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Home My WebLink About10104 Adams Ave - CofONo M CERTIFICATE OF OCCUPAN Y CITY OF H )NTINGTON BEACHJune Y2 �.979 DEPARTMENT Cn BUILDING & COMMUNITY DEVELOPMENT. This is to cent y that the "s2FTATi',�.r '�s;i — -ART & A C.'M'1 S as authorized under Building Permit No.—FS_2.9�and is identified as i Bl'Q z�atn Atrt? F t n4 or, iddrrx: B-atice,. Caly��,rn j�3. and desc.ibed as DY f S Cam` T.T.Y WiirrayA-tt-f)n-,;rC:bVn) in the building owned by at name address _ complies with the provisions of all pertinent laws, codes, ordinances and any imposed conditions for the use described and classified as an -R_ 7. 4,ccupancy. MAXIMUM OCCUPANT LOAD PERMITTED QQ _. Notice; This Certificate of Occupancy John F. Behrens SHALL BE posted In a conspicuous place on Director of 8.jilding & Community DeUek4prnent the premises and shal` not be removed except 61 by the Building Official. By APPLICATION FUR CERTIFICATE OF OCCUPANCY City of Huntinaton Beach Department of Development Services FOR APPLICA"'T TO FILL IN (Print or type only) DATE _ T o Application is hereby made for a Certificate of Occupancy for a: A Occupancy: Gr. , Div. Describe Business Use —' To be known as — /yj 'S �7:,?zZ- ale y` —7—� Nam- of Busi•iiess Located at 1/0 zf fT 1? 5 ,z! Business Address y ,e Name: BUS LESS'OWNER Residence Address >ity Zip Phone No. - Business: Residence: m Name: MG OWNEAddress ityZip Phone No. THIS USE WOULD BE DESCRIBED AS: ( newly Constructed Building Change of Owner ,Change of Occupant (� Existing Building Change of Use Additional Occupant Indicate former use if any � pccu ancy:'Gr. Div. FMTICE: 1. Occupancy of any building is prohibited and a business license will not be issued g until the building has been ins -cted and a Certificate of Occupancy is issued. 7 ` 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 Building and 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 bu fding in a different division of the same group of occupancy or in a different croup of occupancy, a change of occupancy inspection f-le of $30.00 shall be paid to the City. i (FOR OFFICE USE ONLY) SUPPLEMEN`FAL 1.NFORMATION Sq. ft. of building -7 Plan Check No. 41P' � Occupancy Croup - 7 Permit No. -- i 4'V � Occupant Load Admin. Action ---- No. of Stories-- — -- No. Parking Spaces Health Dept. Approval -- "P OVED AUA J Utilities Released e ._ 1-2 A PR CERTIFICATE OF OCCUPANCY FEE $ 6.00 CHANGE OF OCCUPANCY OR USE INSPECTION FEE TOTAL {#5-039s H i CERTIFICffE OF OCCUPANCY �r ,. Hrwr, ,ri r+fa' DEPARTMENT Of COMMUNITY DEVELOPMENT HWANMON fakli I f r Andress 10104 Adams Ave. ___._ Tstr• _ _ Nj3iness Name KQNNIF. ,_K_LL F2j — --__ _ Tri 1f3 -5331 Bus ess ype ART C.n7,7.FFt1' _ _ _----_-_. -_ � _ _ Chc: Group B-2 SU'.LDING OWNLR BUSINESS OWNERWANAGIR ----. ._ 'r,)nnie Kith Name ..�_ � „ '1621 Luzon St. City T _ �; y — Cypress __._..Hone TP$98-79p4 Construction_,^ No nt S;r;r�eti '•)Ct,:-nnn+ 1,61"; y 45 +Prmx:e,e(j _ This Certittaste a+ Occupancy DEPARTMENT OF COMMUNITY OE-VELOF'ME NT SHA1L BE posted in a conspicuous place or. i the premisds and Shall no! be removed ex- cep: by me Building Official by J APPLICATION FOR CERTIFICATE OF OCCUPANCY N CITY OF HUNTINGTON BEACH T� �- �B DEPARTMENT OF COMMUNITY DEJELOPME14T 11UNTINGION B(A'[4' Nanne— THIS USE WOULD BE DESCRIBED, S: F, NE-L'r C:111_1�1f� Fx S T i NOTICE: 1. Will Ur!tli thP !)Ulldlng lias been 11spe Ctej i1rida i'eififii0f-'-af ;:y sIwd' 2 No electrical service J.til be 1 t.lvIinz' irtci t-ixiberao tispected and t,eittf-ed ,-,ife A!k appliU,rit. fot V xi ,-4 it reoiji-d to schedule an e;ef'tr;(;af 'fuse inspectloilri ff'o '-ie !tzis appiwaft" 5 filed. 3 Change of occupancy or use inspection fee.'Nfi-oev��! il ts to W;iko in��,pertion of bu.1dam or pferill'iesitior(ik c c ets - ro':' In Ili(,- tf"ebu4'r tj o., r,remie:' which vvc.i.,O lrl�-;' I dirle ofoccup.'Incy ^r ina diff,-:lre,it groijp Of --,f be Paid to 'he 4 Huntington Beach Fire Code Sectior, 10,,"-'8 1, !11'1 l ffrat h!'Jidif q:i,W,b:,-1i, t t-,e -t r-inmnim of mcfl-a, kn height wie ii,14 w-,tl %rl,"' i)f ,a These nurt)ers muM ot posttl-j on :1, it Hurptington Bef- h Fire Code Section "id)" 0 "Ind V?er the Nal;onal Fite Prr3lecti4j!Ass+ai ic'rt p;r 1 "C" Is'-e SUPPLEMENTAL INFORMATION (FOR 017FICE USE ONLY) 41)P .7 r 1 J SU!'PLEMENTAL INFORMATION 1. BUSINESS AW;RESS 2. Person to conLacL in case o2 emorgency.