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10076 Adams Ave - CofO (4)
• 4 CERTIFICATE OF OCCUPANCY CITY'OF HUNTING' ON UACH v. 1 207/93 Date Address 10076 ��a �,d Q P;strict Business Name i IVIE - UAEE D LI� � Tel. __-- �Business Type FAST Occ. Grcup — B-2 BUIt_DiNG OWNER BUSINESS OINNER/MANAGER iUSINESS PROPERTIES Wf. DAVID UMHANI Name Name Address 1 sa { 1 FITCH .Home _. Address 1 . C-00,PER Lt,, City IRiFI_NE , CA Tel. 14--'/47-- 3t 0 City I-IB - �A — Tsime 4i- ___-- Construction No. of Stories Occupant Load Sp.riniklers CONDITIONS OF APPROVAL DEPARTMENT OF COMMUNi rY DEVELOPMENT 1 This Certificate of Occupancy SHALL BE posted in a conspicuous place an the a premiss and shall not be removed except by the by '� ... a 1 Building Official. COMMUNITY fXWELOPMENT .>.. ., � ..: ... � __. ,. .;..__ .. __. —. ,. ...._y .. ._�._,._.__. fie ...... �. .. ... . _..., .... ._... .. _.._ .. .. APPLIOATIOi4 FOR CERTIFICATE OF OCCUPANCY CITY OF t9U14 INGTON BIRAr P DEPARTMENT OF COMM! F51TY DEVELOPMENT f � riuimr�,xcv eri iP(111JT OR TYPE ONLY)DAT Addrrs, District Business Name--ur 1 %T mK {ate 1 ( Tel. flt Business Type `g e Occ. Group *� UILDING OWNER ` BUSINES: OWNER/MANAGER . Name `.c_/� O. C Name f , ,L�J"T> ik ►,'✓1 R ev, -� Home Address d ii , L e7 G AddressIca Lf,`Ie coc t � (?*1z ��l1�� City 4ide Gkt ��? .( �+ Tel. %�"� City _ q s Home Tel. "—f7 .F THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGti OF OWNER ,Ifs j ANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any__(4 �!�_ `°� _Occupancy Gr.� —Div. _ SQUARE FT, OF BUILDING TO BE OCCUPIED AP I_. NOTICL: 1. Occupancy of any building is prohibited and a business license will not beis4ued 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 Community Development at the time this application is filed. �- 3. Change of occupancy or use ns,peetfi*n fee., Vi henever 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 k -' or premises which wn rid 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. 4. Fi" ntington Beach Fire Gods ectfion 10,208 requires that building numbers must be a minimum of four (4) inches in height with ofre half (1/2) 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. Hgintington Beach Fire Code Sectien 10.301 reGFsrres fire extinguisher selection and distribution per the Naiional Fire Protection Association pamphlet 10 (sne reverse side). (FOR OFFICE USE ONLY) ZJ„P:7 SUPPLEMENTAL INFORMATION e � Z ZON1NGi OCCUPANCY GROUP PLAN CHECK NO. NO .'ARKING SPACES OCCUPANT LOAD PERMIT NO, HEALTH DEPT APPROVAL NO. OF STORIES ADMIN. ACTION UTILrTiES RELEASED i �. /�A�- ERTIFICATE OF OCCUPANCY FEE $ AKMVED DATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL. $` 75-039 Rev, 11/90 COMMfdMTY D�iffMDPWfNT SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 2. Person to contact in ce se of emergency. 17) Telephone number: _ — ' e 3. Does tie building it quesfibh ` have electricity? Yes '` ' ❑ No (a) If No, are you requ6 t ng that the electricity be El Yes turned on? No 4. The building is sprinkle*4 7V as 5. Operations will produce oc-At' wood shavings or similar o material? "` ❑ s :R!r' RNo S. Operations will involve the"repair or replacement of ❑ Ye;: automobile parts? No F: If Yes: (a) Describe the components repaired or replaced. (b) Does the operation rianyoive the use of an open flame? ❑ Yes "0 7. The business is drinking,kIdibing or assembly use that will result in an occupant loth of mare than 50 persons. ❑ Y s 8. y; The following best describes my ola: ation; Office Only t} Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) F14 �Fstauran ake Out C>od ale -cal/Dental oQ Other . I�-� (describe) . _ SUPPL "'`MTAL INFORM/ -MN — .1141P!