HomeMy WebLinkAbout10057 Adams Ave - CofO (2)C.." cry r,; � .,c�1•; -� �.°
Application For
Certificate of Occupancy
City of Huntington Beach, Cal.ifoinia
D � plic ati r� is; Deroby made for a Certificate of Occupancy F or a:
Too
cribe Bu: ines. � Use
of Business
R
Date:
Located at L%.��..,-7
Busines, Address
Name: BUILDING OWNER Address City Zip Phone No„,
This use would e described as: /''-
, tL
�'•ew Bu-ldin xisting Bus.ldin �:azige of t�se�;bange of Owner hange o of Occupant r
-
1 cote fo-11z, use if an
Name: BUSINESS OWNER Residence gAdLr�
ss
Phone No - Business: "/b-2 --
City Zip
Residence: �t`y �6r
:lOTICE: 1. Occupancy of any building is prohibited by law and a 'business license
will not be issued until the building has been inspected aTld a
Certificate of Occupancy :is issued.
2. No electrical service will be released for any existing building until
the service has been inspected and ce_•tified safe. All applicat�. s for
occupancy in an: existing building a^;e required to schedule an electrical
"fuse up" inspection in the Department of Building and Community
Development at the time this application is filed.
OFFICE USE ONLY (below this line)
DEPARTMENTAL APPROVALS RECEIVED: `�
q t7 �
1. Bziaij ing Department _4. P bl4 c Works Department
IN
Name. Date Name f Date 1
2. Planning Department
�Z3-QC-
Name Date
4 3. Fire Department
f. Name �- Date
c SUJ'PLEMP�ITAL INFORMATION
i'
Sq. ft2 of buildino
Occupancy Group r- '
Occupant Load 'Z S6S v
C
No. of Stories
'<#74-009j,
5. No , th Depa.: tmen.t
Name���jjy � Da L o
Plan Check No.
Permit No. _
Admin. Action
Not Parking Spaces
Utilities Released
i
r
Application For
Certificate of Occupancy
City of Huntington Beach, California
Date
Application is hereby :Wade for a Gartificatp of Occupancy for a:
- - Describe Business Use
To be known as
Name of Business
Located at
— — Business Address
Name: BUILDING OWNER Address Citv Zip Phone No.
This use would be desc.ibed as
F-]New Buildink-]Existi°ag Buil,lingr-Change of UseLChange of Own `rF-IChange of Occupant
Indicate former use if any
Dame: BUSINESS OWNED: Residence Address City zip
Phone Na. - Business: Residen.e:
NOTICE: i. Occupancy of any building is prohibited by law and a business license
will not be issued until the building has been inspected aad a
Certificate of Occupancy is issued.
Z. No electrical service will be released for any existing, building until
the service has been inspected and certified ,,afe. All applicants for
occupancy in an existing building are reauirn'd to schedule an electrical
"fuse uptP inspection. in the Department of Building and Commuiiity
Development at the time this application is filed.
OFFICE USE ONLY (below this line)
DEPARTMENTAL APPROVALS RECEIVED:
1. Building Department 4. Public Works Ijepa tment
Name Date Name Date
2. KaxnrbnrDepartment 5. Health. Department
r:.�
"t„N"mp Date Name Date
3. Fire Department
Name Date
SUPPLEMENTAL INFt: V-14ATION
Sq. ft. of buildings Plan Check No.
Occupancy Group Permit No,
Occupant Load Admin. Action
No. of Stories w No. Parking Spaces
( k74-0Q Ut.3,l t-.es Released
r,
� �"'�r s'�'� rac+-,�,n.r.��+�;a" ux.ra«�u—wMcccis+mar�e�'ar'"st�.;�.`�-,•,,.aaw+�.� t�.+i+•z ��mssz+sqx�-.'t.+H;. .� r� 71
Appli,cot!6n For "
�i4r i Certificate of occupanol
w, City of Huntirigt6n Beach, California J' y
°,
Date
S
Q plication is hereby made for a Lertifzate of Occupancvftxr a.
� i � F t II••��A,y) k `� c E• iy '� ,
x
I if -fiber BussneS iTse ' "` . 1.
Tobe
{
Name of 4uozness
' I.oc'8t£'Cl ab a, e a�S b Business Address
h ,
Name: ' TUI'hPYNC>.OWNE" ., Address ,�,'; ; City Zips . A46,ne No.
This use would be described as: -`
�tew Buildin �xi4ting BuildiingoChange of UseQChan.ge of thm. e hat.ge 0'f occupant
Indir,ate farmerusy� 'any e
lame: BUS INESS;7�WTfR ��� Residence Address City Z1.p
n Phone zoo. ° Bus%messM: Residence.
=.
GTZCIa: 2.: Occupancy o any huldin is prohibited by law ,and a business 7,ricerse
h will `not 'oe issue8' until the building has been inspected and'a
+ `CerC fic_���O tpancy is issued.
