HomeMy WebLinkAbout10078 Adams Ave - CofO (3)W)
�1 CERTIFICATE OF OCCUPANCY March `� 1984
CITY OF HUNTINGTON BEACH = c
DEPARTMENT OF DEVELOPMENT SERVICES Date
HUNtINGrtkV CFACH
t37B Adams e�
Address _._ __.�._ —._ District
Business Name NMW ZMIJI TAB OUT RUNT: NGTON BEACH Tel.
Business Type ORIENTAL rOOD TAKE OUT r_ESTAUMI'.i Occ. Group B-2
BUILDING OWNER BUSINESS OWNEWMANAGER
Nam: Name Davit: KeungsilF Tang
Home 4171 Hoincstead
Address _ ____ _ s ;dress _.
City _ Tel. a. City ICv3.ne _Home Tel
Construction —.—No. of Stories Occupant Load. �'—__._Sprinklered —
Notice:
ThtsCertificate of Occupancy DEPARI MENT OF DEVELOPMENT SERVICES
SHALL BE posted in a conspicuous place on
the premises and sh3lI not be removed except r>
by the Building Official. by_ - i = r4:- .. --
r
e
APPLICATION FOR CERTIFICA"i E OF O XUPANCY
( CITY OF Y'UNTINGTON BEACH ` ' s .• lY' f
DEPARTMENT'OFDEVELOPMENT SERVICES
HUNTINGTON MACH (PRIN': OR TYPE ONLY) DATU
Address ! � 7 G>�_ CJt VLS f<i:1' i , t n r�"% 24-4 " _ District t �
Business Name�C i � � y a ?c'. Ls_ : t `p 4t w, fe> .i.":a,* X 1 Tat. O i LO W-Z-}.- 4_`�
Business Type C2Y I Fti (`ta_I (-- ^: �.i't i f.c ? S f iAi"� `e' Occ. Group ---
UI BLDING OWNER BUSINESS OWNER/MANAGER
Name _ -- Name . Dav i-. i.tYltS4 r ��'
Home i •`} c r'+"e" S �. ..?tS
Address Address
City . 1' �Y1 ' Ti : fr1 City ._ i"l t Ys Nome Tel.
THIS USc WOULD BE DE CRiBED AS: j
NEWLY CONSTRUCTED SLOG. � CHANGE OF OWNER 1 � CHANGE OF OCCUPANT
EXISTING BUILDING f-7 CHANGE OF USE L__1 ADDITIONAL OCCUPANT
Indicate former use, if any ¢3 4R j__ _.Occupancy Gr. ...___f iu.
SQUARE FT. OF BUILDING TO BE OCCUPIED �s. r
NOTICE: 1. Occupancy of any < L ilding is prohibited and a business linen a will -tot be issued until the building
hey ,' ,en inspected and a certificate of occupancy is issued.
2. No electrical service will be released for any existing building untie 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 applica-
tion is filed.
3. Cherige of occupancy or -sc inspec;,an fee. Whenever it is ner..essary to make inspection of a uuild-
ing or premises in order to determine if a change may rye 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 p,.id to the city.
/4. Huntington Beach Fire Cade Section 10.208 requires that boding numbers must be a min;mum
of four (4) inches in height with one half ('rz) inch stroke, and of a contrasting color from the oack-
ground. These numbers must be posted cn your building in a location that is visible from the street.
5. Huntington Beach Fire Cade Section 10,301 requires fire extinguisher selection and distribution
per the National Fire Protection Association pamphlet 10 (see reverse sides).
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUPPLAN CHECK NO
OCCUPANT LQ D PERMIT NO, .—
NO, OF STORIES _ ADh;)N. ACTION
ZONING '� 3 ` /S•- 6I
NO. PARKING SPACES .—
HEALTH DEPT. APPROVAL
UTILIT)ES RELEASED.
.--.',`G-__L`r�---y-•- CERTIFICATE OF OCCUPANCY FEE $c�.
APPROVED BY DATE CHANGE OF JSE OR OCCUPANCY FEE $ _
TOTAL $
)a-039 REV, j j
4
�! f'ERTIFICATE OF iiCCUPANCY January zd r
1984
` CITY OF HUN?INGTON BEACH
DEPARTMENT OP DEVELOPMENT SERVICES Date
HUNTINGTON SEArn
l 3
.. 10b78 Adams_Abe.. Address _. Oistri5t�
Business Name 10W MEIJI TAIM CY:M _ _ _ _ � Tel.