�Il L INFORMATION (Continued -Dn -they ap ration ` iM'05 e xf o ?,t foF o vi g }-materi ls'? Yes G No if Yes, - Ir c'�i at� uan� 6� J- `'1iL Quantity 1. Flammable iiquids ` �-4 Class I -A Class 1-6 Class I-C 2. Comb!rstible liquids �--- Class It T�.4*;Class If1-�a 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 0 Flammable fibers - loose 7 � . Flammable fibers - dialed Flammable solids r 9. Unstable �rnaterials 10. Corrosive liquids 11. Oxidizing material gases 12, Oxidizing material - liquids 1 . Oxidizing material solids 14. }'� organic peroxides 15. Nitrometnane (uns=able materials) 16. `°.;,, Ammonium nitrate 1 Ammonium nitrate compound mixtures containing more than 60% nitrate by weight 1a. Highly toxic material and poisonous gas 19. Smokeless powder �G -�- 20. Black sporting powder her .b certify ° tha"- abdye f. r atiur F� true and cv: rect to the f i�V of riny� k o I g. l Signature 7, /4� 1 ? el SOUTH COAST AIR QUALITY 11IANAGEME. `rT DISTRICT (Nonresidential Buildings Only) h, Location of St�bjPct Propert — oo 7 Property Owner 1`Tame: �N n ? ` .� S Phone Y: C.¢ -' 6 ;Name of the person prepar—, this fonn in print and signatur � A Name:: S_t�— Signature: The person preparing this form must be the same person applying fo building perr::its. Please answer the following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MAP-�K IN THE 'YES' COLINNT: AQMD rERMITTING CHECKLIST YES NO/ 1. Does your facility use any internal combustion engines greater than 50-HP? ✓ 2. Does your facility involve the mixing, blending, or processing of any / solvents, adhesives, pain- coatings? 4 ' 3. Does your facility create any dusts or smoke? �_ ✓/ 4. Does your facility refine any liquids or solids or reclaim and; metals? 5. Does your facilirf 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? _ 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? , f 11. Are you a dry cleaner, restaurant with a chorbroiler, body shop, gasoline f station, printer, or part coater? 12. Is the subject btzilding'.ocated within one thousand (1,000) feet (property line to property iirie) of any school (Grades K•12)? If you have marked "NO" in all columns, you do not need an AIR Quality permit at this time.. If You have marked Faiy questions in the "YES" column you , contact the South roast Air QuaFty Manageme:st District before submission for City review. The .-"tir Quality Management District may be contacted at: 21865 Copley Drive Diamond Bar, CA 91765-4132' - -• Or call; Plan Check (909) 396-2000 (scagmd) Govemment Code Section 55850.2(b) requires the City of Huntington Beach Building Division not to issue the final certificate of occupancy unless the applicant has met or is mee ma the requirements of the South Coast Ai.' Quality .Manage,went District (AQMD). The Building Division must obtain a P eaa fro n AQMD to sho-x, the applicant has complied with this law. The clneck list can the reverse side is des- -ned to help the applicant and the building division Met these requirements. 1. Tile apk:licant. must complete the c jzeck list, which can be obtained either at the Building Division or at AQMD. 2. If all boxes in the list are checked "no", the Building Division can accept the check list as the :'eleas�. 3. is there are any "yes" answers in the list, the opr :.'cant must contact an AQMD engineer by calling (909) 396-2000 to find out whother air permits are taquired for the proposed constniction project. 