2. Nd' electrical service will be relep-sed,.,forr any existing building Until 11
tho„servicZa has beeli inspected and certil -,ed safe. All I applicants- _for
°pccupaxs.cy an an existing- building, are .reel axed o $oh ule an el,ectxical
r' „fuse upa,4spe_'ctionin the Department of Building and Communi����(
f f Deve qpment at the time this apu�lication as filed, 1 ':
" OFFICE un-=bNLY (beiow this line)�
a�zvIE10Aa� AM . EC t tIVED;: �ar
l' i( Buis ding I?epar.tmex�t ;' ! r_,. Publici. m nt r1�i
I a ,
�3sme ��( Dadet�e }, date
2. "Planni-fxg ne!pa,rtmant,' ;r' ,• Health Department
.Name Date Nate Date
t� .3. Fire.:.Depa.rt%4i, t
,q
r
Name Date
$61PPLEM'MAL INFOMApION g�
o
ty _ ftz. _,of buildig plan Cherc No.
occuriancy Group
.� Dcee�pan+ Loadd Admiii Action +
a , . Ns�. of S.boriea = v „ram �110. Parkjng p'adeS,
;
q 4 r °s
..ai.�.....,.'4U.-_ ea„�..3.
DEPARTMENT OF BUILDING & COMMMITTY DEVELOPMENT
OCCUPANCY RELEASE REQUEST
LANDSCAPE
T�A'rE RCUTEDe J - c •% a ��g ry (1 (Div. Pub.Wks. )
FIRE �( (1 PUBLIC WORKS
PLANNING HEALTH
n release for occupancy ha been requested for the building
located and described as fo ,lows:
JOB ADORES S s� ^. 1). _.�
JOB DESCRIPTION:
OWNER: �T v � h t" q,
PHONE: 4 i�x
USE IS DESCRIBED ASt
NEW BUILDING 'EXISTING BUILDING
�I
CHANGE Or , SE y IANuE OF OWNER
a.1
CHANGE OF NfU[ ANT
Please check the s -atus of this project with resper.-t to
requirements of your Department and contact the owner
regarding any holds.
T
10 C.,RTTEICATE OF OCCUPANCY
EXISTING BUILDING ONLY
Application Received
l'usC-up Ins oct ioll
Date:
�K. NOT READY
DEPT.
APPLICATION
DEPT,
DEPT,
REMARKS
ROUT D
HOLD
CLEARED
t
Planning
Fire
Building
Public Works
6�1Y ., 0 7{s"
!Health
y
t
, ,x,
-
/f
PERMITS RPQ. FINAL
r.RMITS
I ' ,E� S TNr 7 RECETVED
I
COND. FINAL
UTILITIES C. OF 0. C. OF 0.
RELEASED ISSUED ISSUED
ELECTRIC
PLUMBING �l
H>vATING
�TRUC 1'G`ItAi
4
ti
Flu
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACHt-
DEPARTMENT OF DEVELOPMENT SERVICES Date
Address District
Business Name= "➢ ` ? _ _ .._ - _. _ _ Tel, , '•,'�
Business Type _ _ Occ. Group —
BUILDING OWNER OWNER/MANAGER
Name ..... ._..._ __ Name
Address __. Address
fel. City
Construction No. of Stories__.____.____.._Occupant Load_ _r V_ __Sprinklered
Notice.
Thi=Certificate of Occupancy
gHALL BE posted in a conspicuous place on
ses and shall not be removed except
L Oding Official.
DEPARTMENT OF DEVELOPMENT SERVICES
by __
He
NLAV NGTON BEAC14
i
Address
Business ;Name
Business Type
Name
Address --
APPLiCATION FOP, CERTIFICATC OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
(PRINT OR TYPE ONLY)
s �
K 11 r / G•�f C 4rE Pu* .l
BUILDING OWNER
Tel..,_._--
TJii]S USE WOULD BE (DESCRIBED AS:
DATE
D,strict
Tei. e-1? .
Occ, Grjup
. r 47
UWN.ER/MNN GEC
�,.,.
Name _` 1; reel ,4
AddressCAI-.
City .._�—'..1
''� `=": Tel.�Ij 1
Q NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER
E':ISTING BUILDING CHANGE OF USE
Indicate former use, it any �'n (�¢li f.+� Occupancy Gr.
CHANGE; OF OCCUPANT
L ADDITIONAL OCCUPANT
.. - Div. ----
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.
Z No E ectrical service wili be released fcr any existing building until the service has been inspected
and certiflea safe. Al: applicants for occupancy in an existing building are required to schedule an
electrical 'fuse up' inspection in the Department of DeveDopment Services at the time this applica-
tion is filed.
3. Change of occupancy or use inspection fee, Whenever it is necessary to make inspection of a build-
ing or premises in order to determine if a change may be made in the character of occupancy car use
of the building or premises which would place the building in a different division of the S.,mr group
of occupancy or in a different group of occupancy, a change of occupancy insnc =ion fee of $30,00
shall be paid to the city.
4. Hmntington Beach Fire Code Section 10.208 requires that building numbers must be a minimurn
of four (4) inches in height wt'h ong half (1A) inch stroke, and of a contractino enfor from the h--ck.
ground. These numbers must be posted on your building in a location that is visible from the street.
S. Huntiri�gon Beach Fire Code Section 10.301 requires fire extinguisher selection anr, distribution
pe; the National Fire Protection Association pamphlet 10 (see reverse side)`
tk-
SUPPLEMENTAL INFORMATION
SQUARE FT. OF BUiLDING
OCCUPANCY GROUP
OCCUPANT LOAD 4&A
NO, OF STORIES
APPROVED BY DATE
(FOR OFFICE USE ONLY)
PLAN CHECK NO, NO. PARKING ;')ACES
PERMIT NO. HEALTH DEPT. APPROVAL
ADMiN. ACTION ____ UTILITIES RELEAS "3--,
CERTiFICATE OF OCCUPANCY �E S
CHANGE OF OCCUPANCY FEE $
TOTAL. $} —
7"39 REV. DEVELPME-NT GERVICES
L