Business Type ORIENTAL rOOD (PAST r0013) � Occ. Group D-22
BURMING OWNER BUSINESS OWNEAfMANAGER
f Name Business Properties Name 4i-,hzel. Lee
4590 MacArthur Blvd. Home 6547 Re,fton Ave. r
Address Address {
City Nwwport Beach Tel752 ft011 C;..y cypress He rr T�?3�-2�1U4 � s
Construction_ No. of Stories —Occupant Load _,___Sprinklere.: � r'
Notice: $
This Cert:ficatn of Occupancy
DEPARTMENT OF DEVELOPMENT SERVICES
SHALL BE posted in a conspicuous place on
the premises and shall not be removed a :ept
by the Building Official. by
T__ 0r-,Vr .OPFviFrti 3 vETdiliOl^S
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON 13EACH
DEPARTMENT OF DEVELOPMENT SERVICES
kuunwerou eEaeei (PRINT OR TYPE ONLY)
DATE
District
Business Name N1 4A/ M 6:- I j L c"4 T - - - Tel.
Business Type c R P C—/�j TA L- - pooD c FA sT Fzc.e^ p) Occ. Group —
BUILDING OWNER
Name P-6USIM19 E-5,5s
Address 4-t5on to Al2.P-R T F L { P L.,. ,
City}iwieiil7E'k 1 isC._ Tel.
THIS USE WOULD BE DESCRIBED AS:
BUSINESS OWNERr(AANAGER
Name F✓ LCHaAC 4. L...C.i--
Home / � )2GFTcnJ r`��'E
Address � �._
City-Y;�hESs Home Tel.
NEWLY CONSTRUCTED BLDG. n CHANCE OF OWNER
n EXISTING BUILDING CHANGE OF USE
` q c
Indicate former use, if any -'���� rr » .dOccupancy Gr. _
SQUARE FT. OF BUILDING TO BE OCCUPIED d L ; 7
FA CHANGE OF OCCUPANT
F] AJDITIONAL OCCUPANT
Div
NOTICE: 1. Occupancy of any building is prohibited and a business lice -,se 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 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 or use
of the building or premises which would place the buiiding 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 0/2) inch stroke, and of a contrasting color from the back-
ground. These numbers must be posted on your building in a location that is visible from the street.
b. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution
per the National Fire Protection Association pamphlet 10 (see reverse side).
(FOR OFFICE USE ONLY)
SUPPLEMENTAL lNFORMATjION ZON1N
OCCUPANCY GROUP .__._ J%" -' PLAN CHECK NO. NO. PARKING SPACES _
OCCUPANT LOAD _ PERMIT NO. HEALTH DEPT. APPROVAL
NO. OF STORIES — ADMIN. ACTION _ UT1LIT(ES RELEASED
CERTIFICATE OF OCCUPANCY FEE $aL
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE
TOTAL $�_ _
r)ls��
76-039 REV.
CERTIFICATE OF OCCUPANCY
�. CITY OF HUNTINGTON REACH 17 .
DEPARTMENT OF DEVELOPMENT SERVICES o».
HUNnN(,— ,BEACH
'1 s 7''
Address � � District _
Business Name B170 POLL [*-Tr°.O Tel. 1)P,A_2A2C'4
Business Type I't..�=' 1T2T':::::,t ,' _ Occ. Group ._-"
BUILDING OWNER BI!SINESS OWNERIMANAGER
Name. Name
''ome
P:ddless — Address:
City_ _ Tel. City "CzO`o3C.rk.iX ii�3 ..E:L� 'f` Home Tel775Y GF2�
Construction_ No. of Ste :as__ Occupant Load _ w Sprinklered
This Certificate of Occupancy DEPARTMENT OF DEVELOPMENT SERVICES
SHALL BE posted ,e a conspicuous place on
the premises and shall not be removed ex-
cept by the BIII!riing Official by "` -'
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF .HUNTINGTON BEACH
DEV
DEPARTMENT OF DEV LOPMEN i SERVICES ''- /� ��
HUNT NGTON REnQi IPRlNT OP TYPE ON10 t / DATE
c"�Ci �%O /�lUGr �C , } /!'� J 7?�� G7 !I 2C' � �- District t / ``Address
`Business Name � Roc"
�—
�,Busine.s Type _ _ Occ. Group —
' - ., p �� n [
MARA(_l/WBUILDING OWNEr. Fpr e . T- Se � o u) S �r 41i c BJ-1 , E5$ bWNERIMANAGER
Name / j IV ki ` r�:.�L�1�1�
AddrPps l r _ _ y�Address
city Y _. r /•CityCe;Gfu �``9 %c��j� —Ho eTel�%JS=�
l8oy
X 41
THIS USE WQULZ t3E DESCRIBED AS:
❑� NEWLY CONSTRUCTED BLDG, ANGE OF OWNER �`�CHANaE OF OCCUPANT
�EXISTINO BUILDING ❑ CHANGE CF��US77E���� ElADDITIONAL OCCUPANT
Indicate f 'mer use, if any i,��fc� {. �Z.C2/L2. t ;roccupancy Gr. Ow.