- 7� Telephone number- 3. Does the building in question have electricity? OYes I ONO a. It No, are you requesting that the elect icily be OYer turned on? ONO 4. The buildinq is sn.rinklered? 0yes, ONO 5. operations will produce dust/wood shavings or similar material? CI Y'9 S CiNo 6. operations will involve the repair or replacement of Wes automobile parts? ONO If yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? Oyes ONO 7. The business is drinking, dining ot 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 tdescribe process and end product) Restaurant Ta a tit Food Me,,--cal/Dental other (describe) (0562D) (17/8/86) SU!,L-LEMENTAL ,NFORMATION (Contin'aed) Does the operation involve any of the following iaterials? OYes ®Mo If , in is e qua`rni`tie: : Material. Quantity 1. Flammable liquids Clays I -A Class I-B Class I-C 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. Unstable materials 10, Corrosive 1i uq ids 11. Oxidizing material - gasps _ 12. Oxidizin5 material -- liquids -� 13. Cxidizing material - aalids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weiannt 18. Highly toxic material and 2oisonou3 gas 19. Smokeless aoyder 20. Black sporting powder _ I hereby certify that the abo'. information is true an-i c c,<rect to the hest of my knowledge. Signature ~Wit e (0562D) i12%b/?i6) ' - osPxnr�swTVF�Om�um�YocVsLopmEwT � ` This Certificate of Occupancy SHALL BE nocteumaconspicuous place onthe premises and shall not uoremoved except uvthe by || Building Official. || � ^ ' COMMUNITY DEVELOPMENT --_-_-_-_---------------------- ,-_--__--_------__- _--- � ` APPLICATION FOR CERTIFICATE OF OCCUPANCY �. CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT HUMMbTON R ACH (PRINT OR TYPE ONLY) +++ DAT Address /� D( 1 District c Business Name cy G Lam. S i�'�C t` 1 C _ Tel. Business Type Occ. Group BUILDING OWNER BUSINESS OWNERlMHNAGER Namz��S+tom .�Lc�(�-�1�5 Name fiG /YI%C1A5 Home J� C—� ,tttcJiCit 7 AQ Address— •�� Addre/ss �7 i•-- City , �.y N vJ� Te . 7--'-%[:6 City c `, LC�b .2s/� (.._ - —Home lbl�, Jos- 3�GS THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER EXISTING BUILDING ❑••,,C��ANGE OF USE Indicate former use, if any 7 _L ��.�� 7� �II� - Occupancy Gr SQUARE FT. OF BUILDING TO BE OCCUPIED—LIE-70.fl'% .CHANGE OF OCCUPANT ❑ ADDITIONAL OCCUPANT NOTICE: 1. Occupancy of <.ny buii�`ng is prohibited and a business license will not be issued until the building has been inspected and a certificz.'e of occupancy is issued. 2. No eiectrral service will be released for any existing wilding until the servic ,� has been in ;pected and .? certiried safe. Ail applicants for occupancy in an existing building are required to schedule an adectric .l /1 '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,o determine if achange may be made in the ch. -I acter of occupancy or use of the building or premise-, which would place the building in a different owision of the same group of occupancy or in a different group of occupancy, a change of occupancy inspection fee of $ _ _ shall be pP;d to the city. 4. Huntington [;each Fire Code Section 1J.208 requires that buildirn. numbers must be a minimum of four (4) inches in height with cne half (Yz) inch :strok,:s, and of a contrasting color from the background. 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 distrihution per the National Fire Protection Association pamphlet 10 (see revarse side). (FOR OFFICE USE LNLY) L� ��PZ St PPLEMENTAL INFORMATION �j ZONING - OCCUPANCY GROUP "—' PLAN CHECK NO. NO PARKING SPACES OCCUPANT LOAD PERMIT NO HEALTH DEPT APPROVAL NO. OF ST I S ADMIT+. ACTION UTILITIES RELEA ED ✓' �� aY 617, 9 GERT!FICATE OF OCCUPANCY FEE $ P OVED ATE CHANGE OF USE OR OCCUPANCY FEE $ _ TOTAL $ 75-039 Rev. 11/90 COlvIMUNITY DEVELOPMENT SUPPLEMENTAL 1119FORMATION 1. BUSINESS ADDRESS =C-� A/ . 