 3. Does the building in question have electricity? ❑ Yes No (a) If No, are you requesting that the electricity be Yes turned on? ❑ No 4. The building is sprinklered? ❑ Yes E�,N o 5. Operations will produce dust/wood shavings or similar material? ❑ Yes No 6. Operations will involve the repair or replacement of ❑ Yes automobile F^rts? C�No If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes t'q'No 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes ff�N o 8. The fcllowing best describes my operation; Office Only etail Sales- "%T-eh- se Manufacturing / Distribution (de -scribe process and end product) Restaurant / Take Out Food Medical / Dental Other (describe) SUPPLIMENTAL INFORMATION SUPPLEMENTAL INFCRMATION (Continued) Does the operation involve any of the following materials? ❑ Yes No If Yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A Class I-B Class I-C 2. Combustible 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 8. Flammable solicas S. Unsta - materials 10. C3,rosive liquids 11. Oxidizing material - gasea 12. Oxidizing !material - liquids 13_ Oxidizing material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. 'Ammonium nitra.e 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weight 18. Highly toxic material and poisonous gas 19. Smokeless powder 20. Black sporting powder I hereby certify that the above information is true and correct to the best of my knowledge. cN Signature Date .a -I- Government Code Section 65850.2(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 reverse side is designed to help the applicant and the building division to meet these requirements. The applicant (the same person who applies for permits from the Department of Community Development) must complete the check list which can be obtained either from the Department of Community Deveiopment 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 the list, the applicant must contact an AQMD engineer by calling (714) 396-2000 to find out whether air 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 must submit the necessary permit applications before the release can be issued. Because of the time it may take for AQMD to go through the above procedure thr, applicant is advised to contact AQMD immediately after applying for building permits. ADDIIIOMAL SUPPLIMENTAL INFORMATION Fm^ar ns COAST De$s+ u Dl�TRIC '. n lob nrIA110 The Fonup p o pa(!??g t? a . '9 m, rup n ; s,E pow. _ ps y. g e':: b Ld,; kag m a Rs Mane a amwer tii"..E b!:,J€rg IF %'OU DO NOT KNOW F w. ANSWER TO e QUESTION, hN'iA.R?: C•' t i i4.1 l': Y F Y I �P.n t .a��r'3 YES NC Dris ,: •,n ; e and in.t_.!:e. c_ Att> ►ti» . _ �,r -�... 'tf r .,-t P? __ -- ,d .r _ . .; ,•, �.. .e. i ._-,. gal .; < ;: .. .^ ..:' e:ie.. w. } v,.�fE�J -`..S! dt'Sr. fil -` V 1wa4..._ F•... .. � Y t f d��i.. i..el ..� ..�`• a ..1C�i �`. t�L.t�.�r�1 in you 6 d j < r.n# i 4" t i %1411 El S1..1. n_: ,.. S S x [,. dY J K;J s g wT '_ q pp n. a { i A F ¢'.: �.8�>i'.� 4.ixw[if�}dl.ng c eR d k �� J 4.� ' ; , t dWr} t 5. �+- arty (t �Fe yS. 1-IN -IT-0V % gg _� 4 •ri :3C� e .'�.�m F'':.. . 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