SQUARE FT. OF BUILDING TO BE OCCUPIED
NOTICE, 1. Occupancy of any building is prohibited and a business license wilit 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' inspectiol, in. the Department of Development Serv,ces at the time this application is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspectioi of a building
or premises in order to determine: if a change may be made in the character of occupane, or use of the
uilding or premises which would place the building in a different division of the same group of occupancy
or in a different gr('.,p of occupancy, a change of occuna.icy inspection fee of $ _
U shall b4 paid to the city.
? 4. Huntington Beach Fire C.::; Section 10.208 requires tha: building numbers musi be a minimum of four
74) inches in height \., ,h one half (Yz) inch stroke, and or ,i contrasting, color from the ! ^ckground. These
numbers must be posted on your building in a location r,at is visible from the street.
i5. Huntington Bea.:h Fire Code Section 10.301 requires fire extinguisher selection and distribution per
the National Fire Protection Association pamphlet 16 (see re\erse side).
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION I ZONING---
OCCUPANCY GROUP 1z_ PLAN CHECK NO. _ NO. PARKING SPACES
OCr 'PANT LOAD PERMIT NO. _ _ HEALTH DEPT. APPROVAL_
NO. Or S IES ADMIN. ACTION UTILITIES RELEASED
Ae�z� —�r� CERTIFICATE OF OCCUPANCY FEE $
A C B ' GATE CHANCE OF USE OR OCCUPANCY FEE
TOTAL $ _
75-039 REV. DEVELOPMENT SERV I I. ES
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS _.Z7�
2. Person to contact in case of emergency: �'7IA)
Telephone number:
3, Does the building in question, have electricity? es
ONO
a. Tf No, are you requesting that the electricity be OYes
turned on? O No
4. The building is sprinklered? .des
ONO
5. Operations will produce dust/wood shavings or similar
material? O Yes
0-NQ
6. Operations wall involve the repair or replacc�nent of Oyes
automobile parts?
-f yes:
(a) Describe the components repaired or replaced.
(b) Does tI.e operation involve the use of an open flange? -Cges
O Nn
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. OYes
ONO
8. The following best describes my operation:
Office Only
Retail Sales
Warehouse
Manufacturing/Distribution :describe process and end
product)
;/Restaurant Take Out Food
Medical/Dental 717 Other (describe). uaG lJ
(0562D) (12/8/86)
SUPPLEMENTAL INFORMATION (Continued)
Does the c:z..ation involve any of the following materials? OYes
IF Yes, indicate quantities:
Material y Quantity
1. Flammable liquids
Class I -A
Class I-B
Class I.-C I
2. Combustible liquids
Class II
Class III -A
3. Combination flammable liquids
4. Flammable gases
5. Liquefied flammable gases
6. Flammable fibers --loose
7. Flammable fibers - baled
8. Flammable solids
9. Unstabie materials
10. Corrosive liquids _
11. Oxidizing material - gases
12. Oxidizing material,- liquids
13. Oxidizing material - solids
14. Organic peroxides
15. Nitromethane (unstable materials)
3.6. Ammonium nitrate
17. Ammonium nitrate compound mi,tures
containing more than 60% nitrate
by weiqht
18. Highly toxic material and
poisonous ga,
19. Smokeless powder
20. Black sporting powder
I hereby certify that the above information is true and correct to the
best of my knowledge.
Signature Date
(0562D) (12/8/86)
�d CERTIFICATE OF OCCUPANCY
CITY OF. HUNTINGTON BEACH Apr�1 1, DEPARTMENT OF COMMUNITY DEVELOPMENT Date
HuonMcrON BEACH
Address_
10078 Ada -us Ave,.
District_
B'.Isiness Name
E G ROLL KING
_ Tel. 954-4429
EGG RO.-jLq
Business Type
Occ. Gro6p A-,3
_
BUILDING OWNER
BUSINESS OWNER/MANAGER
Name
Name :hung Shun Tang
Address
Home 15211 Essex Cr.
Address
City
_Tel.
City Westminster, CA
Home Tel. 554-2285
Construction
Ko. of Stories
Occupant Load 60 Sprinklered
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on
the premises and shall not be removed ex-
cept by the Building Official.