2. Person to contact in case of emergency' XL /r'1 9C-' Telephone number: � 3 CP�) 3. Does the building in question have electricity? (a) If No, are you requesting that the electricity be turned on? 4. The building is sprinklered? 5. Operations will produce dust/wood shavings os- similar material? 6. Operations will involve the repair or replacement of automobile parts? If Yes: (a) Describe the components repaired or repVaced. Yes C No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes 8,No ❑ Yes No (b) Does the operation involve the use of an `,,gin flame? ❑ Yes Zl No 7. The business is drinking, dining or assembly use that will result in an occupant bad of more than 50 persons. Cj Yes 3�.N o 8. The fallowing best describes my operation; Office Only Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other (describe) 'SUPPLIMENTAL INFORMATION r.. SOPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materiais? ❑ Yes A9, N o If Yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A Class 1-8 Class I-C 2. Combustible liquids Class If Class Ill -A 3. Combination flammable 4. Flammable gases-^ 5. Liquefied flammable gases - 6. Flammable fibers - loose 7. Flammable fi")ers - baled- 8. Flammable solids -- ------ 9. Unstable materials 10. Corrosive liquids 11 Oxidizing material - gases 12. Oxidizing material - ligvic 13. Oxidizing material - solids_- 14. Organic peroxides�- 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compores— containing more than 60% nitrate by weight 18. Highly toxic mate-ial and poisonous gas 19_ Smokeless powder- 20. Mack sporting powder I hereby certify that the above information is true and correct to the best of my knowledge. Signature �Uate Government Code Section 6f5E50.2(b) requires that the City of Huntington Beach not issue t5e final certificate of occupancy unless the applicant has met or is meeting the requirements of the South Coast Air Quality Management District (AW a). 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 bui{ding division to meat these requirements. 1. The applicant (the same person who applies for permits from the Department of Community Development) must complete the check list which can be obtained e: er 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 in the list, the app!icant must contact an AQMD engineer by calling (714) 396 2000 to find out whether air permits are requirad for the proposed construction project. 4. If air permits are not required, the applicant will obtain a written release from AQMD. 5. If air permits 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 rove procedures, the applicant is advised to contact AQMD immediately after applying for building permits. ADDITIONAL SUPPLIMENTAL INFORMATION 40*16. 3, SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property:_ Property Owner +Name: �'=�S__r2s?'r�� 1 =__ _ �_ Phone Name of the person prepari inn lg this form in print and signature: Name: _ /7 L _.__ I)9Z The persor, preparing this form mus; be the same person 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 QUEST ION, 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 involve mixing, blending, or processing any solvents, adhesives, paints or coatings? 3. Does your facility create arig dusts or rnoke? 4. Roes your facility refire any liquids or solids or reclaim any metals? 5. Does your facility plate or coat anything? 6, Dees your facility have any combustion equipment (i.e. boiler, furnaces, }� broiler, baking ovens, etc.; rating greater than 2,000,000 BTU/HR? 7. Does your facility handle or st,lre solvents or motor lvpi? 8. Do you use or story any acids?S. Do you else any charnicai precesd ? 10. Igo you use any solvents for clean-up? 1 a . Are you s dry cleaner, ,estaurant with a ot,arbwiler, body shop, gasoline, 1 1 station, printer, or part coater? 12. Is the subject building located within one thous...Pd (1,0001 feet of any rchooL? PROPERTY LINE TO PROPERTY LINE. GE11ADEd3i K-12 If you have marked "NO" ir, a;i columns, you do not need an Air Duality permit at this timo. if you have marked any questions in the " r`ES" column you must contact the Soul,, "' ,ast Air Quality Matir- i i District located at: 21865 E. Copley 6`�rrve Diamond Bear. Chi, ()', t -,.s-4 i 82 Pima call: Plan Cho,* (908) 396-2000 a 1 Lz