HomeMy WebLinkAbout10054 Adams Ave - CofO0
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Date
Address 1 1, .«� t �.t-,;, i District
Business Name L tw L' ,_ Tel, k, i + f t
Business Type' Occ. Group f'
BUILDING OWNER BUSINESS OWNERWANAGER
Name Name f: C L // _ + i'' --
Hom
Address .address 1 i 1 a f? l', t c T.
City Tel. f C; i" f,;' s , i; Cityme
r Tel.
Construction No. of Stories Occupant Load C' Sprinklers
CONDITIONS OF APPROVAL
DEPARTMENT OF COMMUNITY DEVELOPMENTt`
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 DEVELOPMENT
A
HUNrINL'YON BAQ!
APPLICATION FOR CERTIFICATE OF OCCUP
CITY OF HUNTING70N BEACH / q
DEPAR i AIIENT OF COMMUNITY DEVELOPMENT
(PRINT OR TYPE ONLY)
,,/ddress
-Business Name J� r�C �-� — Tel
-4usiness Type ,��;r2 /Ur e' '�`� G ta/�,'aCr� — Occ. Group
RtIII DING OWNER
Name_
Addre:»
City
THIS USE WOULD BE DESCRIBED AS:
Tel
DATE
BUSINESS OWNER/MANAGER
_Lflgame
,Address /3 Ol
-kityS�0S%/z %f S,r _HomeTel.'r��
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER )eCHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADF iTIONAL OCCUPANT
Indicate former use, if airy occupancy Gr. _ )iv
SOI IARL FT. OF BU:LD;fdG TO BE OCCUPIED_
r
I
NOTICE,., 1.
Occupancy of any building is prohibited and a business license will not be issued until the building 1w, been
inspected and a certificate of occupancy/ is issued.
2.
No electrical service will be releases, for any existing building until the service has been inspected and
certified safe. All applicants for occupancy in in existing building are required to schedule an electrical
,use up' inspection in the Department of Commurity 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 cruse of the building
or premises which would place the buildinc 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 (1/2) inch stroke, and of a contrasting colt - from the background. These
numbers must be posteu on your builr,ng in a location that is visible f,om the street.
5.
Huntington Beach Fire Code Section 10.301 requires fire extinguisher s�;.�ction and distribution per the
National Fire Protection Association pamphlet 10 (sae reverse side).
L
(FOR OFFICE USE ONLY) u _
SUPPLEMENTAL INFORMATION ZONING— —
OCCUPANCY GROUP_
PLAN CHE ' : NO. NO. PARKING SPACtF.S-
OCCUPANT LOAD
E1 PERMIT NO. HEALTH -DEFT APPROVAL
NO OF STORIES
ADMIN. ACTION UTILITIES RELEASED
�) C1 -
G CERTIFICATE OF OCCUPANCY FEE' { , ' � J— I-
AP ROVED
DATE CHANGE OF USE OR OCCUPANC� FEE $ L91-9
TOTAL
76.039 Rev. 6/P,8
COMMUNITY DEVELP.
ec
SUPP�EMENTAL INFORMATION
1. B►JSINESS ABrRE'SS
2. Person to contact in case of emergency: l 8- o
Telephone number: Ss 1 Z' 3-
3. Does the building in question have electri;ity?
e
a. If No, are you requesting that the electriyity be
turned on?
4. The building is sprinklered?
5. Operations will produce dust/wood shavings or similar
material?
6. Operations will involve the repair or replacement of
automobile parts?
If yen
(a) Describe the components repaired or replaced.
M-fe s
O No
C3Ye s
C3 NO
�es
ONo
4o
OYe
0
(b) Does the operation involve the use of An Oren flame? OYes
0
7. The business is drinking, dining or assembly use that. will
result in an occupant loA of more than -50 persons. Wes
L71N���
8. The following best describes my operation:
Office Only
Rs'. --ail Sales
warehouse
Manufacturing/Distribution (describe process and end
product)----_✓%' 2 / C��.��-
est:auran a e ME Pood
Medical/Dental
tither (derscriW
a
SUPPLEMENTAL INFORMATION (Continued)
Odes the operation involve any of the following materials? OYes
oft -
if Yes, in ca a quantities: _
Material Quantity
1. Flammable liquids
Class I -A
Class I-E
Class I-C
2. Combustible liquids
Class II
Class III -A
3. Combination flammable liquids
4. Flammable lases
5. Liquefied flammable gases
6. Flammable fibers --loose
7. Flammable fibers - baled
8. Flammable solids
9. Unstable materials
10. Corrosive liquids �^
11. Oxidizing material - gaseg
12. Oxidizing material - liquids
13. Oxidizing material - solids
14. Organic peroxides
15. A]itromethane (unsLable materials)
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
18. Highly toxic material and
poisonous qas
1.9. Smokeless powder
20. Black sporting powder
I hereby certify that tiny above information is true and correct to the
best of my knowledge.