DEPARTMENT OF COMMUNITY DEVELOPMENT
by— _& ak
APPLICATION FOR CERTIFICA E OF OCCUPANCY
CITY OF HUNTING'iGN BEACH " 15 1988
DEPARTMENT OF DEVELOPMENT SERVICES
HMNICTON BEACH ,FRINT OR TYPE ONLY)
�' FwE DEP7. DATE
Address�� ICE Ylflam ern - fur 1 roi ��t'L't r 6 ?"4 District
Busines41ameZ� 40LL l,jnf _ Tel(,71�) 4/ Sg
Busine-n4ype :i�Aiz k0a %n' _ Occ. Group _
BU1LDiNG OWNER BUSINESS OWNERIMANAGER
Name Narm _&U04' 5 WX
H !me
Addreo.._ Tress. SS�J:s �
Gifu A5 h_), C7�+�- � ek Home
HIS "`;E WOULD BE DESCRIBED AS:
❑ NFWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
XEXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITION/,L OCCUPAN7
Indicate former use, if any. �!5,4 MA'- Occupancv Gr. Div. _
SQUARE FT. OF BUILDING TO BE OCCUPIED—
NOTICE: 1. '�c^upanc,y of any building is prohibited and a business license will r, )t be'.ssued until the building has
,,,n inspected and a certificate of occupancy is issued.
N electrical service will ba released for any existing brlildin^ until the service has been ;nspected and
ce) ed safe. All applicants for occupancy in an existing building aro reauired to scherkale an electrical
'fuse -.p' inspectioo in the Deoartment of Development Services at the time this application is filed.
Change of occupancy or use inspection fee. Whenever it is necessary to .,nakp inspection of a building
or premises in order to determine if a change may be made in the character of oc-upancy or use or the
building or premises which would place the buildirg ,n a different division of the same group of occupancy
or in a different group of occupancy. a ch nge cf occupancy inspection fee of g
i 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 ('`z) inch stroke, and of a contrasting color from the background. These
numbers must be oosted u,: your building ir' a location that is visible trom the street.
5. Huntington Beach Fire :;ode Section 10.301 requires fire extinguisher selection and distribution N2r
the National Fire Protection Association pamphlet 10 (see reverse side).
(FOR OFFICE USE ONLY) PIING � I � "� ' 6-8 ��
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP _ PLAN CHECK NO. NO. PARKING SPACES
OCCUPANT LOAD 0 _ PERMIT NO. HFALTH DEPT. APPROVAL
NO, OF STORIES ADMIN. ACTION UTILITIES RELEASED
4-- "�� CERTIFICATE OF OCCUPANCY FEE S d
APPROVb BY DATE CHANGE OF USE OR OCCUPANCY FEE g , �)
— ro
TOTAL $ 17 6 _
75-039 REV. I
DEVELOPMENT SERVICES
He
CERTIFICATE OF OCCUPANCY Ilay 11, 1989
CITY OF HUNTINGTON BEACH _
DEEARTMENT OF COMMUNITY DEVEL7F'CSENT Date
Address 10078 Adams P_Ve. District
Business Name EGG ROLL KING Tei _
Business Type C? INESE PAST ?001b
OCc. Group .B—,(
BUILDING OWNER BUSINESS OWNER?MANAGER
Name L. C. SMULL, GEN. PARTNER Name TSU—EiAT t9ANG
Address 146 So, Ford Address889`.i La PAloma
City— L% ; Angeles, CA 90004 Tei. City Ebuntain Valley Home Tei.847-1360
Corstrucdon No. of Stories )ccu:: nt Load 20 Sprinkiered _
This Certificate o. Occupancy DEPARTMENT OF COMMUNITY 17,EVELGPMENT
SHALL BE posted in a conspicuous plane on
the premises and shall no± be removed ex-
cept by the Building Official. by—/�,'1Z
to�j
APPLICATION FOR CERTIFICATE OF OCCUPANCYCITY OF HUNTINGTON BEACH
DEPAHTMENT OF COMMUNITY DEVELOPMENT
HJNrINM YJ DE4CH
(PRINT OR TY"PE ONLY) DA FF
ti
4ddrPss �' CS' it ° N Bc
=Business
` Name__ `T 2 —--- Tel
jisSji
-Business Type G t
Occ. Group
_ —_
BUILDING OWNER BUSINESS 0`v4NFR)MANAGER
Name L C• 51-1 () .!�-__ _'3�— WAJ
t P—ZCh 0-
Address I
City t� �i o
—__ —Horne
J
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG LJ CHANr,E OF 014NER ❑ CHANGE OF OCCUPANT
❑ EY 3T;NG BUILDING ❑ CHANGE Or'- uSE ADDMONAIL OCCUPANT
lodicate former t.se. if any — _O�c„p jncv Div
SQUARE FT OF BUILDING TO BE OCCIPIFD_,l_'F'
NOTICE:
1. Occupancy of any building is prohibited and a business license ,val not be issued until the bui' . rg has beer
in pected and a certificate of c ccupancy is issued.
2. No electrical service will be released for any existing `.wilding antil 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 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-Ifferent division of the same group of occupancy or in
"arent group of occupancy. a change of occupancy inspection fee of $
be paid to the cii,1.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of fot • (4) G
inchzs in height wiih one half (?z) inch stroke, ana of a contrasting color from the background. These
numbers must he posted on your building in a location that is visible from the street.
