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10056 Adams Ave - CofO (2)
CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH Sept 6, 1938 II DEPARTMENT OF COMMUNITY DEVELOPMENT Date HUNTIHGM4 BE404 Address ?0056 Adams Ave. _ Distrct_ Bunkin Donhts 962-8333 Business Name Tel. i Doughnust & Soft DrinKs B-2 Business Type_ Occ. Group BUILDING OWNER BUSINESS OWNERIMANAGER Name _ Name Sfithokhon rfin &_Kurt Owen Travi Address_ _ Home _ Address 3. �15 E. 9th St 1On+5 Beach, 213-599-221 City Tel. Cit, Hc^te Tel. Construction No. of Stories .Occupant Load 49 _Sprinklered -_ This Certificate of Occupancy DEPARTMENT OF COMMUNITY DEVELOPMENT SHALL BE posted in a conspiCL,ous place on the premises and shall not be removed ex- cept by the Building Official. by— �lh APPLICATION FOR CERTIFICATE Or OCCUPAt CY CITY OF HUNTINGTON BEACH c� DEPARTMENT OF DEVELOPMENT SERVICES rvxnNGTON BEAM (PAINT OP TYPE ONLY) DA I E District — Andress _ ` < T G c'd oy?�v679 7i , ? i� /. t 'tG • , it , c..� t�( District Business Nzime_7.1L41_1L/` r 11 1 s 2 -- re1.-4!7Cl�J 3 5 ryj --C//Business Typs ri'116, Occ. Group — BUILDING OWNER / BUSINESS OWNERIMANAGER Name---__ _ ,.Name-<_"•��1 r7') 6°�9`�� l_{'GiY� .�i,r %/i�,!^S_ Address %H1omdress e / =J `16 ✓ — �%`'� City Tel._—,./Fity 1-('"n tr %3r , i/A A"A3 Home Tell i3)y5' 0 THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. CHAN",: OF OWNED ❑ CHANGE OF OCCUPANT IVEXISTIhI3 BUILDING ❑ CHAN aE OF USE ❑ ADDITIONAL OCCUPANT ra , Indicate farmer use if any_ h';Yr uc I' =A9 Cc cupancy Gr. — Div SQUARE FT. OF BUILDING TO BE OCCUPIED__ NOTICE: 1. 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 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 Development Services at the time this application is filed. 3 Change of occupancy or use inspection fee. Whenever it is necessary tc make inspection of a building or premises in order to deterr^ ie if a change may be grade in the character of occupancy or use of tie builcing or premises which would place the building in a differ, nt division of the Qame group of occupancy or in a different group of occupancy, a change of occupancy inspection Inc Uf shall be paid to the city. 4. Hcritincglon Beach Fire Code Section 10.20,3 requires that bu,:ding numbers (rust be a minimum o f,.:r (4) inches in height with one half (112) in :it stroke, and of 2. contrasting color from the background. These members must be posted on your builcul:a in a location that is visible from the street. 5. Huntington Beach Fire Code Section 10.304, requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see rr arse side). SUPPLEMENTAL INFORMATION (FOR OFFICE USE ONLY) ZONING ¢ g iS =641V " OCCUPANCY GROUPO® PLAN CHECK NO, NO. PARKING SPACES — — OCCUPANT LOAD 4— _ PERMIT NO. HEALTH PEPT. APPROVAL:_.T__ NO. OF STORIES s ADMIN ACTION UTILITIES RELEASED — Oe r5l jam' -- p CEF7 IFICATE OF OCCUPAN 'FEE $ APPROV�( BY DATE CHARGE OF USE OR OCC ANCY FEE $ i vv TOTAL $ 75-039REV. DFVELOK,IENIT SEP1V--e&S- SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? (Yes C2160 I Yes; c-ic irate quaiTt ties Material Quantity 1. Flammable liquids Class I -A Class I-B Class I-C 1. Combustible liquids Class III - Class III -A 3. Combination flammable liquids s. Flammable uses _5. Liquefied flammable gases 6. Flammable fibers --loose 7, Flammable fibers - baled 8. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. (sx_dizing material - rases 12. Oxi_Izing material - Liquids 13, oxidizing material - aolids 14 Organic, peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate con.,joound mixtures containing more thar 60% nitrate by weight 18. Highly toxic material and _poisonous qas 19. Smokeless powder 20.Black sport.Lng powder I hereby certify that the above infor-,iation is true ano correct to the best of my knowledge. Ile Signature Date 1 - (0562D) (12/8/86) 4 SUPPLEMENTAL INFORMATION 9 1. BUSINESS ADDRESS 2. Person to contact in case of emergency: Telephone number: (,�k f — :`j(.��� 3. Does the building in question have electricity? O No a. If No, are you requesting that the electricity be Oyes turned on? O No 4. The building is :sprinkleLed? ❑Yes 0 No S. Operations will produce dust/wood shavings or similar material: �❑Yes -. SrNo 6„ Operations wil_. .involve the repair or replacement of Dys automobile parts? a13O If yes: (a) Describe the components repaired or replaced. ' Wl Does the operation involve the ;use of an open flame? OYes ©No 7. Thy': business is drinking, dining or assembly j1se that will re^cult in an occupant load of more than 50 persons. c3yeos 8. The following best describes my operation: Office Only Retail Sales!,-` warehouse Mrnufacturing/Distribution (describe process and end product) Ftestau>ant TaeTe out Fo~ oc'C�� Medical/Dental Other (describe) (0562D) (1218186)