HomeMy WebLinkAbout10086 Adams Ave - CofO1:
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HLINTlNGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
Hvrvrvc�c�i ff eoi
(PRINT OR TYPE ONLY)
Address
Business Name
Business Type
Horne
THIS USE WOULD BE DESCRIBE! AS:
11 NEWLY CONSRUCTED BLDG C� CHANGE OF V WNEP
r—
El EKSTING BUILDING CHANGE OF {SE
Indicate former use, if any
SQUARE FT. OF BUILDING TO BE OCCUPi(nD___,l!.,Y.-7 -2�_
Gr1
DATE
District
Tr I~-s�— s'/��s
i
Occ ;iroup
S OWN£)WANAGER
CHANGE OF OCCUPANT
EJ AnnITIONAL OCCUPANT
NOTICE' 1. Occupancy of ary building is prahib'..ed and a business license will not be issued until the building has been
inspected and a certificate of occupancy is issued.
2. Nlo 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 Jp' inspection in the Department of Community Levelopment at the :;me this application is filed.
3. Change of occupancy or use inspection fee. Wherever it is necessary to make inspection of a building or
premises in orde .o determine if a change maybe 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. Huntington Beach Fire Cz)de Section 10.208 requires that building numbers must be a minimum of four (A)
inches in height with one half t" iimrh stroke. and of a contr-;stirg cok.)r from the background, The;�e
numbers must be posted on yr. or bui ding in a location that is visibly from the street.
b. Huntington Beach Fire Code Section 10.001 require;; fire exti.ngui;her sefection and distribution per the
,'ationai Fire Protection Association pamphict 10 isge reverse Sid=tl.
A
. % (FOR OFFICE USE ONLY;
OXUPANC4 t,i,4} t� _�-- ry
- - —
NO OF S T'0 S _ "*
APFRO ED �� ._, s'Arv."Y
A
Ti. t�k P T APPROVAL
75.039R" '!r97
SUPPLEMENTAL INFONNIATION
1 BUSINESS
ADDRESS
-7/
2. Person to
ccntact
in case of
emergency.:_
Telephone
number
`2 _2S
3. Does the
building
in question
have electricity?
eyes
❑ No
(a) If No,
are you requesting
that the electricity be
❑ Yes
turned on?
❑ No
4. The building is sprinklered? L�`Yes
❑ No
5. Operations will produce dust / v,ocd shavings or ,,imilar
material? ❑ Yes
, Q'No
5. Operations will involve thF i epair or replacement of ❑` Yes
automobile parts? P''No
If lies:
(a) Describe the components repaired or replaced.
(b) Does the operation involve; the use of an open flame? `El Yes
2 No
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persona. CJ Yes
VNo
8.. The following best describes my operation;
Office QnLy
.541 Sal sr -
ere ouse
Manufacturing / Distribution (describe process and end produ,t)
Restaurant/Take Out
Medical / Dental
Other (describe)
SUPPLEMU,ITAI. AFORMATION
Does
ur
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cka sol
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L q u f
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1 an t, 1
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CS:na e
20
z�•U10ia s ttuc, Pro C,
South Coast
Air Quality Management District
P s 21865 E. Copley Drive, Diamond Bar, CA 91765-4182
(909) 396-3529 • hrip:/hvww.agmd,gov
Air Quality Permit Checklist
California State Law Code 65850.2 prohibits cities from issuing an occupancy permit to a
business without clearance from the local air quality agency. This checklist will determine if you
need to obtain clearance from the South Coast Air Quality Man2gement District (AQMD).
Company -Name:
Property Address
City:
Contact Person:
Type of Business:
Applicant (pi;nt name)
de
Will the facility have any of the following equipment? Yes[ No I
Charbroiler 1
Dry cleaning machine l
Spray booth
Printing press(screen/lithographic/flexographic)
Internal combustion engine (greater than 50 BP (excluding motor vehicles)
Boiler/combustion equipment (greater than 2 million BTU/hr. maximum input)
Abrasivl- blasting cabinetlroom
Baghouse/cartridge-type dust filter/scrubber
Motor fuel storage and dispensing equipment
Will any of the following operations be performed? Yes[ ] No
Application of paints or adhesives
Etching, plating, casting, or melting of metals
Molding, extruding, or curing of plastics
Mixing and blending of liquids and/or powders
Storage of acids, solvents, organic liquids, or fuels
Production of fumes, dust, smoke, or strung odors
If you .answered "No" to both questions, this checklist is your clearance from AQMD. If you
answered "Yes" to either question, you must contact AQMD to determine if air quality permits
are required. If permits are needed, AQ:NID will assist you in submitting permit application(s)
and then provide you with a clearance letter. You can call AQMD at their Small Business
Assistance Office at (800) 388-2121.
Revised February 1999