5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
SUPPLEMENTAL INFORMQ310N�
OCCUPANCY GROUP.—
fir
OCCUPANT LOAD _
----- _
NO OF STORK
APPROV BY
DATE
(FOR OFFICE USE ONLY)
PI.A" t HrC� NC
cE F7r e N c,
ADMI!N
'ERTIEICATF OF OCC JPAI _Y } tE
CHANGE OF USE vG? ) FAfdt' FEE
TOTAL
'S-039 Rev 681 l,�i�<.�MIL.1(�I ATV y� m Y�'.
..oe.a..+x..+.u+,+v r.J.....r....——.....1.=..�. tea..err...+..:..'.—:.-...-..+...rr,........r..-+k..�......�r+a....r........�..r:.++r�..t.:....�.��...�.:a:s.+.x..-..h
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINMN BEACH it / 0 8 ✓ t; 4
.t
Date
Address 10078 A D A M S District _
Business Name EGG R07 L ICING _ Tel. 714—Q64-442Q
Business Type CHINESE FAST FOOD Occ. Group D--2
BUILDING OWNER nUSINESS OWNER/MANAGER
Name BUSINESS PROPERTIES _ Name CHERIE PHAM
Address 17611 FITCH Address 400 KOD AK /1
City IRVINE Tel. 474•-8900 City _ ANAHEIM Home 714-974— .2F _
Construciion _ No. of Stories - Occupant Load 20 Sprinklers
CONDITIONS OF APPR�'VAL
DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy I
SHALL BE posted in a conspicuous place on the
premises and saall not be removed except by the by
Building Official.
r
Ji APP1_IC TI04 FOR CERTIFICATE E OF OCCUPANCY
- CITY CF HUNTINGTON BEACH
DEPARMENT OF C041dflUNITY OE'vELC"IMENT _
HuN7 4G70N 86ACIIII (PRINT OR TYPE ONLY) DATE
�"P,ddress r f 0 7 1-;�-4—AIY—S f s G y Dist ' t�f -
it3usiness Name � _ �p�L / 6! T
y✓ii4/SQL-� Occ. Group^ uslness Type
BUILDING OWNER BUSINESS OWNER/MANAGER
/Name CIS SS � F O 6)9, %z�S �Name_S�'
/Address ,�% 7.�3/ me
+C TGL1 ` fr=P� ddress 500 0�1/9 �A
/Cityr 9 [5 Tel.4%!Z-9P'_�A/ f/51� ! Home Tel.(7/y) 92
THiS USE WOULD BE DESCRIBED AS: E
NEWLY CONSTRUCTED BLDG. t_J CHANGE OF OWNER ff GHANGE OF OCCUPANT
l/� 11�EXIS"i ING BUILDING El CHANGE OF USE 0ADDITIONAL OCCUPANT
Indicate former use, {i any C_f A, V?. 15- 643 %� �D fl` Occupancy Gr. Div.
e
OUARE FT OF BUILDING TO BE i7CCUPIED'"�C% �}
MOl'lCE: 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 Lap' inspection in the Department of Community 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 ofthe 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. 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 background. Thesr
numbers must be posted on your building in a location that is visible from the street,
5.. Huntington Beach Fire Coda Section t0.301 requires fire extinguisher selection and distribution pe:
National Fire Protection Association pamphlet 10 (see reverse side).
SUPPLEMENTAL INFORMATION a � s �y (FOR OFFICE USE ONLY)
OCCUPANCY GROUP �� PLAN CHECK NO.
OCCUPANT LOAD - es PERMIT NO. —_
NO. OF STORIES �— ADMIN. ACTION _
CERTIFICATE OF OCCUPANCY FEE
B BY ATE CHANGE OF USE OR C.,CCUPANC`e EE
TOTAL
75-039 Rev, 11/90
CONIMVN, '?E'JE,I®PM WT
NO. PARKING SPACES -
HEALTH f EPT, APPROVAI
UTILITIES RELEAS F7n __
$
$ r
SUPPLEMENTAL INFORMATION
1. Sl SIN,ESS ADDRESS /'00 Z t1
2. Person to contact in case of emergency Cly6-YU4 &!��l_
Teiephone number:4
3. Does the building in quest;on have electricity? B Yes.
El No
(a) FS No, are you requesting that the electricity be ❑ Yes
turned on? L-1 No
4. The building is sprinklered? CrYes
Ca No
5. Operations will produce dust/wood shavings or similar �
material? Er Yes
Li NN
6. Operat;ons will involve the repair or replacement of I Yes
automobile parts? 2' No
If Yes:
(a) Describe the components repaired or replaced.
