Loading...
HomeMy WebLinkAbout10054 Adams Ave - CofO (5)fi Address Business Name — j Business Type 11 BUILDING OWNER Name ---- —, Address II City Tel. --- I��Cor.structioi No. of Stories CONDITIC"S 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. CERTIFICATE OF OCCUPANCY CITY Or HUNJTINGTON BEACH Tel Date District Occ. Grojp BUSINEFS OWNER/MANAGER Name — Home Address Home City Tel. — Occupant Load Sprinklers DEPARTMENT OF COMMUNITY DEVELOPMr:n1T by COMMUNITY DEVELOPMENT Ad APPLICATION i:OR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH qq DEPARTMENT OF COMMUNITY DEVELOPMENT HUNT WAON OWE 'i=,r;T r-r .IIIL t ti. "' ' • e.� .i ;' it H —t�� r -- — hc_ �� q27 ( -- 36 z. /1741 k�joc�nit H I rT,;> THIS USE WOULD BE DESCRIBED AS: .EXSTi'iG RJ'D'rJC, L�A Indn:at err-ler u f ana _ _ —_ ��. SQUARE FT NOTICE: i 1. Occu f ancy of any budding is prohibited and a business license will not be issued until the building has been � +nspecied and a certificate of occupancy is i•,sued. 2 No electrical service will be released for any existing buiidino until the service has been inspected and �Y certified safe. All applicants for occupancy in an existing building are required to schedule an electrual fuse up' inspection in the Department Of Community Development at the time this application is filed. V \ 3. Change of occupancy or usa inspection fee. Whenever it is necessary to male 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 uuilding I or premiseF which would place the building in a different division of the sane group of occupancy or in a different group of occupancy a change of Occupancy inspection fee of $ _. __.- __ __ shall Y be paid to the city. 1 yv Huntington Beach Fire Code Section 10 208 requires that building number, must be a minimum of four (4) ' inches in height with one ' aif i ' 21 inch stroke, and of a contrasting color from the background. These numbers must be posted on your buii,iing 'r. a location that is visible from the str-et. }d. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection an a distribution per the National Fire Protection Association pamohiet 10 (see reverse side). � c (FUR UFFICE USE ONLY) SUPPLEMENTAL INFORMATION + " OCCUPANCY CiRCUF'tO s OCCUPANT LGAD • k+ "IO OF STORIES --1- � APPRo D Br C .TL 75-039 Rev. 11i90 SUPPLEMENTA". INFORMATION 1. BUSINESS ADDRESS lCC_ S- �:. Person to contact in case of emergency* S 61 f Telephone number: 3. Does the building in question have electricity? 'es U No (a) If No, are you requesting that the electricity be Yes turned on? ❑ No 4. The building ,s sprinklered? ❑ Yes EY N o 5. Operations will produce dust/wood shavings or similar material? ❑ Yes f� No 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? ❑ No If Yes: (a) Describe the components repaired or replaced (b) Does the operation involve the use of an open flame? ❑ Yes I3 No 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes No 8. l ne following best describes my operation; Office Only t Retail Sales.-' Warehouse Manufacturing / Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other (describe) _ M SUPPLEMENTAL MFORMATION (Continued) e ci pe rat c. r involve ar j of t h T;�: IOW 111-r W's? LI Yes [ ,No if Yes, -ind—ica`7t; quan-t—,Itie—s— — -------------- 7. Flammable !iquidc Ciass -A -- - -------- -------- Mas�: i-(; Class H G:ass 'Ii -A hmatIre flammanir, i:q;,�ds 4 Harm,,,ahto gases Dquefj�vd Namiw,,,bi -,i a,!� es 6 Rarnmable ftteis i,),rpe 8. 9. I,. O� id'f'.,'Xq rnate!;Ia' 4;. Oxidizil,?q maLeri-t� +iqc:ds, Oxidi7!ri3 rnater',;,): 6 :,Js 14. Orgar.i(, p, N,.tt,.,,rnetqa�-ie lunstable rnaierlal,c� 16. Arrinio.nium rArate, 17. Anirroniuril nitrate con-quound mixtures containing ffian 60u,b nitrae by weight L$. Highiy toxic material and poisonous gas 19. Smokeless powder 20. Black sp.)rting powder I hereby certify that the a:,ovc; inforanation, is true and correct to the best of my knowledge. Z- gnature Date I SOUTH -07kST AIR QUALITY MANAGEMENT DISTRICT c (Nonresidential Buildings Only) Location of Subject Property: %CGj-C-/ l9kal cc) &C #&-.A C-q clj26c� Property Owner name: �; �,� r1 = {ar �,� �i .