HomeMy WebLinkAbout10076 Adams Ave - CofO (3)CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
5/ W96
Date
Address 10076 ADANIS — District
Business Name YOSHIDA RESTAURANT I*V! . Tel. 714--962-6628
Business Type RESTAURANT Occ. Group A-3
BUILDING OWNER BUSINESS OWNER/MANAGER
BUSINES:> PRGPERTIES Name CHUN LONG KTJ
Name —
Address P.O. BOY 1959E Home , Address27510 0LENWGOD
City IRVINI~ —Tel. City i?iSSIO ViEJ Telme 714-3SO--8810
Construction No. of Stories Occupant Load ';i O Sprinklers
CONDITIONS OF APPROVAL
comments: F.D. PERMIT RECt'D FOR PLACES OF ASSE IBLY
COMMUNITY DEVELOPMENT
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DI' PARTMENT OF COMMUNITY DEVELOPMENT
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(PRINT OR TYPE ONLY) ,
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0171
Address
Business Name�� S'Alzg4 �MUI -T tdam 14— ,
Business Type------,. i
BUILDING OWNER BJ�SINE_S�S,OWNERIMANAGER
Name �`�'41 t � '�/ Named f—yHome
�r' G�
Address Address-
City._ -- A L�� L Tel—City��Ir:1 / 1'* Home Tel.
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DATE
THIS USE WOULD BE DESCRIBED AS:
District
Tel
Occ. Group
❑ NEWLY CONSTRUCTED BLDG, ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if anyTgIA4Awy,� Occupancy Gr. _ Div.
SQUARE FT. OF BUILDING . J 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 Community Developmen' 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 premises which would 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. 44uniington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
inches in height wilt, one half (1/2.) inch stroke, and of a contrasting color from the background. These
numbers must be ported on your building in a location that is visible from the street.
5. Huntington Beach F,re Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Proter:tion Association pamphlet 10 (see reverse side).
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DATE PAID - - - - - -- �' � F�'�
AMOUNT RECEIVED
NAME
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP _
OCCUPANT LOAD
NO. OF TO S f
AP ROVED DATE
?6.039 Rev.1/97
PLAN CHECK NO
PERMIT NO. —
ADMIN. ACTION_
ZONINGUr:2
NO PARKING SPACES
HEALTH DEPT APPROVAL
UTILITIES RELEASED
6- - 7-
CERTIFICATE OF OCCUPANCY FEE $ 2
CHANGE OF USE OR OCCUPANC` FEE $
TOTAL $ 1 J
COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFOFiMATIIOl!
1.
BUSINESS ADDRESS ADV74
Ao� f
2.
Person to contact in case of emergency*
Telephone number:
c I
3.
Does the building in question have
electricity?
2'�'Yes
❑ No
(a) If No, are you requesting that
the electricity be
❑ Yes
turned on?
❑ No
4.
The building is sprinklered?
I2rYes
❑ No
5.
Operations will produce dust/wood
shavings or similar
materiay?
Yes
❑ No
6.
Operations will involve the repair or
replacement of
Yes
automobile parts ?
® Pao
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? ❑ Yes
❑ 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. The following best describes my operation;
Office Only
Retail Sales
Warehouse
;Manufacturing / Distribution (describe process and end product)
staurant T e Out Fooa
Medical / Dental
Other (describe)
SUPPLOWENTAL INFORMATION
G
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? ❑ Yes
�N o
If Yes, indicate quantities:
Material Quantity
1. Flammable liquids
Class I -A
Class I-B
Class I-C
2. Combustible liquids r;
Class II
Class II1-A
3. Combination flammable liquids
4. Flammable gases I
4
5. Liquefied flammable gases
6. Flammable fibers - loose
7. Flammable fibers - baled
8. Flammable solids
9 Unstable materials
10. Corrosive liquids I
11. Oxidizing material - gases
12. Oxidizing material - liquids
13. Oxidizing material - solids
14. Organic peroxides
15. Nitromethane (unstable materials)
16. Ammonium nitrate
17. Nmonium nitrate compound mixtures
+wining more than 60% nitrate
by weight
18. Highly toxic material and
poisonous gas
19. Smokeless powder
20. Black sporting powder
I hereby ertify bat the above information is true and correct to
the best qm .dwled
/ � t
Sig Irto a Date
r
0) South Coast
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000
AIR QUALITY PER HT CHECKLIST
/ for nonresidential buildings only
Company Name: aL7) L�A41
Location of�/Pf�ropertyld,2 �`e ,C �f &
TI City: G idW A, 4!JA Zip Code: bZ5-,
Contact Person: 4V11,641f 04klTitle:
Telephone Number: ;�j5_ ;3jQ Llzmz Fax Number:
Type of IndustryBusiness:
To apply for a nonresidential building permit, you must complete this checklist. If you have any
questions
about completing this checklist, please call (800) 388-2121.
YES
NO
1.
Will the facility have a charbroiler? [ ]
M
2.
Will any internal combustion engine with greater than 50 horsepower
operate at the facility (excluding motor vehicles)? [ J
[X]
3.
Will operations at the facility involve mixing, blending, or processing of
solvents, adhesives, paints or coatings? [ ]
[X ]
4.
Will dust or smoke be generated at the faci.,ity? [ ]
[�]
5.
Will refining of any liquids or solids be done at the facility? [ ]
CX ]
6.
Will any plating or coating of materials be done at the facility?
7.
Will any combustion equipment rated greater than 2,000,000 BTU/hr be
operated at the facility? [ ]
[ X]
8.
Will any acids, solvents, or motor fuel be used or stored at the facility? [ J
[}(]
9.
Will any organic liquids or gases be reacted or produced? [ J
[k]
10.
Will any ovens be used to dry or cure products at the facility?
11.
Will any ]
(Freon) recycling machines operate at tYie faeilitY941
[ ]
/CFC
Applicant: !i/T�r/� -Z f Signature:
(Print name clearly)
If you have marked "NO" in all the boxes, an air quality permit is not needed at this time,
and this checklist is your written release.
If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality
Management District (AQMD). Please read the requirements on the back of the checklist.
(800) 388-2121
ADDITIONAL SUPPLEMENTAL INFORMATION