(b) aces Coe operation involve the use of an open flame'? F1 Yes
11 No
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 perf ons. ❑ Yes
Ef" , o
8. The following best describes, my operation;
Office Only
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end �.71cduct)
Restaura;ntd
Medical Dental' �
Other (describe)
suPPLIMEN AL INFORM TION
UP�,��P � TA f'_�IP��fli .N.I�TI16N (Continuedl
II
,
Does thr; 'oparation involve -any of the friJowirtg materls?. fires
CI No
if es,- indicsa: quantities- �..
lets-- l Q_ :fntity
1. ':lamma.bie liquids
'Class I -A
:Class 1-13
Class 1-C
2. Combustible liquids
...Class i l
_Class I!! -A
3. Combination flammable liquids
4. Flammable Bases
5. Liquefied flammable gases
6. - Flammable fibers - loose
7. Flammai , e fibers - baled ^�~
8. Flammable solids
i�. Unstable mateRials-
10. Corrosive liquids
11. Oxidizing material - gases
12. Oxidizing material - liquids
13. Oxidizing material - solids
14. Organic peroxides
15. Nitrornethane .(unstable materials) ^
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight _
18. Highly toxic materiel and
poisonous gas
19. Smokeless powder -
20. Black sporting powder r
I_ hereby certify that the above information is true and correct to
the best of my knowledge.
Signature D to
SOUTH G`)AST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property:_ /Do Z40)41�
Property Owner Name: _t%S��L��� �>��s�-� Phone #: Olt)
Name of the person preparing this form rn print and signature:
O
The p:;rson preparing this form must be the same pers�in applying for building permits. Please answer the
following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW
THE ANSWER TO A:QUs--STION,,MARK IN THE "'YES" COLUMW
AQMD PERMITTiNG . OECKL IST
YES NO
1. Does your facility use any internal combustion engines greater than 50HP7 - _
2. Does your facility involve mixing, blending, or processing any solvents, adhesives, paints or coatings?
3. Does your facility create arty dusts or smoke? _ _;-
4. Does your facility refine, any liquids or solids or reclaim any metals? �, � •__ � , _._
5. Does your facility -'piste or coat anything?
6. Does your facility have any combustion equipment furnaces,
broiler, Eakin___g oven<,, etc.j rati-;g greater than 2,000,000 STUJHR?
7. Does your facriity handle or store solvents or ;Motor fuel?
8. Do you use or store any -acids?
9. Do you use any chamical process? _ r
10. Do you use piny ;solvemt4 for clean-up? fd
11. • Are you a dry cleaner, restaurant with a charbroiler, body shop, gasolina
station, printer, or part coater?.12. is the subject building located withirt one ►housand (1,000) feet of any �
school? PROPERTY LINE TO PROPERTY LINE, GRADES K-12.
V you have marked "NO in all columns, you do not oeed an Air Quality permit of ;his time. If you have r,larked
arty questions in the "YES" column you must contact the South Coast Air Quality Management Dlstdct located at:
21656 E. Copiey Drive
Diamond Bar, CA911766-4_ 82 ---
Please call: t n Check (909r 396-2000
Government Code Section .06,850.2(b) requires that the City of Huntington Beach not 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 Department of Community Development must
obtain a written Tease from AQMD to show the applicant hF;s complied with this law. The check
list on the reverse side is designed to heip the applicant and the building division to meet these
requirements.
1. The applicant (the same persors who applies for permits from the
Department of Commynity Development) must complete the check list
which can be obtained either from the Department of Community
Development 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 it the list, the applicant must contact ari
A010 engineer by calling (714) 396-2000 to find out whother air permits are
required for the proposed construction project.
4. If air permits are not required, the applicant will obtain a written release from
AONID.
`-5. If air permits are required, the applicant must submit the necpssany permit
applications before the release can be issued.
Because of the time it may take for AQt4D to go through the above procedures, the applicant is
advised to contact AQMD immediately after applying for building permits.
p�p•�
,i„4�j0'JUI'I 07 '94 k71 2AFirl ;CAQMD
South Coast
AIR QUALITY 1V1AN AG EM NY D r SYRICT
21865 E. Copley D►rivo, Clamond Bar, CA 31765-4182 (714) 390 2000
ti
DATE : June 71 1994
TO: Huntington Beach Building Department
FROM: Arthur b-%wler, Air Quality Engineer
SUB=Ts BUILDING PERMITTING UNDER AB3205, WATERS BILL
Rogaarding FLAN CHECK # t
r OCATIONt Egg Roll King
1.0078 Adams St.
.Huntington Beach, CA.: 92646
P.2/2
This site has met or is meet:.O!qq the requiretnents o£ Seation
42303 cof the Health and Safety Code and the requirements for
a permit to construct and operate for the South Coas. kir
Quality Management Districk. .
X
APPLICANT HAS ALL REQUIRED PERMITS FROM THE SOUTH
COAST AIR. QUALITY MAVAGEMENT ;DISTRICT FOR THIS
DTTE AND/OR PLAN CHECK ONLY.