�+ x: t c: t Phone f i�74 J'>ch> Name of the Person Preparing this form in print and signature Name f �i 1� (� t't.' � Signatarr. tC,/� t c r L. - T:ie person preparing this for-m must be the same pe sz on applying for building permit.5. Please answer the following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN THE "YES" COLUI-R : SCAQMD PERMITTING CHECKLIST YES NO 1. Does your facility use any internal combustion engines greater than 50-HP? Ell 2. Does your facility involve mixing, blending, or C] processing any solvents, adhesives, paints or coatings? 3. Does your facility create an, dusts or sr.,oke? V 4. Does your facility refine any ?.iquids or solids? Reclaim any metals? F 1 5. Does your facility plate or coa•. anything? �--- 6. Does your facil.it_v have any combustion equipment i.e. boiler, furnaces, broileL, baking over etc.) rated greater than 2,000,000 BTU/HR? 7. Does your facility handle or store solvents or motor fuel? Pq 8. Do you use or store any acids? 9. Do you use any che..ical process? V 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline station, printer, or part coater? 12. Is the subject building located within one ' ousand (1,000) feet of any school? LALJ PROPERTY LINE TO PROPERTY LINE. GRADES K- If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked any ques-�.ions in the "YES" Column you must contact the South Coast Air Quality Management District located at: 9150 FLAIR DRIVE:, EL MONTE, CA 91i31 Please call these offices: Plan Check (818) 572-6406 D:AL006G3 (818) 572-6111, (R18) 572-6261 w CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH Date Address #1tL4AN'1-' District Business Name '1 i� 1 L Q 1, c" I I C F Tel. 1;' 1111 - r. r, C Business Type P, L' E R It 1 C; Pig Occ. Group BUILDING OWNER BUSINE3S OWNER/MANAGER U "Q T J., VILh Name L PECH.FTILL Name Home Address 1-7 �'�l I I(' F Address —)",;1 L.- ATT!-,W, h1fV City T J`N I il, i-. Tel. , 17 P,j It r'C 0 City E How A -Lf;Tel. Constructlon No. of Stories Occupant Load 4 Sprinklers CONDITIONS OF APPROVAL DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the by Building Official. COMMUNITY DEVELOPMEN) - Ja APPLICATION FOR CERTIFiCATE OF OCCUPANCY !:CITY OF HUNTINGTON BEACH �y DEPARTMENT OF COMMUNITY DEVELOPMENT f 1 — � '7 -3 HUNTI MON BEACH "DATE (PRINT On TYPE ONLY) v'Address / Q0,574 A l kiyl S AUi—=-- -- _ District /Business Name.. n �'-'i Iv! `.,S-r,44LOR S /-L2P Tel"_yGR -- y P-�' 2 Lj bbusiness Type. AL C--) ._ Occ. Group BUILDING OWNER BUSINESS OWNERWANAGER VlName a 1jt?OD = /i=2�A—LC-LOP1144E&r CO /Nar%rl_*_10 Home ✓Address i Z631 =iT[— Ut'a�F �('tZ 9271.�` 'V ddress47 t W . AI OAl Ar/!n #'_Zi City 71 )Tel l� �60' City �%lM'f �1 4-i/ � C A - 427 c % Home Tel.662 -13? 2 THA USE WOULD BE DESCRIBED AS: tNEWLY CONSTRUCTED BLDG. L_J-CHANGE OF OWNER ❑ CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT i dicate former u�f any_ _ Occupancy Ur. Div. S UARE FT. OF BUILDING TO BE OCr;NIED t� NOTICE: 1. Occu anc of an building is prohibited and a business license will not be issued until the building has6een P Y Y g P 9 inspected and a certifizate 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 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 change may be made in the character of occupancy or use of the building or premise:. which would place the building in a different division `the same group of occupancy or in a different group of occupancy, a change of occupancy inspecto.; of $ shall be paid to the city. 4. Huntingto,# 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 Fire Code Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). (FOR OFFICE USE ONLY) SUPPLEMENTAL INIF'ORMAT+ON ZONING — OCCUPANCY GROUP _ PLAN CHECK NO, NO. PARKING SPACES OCCUPANT LOAD — PERMIT NO. HEALTH DE, I. APPROVAL NO. OF STORIES / — ADMIN. ACTION UTILITIES REL&6ED !it 11 7 CERTIFICATE OF OCCUPANCY FEE $ 400 _ APPROVED Bf DATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ #ry17�1� 75-039 Rev,11190 COMMUNITY DEVELOPMENT SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS +009_4 / -NW 2. Person to contact in case of emergency: ` A!