4. If'air permits arc .na required ,=hf 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 ran b., ,ssaed. Because of the time it may take for AQMD to go throui h the above procedures, the applicant is advised to contact AQMD immediately after applying for Building pem-nits. CERTIFICATE OF OCCUPANCY � onurmmrmunrmosAo* cxmnm uu�pxrswom, �__r, ovo,onwn } ' au/Lc/wao14.1wcn euewsoSowmsn/www»osn ! mame / / Address"o"w _ ��_______-_-____�� o^ T8�— r6*r1eo_____ occ�a Load__ -__spmuers________ � CONomoNS[aw"pROVA. DEFAFM"ENT OFCQmmUrnYOF-uELOPMENT his Certificate ofOccupancy sneu ?i'p^w?d/nocon:�uicvo"xnlaoeon/re nmr°ena,u nurp/u�,,movoomnso��vmo '1 ' by ����� DEVELOPMENT RtC�LJV r-AL0 4 AFPLICATION FOR CERTIFICATE OF OCCLA96Y CITY OF HUNTINGTON BEACH PARTMENT of. DEPARTMENT OF COMMUNITY DEVELOPME00 WNT11w,70N WWI ras a3iVlS. l(is THIS USE WOULD BE I)PSCRIBED AS NOTICE: wili not -0 littnp b,.wding has been No electrical service9i lueet, inspected and ,or tified safv,, A �i ,ip; J j u 0,;idl r 1 -4 electrir;a' is filed. 3 Change of occupancy of use inspcclion fee. il:_1 uctt;T It eofwo?bij0 ng ( J Huntington Beach Fire Code Section rl 11,1 n a four 4 1 These 5Huntington Beach Fire Code Section -irld d1:4t, ti� �tfon per th, a S CERTIFICATE OF OCCUPANCY CITY OF HUNTING' ON BEACH Date Address _ 1 fiC `t' !d� i:.; District Business Name 1: L'I.IiG LL`Ll Tel. Business Type FA.` I r OC.L DELI Occ. Group BUILDING OWNER BUSINESS OWNER/MANAGER �;�c.< .vs I4CPLRz'IE Ir v. I«l:VID LALIFINI Name Name Address 1 7E.'�1 FT CFI Home Address 1(142 CGCFFfi LI City 3IJVs1 h< f A Tel. 714-747 E90C City F , CP Tome 711 _;'tildtar,7 Construction No. of Stories Occupant Load S Sprinklers CONDITIONS OF APPROVAL DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall rot be removed except by the by Building Official COMMUNITY DEVELOPMENT rr•, ' e � . �I klaLla HUNrNGTON BFA4f Address Business Business APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEAt ri DEPARTMENT OF COMMUNITY DEVELOPMENT (PRINT OR TYPE ONLY) D)stnc Tel Occ. Group U 3 DAT UILDING OWNER BUSINESS OWNERIMANAGER Name _ 4i a'-'� �' Name //&+g b�cii'N0 iid�! _^ Home Address 17 fo S I I GAddress �{n��^s, Y __cnQ t ' a City �R ()LaJe G �� G( Z7 i .� Tel 7 sS=_g City ` ` t - CAL— Home TeI.—&j.7 C! F THIS USE WOULD BE DESCRIBED AS: {❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER LK CHANGE OF OCCUPANT 1!� EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any �'-TiDf-e.r [LRPr►+'T Orcueanc; Gr Div SOUARE FT. OF BUI'DING TO BE OCCUPIED-2-0Q�_ _ NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been inspected ar,d 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 'n the Department of Comn;Llnity Development at the time this application is filed. c� 3. Change of occupancy or use inspection fee. Whenever 't is racessary to make inspection of a building or `l-[71premises in order to determine if a change may be made in the character of occupancy or use of the building or premises which would place the building in a different clvision 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. v 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 color from the backaround. These numbers must be posted on your building in a location that is v sible from the street. 