APPLICANT HAS FILED FOR PERMIT'S TO CONSTRUCT
EQ7 ,''MEN`z' WITH THE SOUTH COAST AIR Q�7�iLITY
MANAGEMENT DISTRICT. 11
APPLICANT IS EXEMPT PROM PERMIT REQUIREMENTS AT
THIS SITE AND/OR 'PLAN CHECK ONLY.
Oven c 2:000. 40 BT"/IIZ'. -- --
RBVI5Bri ?/13i89
�. ,
CERTIFICATE OF OCCUFrANCY ,
CITY OF HUNTING^TON BEACH E Me/ 9
r
� a!e
Address ,(;Q'!R G�,fi`: _ _ District
F,'usiness Name EGG ROLL NI1,113 Tel. 7 if Wa6i}f. ,;�4
Business Type CHINESE FAQ" F'001 _ Occ. Group _ E-.2
BUILDING OWNER 3U9INE8E OWN.Ei AZANAGER
Name
SUSINES;; FfiU RTI L Nance t FE`iIk c VAfi
Home
Address 1 (, '4'ITr11 Address ?,0C' F +iF)T A P,_
City IRVINE _ (aL u7t! .�4�(?L City AteAc=!N� dome '7t1-F;PrF
Construction No. of Stories Occupant Load `C Sprinkle+=
CONDITIONS OF APPI30VAL
DEPARTMENT CrF COMMUNITY DEVELOPMENT
This Certificate �f Occwpancy
SHALL aE potted In a conspicuous placa on the 2 J
premises and shall not be removed except by the by , .'.'�
Building Official.
i
I
COMMUNITY DEVELOPMENT
U
APPC LIATION FOR CERTIFICATE OF OCCUPANCY
'CITY OF HUNTINGTON BEACH
HUNT1NrTON 8Fg0:1 OEPARTMENT OF COMMUNITY DEVELOPMENT
(PRINT OR TYPE ONLY) /DATE
dress . 10D % /V% Li k rw(-Cr/ 2/y rSL�i7 Dist
>I
,4u''siness'Name /1 ,�oL.� e/41� _may, T I
t3usinessType- (zv
r^ ��- �L "'� Occ.Group
BUILDING OWNtr BUSINESS OWNERIMANAGER
�me P2 me"L{�—i�%
me
Address / 743 / T_ �L<i' � ddddress 1100 k o P.IAi� 04
zyii7_ it/� Te1. L!�-�'9p�'city_�if%f1H�1�1 Home Tel. (.'/u)9.7
-V3 w '.
THIS USE'WOULD ,BE DESCRIBli-ED AS:
❑�NEWLY CONSTRUCTED BLDG. C CHANGE OF OWNER E CHANGE OF OCCUPANT
1 J EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate fcrmer use, if any_�SEl�S % /�� �% Occupancy Gr. Div
QUARE FT. OF BUILDING TO BE OCCUPIED
NOTVE: 1.
Occupancy of any buildinq is prohibited and a business license w'U not be issued until the building has been
inspected and a certificate of occupancy is issued.
2.
No eiectrical service will be released for any existing building until the service has been inspected and
certified safe. All applicants for occurancy 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 inspection fee. Wh,,never it is necessary to make inspection of a building or
premises in order to determine if a change may be n-ade 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
u�/
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 color from the backgroutld. These
numbers must be posted on your building in a location that is visible from the street.
5,
Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association 10 (see reverse side).
pamphlet
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION r7 � ZONING —
rj
OCCUPANCY GROUP
PLAN CHECK NO. NO PARKING SPACES
OCCUPANT LOAD PERMIT NO HEALTH DEPT APPROVAL —
NO. OF STORIES
ADMIN, ACyIORI— UTILITIES RFLEASED
�'A CERTIFICATE OF OCCUPANCY FEE
$ R 3Y
ATE CHANGE OF USE OR OCCUPANCY FEE S
TOTAL S.
75-039 Rev, 11/90
COMMU rlr-0EVELOPMENi
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS /7 /� /%�l�S' ///1N15'L /, �%"y.r/ t�c2AC/i
2.
Person to contact in case of emergency'
Telephone number: �'7/42 !Z 7!/ - -3-14-6
3.
Does the building in question have electricity?
0-1-yes
❑ No
(a) If No, are you requesting that the electricity be
❑ Yes
turned on?
❑ No
4.
The building is sprinklered?
eyes
❑ No
5.
Operations will produce dust/wood shavings or similar
��
material?
0 Yes
❑ N�
6.
Operations will involve the repair or replacement of
l Yes
automobile parts?
C�"Klo
If Yea:
(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
23'No
8. The following best describes my operation;
Office Only
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and snd prodhict)
Restaurant, Take Out Food
Medical / Dental
Other (describe)
SUPPUMENTAL INFORMATION
- - = A- .,arc
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials?