(�--V Telephone number: l 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 ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes No 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? "o If Yes: (a) Describe the components repaired or replaced. (b) [does the operation involve the use of an open flame? ❑ 'Yes Q No 7. The business is drinking, dining or assembly use that vitill result in an occupant load of more than 50 persons. ❑ Yes, 8. The following best describes my operation; Office Only aI Sale: '= irtt a ouse Manufacturing / Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other (describe) c SUPPLIMEN AL INFORMATION Ii�DZ�P/L_ SUPPLEMENTAL INFORI ATION (Continued) Does the operation involve any of the fol!owing materials? 0 Yes IF,�- No If Yes, -Indicate quantities: Material _ Quantity 1. Flammable liquids Class l-A Class 1- B Clans {-C 2. - Co..ibuctible liquids - Class 11 Class M -A 3. Combination flammable liqui .-s 4. Flammable gases 6. Liquefied flammable gases 6. Flammable fibers - Ibose i. 1=iarnmable fibers - baled 3. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13- Oxidizing material solidi ' Organic peroxides Nitromethane (unstable materials] 16. Ammonium nitrate -- 1 7Ammonium nitrate compound mixtures containing more than 60% nitrate by weight_ 18. Highly toxic material and poisonous gas 19. Smokeless _ powder —~ _ 20. Black uporting powder 1 I hereby certify that the above information is t; ue and correct to \ the best of my knowledrae. F'gnature Date , 9 � f SOUTH COAST AIR QUALITY 11IANAGEN-PENT DISTRICT (Nopresidential Buildings Only) Location of Subject Properly: boo f�- A 2 &:m P.operty Owner Name: AQ R -r,;�,=ss akanr-.QT",-,z 1-+ vl�pm Co Phone T: 962— 9 2 7 2 Name of the person preparing this form in print and signature: Name: twt'Ai �.�_ Signature: The person preparing this form must be the same person applying for building permits. Please answer the fallowing questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN THE'YES' COLUMN: AQMD PERMITTINCC CHECKLIST YES NO l . Does your facility use any internal combustion engines greater than 50-HP? _y 2. Does your facility involve the mixing, blending, or processing of any solvents, adhesives, paints or coatings,,? _v 3. Does your facility create any dusts or smoke? / 4. Does your facility refine any liquids or solids or reclaim apy metals? 5. Does ycur facility plate or coat anyThing? _V E. Does your faci iry have any combustion equipment i.e. boiler, furnaces, broiler, baking ovens, etc.) rated greater than 2,000,000 BTUhiR? _V 7. Does your facility handle or store solvents or motor fiiel? _ 8. Do you use or store any acids? _ V 9. Do you use amf chemical process? v 10. Do you use any solvents for clear. -up? _ 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline station, printer, or part coater? 12. Is the subject building located within one thousand (1,000) feet (property line to property line) of any school (Grades :1-S 2)? if you Eave marked "NO" in all columns, you do not need an AIR Quality permit at this time. If you have :narked any questions in the "YES" column you Ii= contact the South Coast Air Quality Management District before submission for City review. The Ai: Quality Management District may be contacted at: 21865 Copley D6ve _ Diamond Bar; CA 91765-4182` = Or tall: Plan Check (909) 396-2000 (scagmd) a 1 Government Code Section 65850.2(b) requires the City of Huntington Beach Building Division not to 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 Building Division must obtain a written release from AQlvfD 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 meet these requu ::ments. I. The applicant (tbesame persan who applies for p 7nits from the Building Division) must complete the check list which can be obtained either at the Building Division or at AQMD. 2. If all boxes in the list are checked "no", the E wilding Division can accept the chec'; list as the release. 