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HomeMy WebLinkAbout10101 Adams Ave - CofOCERTIFICATE OF OCCUPANCY CITY OF HUNTINCTON BEACH Sept. .2E, 1977 DEPARTMFNT OF BIAI DING & COMMUNITY DEVELOPMENT ate HUNTINGi C)N BEACH This is to certify that the— Barker Shop as authorized under Building Permit No, Exi.stiug and is identified as 10101 Adams Avenue, HUntiaa ton Beacb, � adrlrttsv California and described as The [fair Shack in the building owned by at nameaddress complies with the provisions of ,all pertinent laws, curie°., ordinances and any imposed conditions for the use described and classified as an_ F— uccuoancy. MAXIMUM OCCUPANT LOAD PERMITTED No tice: This Certificate cf Occupancy SHALL BE posted in a conspicuous placu on the ptemiszs and shall not be removed except by the Building Official. IVJohn F. Behrens prectar of Building & Community Development APPLICATION FOR CERTIFICATE OF OCCUPANCY' t'_itv of FT-y-ntinator. 'Reach nPnnri-mPni of RniiAinrT x rnn-ii,ni+. FOR APPLICANT TO FILL IN (Print or type only) DATE Application is hereby r-ade for a Certificate of Occupancy for a: /ML t De`scribe Bu zness Use �To be known as Name of Business j 0 Located at 1,� `.1/p Business Address Name: BUILDING OWNER Address City Zip Phone No. THIS U5E WOULD BE DESCRIBED AS: Newly Construezed Building Change of Owner Change of Occupant Existing Building Change of Use Additi1 Occupant. Indicate former use if any/d'Li,C.. Name. BUSINESS OWNER Residence Ad ess City Zig; Phone No. - Business: Residence: NOTICE: 1. Occupancy of any building is prohibited and a issued until the building has been inspected business li^ense will not be and a Certificate of Occupancy is issued. 2. No electrical service will be ,released for an- 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 Building and Community Development at the time this application is filed. �j�•! 3. CHANGE OF OCCUPANCY OR USE INSPECTION FEE. Whenever it is necessary to make 1 inspection of a building or premises in order to determine if a changes may be made in the character of occupancy or use of the building or premiss+s 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 $25 00 shall be pai' to the City .3 e y� u (FOR MIT C USE OI-iLY) SUPPLEMENTAL INFORMATION c��L&. }_. Sq. ft. of building r Ran Check No. Occupancy Group- Z Permit No. Occupant Load / 7 Admin. Action No. of Stories No.. Parking Spaces r Health Dept. Approva•,,�- �� Utilities Released— APPROTdED BY DATE k CERTIFICATE OF OCCUPANCY FEE r 5.00 (#75-039) CHANGE OF OCCUPANCY OR USE INSPECTION FEE TOTAL Y HUN (INGTON BEACH Address Business Name.,_,___ Business Type E-thl DING OWNER CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF DEVELOPMENT SERVICES Date District — Tel, _ Occ. Group_ OWNER/MANAGER Name ...... �,. _w Name Address . _ ...._ .,._ __ Address,.._ -____.._. City______. _ _ ___ �. Tel. City t:onstruction __.. _...._.__..No— of Otories ._Occupant Load _ _-Sprinklered This certificateof Occupancy MALL postec�in a conspicucus plice on 'n's5 and shall rot be removed except e Buifa;np Official. Tel. _ DEPARTMENT OF DEVELOPMENT SERVICES by �4 APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF DEVELOPMENT SERVICES Hi' 1nNGYON REA'H (PRINT OR TYPE ONLY) DATE Address __ _ lC,��`I''1 / Aw District Business Name—.ATel. �—,,, f•).� _ Business Type M, nl .Q+Y •`viz . e"S_ r ° yr�:X c� ✓f^ s Occ. Group' +" e , BUILDING OWNER_ OWNER/MANAGER i ") Name L ���c'`�� CX) . t t Name Address `+��= ur�tr � 1 4 �_ 4VP Ait' i Address I 4rxtsw' CiTV '' 4en °pr'! 6.� Tel. City ���E_"_��"Leiiel. THIS USE WOULD BE DESCRIBED AS: F NE, = CONSTRUCTED BLDG. EXIST't'46 BUILDING Indicate `ormer use, if any ._ CHANGE GF OWNER V CHANGE OF USE El CHANGE OF OCCUPANT ADD'TIONA L OCCUPANT _ Occupancy Gr. NOTICE: 1. Occupancy of any building is prohibited and a taoa,iril:ss iicem,o will not be issued until the building 1 has beer; inspected and a certificate of ocuup—�Ancy is issued. 2. NO electrical service will be released for any existing building until the 3errice has been inspected and certified safe. All applicants for occupancy in an existing building are required ro schedule an eiectrical 'fuse up' inspection in the Department of Development Services at the time this applica- tion is filed. 