/Yes
0 No
If
Yes, indicate quantities:
Material Quantity
1.
Flammable liquids
Class I -A
Class t-B
Class I-C
c.
Combustible liquids
Class II
Class 111--A
3.
4.
Combination flammable liquids , -
Flammable gases
5.
Liquefied flammable gases
6.
Flammable fibers - loose
7.
Flammable fibers - baled
S.
Flammable solids —�
9.
Unstable materials
10.
11.
Corrosive liquids
Oxidizing material - gases
12.
Oxidizing material liqu,;Js
13.
Oxidizing material - solids_-�
14.
Organic peroxide
15.
Nitromethane (unstable materials)
` 16.
Ammonium nitrate �___•_____•_ __._.____
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
18.
Highly toxic material and
poisonous gas
19.
Smokeless powder
20.
Black sporting powder
1 hereby certify that the abo;re information is true and correct to
the best of my knowledge.
Signature D6te
u,)vernment Code Section 65850.2(b) requires that the City of Huntington Beach not 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 Department of Community Development 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 to meet these
requirements.
1. The applicant (the same person who applies for permits from the
Department of Community Development) must co,,iplete the check list
which can be obtained either from the Department of Community
Development or at AQMD.
2. If all boxes in the list are r_.hecked "no", the Building Division can accept the
check list as the ralease.
s. If there are any "yes" answers in the list, the applicant must contact an
AQMD engineer by calling (714) 396-2000 to find out whether air permits are
required for the proposed construction project.
4. If air permits are not required, the applicant will obtain a written release from
AQMD.
.5. If air pery-nits 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 immediately after applying for building permits.
ADDNIONALSUPPUMENTALINFORMATION - I
SOUTH COAST AIR QUALITY MANAGEMENT DISTR20T
(Nonresidential Buildings Only)
Location of Subject Prop erty:_Loo_j_r" 1 . -_ �1llr' r1 '`!� �-� . j� z Ih C `J
Property Owner Name:_�l�j1i_CSS �1j d ��� —��� .__ Phone #: l' J _
Name of the person preparing this form in print and signature:
._�� _ �11r`% —_- _-- Signatures _,, Name:
The person preparing this form must be the same person applying for building permits. Please answer tie
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
NO
1. Does your facility use any internal combustion engines greater than 50HP?
2. Does your facility invoive mixing, blending, or processing any solvents.
adhesivor;. paints or coatings?
3. Does your facility create anti dusts or smoke?�-
4. Does your facility refine any liquids or solids o. reclaim any metals?
5. Does your facility plate or coat anything?
6. Does your facility have any combustion equipment (i.e. b.�f, furnaces,
broiler, baking ovens, etc.) rating greater than 2,000.000 BTUIHR?
7. Does your facility handle or stare solvent^ or motor fuel?
8. Co you use or store any acids?
9. Do you use any chemical process?-
10. Do you use any solvents for clean-up? /00,
11. Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline
station, printer, or part coater?
12. Is the subject building located within one thousand (1,000) feet of any
school? PROPERTY LINE TO PROPERTY LINE, 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
any questions in the "' ' column you must contact the � uth Coast Air QL:ality Management District
located at:
21865 E. Copley Drive
Diamond Bar, CA 91765-4182 ---
Please call rCheck (809) 323.2000
4
V"JUFI ni '94 01:20PM SCAQMD
South Coast
AIR Q1)ALITY MANAGEMENT DISTRICT
21865 E. Drive, Uamond Bar, CA 91765-4182 (714) 396-2000
DATE-. June 7, 1994
TO: Huntington Beach Building Department
FROMtx,Arthur Lawler, Air Quality Engineer
SUBaZCT: BUILLING PERMITTING UNDER AB3205, WATERS BILL
Regarding PLAN CHECK #t
LOCATION't Egg Roll King
10078 Adams St.
Huntington Beach, CA. 92646
P.2/2
This site has met or is mee —ng the requirements of Section
42303 of the Health and Safety Code and the requirements for
a permit to construct and operate for the South Coast Air
Quality Management District .
APPLICANT HAS ALL REQUIRED PERMITS FROM THE SOUTH
COAST AIR QUALITY MANAGEMENT DISTRICT FOR THIS
SITE AND/OR PLPN CHECK ONLY.
APPLICANT HAS FILED FOR PERMITS TO CONSTRUCT
EQUIPMENT WITH THE SOUTH COAST AIR QUALITY
MANAGEMENT DISTRICT.
X APPLICANT IS EXEMPT FROM PERMIT REQUIREMENTS AT
THIS SITE AND/OR PLAN CHECK ONLY.
Oven ¢ 20 ) 0 0 0 0 BTU Fir
RBVJSJdl] 7/13189