3. If there are any "yes" answers in the list, the applicant must contract an AQMD engineer by calling (909) 396-2000 to find out whether air permits are required for the proposed construction project. 4. If air permits are not required, the applic_ not will obtain a written release form AQMD. 5. If air permits are -required, the applicant must submit the necessary permit applications before the release can be issued. Because of ,he time it may take for AQMD to go through the above procedures, the applicant is advised to contact AQMD immediately after applying for Building permits. 0 CERTWICATE OF OCCUPANCY Cl—,Y OF HUN71NGTON BEACH Date Address . District Business Name Tel. Business Type t t Occ. Group BUILE;NG OWNER BUSINESS OWNERIMANAGER U 11, 1!, Name Name Homs Address I i, Addre-s Home City Tel. city • Construction No. of Stories Occupant Load Sprink!ors CONDITIONS OF APPROVAL This Certificate of Occupancy SHALL BE posted in a conspiviois place on the promises and shall not be removed except try .fie Bujldl)jg Official. DEPARTMENT OF COMMUNITY DEVELOPMENT by COMMUNIIY DEVELOPMENT HUNnW,TON MACH APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH 9EPARTMENT OF COMMUNITY DEVELOPMEN: (PRINT OR TYPE ONLY) DATE ✓Address 1 O O s4 /k �?t( l{lOr = _ Dislocl f usiness Narne_ '�/_tj `S k 5 1-1-0 _ _ Tel 96 Rq 2 7 7_ _ V-/BusinessType —JJ_L11�5� Occ Group— BUILDING OWNER BUSINESS OWNERWANAGE,. �lrlame13rt3Znr�c l�anA�Rt r�� bF_fr=-E�oP 4=NT Lo Name. _& 't-iJ .Address i�r 3i Flr:6W , �Ur �J27/ Z ✓ gddress::f � I' vJ, sf Lft7/�� ity i. 714)Tei4_-j4-,9 City SAI" A- *fL,,�: r /4- 927 p:7 Hume Tel. TH USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTFD BLDG I_'J,CHANGE OF OWNER eeiz-,J, ❑ CHANGE 01- OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT I dicate former use,Lf any Ori;L,panry Gr --Div S UARE FT. OF 9UILDING TO BE OCCUPIED r NOTICE: O f b 'Id' 'b' I 1. ccupancy o any u) Ing Is pro" + Ited and a business license wnl not be issued until the bur ding has een inspected and a certificate of occupancy is issued. 2. No electrical service will be r 'ease J for any e: isting building until the service has been inspected and certified safe. At; applicants for occupanr in an existing building are required to schedule an electrical 'fuse up' inspection in the Department of Community Development at the time this application is filed, 3. Charge of occupancy or ase inspoction fee. Whenever it is necessary tc make inspection of a building or premises in order to determine if a charge may be made in the character of occupancy or use of the building or premises which would place the building in a di`ferent 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 14.208 requires that building numbers must be a minimum of four (4) inches in height with one half (1/) inch stroke, and of a contrasting color from the background. These numbers must be posted on your builtl'Ing in a location that is visible from the street. 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisi,er selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). SUPPLEMENTA4 INFORMATION OCCUPANCY GROUP OCCUPANTLOAD J v NO OFES APPROVED BV TE 75.039 Rev. 11 f90 (FOR OFFICE USE ONLY) 2QNIN('..` PLAN r e'F. PERMIT NO ADMIN. ACTION NO PAFKII It-; SP, CFS -- HEALTH")EPT APPROVAL UTI: ITIES RELEASED _._ CERTIFICATE OF OCCUPANCY FEE g O. CHANGE OF USE OR OCCUPANCY FEE $ TOTAL S _ COMMUNITY DEVELOPMENT SUPPLEME:M'AL INFORMATION 1. BUSINESS ADDRESS 100�4 A,2)NM 9. 