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Home My WebLink About10088 Adams Ave - CofO11 ------------------------------------ CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH :/25/:7 Date Address 1 r1 n R B A r, A m c District Business Name TAE 10JIK ATI 7Cif1L Tel. i14--378-944 Business Type DI A R T I A L A tl T S_ Occ. Group U BUILDING OWNER BUSINESS OWNER/MANAGER Name BUSINESS PROPERTIBL Name '10HN T. POUNDSTON Home Address 1 7 n 4 1 ET z r t= Address o 1 7 3 PTiUR Tel. ^r 1tt_!t r L'..H inn) Home 1tt..o City 1�i7_ City HIIPIT i 1�GTC �, Tel. ? t7,� 1 .fi7 Construction No. of Stories 1 Occupant Load 4 O Sprinklers CONDITIONS OF APPROVAL This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the Building Official. DEPARTMENT OF COMMUNITY DEVELOPMENT Sl� by_ COMMUNITY DEVELOPMENT 0 Address J 0 0 Business Name Business Type — Name Addre City_ PL.ICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT-9 (PRINT OR TYPE ONLY) DATE V• District Tel. Occ. Group i Tel. pd �zo THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER ❑ CHANGE OF OCCUPANT- ZZEXISTING BUILDING n� ❑ sC��HA"N` E OF USE .j�❑ ADDITIONAL OCCUPANT Indicate former use, if any '"I`� [Jt 3zC�,\ Occupancy Gr. ,J Div. SQUARE FT. OF BUILDING TO BE OCCUPIEang'g� Q �� NOTICE: 1. Occupancy of any building is prohil- -d and abusine ;s license will not be issued until the building has been inspected and a certificate of occ )ancy 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 Depart:vent of Community Development at the ;'-ne this applicator, 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. HL.itington i3each 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 contra^Ling color from the background. These numbers must be posted on your building in a location that is . >ible 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). TRAFFIC IMPACT FEE DATE PAID AMOUNT RECEIV " NAME t CQ (FOR OFFICE USE (,:.I..Y) ZONING SUPPLEMENTAL INFORMATION (� OCCUPANCY GROUP PLAN CHECK NO. NO PARKING SPACES OCCUPANT LOAD �� i F PERMIT NO HEALTH DEPT APPROVAL NO. OF STORIES L ADMIN. AC71ON_ 2— UTILITIES RELEASED CERTIFICATE OF OCCUPANCY FEE $ APPRO� DATE CHANGE OF USE OR OCCUPANCY FEE a 1- 3''S=`7'� TOTAL $ 75-039 Rev.1/97 COMMUNITY DEVELOPMENT SUPPLEVENTAL INFORMATION 1. BUSINESS ADDRESS /0099 ,AVAV-),!�' A-V 2. Person to contact in case of emergency`r� ) Telephone number:5'- 3. Does the building in question have electricity? U-1es ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? ❑ Yes ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes [J 0 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? MIN If Yes: (a) Deewribe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes 19-ta'b 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes M-ITO 8. The following best descri;je., my operation; Office Only Retail Sales Warehouse Man ufactu-iiig / Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other (describe) mz %4z s SUPPLEMENTAL 1NF ?RMATION SUPPLEMENTAL IW ORMATION (Continued) Does the operation involve any of the foilowirq materials? E 6s No It Yes, indicate quantitie4u: Material Quantity 1. Flammable liquids Class I -A Class I-B Class I-C 2. Combustible liquids Class II Class ill -A 3. Combinatior flammable liquids 4. Flammable gases 5. Liquefied flammable gases 5. Flammable fibers - loose 7. Flammable fibers baled 8. Flamm, ble solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. Organ!-, peroxides 11 Nitrorrethane (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 - - I hereby certify that the above information is true and correct to the best of my knowledge. / Si ature Date C, t M: 4-' South Coast AIR QUALITY R�"�ANAGF.,�/ ENT DISTRICT \ 24,865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AIR QUALITY PERMIT CHE(l -LIST for nonresidential buildings oily Company Name:. Location of Property: �) fi�ae8 l y'f ) J %) 1 A V City: 2;2Zip Code: Contact Perscn: 1500 Ad Title: Telephone Number: . 3JG lob —Fax Number: Type of Jndus Business: YP l'�'1 �3I.-,i�� 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? 