3. Change of occupancy or Ilse inspection fee. Uk :enever ie is necessary to make inblwotiun of a build- ing o= premises in order to determine if a ehango may be made in the character of car:copancy or use of the building or premises which would place the building in a different division Of the same group of occupancy or in different group of occupancy, a change of occupancy inspection fee of $30.00 shall be paid to the city. 4. Huntington Beach Fire C aria Seerion 10.20R ranijiroe that k­*,1 J ,j n_,mhsnre —uat [me a min1niurn of fCur (4) inches in height with one half inch stroke, and of a contrastinc color from the back- ground. These numbers must bs 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 distribut;on ;_,r the National Fire I rotectiun Association pamphlet 10 (see reverse (FOR OFFICE USE ONLY) SUPPLEMENTAL t"FORMATION SQUARE FT. OF BUILDING /,20 OCCUPANCY GROUP OCCUPANT LOAD NO. OF STORIES APPROVED BY DATE PLAN CHECK NO. PERMIT NO. — ADMIN. ACTION CERTIFICATE OF OCCUPANCY FEE CHANGE OF OCCUPANCY FEE TOTAL NO. PARKING SPACES _ HEALTH DEPT. APPROVAL .._, UTILITIES RELEASED__./� �y 75-039 REV. OVELO EAT S'EMCES T- ® CERTIFICATE OF OCCUPANCY IJ CITY OF HUNTINGTON BEACH I _ DEPARTMENT OF DEVELOPMENT SERVICES Date ( HUNTNGTON BEACH Address DistrictL___ Business Name—__ Tel. _ Business Type _ _ _. Occ. Group --- .BUILDING BUILDING OWNER OWNERWANAGER Nance Name Address Addresr City Tel. City Construction No. of Stories_ Occupant Load_ ..,..Sprinklered Notice. This Certificate of OccUNattcy SHALL 13E pasted in a conspicuous place on the premises and shall not be removed except by the Building Official. Tel. DEPARTMENT OF DEVELOPMENT SERVICES by� �'t. tAo NUNfINGTCNd SEACH APPLICATION FOR C1!1TIFICATE �)F OCCUPANCY CITY OR H'UNTINOTON BEACH DEPARTMENT OF DEVIL OPMENT SERVICES (PRINT OR TYPO ONLY) .Address /Q Busines- Ngtm 1-1,9 U A I Business g £ 8UI1 D NG OWNER EER Name .�� i� �..%Ua� j!.._... _ - Address CZ.S.P;.� riiy ,_P�a, Tel. THIS USE WOULD BE DESCRiBED AS: DATE District Tel. Occ. Grount Sq OWNERI-MANAGE 5 —'2. Address City C - E CJ_. �`� �2_si Tel. Ej NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER V CHANGE OF OCCUPANT EXISTING BUILDING' 0 CHANGE OF USE ADDITIONAL OCCUPANT indicate former use, if any as L� Occupencu Gr, ---Div. NOT 0E: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has'teen inspected and a certificate of occupancy is issued. 2. No electrical service will be released for any existing building until the service ha a9$1 inspected and certified safe. All applicants for occupancy in an existing building are requireu 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 catermine if a change may be made in the character of occupancy or use r 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 $30,00 shad be paid to the city, 4Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) inches in heigt,,t with one half (1/2) inch stroke, and of a contrasting color from the back- ground. These numbers mu+,t 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 ,y per the National Fire Protection Association pamphlet 10 (see reverse 'de 7%�d d _ (FOR OFFICE USE. ONLY) SUPPLEMENTAL INFORMATION SQUARE FT. OF BUILDING Y OCCUPANCY GROUP OCCUPANT LOAD ,! NO. OF STORIES -- - t APPROVED BY DATE PLAN CHECK NO. ___ NO. PARKING SPACES PERMIT NO.HEALT14 DEPT. APPROVAL ADMIN. ACTION UTILITIES RELEASED _.� CERTIFICATE OF OCCUPANCY FEE $ - -- ------ CHANGE OF OCCUPANC11-FEE $ TOTAL $ i5-039 "iEV. DEVELOPMENT SERVICES APPLICATION FOR CERTIFICATE OF ©CC!!FA(►!CY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUHITY DEVELOPMENT RUNnIGTON ff lOt (PRINT OR TYPE ONLY, DATE Address IQ 10 8-141+^Nc�, �-_ IVVA'�IliV IVI �Sc'A4,1-. C, C"i W( District — Business Name 4--IC2044, � yc3aS. U ti i Sy L Tel j7 ;-- - - L-1'7 t _^ Business Type 9e -,,- Occ. Group —4 BUILDING GYMER BUSINESS OWNEWMANAGEH Name_ �j "•IP C� • Name 311tA-j_-_ S_ Address. ) �� f� nx^ c��s�v� f 'e�� Home r' �z� �v - Address4;IA1 Z.. A-v— City Lcm, .. 4� City Got�_ %C0-Ve �L 'kMOHome TeL 1 *c, 'f°e- ,HIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. 5�CHANGE OF OVJNFR —[�CHANGE OF OCCUPANT ❑ ❑ -I!Q, EXISTING BUILDING CHANGE OF USE ADDITIONAL OCCUPANT Indicate former use, if any. T_NAJWS (J,jD1_y jNS �ICAir Occupancy Gr-_ __ __ _Div. SQUARE FT. OF BUILDING TO BE OCCUPIED NOTICE: 1. Occupancy of any building is prohiL'ted 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 wi:1 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'ime this application is filed. 