HomeMy WebLinkAbout10111 Adams Ave - CofO (15)e
A
CF;iTIFICAI r OF OCCUPANCY
CITY OF HUNTINGTON BEACH
ciCa
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i
DEPARTMENT OF DEVELOPMENT SERVICES
Dine
HUNnNGTON RMai
1013.1 C F`��' 1� `'�TFY]T? a
Address
i istrict.
T'r7A. eS�.�tEd�`�r.7 l..� rc-
Business !lame
T"L
Business Type
R.Ptailer
Occ. croup
BUILDING OWNER 3USiNFSS OWNERWANAGER
Name
_ Name + J r x7 `:
Home
Address-
Address
City
Tel. _ City _ <_"wu era IT - 1 't
r, , -
Home elel:.
Constructir, s
No. of Stories —Occupant Load G r', _Sprirklered
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on
the premises an, shal! not bE removed ex-
cept bL ;.na Building Official.
DEPARTMEN"- OF DEVELOPMENT SERVICES
imAJ
Icein
HUNnN''GTON BEACH
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNT"INGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
(PRINT OR TYPE ONLY) DATE i
G
Address 4 r
n
District
Business Name E=� cr �+ �Jr�f�f ASMR �_ Tel.
Business Type ! ' % }esmE /����c !/' tsc �ci7al [✓ =/Z Occ. Gaup
BUILDING OWNER BUSINESS'OWNERIMANAGER
Name __ NameHome
Address Address. r—
A I
City _ Tel. CityJ ' __!.r1 U v'' I I 'r r 1-1 L d I Home Tel aft !�1"6 ,K
T')IS USE V,/OULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER L'/_I CHANGE OF OCCUPANT
❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any_ n , V Occupancy Gr. Div. —
SQUARE FT. OF BUILDING TO BE OCCUPIED
NOTICE: 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 schedul;- an electrical
`tuse up' inspection in the Department of Development Services at the time this application is f red.
3. Change of occupancy or use inspection feo. 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
113/� or in a different group of occuF.an.,y, a charge at occupancy 1 ,section 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 hs!f ('/2) inch stroke, and of a contrasting color from the background. These
numbers must be posted on your building ii _ 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 pa„ohlet 10 (see reverse side).
(FOR OFFICE USE ONLY) C 2 3-11-64
SUPPLEMENTAL INFORMATION 'ZONING
OCCUPANCY GROUPLAN CHECK NO. NO. PARKING SPACES _
OCCUPANT LOAD FERMI i NO. __ HEALTH DEPT. APPROVAL NO. OF STORIES — ADMIN. ACTION UTILii IES RELEASED
b
Li!m,
CERTIFICATE OF OCCUPANCY FEE $ �2 _
APPROVED BY DATE CHANGE OF USE OR OCCUP/,NCY FEE $
TOTAL $
7"39 REV,
April 20, 1988
10111 Adams Ave., Ste. C *�
CLOTH WORLD
FABRIC RETAILER B-2
S S A PROPERTIES AL AN REISERT
890 'Test Bz'cers St,., t200 3M; N. E Sic., #32
Costa Mesa, CA
San Beznardino, CA ?14-883-7�53
333
COMMUN 11)F E1-0PMF N i
APPLICATION FOR CERTIFICATE OF OCCUPANCY
�e CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
duNT1NGTON BEACH
(PRINT 09 TYPE ONL", DAZE
Olt
Address District —
Business Business Name ( l i-Ai' r 1`4 7 Tel.
Business Type .ld ✓ ! rGLt-,- Occ. croup
BUILDING OWNE.: BUSINE; OWNER/MANAGER
Name 7 �/� ��Q _ NameHome
-�l��i-.S r
Address rQ (�%1��_�� Address��
city _ 2 �3e1. _ City AtSgA dHQ L ' 3
�2 o5
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER VN, CHANGE OF OCCUPANT
� . EXISTING BUILDING p/ El CH GE F US �1 ADDITIONAL OCCUPANT
Indicate fo*mer use, if any�R : • W Occupancy Gr.—Div,
SQUARE FT. OF BUILDING TC BE OCCUMED1 7—E0op
NOTICE: 1.
Occupancy e° v building is prohibited and a business license will not be issued umil the buiidirg has
b'een ;,,apecieu 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
'nrae up' inspection in the Department of Development Ser,+ices at the time this appiicat,on 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 c-cupancy cr 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 the city.
/ 4.
Huntingtor ash Fire Code Section 10.208 requires that building numbers must be a minimum of four
_
(4) inches ight with one half 0,12) inch stroke, 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 10.3C1 requires fire extinguisher selection and distribution per
j the National Fire Protection Association pamphlet 10 (see reverse side) ti
aq � .
SUPPLEM -NTAL INFORMATION
OCCUPANCY GROUP— A /-.i
C4CUPANT LOAD
NO. OF S OIRIES -
-��
APPR ED BV DATE
(FOR OFFICE USE ONLY)
PLAN CHECK NO
PERMIT NO. —
ADMIN. ACTION_
ZONING C-2 '- 1=62
NO. PARKING FPACES
HEALTH DEPT. APPROVAL
UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE $
CHANGE OF USE OR OCCUPANCY FEE $
TOTAL 1z
75.039 REV. DEVELOPMENT SERVICES
u
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Address 101 1 ADAMS
CRAZY BOB is i' EST -"RN I -NEAR
Business Name Tel.