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the Na'.ional Fire Protection Association pamphlet 10 (see averse side). (FOR OFFICE USE ONLY) /� 7 SUPPLEMENTAL INFORMATION .L ZONING OCCUPANCY GROUP PLAN CHECK NO. NO PARKING SPACES OCCUPANT LOAD PERMIT NO - _ HEALTH DEPT APPROVAL NO. OF STORIES - ADMIN. ACTION UTILITIES RELEASED / �0.7�__ 3ERTIFICATE OF OCCUPANCY FEE $ _ VED DATE CHANGE OF USE OR OCCUPANCY FEE $ - 414 TOTAL $ 75•039Flev.11/90 CO.MMUNiTY DEVELOPMENT 4 SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 10 2. Person to contact in case of emergency �I M ►R-N 1 Telephone number: _ G' Q:7 3. Does the building in question have ;leciricity? L�' Yes ` ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinkleredi ❑ Yes �N o �. Operations will produce dust/wood shavings or similar material? - ~, ❑Y s MIN' O 6. Operations will involve the 'repair or replacement of ❑ Yes automobile parts? ' If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes "lo 7. The busir . drinking, ,dilning or assembly use that will result in upant load of more than 50 persons. ` E❑ Yes I 8. The follow;.,;, best describes my operation; o Office Only r Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) Xtsfta�na�keOut d /Dal j;zb ��' Other (describe) •� • = SUPPLIMENTAL INFORMATION —I SUPPLEMENTAL INFORMATION (Continued) r Does--'th6 opefation- InvoPve atry ;01f-, liv ateriais7 ❑ e; ❑ No 'trcafe'�quantities: `Material Quantity ". Flammable liquids Crass 1-A Class I-B Class I-C ?_. Combustible liquids Class II Class II: -A — 3. Combination flammable liquids 4w Flammable gases 5. ,-iqL fled fniable gases 6. IF * Mab!e fibers - loose 7. Flammable fibers - baied 8. Flammable solids 9. rJnst;;ble materials p 10. Corrosive liquids 11. Oxidrzin!� material - gay es� ._ 12. Oxidizing rnaterra, 13, Oxidizing material - solids 14. Organic peroxides a 15. Nitromethane (unstable materials) 16. _%Ammonium nitrate d 17. Ammonium nitrate compound mixtures containing more than 60% nitrate }© by weight 1' 18. Highly toxic material and poisonous gas Q 19. Smokeless powder 11D 20. Black sporting powder I her,certi€y thOn above anformatiort e' is true and correct to thef r�, kg. _ 7 f Signature — D t Government Code Section 65850.2(b) requi:es 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 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 meet these requirements. 1. The applicant (the same person who applies foT' permits from the Euilding 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 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 (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 wili -)btain a wHtten 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 irr.aediately after applying f-Nr Building permits. SOUTH COAST AIR QUALITY : LkNAGE\1.ENT DISTRICT (Nonresider. ial Buildings Only) Location of Subject P Property O%aT.er ?Fame: U'S ")Jgf-_5 Phone--.": LQF C1,0 d ;Name of the person preparing this form it, print and signat Name :)I t) LA-M 1'l ►mil t Signature: The person preparing this form must be the same person applying foibuilding permits. Please a;_Lwer 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' COLUMN: AQMD PERMITTING CHECKLIST YES hi ✓ 1. Does your facility use any inten, 1 combustion engines greater than 50-HP? 2. Does your facility involve ilie mixing, blending, or processing of any / solvents, adhesives, paints (-;. coatings? 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. 8. Does your facility handle or store solvents or motor fuel? Do you use or store any acids? 9. Do you use any chemical process? 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 pail coater? lr 12. Is the subject building located within one thousand (1,000) feet (property line to property line) of any school (Grades K-12)? if you have marked "NO" in all columns, you do n(,. need an AIR Quality permit at this time. If you have marked any questions in the "YES" column you must contact the South Coast Air Quality \fanagement District before submission for City review. The Air Quality Management District may be contacted at: 21865 Copley Drive Diamond Bar, CA 91765-Q82" Or call, Plan Check (909) 396-2000 (scagmd)