2.. Person to contact in case of emergency - Telephone number: ��- 3. Does the building in Question have electricity? © Yes Q No (a) If No, are you requesting that the electricity be Yes turned on? Q No 4. The building is sprinklered? Q Yes Q No 5. Operations will produce dust/wood shavings or simJar material? Q Yes a No 6. Operations will involve the repair or rbptacement of Q Yes automobsie parts? E-No If Yes: (a) Describe the components repaired or replaced. (b) Does the operation ;nvoive the use of an ap z dame? Q Yes No 7. T'-F business is drinking, dining or assembly use that .ill result in an occupant load of mLre than 50 peawi^ns. C Yes 15—no 8. The following best describes my operation; Office On, a1 Sates "'—Vtf�ehou se I�,Sanufacturing tribution (describe precess and end product) Restaurant / Take Out Food Medical / Dental Other (describe) SUPPLIMEN7AI. IWORMATIC'd . _ ..►��Jdjmdjjdj&i& s^t rir�li�rr�If � (Continued) -SUPPLEMENTAL INFORMATION 5K)oem �h� npePatNr. jMvo(my any of the f-Unwing mute'iabY dfcaTe quantities; Material Quant�y �. Flammable 1iquidm Class b-A C/oaa /-C 2. Oo,nbuadb|m liquid-. 3. CombinaVon flammable liquids 5, Liquefied 1fammable gases 6. Flammable fibers loose solids 9. Unstable materials 10. Corrosive liquids 11- Oxidizing material - gases 16. Ammonium nitrate 17. ArranoniUrn nitrate compound mixtures containing more than bu% nitrate by weight 18. Highly toxic material and poisonous gas 19. Smokeless powder 20.—r2lack sporting powder ` ^ � [] Yes ( hereby certify that the above information is true and correct to the bent of my knowledge. Signature Date SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property: / ov C tF f h13 MS kit=� c , c12r_4,A Property 0vner Narne: y � g , pn )F�;, F � i� V ZF'M 7- �; Phone = _76P _ 92 7 2 Name of t he person preparing this form in print and signature: Name: 11444N1-t- t) fl Signature: The person preparing this form must be the same person applying for building perm'. is. Please answer the following questions regarding your proposed occupancy of the subject bu,"ding. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN TH?: 'YES' COLUA4N1: AQIMD PERMITTING CHECKLIST YES NO 1. Does your facility use any internal combustion engines greater than 50-HP? v 2. Does your facility involve the mixing, blending, or processing of any solvents, adhesives; paints or coatings? v 3. Does your facility create any dusts or smoke? 4. Does your facility refine any liquids or solids or reclaim any metals? 5. Does your facility plate or coat anything? 6. Does your facility have any combustion equipment i.e. boiler, furnaces, broiler, baking ovens, etc.) rated 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? v 9. Do you use any chemical process? _ v 10. Do you use any solvents for clean-up? _ Li 11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline station, printer; or part coater? v 12. Is the subject building located within one thousand (1,000) feet (pron,�rty line to property lisle) of any school (Grades K-12)? if you have marked "NO" in all columns, you do not need an AIR Quality permit at tliis time. If you have marked any questions in the "YES" column you must contact the South Coast Air Quality Management District before submission for City review. The Air Quality Management District may be contacted at: 21865 Copley Drive' Diamond Bar, CA 91765-4182' - Or call: Plan Check (909) 39G-2110 (SC! amd) Government Code Section 65850.2(b) requires the City of Huntington Beach Building Division not to 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 Building Division must obtain a «Titten release from AQ'vID to show the applicant has complied with this law. The check list on the reverse side is designed to l.elp the applicant and the building division meet these requirements. 1. The applicant (the same person who applies for permits from the Building Division) must complete the check list which can be obtained either at the Building Division or at A.QA4ID. 2. If all boxes in the list are-hecked "no", the Building Division can accept the check list as the release. If there are any "yes" answers;:, the list, the applicant must con act an AQMD engineer by calling (909) 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 form 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 procedures, the applicant is advised to contact AQMD immediately after applyii.g for Building permits. V. X,n .