12/14/94
Date
District
964 --0 164
RETAIL SALES -- SHOE3 B-2
Business Type Occ. Gaup
BUILDING OWNER BUSINESS OWNER/MANAGER
SA PROPERTIES JOP papKim
Name Name _
M1
890 "vl. B;KER Home 59 GRErt, ➢:ou
Address Address
City cosrA MESA Tel. 545--7700 IRv:NE e1me 55 9 --2645
y ity
45
ConstructionNo. of Stories O�^upant Load Sprinklers
CONDITIONS OF APPROVAL
Comments: ,i40N—CONFORNING rXiTu TO BE COLRECTED
DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the f'
premises and shall not be removed except by the by ', vt "r
Building Official.
a COMMUNITY DEVELOPMENT
�� � APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH /
DEPARTMENT OF COMMUNITY DEVELOPMENT ! /
HUNIVOCION B6101 (PRINT OR TYPE ONLY)
•Address
✓Business
r
Business
Name
Xty
District�/�
Tel
Occ
r� BUILDING OWNER { BUSINESS OWNERIMANAGER
V Name A
✓ �i t: AC V Address .i 99
ty Home Ted✓ 'aT
T S USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER RANGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ADDITIONAL OCCUPANT
Indicate for-ner use, if any�� `.�� _ Occupancy Gr. Div
OUARE FL OF BUILDING TO BE OCCUPIED � _7'�_—
NOTICE: 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 ba released for any existing building until the service has been inspected and
certified safe. All applicants for occupancy in an , JsUng 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 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 buiiamg numbers rT,.jst be a minimum of four (4)
inches in height with one half (1/2) inch stroke, and of a contrasting color from the background. These
numbers most be posted on your building in a location that is visible from the street.
t 5. Huntington Beach Fire Code Section 10'' 1 , 6quires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side). c�
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP PLAN CH?CK N.
OCCUPANT LOAD PERMIT NO
NO, OF STOR S AL MIN ACTION
-.!/ 7CERTIF;GATE OF OCCUPANCY FEE
AP ROVED TE CHANGE OF USE OR OCCUPANCY FEE
TOTAL
75.039 Rev. 11/90 COMMUNITY DEVELOPMENT
ZONING`'
NO PARKING SPACES
HEALTH DE:PT APPROVAL"_ _—
UTILITIES RELEASED
(�
SUPPLEMENTAL INFORMA71ON
1., BUSINESS ADDRESS
2. person to contact in case of emergency -
Telephone number:�f%"��fr
3. Does the building in question have electricity? 0 Yes
-ET--1T'o
(a) If No, are you requesting that the electricity be
turned on? ❑ No
4. The building is sprinklered?
❑ No
5. Operations will produce dust/wood shavings or similar
material? ❑ Yes
a
6. Operations will involve the repair or rer,'- ;ement of 0 Yes
automobile parts? o
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? ❑ Yes
PJo
7. The business i; drinking, dining of assembly use that will
result In an occupan. "aad of more than 50 persons. ❑ Yes
No
8. The following best describes my operation;
Office Onl
eta'
rt fial�
Warehouse
Manufacturing / Distribution (describe process and and product)
Restaurant / Take Out Food
Medical / Dental
Other kdescribe)
SUPPLIMENTAL INFORMATION
SJPP+-EMENTAL INFORMATION (Continued)
Does ihp operation invclve any of the follo )ig rnaterla!s? G r es.
N o
if `'es, indicate quantities
Material
1. Flammable liquids
Cass I -A
Class !-g
Class !-C
2. Combustible liquids
Class ll
Clans lif-A
3. Combination flammable liquids
4. Flammable gases
5. Liquefied flammable gases _.
' G. � Flamsnahle fibers -loose
— Fiammable fib=-rs - baled
A. ---Fiammable solids
3. Unstable materials
10. Corrosive liquids
11. Oxidizing material gases
12. .. Oxidizing material •• liquids
13. 0xidizing material -solids
14. Organic peroxides��~�
15. Nitromethane (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate compouric' mixtures
,C-r)tulninn mnrg inan 601!n nitrate
by weight gh
13. Highly toxic material and
poisonous gas
13. Smokeless powder w _
20. Black sporting puwcte,-
I hereby certify that the above on is true and correct to
the nest ca5 my knowledge.
}
S' a ire Gate
W F.
�a
Government 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 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 accent the
check list as the release.
3. If there are any "yes" answers in the list, the appli^ant 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 permits are required, the applicant must submit the necessary permit
applications before the release can be issued.
Because of the firr a it may take for AQMD to .go through the above procedures, the applicant is
advised to contact AQMD immediately after applying for building permits.
MOD)
ADDITIONAL SUPPLIMENTAL WFORMATION
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