2. Will any internal combustion engine with greater than 50 horsepower operate at the facility (excluding motor vehicles)? [ 1 [ G]f 3. Will operations at the facility involve mixing, blending, or processing of solvents, adhesives, paints or coatings? [ ] [ i 4. Will dust or smoke be generated at the facility? 5. Will refining of any liquids or solids be done at the facility? 6. Will any pl, ng 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? [ ] [ & Will any acids, solvents, or motor fuel be used or stored at the facility? [ ] [ 9. Will any r rganic liquids or gases be reacted or produced? [ ] [ 10. Will ary ovens be used to dry or cure products at the facility? 11. Will any CFC (Freon) recycling machines Operate at thAfacilli Applicant: '` �h Jho1. .5/��1�1��'�Xknature: (Print name clearly) If you have marked "NO" in all `ale 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. (8ca) 38j-2121 PT)DI TONAL SUPPLEMIENTAL INFORMAMON 1 J 11. APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT i!UNtTttiGfON AEAO4 (PRINT OR TYPE ONLY) DATE Address _ ,fin D ci Ad, L Lam, /1-S.'7,>- District z l.Arr 1 Business Name l'iS-dY1S' A-cr�iey4R._� Business Type Z'%tcr 6 -^ 1 R rZ ` Occ. Group t BUILDING OWNER BUSINESS OWNERIMANAGER Name_&.t_Ln �--rr 1% -1F,_r Name K ✓ePnHome Address L7 6 31 Address / K V 2 S City Telq 47y- TVI)City r_V w - / Home TeLV14M1W u THIS USE WOULD BE OF -SCRIBED AS: � � { ❑ NEWLY CONSTRUCTED SLDG. L I CHANGE OF OWNER CHANGE OF OCCUPANT EXISTING BUILDING t , ❑ ;HANGS OF USE ❑ ADDITIONAL OCCUPANT GoaY 1j Indicate former use, it any r C' Occupancy Gr.-Div, _ SQUARE FT. OF BUILDING TO BE OCCUPIED.Q b NOTICE: 1. Occupancyof 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 exist uiiding until the service has been inspected and - certified safe. All applicants for occup existing wilding are required to schedule an electricail 'fuse up' inspection in the Departm t of Community Deve pment ac the time this application is lik-d. 3. Change of occupancy or use in a lion fee. V henever it is ecessary to make inspection of a building or premises in order to determine' a change m y e made in t cha. z aerof occupancy or use of the. building or premises which would pla a ildin 'n Iff rent ivision of the same group of occupancy or in a diligent group of occupan , a ha ge f I cu y ' spection fee of $ shall be paio to the city. 4. Huntington Beach Fire Co Secti .208 requi s that building numbers must be a mi;timum of four (4) l inches in height with one t If (1/2) incr, stroke, nd of a contrasting color from the background. These numbers must be posted on our building i a location that is visible from the street. 5. Huntington Beach Fire Co'301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). g 3 � fFl lit - TRAFFIC IMPACT FEE -- DATE PAID AMOUNT RECEIVED � � (FOR OFFICE USE ONLY) NAME _ ZONING OCCUPANCY GROUP PLAN CHECK NO NO PARKING SPACES OCCUPANT LOAD PERMIT NO. HEALTH DEPT. APPROVAL NO. OF STO ES ADMIN. ACTION UTILITIES RELEASED t 1. iFICATE OF OCCUPANCY FEE $ 115s_^ APPROVED DATE C ANGE OF USE OR OCCUPANCY FEE TOTAL $ 1 76-039 Rev. 1/87 COMMUNITY DEVELOPMENT SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS ) Qn Z;?- A s AJz 2. Person to contact in case of emergency- X''e-Ja n Eh i n Telephone number: 71 Y) 3-7r-92 / � 6 3. Does the building in question have electricity? S Yes ❑ No (a) if No, are you requesting that the electricity be ❑ Yes � Ye turned on? ❑ No P 4. The building is sprinkiered? ales No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes i 0-INo 6. Operationb ;will involve the repair or replacement of PY sautomobile parts? If Yes: (a) Describe the components repaired or replaced. I } ❑ Yes (b) Does the operation involve the use of an open flame? C No 7. The Business is drinking, dining or assembly use that will , result in an occupant load of mare than 50 persons. ❑ Yes No 8. The following best describes my operation; Office Only Retail Sales Warehouse k Manufacturing / Distribution (describe process and end product) i i Restaurant/Take Out Food Medical ! Dental Other (describo) I cLsQ Ar t-r _ 1 SUP?LEMENTAL INFORMATION J i