3. Change of occupancy or use inspection fee. W'.enever it is necessary to make inspection of a building or premises in order to determine if a change may be made in the charactE. of _)ccupancy 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, Huntit; 1,4nn Beach Fire Code Section 10.208 requires that building numbers mustbe a minimum of four (4) inches in height with one half (1,12) inch stroke, and of a contrast`ng color from the background. These numbers must be posted on your building in a location that is vis!ble 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). I ) f L- TRAFFIC I ACT FE- DATE PAID _ AMOUNT R NArdE (FOR OFFICE USE ONLY) ZONING C�'�� 066 PANCY GROUP _ PI. AN CHECK NO. t� NO PARKING SPACES OCCUPANT LOAD % PERMIT NO HEALTH DEPT. APPROVAL NO. OF STORIES ADfvIIN. ACTION UTILITIES RELEASED 4za) C/ CERTIFICATE OF OCCUPAI-CY FEE $ HOVE BY .ATE CHANGE OF USE OR OCCUPANCY FEE $�� I TOTAL 75-039Rev. tl9T COMMUNITY DEVELOPMENT SUPPLI.MENTAL INFORMATION 1. BUSINESS ADDRESS IV]. (-:-)I 4�1-&wVS, A.,,P, );,�rya Ldk, t 2. Person to contact in case of emergency: — Telephone number: 2:-j ? 3. Does the building in question have electricity? M�-Y es ❑ m0 (a) If No, are you requesting that the electricity be turned on? ❑ ro^ 4. The building is sprinkiered? ❑ Y L� IV0 5. Operations will produce dust / wood shavings or similar material? ❑ Yes 6. Operations will involve the repair or replacement of ❑ Yes y: automobile parts? 100 If Yes: (a) Describe "ae com; nents repaired or replaced. (b) Dot3s the operation involve the use of an open flame? Q! Yes �WNo The business is drinking, dining or assembly use that result in an occupant load of more than 50 persons. ❑ Yes ,R-No B. The following beset describes my operation; Office Only Retail Sales Warehouse Manufacturing / Dist, ibution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other (describe) _— SUPPLEMENTAL INFORMATION SUPPLEMENTAL tNMI9, T1014 (Continued) Does the operation involve any of the fallowing materials? L Yes No If Yes, indicate quantities; _ Material _— Quantity _ I. Flammablo liquids Class I -A Class I-B Mass I-C 2. Combustible liquids Class 11 -Class 111-A 3. Combination flammable liquids 4. Flammable gases S. Liquefied flammable gases --- 6. Flammable fibers - loose 7. Flammable fibers - b,.led - - 8. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing -material. - gases -� 3 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. 'Organic peroxides 15. Nitromethane (unstable in,,teriali) 16. Ammonium nitrate 17. Ammonium nitrate compound mixture:; 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 est of rriyq knowledge. gnature Date 1. South Coast AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AIR QUALI'CY PEPUNUT CHECIMIST for nonresidential buildnigs only Company Name: _ _4, Location of Properly: VDI M City: ��-1�1�.c� Zip Code: Contact Person: _vi -z A ,yAA oe. — Title: , � 1vAe K Telephone Number: 7114— 5q l— L4-7 l t Fax Number: Type of Industry/i3usiness: 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)? [ ] 3. Will operations at the facility involve mixing, blending, P processing of solvents, adhesives, paints or coatings? [ ] 4. Will du it or smoke be generated at the facility? [ ] 5. Will refiring of any liquids or solids be done at the facility? [ i 6. Will any plating or coating of materials be done at the facility? [ j 7. Will any combustion equipment rated greater than 2,000,000 BTU& be operated at the facility? [ J 8. Will any acids, solvents, or motor fuel be used or stored at the facility? [ ] 9. Will any organic liquids or gases be reacted of produced? [ ] 10. Will any ovens be used to dry or cure products at the :facility? [ ] 11. Will any CFC (Freon) recycling machines operate at the [ Iciiity? Applicant: c` gn re�nnP � ��� �y1�_,ttir2.� Si ahu�e: (print name clearly) If you have marked "NO" in all the boxes, an air quality permit is not needed at th"s time, and this checklist is your written release. If you marked "`TES" in any of the boxes, ),ju must cantact the South Coast Air Quality Management District (AQMD;. Please read the requirements on the back of the checklist. (800) 388-2121 ADDITIONAL SUPPLEMENTAL INFORMATION